Provider and Pharmacy Directory 2021

MMOH.21.999.01.9.005

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) Geauga, Lake, Lorain, and Medina counties

For more information, please contact Member Services at: Toll-free 1-877-542-9236, TTY 711 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week) www.UHCCommunityPlan.com www.myuhc.com/CommunityPlan

H2531_001_000_PD_2021_NM 7/6/2021 MMOH.21.999.01.9.005 MMOH.21.999.01.9.005

Page 1 UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) 2021 PROVIDER AND PHARMACY DIRECTORY Introduction This Provider and Pharmacy Directory includes information about the provider and pharmacy types in UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) and listings of all the plan’s providers and pharmacies as of the date of this Directory. The listings contain provider and pharmacy address and contact information as well as other details such as days and hours of operations, specialties, and skills. Key terms and their definitions appear in alphabetical order in the last chapter of the Member Handbook. Table of Contents

A. Disclaimers ...... 3 B. Providers B1. Key Terms ...... 4 B2. Primary Care Provider ...... 5 B3. Long-term services and supports (LTSS) providers ...... 5 B4. How to identify providers in UnitedHealthcare Connected for MyCare Ohio ’s network ... 6 B5. How to find UnitedHealthcare Connected for MyCare Ohio provider in your area ...... 7 B6. List of network providers ...... 8 C. Pharmacies C1. How to identify pharmacies in UnitedHealthcare Connected for MyCare Ohio’s network 9 C2. Long-term supplies of prescriptions ...... 10 D. UnitedHealthcare Connected for MyCare Ohio’s network providers D1. Provider Type l National Vendors ...... 17

l State Preferred Providers...... 24

l Primary Care Providers ...... 26

l Specialists ...... 228

l Behavioral Health Providers ...... 551

l Dental Providers ...... 703

l Vision Providers...... 730

l Certif ed Nurse Midwives...... 755

l Certif ed Nurse Practitioners ...... 761

l Long Term Services And Supports Providers...... 790

l Obstetrics & Gynecology ...... 793

l Pediatric Providers ...... 813 D2. Facility Type MMOH.21.999.01.9.005

l Hospitals...... 833

l Urgent Care Centers ...... 839

l Skilled Nursing Facilities...... 840

l Ancillary Providers...... 844

l Behavioral Health Facilities...... 856

l Federally Qualif ed Health Care Agency/Rural Health Clinic ...... 876

l Home And Community Based Service Providers...... 877 E. UnitedHealthcare Connected for MyCare Ohio’s network pharmacies E1 Retail and chain pharmacies ...... 881 F. Index F1 Providers ...... 893 F2 Pharmacies ...... 913 F3 Area of Expertise ...... 915 MMOH.21.999.01.9.005 MMOH.21.999.01.9.005

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) Page 3 A. Disclaimers UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. × This Directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and support providers (such as Home Health providers) that you may see as a UnitedHealthcare Connected for MyCare Ohio Member. We also list the pharmacies that you may use to get your prescription drugs. × We will refer to these groups as “network providers” in this Directory. These providers signed a contract with us to provide you services. This is a list of UnitedHealthcare Connected for MyCare Ohio’s network providers for Geauga, Lake, Lorain, and Medina counties. × ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call Member Services at 1-877-542-9236, TTY 711 from 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. × ATENCIÓN: Si habla español, hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame a Servicio al Cliente al 1-877-542-9236, TTY 711, de 8 a.m. a 8 p.m., hora local, de lunes a viernes (correo de voz disponible las 24 horas del día, los 7 días de la semana). La llamada es gratuita. × You can get this document for free in other formats, such as large print, braille, or audio. Call 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. × You can call Member Services and ask us to make a note in our system that you would like materials in alternative languages or formats now and in the future. × This list is up-to-date as of the date noted on the front cover, but you need to know that: × Some UnitedHealthcare Connected for MyCare Ohio network providers may have been added or removed from our network after this Directory was published. × Some UnitedHealthcare Connected for MyCare Ohio providers in our network may not be accepting new members. If you are having trouble finding a provider who will accept new members, call Member Services at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week) and we will help you. To get the most up-to-date information about UnitedHealthcare Connected for MyCare Ohio‘s network providers in your area, visit www.UHCCommunityPlan.com or call Member Services at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. Doctors and other health care professionals that are in UnitedHealthcare Connected for MyCare Ohio's network are listed on the pages indicated on the Table of Contents following this introduction. You can use the Index in the back of the Directory to find the page where a provider or pharmacy is listed.

If you have questions, please call UnitedHealthcare Connected for MyCare Ohio at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). If you need to speak to your care manager, please call 1-800-542-8630, 24 hours/7 days a week. These calls are free. For more information, visit www.UHCCommunityPlan.com. MMOH.21.999.01.9.005

Page 4 UnitedHealthcare Connected for MyCare Ohio B. Providers B1. Key terms A health care team may consist of the member, the member’s family/caregiver and qualified professionals including the integrated care delivery system care manager, the waiver service coordinator, if appropriate, the primary care provider, specialists, and other providers, as applicable, designed to effectively meet the member’s needs. Your health care team will provide care management services to you after your enrollment in the plan. Your health care team will work with you to promote your ability to live independently, and the team will work to coordinate your full set of Medicare and Medicaid benefits including medical, behavioral, long term care and social needs. This section explains key terms you’ll see in our Provider and Pharmacy Directory. × Providers are health care professionals and support providers such as doctors, nurses, pharmacists, therapists, and other people who provide care and services. Services include medical care, long-term services and supports, supplies, prescription drugs, equipment and other services. • The term providers also includes facilities such as hospitals, clinics, and other places that provide medical services, medical equipment, and long-term services and supports. • Providers that are a part of our plan's network are called network providers. × Network providers are the providers that have contracted with us to provide services to members in our plan. The providers in our network generally bill us for care they give you. When you see a network provider, you usually pay only your share of the cost for covered services. × A Primary Care Provider (PCP) is a health care professional, primary care clinic, a federally qualified health center or a rural health care center who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time. × Specialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples: • Oncologists care for patients with cancer. • Cardiologists care for patients with heart conditions. • Orthopedists care for patients with certain bone, joint, or muscle conditions. × All female members are allowed to self-refer to certified nurse midwives (CNMs), obstetricians and gynecologists on the UnitedHealthcare Community Plan provider panel. In addition, female members are also allowed to self-refer to women’s health specialists on the UnitedHealthcare Community Plan panel for routine and preventative health care services if their PCP is not a women’s health specialist. For a list of women’s health specialists on UnitedHealthcare Community Plan’s panel please call Member Services at 1-800-895-2017 (TTY: 711), 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). × The following providers can be seen on a self-referral basis: • Qualified Family Planning Providers (QFPPs)

UnitedHealthcare Connected for MyCare Ohio Page 5

• Federally Qualified Health Centers (FQHCs)/Rural Health Clinics (RHCs). × You also have access to a Care Manager and a Care Team that you choose. Your PCP will work closely with your care manager and care team. • Your care manager helps you manage all your providers and services. He or she works with your care team to make sure you get the care you need. • Your Care Team includes your doctor, other providers, caregivers and your care manager. Everyone on the care team works together to make sure your care is coordinated. This means that they make sure tests and labs are done once and the results are shared with the appropriate providers. It also means that your PCP should know all medicines you take so that he or she can reduce any negative effects. Your PCP will always get your permission before sharing your medical information with other providers. B2. Primary Care Provider (PCP) You can get services from any provider who is in our network and accepting new members. First, you will need to choose a Primary Care Provider or PCP. If you do not choose a PCP, we will assign one to you. To choose a PCP, go to the list of providers on the page indicated on the Table of Contents following this introduction and × choose a provider that you use now, or × choose a provider who has been recommended by someone you trust, or × choose a provider whose offices are easy for you to get to. If you want help in choosing a PCP, please call Member Services 1-877-542-9236, TTY users should call 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. Or, visit www.UHCCommunityPlan.com. If you have questions about whether any service or care that you want or need is covered, talk to your care manager or call Member Services to ask before you get the service or care. B3. Long-term services and supports (LTSS) You may be able to get long-term services and supports (LTSS) which are also called Medicaid “waiver services,” such as those listed below as a UnitedHealthcare Connected for MyCare Ohio Member. LTSS gives assistance to help you stay at home instead of going to a nursing home or hospital. MyCare Ohio Waiver services provided through UnitedHealthcare Connected for MyCare Ohio are designed to meet the needs of members 18 years and older, who are fully eligible for both Medicare and Medicaid, enrolled in a MyCare Ohio Plan, and who are determined by the State of Ohio, or its designee, to meet an intermediate or skilled level of care. These services help individuals to live and function independently. The following Waiver services are available, as applicable to members’ needs: × Out of Home Respite Services × Adult Day Health Services

Page 6 UnitedHealthcare Connected for MyCare Ohio

× Home Medical Equipment & Supplemental Adaptive & Assistive Devices × Waiver Transportation × Home Maintenance and Chore Services × Social Work Counseling × Emergency Response Services × Home Modification × Personal Care Services × Homemaker Services × Waiver Nursing Services × Home Delivered Meals × Alternative Meals Service × Assisted Living Services × Home Care Attendant × Choices Home Care Attendant × Enhanced Community Living services × Nutritional Consultation × Community Integration Services × Community Transition Services Long-term services and supports give assistance to help you stay at home instead of going to a nursing home or hospital. Members must qualify for these services as they are not available to all plan members. If you are eligible for Waiver services, you will work with your Waiver Coordinator and/or Care Manager to help you with coordinating your needs for Long Term Supports and Services. B4. How to identify providers in UnitedHealthcare Connected for MyCare Ohio's Network You must get all of your covered services from providers within our network. These providers have an agreement to work with us and provide you services. We call these providers “network providers”. The exceptions to this rule are when you need long-term nursing home care, urgent or emergency care or dialysis and cannot get to a provider in the plan, such as when you are away from home. Also, for a specific period of time after your enrollment in UnitedHealthcare Connected for MyCare Ohio you can see your out-of-network physicians and other service providers, including nursing homes and assisted living providers, home health nurses, aides and LTSS or “waiver services” providers. Members must qualify for these services as they are not available to all plan members. You can also go outside the plan if UnitedHealthcare Connected for MyCare Ohio gives you permission first. Call Member Services to ask for the use of providers outside of our network, so we can make arrangements for you.

UnitedHealthcare Connected for MyCare Ohio Page 7

You may change providers within the network at any time during the year. If you have been going to one network provider, you do not have to keep going to that same provider. If you want to change your primary care provider (PCP), call Member Services. Members can change their PCP monthly. Change requests made within the first month of membership will be effective the date of the request. If you request a PCP change after your first month of membership, the change will be effective on the first day of the next month. You will receive a new membership ID card that shows your new PCP name and phone number. UnitedHealthcare Connected for MyCare Ohio works with all the providers in our network to accommodate the needs of people with disabilities. As applicable, the list of network providers in this Directory includes information about the accommodations they provide. If you need to see a provider and are not sure if they offer the accommodations you need, UnitedHealthcare Connected for MyCare Ohio can help you. Talk to your Care Manager for assistance. B5. How to find UnitedHealthcare Connected for MyCare Ohio providers in your area Network providers in your area are listed in the following sections of this Directory. You may have more providers to choose from as the service area for this plan is larger than the service area shown on the front of this Directory. You can search online at www.UHCCommunityPlan.com which is updated daily and available 24 hours a day, 7 days a week. To find a provider using this Directory, turn to the Table of Contents and see where each section begins. Go to the section of the type of provider you are looking for. Once you are in that section, locate the city you live in. Under each city you will find a list of providers in alphabetical order.

11 Page 8 UnitedHealthcare Connected for MyCare Ohio B6. List of network providers This Directory of UnitedHealthcare Connected for MyCare Ohio’s network providers contains: × Health care professionals (for example, primary care physicians, specialists, mental health providers, Qualified Family Planning Providers (QFPPs), dentists, and vision care providers); and × Facilities (for example, hospitals, long-term care facilities and skilled nursing facilities for rehabilitation, mental health facilities, Federally Qualified Health Centers, and Rural Health Centers); and × Support providers (for example, adult day services, assisted living, home-delivered meals, home health agencies, and home medical equipment providers). Providers are listed in alphabetical order by last name. You can also find the provider’s name and the page where the provider’s additional contact information is in the Index at the end of the Directory. Providers are also listed in alphabetical order by last name in the Index. In addition to contact information, provider listings also include specialties and skills, for example, such as languages spoken or completion of cultural competence training.

Cultural Competence Training

Cultural competence training is additional instruction for our health care providers that helps them better understand your background, values, and beliefs to adapt services to meet your social, cultural, and language needs.

There are approximately 9134 Primary Care Providers, 13185 Specialists and 547 Hospitals in our network.

You may receive services from any of the providers on this list.

12 UnitedHealthcare Connected for MyCare Ohio Page 9 C. Pharmacies This part of the Directory provides a list of pharmacies in UnitedHealthcare Connected for MyCare Ohio’s network. These network pharmacies are pharmacies that have agreed to provide prescription drugs to you as a member of the plan. × UnitedHealthcare Connected for MyCare Ohio Members must use network pharmacies to get prescription drugs. • You must use network pharmacies except in emergency or urgent care situations. If you go to an out-of-network pharmacy for prescriptions when it is not an emergency or urgent care situation, including when you are out of the service area, call UnitedHealthcare Connected for MyCare Ohio toll-free Member Services or 24-hour nurse advice line for assistance in getting your prescription filled. • If you go to an out-of-network pharmacy for prescriptions when it is not an emergency, you will have to pay out of pocket for the service. Read the UnitedHealthcare Connected for MyCare Ohio Member Handbook for more information. × Some network pharmacies may not be listed in this Directory. • Some network pharmacies may have been added or removed from our plan after this Directory was published. For up to date information about UnitedHealthcare Connected for MyCare Ohio network pharmacies in your area, please visit our website at www.UHCCommunityPlan.com or call Member Services at 1-877-542-9236, TTY users should call 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free. To get a complete description of your prescription coverage, including how to fill your prescriptions, please read the Member Handbook and UnitedHealthcare Connected for MyCare Ohio’s List of Covered Drugs. The List of Covered Drugs can be found on the web at www.UHCCommunityPlan.com or you can call Member at 1-877-542-9236 and TTY 711 to request one. C1. How to identify pharmacies in UnitedHealthcare Connected for MyCare Ohio’s network Along with retail pharmacies, your plan’s network of pharmacies includes: × Mail-Order Pharmacies send covered prescription drugs to members through the mail or shipping companies. × Home infusion pharmacies prepare prescription drugs that are given through a vein, within a muscle, or in another non-oral way by a trained provider in your home. × Long-term care (LTC) pharmacies serve residents of long-term care facilities, such as nursing homes. You are not required to continue going to the same pharmacy to fill your prescriptions. You can go to any of the pharmacies in our network.

13 Page 10 UnitedHealthcare Connected for MyCare Ohio

C2. Long-term supplies of prescriptions × Mail-Order Programs. We offer a mail-order program that allows you to get up to a 90-day supply of your prescription drugs sent directly to your home. A 31-day supply has the same copay as a one-month supply. × 90 Day Retail Pharmacy Programs. Some retail pharmacies may also offer up to a 90 day supply of covered prescription drugs. A 31-day supply has the same copay as a one-month supply.

14 UnitedHealthcare Connected for MyCare Ohio Page 11

UnitedHealthcare Connected for MyCare Ohio Network Pharmacies Network pharmacy providers in your area are listed in the following sections of this Directory. To find a pharmacy using this Directory, turn to the Table of Contents and see where each section begins. Go to the pharmacy section and locate the city you live in. Under each city you will find a list of pharmacies in alphabetical order. Mail Order Pharmacy(ies) You can get prescription drugs shipped to your home through our network mail order delivery program which is called OptumRx® home delivery pharmacy. Prescription orders sent directly from your doctor must have your approval before we can send your medications. This includes new prescriptions and prescriptions refills. We will contact you, by phone, to get your approval. If we are unable to reach you for approval, your prescription will not be sent to you. You also have the choice to sign up for automated mail order delivery through our OptumRx® home delivery pharmacy. Typically, you should expect to get your prescription drugs from 4 to 6 days from the time that the mail order pharmacy gets the order. If you do not get your prescription drug(s) within this time, if you would like to cancel an automatic order, or if you need to ask for a refund for prescriptions you got that you did not want or need, please contact us at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). To learn more about mail order pharmacies, see Chapter 5 of the Member Handbook Home Infusion Pharmacies You can get home infusion therapy if UnitedHealthcare Connected for MyCare Ohio has approved your prescription for home infusion therapy and if you get your prescription from an authorized prescriber. For more information, please see your Member Handbook, or call Member Services at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). Long-Term Care Pharmacies Residents of a long-term care facility, such as a nursing home, may access their prescription drugs covered under UnitedHealthcare Connected for MyCare Ohio through the facility’s pharmacy or another network pharmacy. To learn more about drug coverage in special cases, see Chapter 5 of the Member Handbook. For more information, you can call Member Services at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week).

15 Table Of Contents

National Vendors ...... 17 State Preferred Providers...... 24 Primary Care Providers...... 26 Specialists...... 228 Behavioral Health Providers...... 551 Dental Providers...... 703 Vision Providers...... 730 Certified Nurse Midwives...... 755 Certified Nurse Practitioners...... 761 Long Term Services And Supports Providers...... 790 Obstetrics & Gynecology...... 793 Pediatric Providers ...... 813 Hospitals ...... 833 Urgent Care Centers...... 839 Skilled Nursing Facilities...... 840 Ancillary Providers...... 844 Behavioral Health Facilities...... 856 Federally Qualified Health Care Agency/Rural Health Clinic...... 876 Home And Community Based Service Providers ...... 877 Pharmacy Providers ...... 881 Index...... 893 Pharmacy Index ...... 913 Areas of Expertise Index ...... 915

IMPORTANT: Providers listed in this directory are current as of July 6, 2021. Information is subject to change. Please contact Member Services at 1-866-265-1893 or (TTY/TDD 711). MMOH.21.999.01.9.005

16 MMOH.21.999.01.9.005National Vendors

National Vendors The following national vendors are available to provide services to UnitedHealthcare customers throughout the United States regardless of where you receive the services.

Provider(s) Phone Number Website Cardiac Diagnostic - Cardiac Monitoring Services Preventice Services 1-888-747-1442 www.preventicesolutions.com Cardiac Diagnostic - Cardiac Monitoring Services & Home INR Monitor/test strips CardioNet 1-888-312-2328 www.cardionet.com Convenience Care Clinic MinuteClinic 1-866-389-ASAP (2727) www.minuteclinic.com The Little Clinic 1-877-852-2677 http://www.thelittleclinic.com Dialysis Amercian Renal Associates 1-877-997-3625 www.americanrenal.com Inc. (ARA) DaVita Dialysis 1-866-475-7757 ext. www.davita.com 253706 Dialysis Clinic, Inc See website www.dciinc.org Fresenius Medical Care 1-866-434-2597 www.fmcna.com DME - AED - wearable defibrillator ZOLL Lifecore 1-800-543-3267 www.zoll.com DME - Ambulatory Infusion Pumps InfuSystem Inc 1-800-962-9656 www.infusystem.com DME - Bone Growth Stimulator Bioventus 1-800-396-4325 www.bioventusglobal.com DJO 1-800-321-9549 www.djortho.com EBI 1-800-526-2579 www.biomet.com Orthofix 1-800-535-4492 www.orthofix.com DME - Breast pump purchase Byram Healthcare 1-877-902-9726 www.byramhealthcare.com Edgepark Medical Supplies 1-888-394-5375 www.edgepark.com Medline Industries 1-800-633-5463 www.medline.com DME - Cochlear Implant Replacement Parts Cochlear Americas 1-800-483-3123 Cochlearamericas.com MMOH.21.999.01.9.005

Provider(s) Phone Number Website DME - CPM/Continuous Passive Motion Otto Bock Healthcare 1-800-328-4058 www.ottobockus.com DME - CPM/continuous passive motion, Thermocomp, TENS Kinex Medical Company 1-800-845-6364 www.kinexmedical.com DME - Cranial Helmets Cranial Technologies, Inc 1-844-447-5894 www.cranialtech.com DME - DME - - Ultraviolet (UV) Light Therapy National Biological 216-831-0600 https://www.natbiocorp.com/ Corporation DME - DME - Breast pump purchase AdaptHealth 855-406-7867 https://pcs.adapthealth.com/products/bre ast-pumps/ DME - DME Ostomy Supplies Urinary Catheters Mastectomy Prostheses and Bras (NO diabetic supplies) Liberator Medical Supply 1-888-244-0789 https://www.liberatormedical.com/ DME - Dynamic Splinting; Bracing & Orthotics Dynasplint Systems 1-800-638-6771 www.dynasplint.com DME - Incontinence, diapers, soft goods and wound care supplies Medline Industries 1-800-633-5463 www.medline.com DME - Mail order disposable medical supplies including Medicare-covered diabetic supplies (blood glucose monitors, test strips and lancets) Byram Healthcare 1-877-902-9726 www.byramhealthcare.com DME - Mobility products - custom/complex power wheelchairs and seating systems Numotion 1-888-232-1333 https://www.numotion.com/locations DME - Mobility products custom/complex power wheelchairs and seating systems National Seating & Mobility See website www.nsm-seating.com DME - Negative pressure wound pump and wound care surfaces KCI USA 1-800-275-4524 https://www.acelity.com/about-kci DME - Orthotics and Prosthetics Linkia Orthotics & Prosthetics 1-877-754-6542 www.linkia.com DME - Pnuematic Compression Devices Tactile Technology Systems 1-866-435-3948 www.tactilemedical.com DME - POV and Power wheelchairs MMOH.21.999.01.9.005

Provider(s) Phone Number Website Hoveround Corporation 1-888-225-1547 www.hoveround.com DME - Respiratory high frequency chest compression oscillation system (vest) Advanced Respiratory 1-800-826-4224 https://respiratorycare.hill-rom.com/ Electromed 1-800-462-1045 www.smartvest.com RespirTech 1-800-793-1261 www.respirtech.com DME - Speech generating device Prentke Romich 1-800-268-5224 www.prentrom.com Tobii Dynavox Systems 1-800-344-1778 http://www.tobiidynavox.com/ DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, home PT/INR, negative pressure wound care, oxygen, respiratory Lincare - may be known See website www.lincare.com locally by a different name; refer to website DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, negative pressure wound care, oxygen, respiratory Apria Healthcare 1-800-277-4288 www.apria.com DME - Standard DME (beds, walkers, wheelchairs) cpap, enteral, oxygen, respiratory Rotech Healthcare - may be See website www.rotech.com known locally by a different name; refer to website DME - TENS units Electrostim Medical Services, 1-800-588-8383 www.wecontrolpain.com Inc Zynex Medical 1-800-495-6670 www.zynexmed.com DME - Wound care supplies for residents of nursing homes Gordian Medical, Inc 1-800-568-5514 www.amtwoundcare.com Home Health Innovative Senior Care See website www.brookdaleliving.com Maxim Health Care Services 1-800-899-9525 www.maximhomecare.com Hospice - Home and inpatient AseraCare Hospice See website www.aseracare.com Laboratory - Anatomic pathology - including dermatopathology Bako Integrated Physician 1-877-376-7284 www.bakocts.com Solutions MMOH.21.999.01.9.005

Provider(s) Phone Number Website Laboratory - Anatomic pathology - including dermatopathology, gastroenterology, genitourinary, hematology and gynecological pathology AmeriPath* 1-800-354-3449 www.ameripath.com Laboratory - Clinical Tribal Diagnostics 1-405-896-2978 www.tribaldiagnostics.com Laboratory - Clinical, pathology and genetic testing ARUP Labs 1-800-522-2787 www.aruplab.com BioReference Laboratories* 1-800-229-5227 www.bioreference.com Laboratory Corporation of 1-888-522-2677 (1-888- www.labcorp.com America* LABCORP) Lineagen, Inc 1-801-931-6200 www.lineagen.com Mayo Clinic Laboratories* 1-800-533-1710 www.mayomedicallaboratories.com Quest Diagnostics See website www.questdiagnostics.com Incorporated* Laboratory - Genetic testing Ambry Genetics 1-866-262-7943 www.ambrygen.com GeneDx 1-301-519-2100 www.genedx.com Natera, Inc 1-650-249-9090 www.natera.com Laboratory - Genetic testing (OncotypeDx) Genomic Health 1-888-662-6897 (1-888- www.genomichealth.com ONCOTYPE) Laboratory - Laboratory - Anatomic pathology - including dermatopathology, gastroenterology, genitourinary, hematology and gynecological pathology Poplar Healthcare 1-888-244-7284 www.poplarhealthcare.com Laboratory - Laboratory - Clinical Nationwide Laboratory 1-888-377-3522 www.nationwidelab.com Services Precision Diagnostics 1-800-635-6901 www.precisiondxlab.com Laboratory - Laboratory - Genetic testing Ariosa Diagnostics 1-855-927-4672 www.ariosadx.com Eurofins NTD, LLC 1-888-762-4000 www.perkinelmer.com Myriad Genetic Laboratories 1-800-469-7423 www.myriad.com NeoGenomics Laboratories, 1-866-776-5907 www.neogenomics.com Inc MMOH.21.999.01.9.005

Provider(s) Phone Number Website Laboratory - Laboratory - Genetic testing (Afirma) Veracyte 1-888-9AFIRMA www.veracyte.com Laboratory - Laboratory - Genetic testing (Cologuard) Exact Sciences Laboratories 1-844-870-8870 www.cologuardtest.com Laboratory - Laboratory - Genetic testing (Thyroseq) CBLPath 1-877-225-7284 www.cblpath.com Laboratory - Specialty genetic testing Invitae Corporation* 1-800-436-3037 www.invitae.com Laboratory - Therapeutic medication monitoring, drug testing Aegis Sciences Corporation 1-800-533-7052 www.aegislabs.com Millennium Health* 1-877-451-3534 www.milleniumlaboratories.com Other Specialty Services - Women’s health - high risk OB / prenatal care Optum Women's and 1-800-950-3963 www.alere.com Children's Health Specialty Pharmacy AllianceRx Walgreens Prime 1-888-282-5166 www.walgreenshealth.com Orsini Pharmaceutical 1-800-672-0869 www.orsinihealthcare.com Services Specialty Pharmacy - Ambulatory Infusion Suites IVX Health 1-800-746-8147 www.infusionexpress.com Specialty Pharmacy - Behavioral Health Genoa Healthcare 1-800-519-1139 www.genoahealthcare.com Specialty Pharmacy - Limited Distribution Specialty Drugs Biologics 1-800-856-1984 www.biologicsinc.com Caremark 1-877-287-1234 www.cvsspecialty.com Specialty Pharmacy - Xiaflex, Brineura US Bioservices 1-888-518-7246 www.usbioservices.com Specialty Pharmacy and Home Infusion - Home Infusion Services & Specialty Pharmacy – LDD Drugs Optum Infusion Services 1-877-306-4036 www.briovarxinfusion.com formerly BriovaRx Infusion Services Specialty Pharmacy and Home Infusion - Limited Distribution Drugs MMOH.21.999.01.9.005

Provider(s) Phone Number Website Option Care 1-866-827-8203 https://optioncarehealth.com Vaccine Program - Available at Retail Pharmacy or Worksite Clinic Harris Teeter See website www.harristeeter.com Vaccine Program - Vaccine Services - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV, MMR, MMRV, Varicella, TDAP (age 11 and up) Available at Retail Pharmacy Meijer Pharmacy 1-877-363-4537 www.meijer.com Vaccine Program - Vaccine Services - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV, MMR, MMRV, Varicella, TDAP (age 11 and up) Available at Retail Pharmacy or Worksite Clinic CVS Pharmacy (d/b/a CVS 1-888-358-7468 www.cvs.com Pharmacy, Long’s Drug, CarePlus Pharmacy) Rite Aid Pharmacy 1-800-RITEAID / 1-800- www.riteaid.com 748-3243 The Kroger Co See website www.kroger.com Walmart Stores Inc. (d/b/a See website www.walmart.com Walmart and Sam’s Club) Vaccine Program - Vaccine Services - Influenza, Pneumonia, Shingles, Tdap, Meningitis, Hepatitis A/B, HPV, MMR, MMRV, Varicella, TDAP (age 3 and up) Available at Retail Pharmacy or Worksite Clinic Kmart Pharmacy 1-800-349-0764 www.pharmacy.kmart.com Vaccine Program - Vaccine Services -Influenza, Pneumonia, Shingles,Tdap, Meningitis,Hepatitis B, HPV, TDAP (age 3 and up) Worksite Clinics and Retail locations Walgreens Immunization 1-800-925-4733 www.walgreens.com (d/b/a Walgreens, Duane Reade)

DME - DURABLE MEDICAL EQUIPMENT is certain medical equipment that is ordered by your doctor for use at home. DME includes but is not limited to: wheelchairs, crutches, hospital bed, IV infusion pump, oxygen equipment, nebulizer, and walker. HOME HEALTH/HOME INFUSION CARE can either be a licensed facility or medical personnel that can provide health care services in the home. Services include but are not limited to nursing visits for infusion services or wound care. LABORATORY means diagnostic testing including routine blood and urine analysis, anatomic pathology, surgical pathology, and specialty or esoteric services. SPECIALTY PHARMACY PROVIDER provides specific drug products directly to customers or physicians. WOMEN'S HEALTH is limited to home uterine monitoring services. MMOH.21.999.01.9.005

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State Preferred Providers

UnitedHealthcare Community Plan of Ohio uses the following preferred providers to provide our members certain services. A preferred provider is a provider we have contracted with to provide speciﬁc services and/or products to all our members in Ohio. The table below lists our preferred providers and the types of services and/or products they deliver. Our preferred providers will work with you and your doctors to deliver these services. Should you obtain any of the service/products listed below from another provider, a prior authorization may be needed in advance.

Provider(s) Phone Number Website

DME — Incontinence products. gloves, skin care, wound care and ostomy supplies

Edgepark 1-844-564-1008 http://www.edgepark.com

DME — Custom wheelchairs and accessories

NuMotion UHC Funding Team Toll Free: 1-888-232-1333 Email: numotionuhcfunding@ Fax: 1-888-952-7285 numotion.com

DME — Enteral supplies

Lorraine Surgical 1-800 -541-1416 http://www.medicalsupply cleveland.com

Specialty Services — Trach/vent dependent pediatric specialists, complex pediatric provider

Central Ohio Specialty Care 1-888-219-6697 http://www.cohsc.com

Respiratory (neb, oxygen, sleep), hospital beds and support surfaces, manual wheelchairs and lactation pumps

Medical Service Company 1-800-824-1400 http://www.medicalserviceco.com MMOH.21.999.01.9.005

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Primary Care Providers Ohio - Geauga

Primary Care Providers Brown, Shelley M, NP, (F) Lewis, Karen S, NP, (F) Ohio Group Name: Cleveland Clinic Group Name: Lake Health Allied Foundation Health Professionals Geauga Provider ID: 003255028001 Provider ID: 003546537005

NPI: 1467624205 NPI: 1710237565 Advanced Registered Nurse 17747 Chillicothe Rd Ste 100 510 5th Ave Practitioner Chagrin Falls, OH 44023 Chardon, OH 44024

Batke Hastings, Susan, NP, (F) (440) 543-8855 EB, P, R (440) 286-8908 EB, IB, P, R, RE, Group Name: Cleveland Clinic Does Not Accept New Patients T Foundation Ages: 0-99 Mo-Fr - 8:00 AM - 8:00 PM Provider ID: 002714893001 Hospital Affiliations: Sa - 8:00 AM - 5:00 PM NPI: 1679675920 Cleveland Clinic Foundation Su - 9:00 AM - 5:00 PM 17747 Chillicothe Rd Ste 100 Ages: 0-99 Chagrin Falls, OH 44023 Geisman, Carol, NP, (F) Hospital Affiliations:

(440) 543-8855 EB, P, R Group Name: Lake Hospital Lake Health Does Not Accept New Patients System Ages: 0-99 Provider ID: 007253468002 Stoltz, Kathryn R, FNP, (F) Hospital Affiliations: NPI: 1124675384 Group Name: Cleveland Clinic Cleveland Clinic Foundation 16030 E High St Ste 101 Foundation Middlefield, OH 44062 Provider ID: 006233170004

(440) 632-0594 NPI: 1851767958 Family Nurse Practitioner Ages: 0-99 17747 Chillicothe Rd Ste 100 Bouchard, Jennifer, NP, (F) Chagrin Falls, OH 44023 Group Name: Cleveland Clinic Kelly, Patricia D, NP, (F) (440) 543-8855 EB, P, R Foundation Group Name: Lake Health Allied Accepting Existing Patients Only Provider ID: 003313224014 Health Professionals Ages: 0-17 NPI: 1881870129 Provider ID: 002817228004 Hospital Affiliations: 17747 Chillicothe Rd Ste 100 NPI: 1639362916 Lake Health Chagrin Falls, OH 44023 510 Fifth Ave Hillcrest Hospital

(440) 543-8855 EB, P, R Chardon, OH 44024 Does Not Accept New Patients (440) 286-8908 EB, P, R Tincher, Kristie M, NP, (F) Ages: 0-99 Mo-Fr - 8:00 AM - 8:00 PM Group Name: Lake Hospital Hospital Affiliations: Sa,Su - 9:00 AM - 5:00 PM System Cleveland Clinic Foundation Cultural Competency: Y Provider ID: 006377002001 Ages: 0-99 NPI: 1902357494 Hospital Affiliations: 10780 Kinsman Rd Lake Health Newbury, OH 44065

(440) 564-5656 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Lake Health

Unless noted, all providers have regular office hours (M-F, 8 am- 5pm) and accept new patients. All providers are proficient in English unless otherwise noted. If you have questions, please call UnitedHealthcare Connected for MyCare Ohio at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday – Friday. The call is free. For more information, visit www.UHCCommunityPlan.com. MMOH.21.999.01.9.005

Ohio - Geauga Primary Care Providers

Tincher, Kristie M, NP, (F) Brock, Daniel J, MD, (M) Group Name: Lake Hospital Family Practice Group Name: Lake Health Allied

System Members may self-refer to these Health Professionals Provider ID: 006377002002 providers. Provider ID: 003064876009

NPI: 1902357494 NPI: 1285848614 15389 Kinsman Rd Ste 100 Arnold, Steven J, MD, (M) 510 5th Ave Middlefield, OH 44062 Group Name: Steward Medical Chardon, OH 44024 Group (440) 632-0594 EB, P, R (440) 286-8908 EB, IB, P, R, RE, Ages: 0-99 Provider ID: 003533548004 T Hospital Affiliations: NPI: 1356530380 Mo-Fr - 8:00 AM - 8:00 PM Lake Health 14950 Springdale Ave Sa,Su - 9:00 AM - 5:00 PM Middlefield, OH 44062 Cultural Competency: Y Tincher, Kristie, NP, (F) (440) 632-0270 EB, IB, P, R, RE, Ages: 0-99 Group Name: Lake Hospital S, T Hospital Affiliations: System Cultural Competency: Y Lake Health Provider ID: 006369206004 Ages: 0-99 NPI: 1902357494 Hospital Affiliations: Ervine, William E, DO, (M), B 510 5th Ave Trumbull Memorial Hospital Group Name: University Primary Chardon, OH 44024 Steward Trumbull Memorial Care Practices Hospital (440) 279-1500 EB, P, R, RE Provider ID: 002823375001 Ages: 0-99 NPI: 1710936505 Arnold, Steven J, MD, (M) 15976 E High St White, Molly M, FNP, (F) Group Name: Mychoice Solutions Middlefield, OH 44062 Provider ID: 003533548005 Group Name: Cleveland Clinic (440) 632-0408 EB, IB, P, R Foundation NPI: 1356530380 Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 002893272018 15065 Kinsman Rd Ste 5 Cultural Competency: Y NPI: 1235209511 Middlefield, OH 44062 Ages: 0-99 17747 Chillicothe Rd Ste 100 (440) 273-8093 EB, P, R Hospital Affiliations: Chagrin Falls, OH 44023 Cultural Competency: Y Uh Geauga Medical Center Ages: 0-99 (440) 543-8855 EB, P, R University Hospitals Geauga Does Not Accept New Patients Hospital Affiliations: Medical Ctr Ages: 0-99 Trumbull Memorial Hospital Lynchburg General Hospital Hospital Affiliations: Steward Trumbull Memorial Mary Immaculate Hospital Cleveland Clinic Foundation Hospital

= Wheelchair = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services = 24-hour MMOH.21.999.01.9.005

Primary Care Providers Ohio - Geauga Harmat, Jill A, DO, (F), B University Hospitals Geauga Neely, Timothy R, DO, (M), B Group Name: University Primary Medical Ctr Group Name: Lake Health Allied Care Practices Lake Health Health Professionals Provider ID: 002069533001 Hillcrest Hospital Provider ID: 003690788004 NPI: 1205880143 Uh Cleveland Medical Center NPI: 1861704140 8055 Mayfield Rd Ste 107 510 Fifth Ave Chesterland, OH 44026 Levan, Patricia A, MD, (F), B Chardon, OH 44024

(440) 729-3644 EB, P, R Group Name: University Primary (440) 279-1500 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Care Practices Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Provider ID: 001893046004 Cultural Competency: Y Ages: 0-99 NPI: 1730168659 Ages: 0-99 Hospital Affiliations: 8055 Mayfield Rd Ste 107 Hospital Affiliations: Uh Geauga Medical Center Chesterland, OH 44026 Lake Health

University Hospitals Geauga (216) 383-0100 EB, P, R Medical Ctr Languages Spoken: Pawlicki, Matthew B, MD, (M), B Hillcrest Hospital Provider: Spanish Group Name: University Ages: 0-99 Hospitals Regional Practices Kelly, Patricia D, NP, (F) Hospital Affiliations: Provider ID: 002465491004 Group Name: Lake Health Allied Northern Nevada Medical Center NPI: 1619978384 Health Professionals Renown Regional Medical Center 100 7th Ave Ste 111 Provider ID: 002817228004 Chardon, OH 44024

NPI: 1639362916 Moyer, Eric D, MD, (M), B (440) 286-8841 EB, P, R 510 Fifth Ave Group Name: Cleveland Clinic Mo-Fr - 8:30 AM - 4:30 PM Chardon, OH 44024 Foundation Cultural Competency: Y

(440) 286-8908 EB, P, R Provider ID: 003230401005 Ages: 0-99 Mo-Fr - 8:00 AM - 8:00 PM NPI: 1447479399 Hospital Affiliations: Sa,Su - 9:00 AM - 5:00 PM 17747 Chillicothe Rd Ste 100 Uh Geauga Medical Center Cultural Competency: Y Chagrin Falls, OH 44023 University Hospitals Geauga

Ages: 0-99 (440) 543-8855 EB, P, R Medical Ctr Hospital Affiliations: Cultural Competency: Y Uh Cleveland Medical Center Lake Health Does Not Accept New Patients Areas of Expertise: MAT1 Ages: 0-99 Leone, Louis D, DO, (M), B Hospital Affiliations: Group Name: Louis Leone Do Cleveland Clinic Foundation Provider ID: 000091208001 NPI: 1992791636 320 Center St Ste E Chardon, OH 44024

(440) 285-8585 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center

Ohio - Geauga Primary Care Providers Perala, Norman R, MD, (M), B Medical Ctr Vieweg, Walter M, DO, (M), B Group Name: Cleveland Clinic Group Name: Lake Health Allied Foundation Takacs, Steven M, DO, (M), B Health Professionals Provider ID: 003392408001 Group Name: Lake Health Allied Provider ID: 000052945005 NPI: 1093989345 Health Professionals NPI: 1548341126 17747 Chillicothe Rd Ste 100 Provider ID: 000800244001 510 5th Ave Chagrin Falls, OH 44023 NPI: 1376539775 Chardon, OH 44024

(440) 543-8855 EB, P, R 10780 Kinsman Rd (440) 286-8908 EB, IB, P, R, RE, Mo,We,Fr - 8:00 AM - 9:00 PM Newbury, OH 44065 T

Sa,Su - 8:00 AM - 4:00 PM (440) 564-5656 EB, P, R Mo-Fr - 8:00 AM - 8:00 PM Does Not Accept New Patients Cultural Competency: Y Sa,Su - 9:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Uh Geauga Medical Center Lake Health University Hospitals Geauga Sanniti, Dominic V, DO, (M), B Medical Ctr Williams Reid, Jennifer L, MD, Group Name: UPCP Lake Health (F), B Provider ID: 004997606003 Hillcrest Hospital Group Name: University Primary NPI: 1386937472 Care Practices 13221 Ravenna Rd Ste 9 Tumbush, John A, DO, (M), B Provider ID: 002200029003 Chardon, OH 44024 Group Name: University Primary NPI: 1396846861

(440) 285-6408 EB, P, R Care Practices 15976 E High St Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 000920102003 Middlefield, OH 44062

Cultural Competency: Y NPI: 1932200573 (440) 632-0408 EB, IB, P, R Ages: 0-99 15976 E High St Cultural Competency: Y Hospital Affiliations: Middlefield, OH 44062 Ages: 0-99

Uh Geauga Medical Center (440) 632-0408 EB, IB, P, R Hospital Affiliations: University Hospitals Geauga Mo-Fr - 8:30 AM - 4:30 PM Uh Geauga Medical Center Medical Ctr Cultural Competency: Y University Hospitals Geauga Ages: 0-99 Medical Ctr Sanniti, Dominic V, DO, (M), B Hospital Affiliations: South Pointe Hospital Group Name: UPCP Uh Geauga Medical Center Provider ID: 004997606004 University Hospitals Geauga NPI: 1386937472 Medical Ctr 15976 E High St Uh Regional Hospital - Bedford Middlefield, OH 44062 Campus

(440) 632-0408 EB, IB, P, R Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga

Primary Care Providers Ohio - Geauga

Zayicek, Christina M, NP, (F) Group Name: Lake Health Allied General Practice Health Professionals Internal Medicine Members may self-refer to these Provider ID: 003428509008 providers. Prior authorization is required to

NPI: 1861769630 Dorado, Gapin P, MD, (M) obtain some covered services from 510 5th Ave these providers. You will not be Chardon, OH 44024 Group Name: Lake Health Allied Health Professionals covered for those services without (440) 286-8908 EB, IB, P, R, RE, such approval by UnitedHealthcare T Provider ID: 000057511012 NPI: 1851351431 Community Plan. Please see your Mo-Fr - 8:00 AM - 8:00 PM member handbook, or call Member Sa,Su - 9:00 AM - 5:00 PM 510 Fifth Ave Chardon, OH 44024 Services for details. Cultural Competency: Y Ages: 0-99 (440) 286-8908 EB, P, R Dalessandro, Vincent, DO, (M), B Hospital Affiliations: Languages Spoken: Group Name: Cleveland Clinic Lake Health Provider: Tagalog Foundation Medina Hospital Mo-Fr - 8:00 AM - 8:00 PM Provider ID: 001980626005 Uh Parma Medical Center Sa,Su - 9:00 AM - 5:00 PM NPI: 1023000221 University Hospitals Parma Cultural Competency: Y 8254 Mayfield Rd Ste 4 Medical Ctr Ages: 0-99 Chesterland, OH 44026 Hospital Affiliations: (440) 729-9000 EB, P, R Znidarsic, Robert, MD, (M), B Lake Health Languages Spoken: Group Name: Lake Health Allied Euclid Hospital Provider: Italian Health Professionals Mo-Fr - 8:00 AM - 6:00 PM Provider ID: 002497092004 Sa - 8:00 AM - 12:00 PM Geriatrics Cultural Competency: Y NPI: 1144281288 510 5th Ave Members may self-refer to these Ages: 0-99 Chardon, OH 44024 providers. Hospital Affiliations:

Cleveland Clinic Foundation (440) 279-1500 EB, P, R, RE Takacs, Steven M, DO, (M), B Hillcrest Hospital Mo-Fr - 8:30 AM - 4:30 PM Group Name: Lake Health Allied Ages: 0-99 Uh Regional Hospitals Health Professionals Hospital Affiliations: Provider ID: 000800244001 Lake Health NPI: 1376539775 10780 Kinsman Rd Newbury, OH 44065

(440) 564-5656 EB, P, R Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Lake Health Hillcrest Hospital

Ohio - Geauga Primary Care Providers Gamerman, Larisa L, MD, (F), B Mulligan, Erika A, DO, (F), B Pizarro, James T, MD, (M), B Group Name: Cleveland Clinic Group Name: University Primary Group Name: University Primary Foundation Care Practices Care Practices Provider ID: 002552350005 Provider ID: 001781921002 Provider ID: 001308545003 NPI: 1508858705 NPI: 1124111273 NPI: 1790715340 8254 Mayfield Rd Ste 4 11110 Kinsman Rd Ste 2 8185 E Washington St Ste 4 Chesterland, OH 44026 Newbury, OH 44065 Chagrin Falls, OH 44023

(440) 729-9000 EB, P, R (440) 564-7060 EB, P, R (440) 708-1530 EB, P, R Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Provider: Russian Web address: erika.whitney@uhhos Cultural Competency: Y Mo-Fr - 8:00 AM - 6:00 PM pitals.org Ages: 18-99 Sa - 8:00 AM - 12:00 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Uh Geauga Medical Center Ages: 18-99 Uh Geauga Medical Center University Hospitals Geauga Hospital Affiliations: University Hospitals Geauga Medical Ctr Cleveland Clinic Foundation Medical Ctr Cleveland Clinic Foundation Hillcrest Hospital Hillcrest Hospital Uh Cleveland Medical Center Uh Regional Hospitals Marymount Hospital Uh Cleveland Medical Center Simon, Margo, DO, (F), B Greenspan, Gary A, MD, (M) Saint Joseph London Group Name: University Group Name: Greenspan Gary A Hospitals Medical Group Provider ID: 000525782009 Oley, Peter, DO, (M), B Provider ID: 007246169003 NPI: 1164468120 Group Name: University Primary NPI: 1487000642 15561 Kinsman Rd Care Practices 13207 Ravenna Rd Middlefield, OH 44062 Provider ID: 007131760005 Chardon, OH 44024

(440) 632-1118 NPI: 1104232206 (440) 285-6000 E, EB, G, IB, P, Languages Spoken: 11110 Kinsman Rd Ste 2 PL, R, RE, S, T Provider: Spanish Newbury, OH 44065 Ages: 0-99

Th - 9:00 AM - 3:00 PM (440) 564-7060 EB, P, R Hospital Affiliations: Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Lake Health Ages: 0-99 Ages: 18-99 Uh Cleveland Medical Center Hospital Affiliations: Hospital Affiliations: Rainbow Babies & Childrens Uh Geauga Medical Center Uh Geauga Medical Center Hosp University Hospitals Geauga University Hospitals Geauga St Joseph Regional Medical Medical Ctr Medical Ctr Center Hillcrest Hospital Regency Hospital Of Cleveland South Pointe Hospital West Areas of Expertise: BVI, CIL, CODT, HIMP, PDB

Primary Care Providers Ohio - Geauga Turoczi, Steven, MD, (M) Arnovitz, Jeffrey W, NP, (M) Berger, Andrew M, NP, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 002007571016 Provider ID: 002389614012 Provider ID: 003519027007 NPI: 1083727044 NPI: 1740336239 NPI: 1942593967 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023

(440) 543-8855 EB, P, R (440) 543-8855 EB, P, R (440) 543-8855 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Web address: www.northcountryhea Ages: 18-99 Ages: 0-99 lthcare.org Hospital Affiliations: Hospital Affiliations: Does Not Accept New Patients Cleveland Clinic Foundation Cleveland Clinic Foundation Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Batke Hastings, Susan, NP, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Nurse Practitioner Foundation Brothers, Debra J, NP, (F)

Members may self-refer to these Provider ID: 002714893001 Group Name: Cleveland Clinic providers. NPI: 1679675920 Foundation

17747 Chillicothe Rd Ste 100 Provider ID: 002622868012 Adkins, Nicole M, NP, (F) Chagrin Falls, OH 44023 NPI: 1013016963 Group Name: Cleveland Clinic (440) 543-8855 EB, P, R 17747 Chillicothe Rd Ste 100 Foundation Does Not Accept New Patients Chagrin Falls, OH 44023 Provider ID: 006223596006 Ages: 0-99 (440) 543-8855 EB, P, R NPI: 1770967788 Hospital Affiliations: Languages Spoken: 17747 Chillicothe Rd Ste 100 Cleveland Clinic Foundation Provider: Chinese, Croatian, Chagrin Falls, OH 44023 Tagalog (440) 543-8855 EB, P, R Bennett, Michael S, NP, (M) Web address: www.clevelandclinic. Does Not Accept New Patients Group Name: University Primary org Ages: 0-99 Care Practices Ages: 0-99 Hospital Affiliations: Provider ID: 003653313007 Hospital Affiliations: Akron General Medical Ctr NPI: 1952746067 Cleveland Clinic Foundation Cleveland Clinic Foundation 12555 Ravenwood Dr South Pointe Hospital Chardon, OH 44024 Brown, Richelle R, NP, (F) Euclid Hospital (440) 285-3035 EB, P, R Group Name: Cleveland Clinic Marymount Hospital Languages Spoken: Foundation Medina Hospital Provider: Spanish Provider ID: 003522286020 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1144589318 Ages: 0-99 17747 Chillicothe Rd Ste 100 Chagrin Falls, OH 44023

(440) 543-8855 EB, P, R Does Not Accept New Patients Ages: 0-99 Hospital Affiliations:

Ohio - Geauga Primary Care Providers Cleveland Clinic Foundation Caschera, Julia M, NP, (F) Chatterjee, Heta S, NP, (F) Group Name: UPCP Group Name: Cleveland Clinic Brown, Shelley M, NP, (F) Provider ID: 005705791001 Foundation Group Name: Cleveland Clinic NPI: 1093976391 Provider ID: 003749776002 Foundation 13241 Ravenna Rd NPI: 1487095188 Provider ID: 003255028001 Chardon, OH 44024 17747 Chillicothe Rd Ste 100

NPI: 1467624205 (440) 285-9166 EB, P, R Chagrin Falls, OH 44023

17747 Chillicothe Rd Ste 100 Mo-Fr - 8:30 AM - 4:30 PM (440) 543-8855 EB, P, R Chagrin Falls, OH 44023 Ages: 0-17 Does Not Accept New Patients

(440) 543-8855 EB, P, R Ages: 0-17 Does Not Accept New Patients Cerny, Catherine M, NP, (F) Hospital Affiliations: Ages: 0-99 Group Name: Clinic Regional Cleveland Clinic Foundation Hospital Affiliations: Physicians Hillcrest Hospital Cleveland Clinic Foundation Provider ID: 002221671004 Fairview Hospital NPI: 1982644076 Brugger, Virginia B, NP, (F) 17747 Chillicothe Rd Ste 100 Chiplinski, Alison B, NP, (F) Group Name: Cleveland Clinic Chagrin Falls, OH 44023 Group Name: Cleveland Clinic

Foundation (440) 543-8855 EB, P, R Foundation Provider ID: 003194195007 Cultural Competency: Y Provider ID: 005832090009 NPI: 1457671091 Ages: 0-99 NPI: 1700280922 17747 Chillicothe Rd Ste 100 Hospital Affiliations: 17747 Chillicothe Rd Ste 100 Chagrin Falls, OH 44023 Cleveland Clinic Foundation Chagrin Falls, OH 44023

(440) 543-8855 EB, P, R Marymount Hospital (440) 543-8855 EB, P, R Does Not Accept New Patients Cultural Competency: Y Ages: 0-99 Chatal, Eric, NP, (M) Does Not Accept New Patients Hospital Affiliations: Group Name: Cleveland Clinic Ages: 0-99 Cleveland Clinic Foundation Foundation Hospital Affiliations: Areas of Expertise: MAT1 Provider ID: 006979465003 Cleveland Clinic Foundation NPI: 1174015085 Bushman, Ashleigh A, NP, (F) 17747 Chillicothe Rd Ste 100 Coleman, Colleen T, NP, (F) Group Name: UPCP Chagrin Falls, OH 44023 Group Name: Cleveland Clinic

Provider ID: 005632666002 (440) 543-8855 EB, P, R Foundation NPI: 1982096723 Does Not Accept New Patients Provider ID: 002835879022 8055 Mayfield Rd Ste 107 Ages: 0-99 NPI: 1033308846 Chesterland, OH 44026 Hospital Affiliations: 17747 Chillicothe Rd Ste 100

(440) 729-3644 EB, P, R Uh Cleveland Medical Center Chagrin Falls, OH 44023

Mo-Fr - 8:30 AM - 4:30 PM (440) 543-8855 EB, P, R Ages: 18-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Uh Regional Hospitals Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation

Primary Care Providers Ohio - Geauga Corniello, Amanda L, NP, (F) Dwyer, Meggan E, NP, (F) Haffey, Helen L, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: University Foundation Foundation Hospitals Regional Practices Provider ID: 003314071016 Provider ID: 003307482004 Provider ID: 003208903005 NPI: 1396188629 NPI: 1609175207 NPI: 1851602890 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 100 Seventh Ave Ste 111 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Chardon, OH 44024

(440) 543-8855 EB, P, R (440) 543-8855 EB, P, R (440) 286-8841 EB, P, R Does Not Accept New Patients Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Metrohealth Medical Center Hospital Affiliations: Metrohealth Medical Center Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Folger, Allison R, NP, (F) Higgins, Svetlana M, NP, (F) Creager, Katie A, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 004159611004 Provider ID: 006977077004 Provider ID: 003563030030 NPI: 1164849766 NPI: 1730664707 NPI: 1629352760 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 8254 Mayfield Rd Ste 1 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023

Chesterland, OH 44026 (440) 543-8855 EB, P, R (440) 543-8855 EB, P, R

(440) 729-0100 EB, P, R Accepting Existing Patients Only Accepting Existing Patients Only Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Ages: 0-17 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital Gunselman, Beth A, NP, (F) Lutheran Hospital Crites, Cheryl L, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Hovest, Jennifer F, NP, (F) Foundation Provider ID: 002510399004 Group Name: Cleveland Clinic Provider ID: 004078504002 NPI: 1437143286 Foundation NPI: 1760819528 17747 Chillicothe Rd Ste 100 Provider ID: 003811808004 17747 Chillicothe Rd Ste 100 Chagrin Falls, OH 44023 NPI: 1184068108

Chagrin Falls, OH 44023 (440) 543-8855 EB, P, R 17747 Chillicothe Rd Ste 100

(440) 543-8855 EB, P, R Ages: 0-99 Chagrin Falls, OH 44023

Does Not Accept New Patients Hospital Affiliations: (440) 543-8855 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Ages: 0-17 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation

Ohio - Geauga Primary Care Providers Huffman, Jessica L, MA, (F) Lally, Maureen M, NP, (F) Hospital Affiliations: Group Name: University Primary Group Name: Cleveland Clinic Lake Health Care Practices Foundation Provider ID: 005726631006 Provider ID: 003511459002 Lewis, Christopher M, NP, (M) NPI: 1376959239 NPI: 1356697692 Group Name: Lake Health Allied 13207 Ravenna Rd 17747 Chillicothe Rd Ste 100 Health Professionals Chardon, OH 44024 Chagrin Falls, OH 44023 Provider ID: 005230964006

(440) 285-6000 EB, P, R (440) 543-8855 EB, P, R NPI: 1912315615 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y 15389 Kinsman Rd Ste 100 Ages: 0-99 Ages: 0-99 Middlefield, OH 44062

Areas of Expertise: A060, A101, Hospital Affiliations: (440) 632-0594 EB, P, R E010, E020, E060, E070, E090, Metrohealth Medical Center Cultural Competency: Y E115, E155, E160, E165, E205, Cleveland Clinic Foundation Ages: 0-99 E210, E235, E285, P010, P035 Fairview Hospital Hospital Affiliations: Lake Health Johnston, Michelle L, NP, (F) Lawrence, Lisa M, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Lewis, Christopher M, NP, (M) Foundation Foundation Group Name: Lake Health Allied Provider ID: 005187358010 Provider ID: 003054185042 Health Professionals NPI: 1447669601 NPI: 1306856679 Provider ID: 005230964012 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 NPI: 1912315615 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 510 5th Ave

(440) 543-8855 EB, P, R (440) 543-8855 EB, P, R Chardon, OH 44024

Ages: 0-99 Cultural Competency: Y (440) 286-8908 EB, IB, P, R, RE, Hospital Affiliations: Does Not Accept New Patients T Cleveland Clinic Foundation Ages: 0-99 Mo-Fr - 8:00 AM - 8:00 PM Hospital Affiliations: Sa,Su - 9:00 AM - 5:00 PM Kreuer, Carrie E, NP, (F) Wooster Community Hospital Cultural Competency: Y Group Name: Cleveland Clinic Metrohealth Medical Center Ages: 0-99 Foundation Cleveland Clinic Foundation Hospital Affiliations: Provider ID: 002964546002 Lutheran Hospital Lake Health NPI: 1275748865 Uh Cleveland Medical Center 8254 Mayfield Rd Luppa, Viktoria F, NP, (F) Chesterland, OH 44026 Lewis, Christopher M, NP, (M) Group Name: Cleveland Clinic

(440) 729-0100 EB, P, R Group Name: Lake Health Allied Foundation Does Not Accept New Patients Health Professionals Provider ID: 002625382002 Ages: 0-17 Provider ID: 005230964003 NPI: 1669436267 Hospital Affiliations: NPI: 1912315615 17747 Chillicothe Rd Ste 100 Wooster Community Hospital 10780 Kinsman Rd Chagrin Falls, OH 44023

Cleveland Clinic Foundation Newbury, OH 44065 (440) 543-8855 EB, P, R

Fairview Hospital (440) 564-5656 EB, P, R Cultural Competency: Y Cultural Competency: Y Does Not Accept New Patients Ages: 0-99 Ages: 0-99

Primary Care Providers Ohio - Geauga Hospital Affiliations: Mcmillin, Jennifer L, NP, (F) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Myers, Leanne D, NP, (F) Marek, Andrea, NP, (F) Provider ID: 003376557002 Group Name: Cleveland Clinic Group Name: Cleveland Clinic NPI: 1215215256 Foundation Foundation 17747 Chillicothe Rd Ste 100 Provider ID: 005747075005 Provider ID: 003019451003 Chagrin Falls, OH 44023 NPI: 1730433996

NPI: 1437383486 (440) 454-3885 EB, P, R 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 Mo-Fr - 8:00 AM - 4:00 PM Chagrin Falls, OH 44023

Chagrin Falls, OH 44023 Cultural Competency: Y (440) 543-8855 EB, P, R

(440) 543-8855 EB, P, R Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation

Marin, Patricia A, NP, (F) Mosneag, Katalin E, NP, (F) Page, Denise L, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 002389137005 Provider ID: 006034742007 Provider ID: 005177183006 NPI: 1881794931 NPI: 1982066213 NPI: 1003215427 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023

(440) 543-8855 EB, P, R (440) 543-8855 EB, P, R (440) 543-8855 EB, P, R Ages: 0-99 Cultural Competency: Y Does Not Accept New Patients Hospital Affiliations: Does Not Accept New Patients Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Marrott, Erin M, NP, (F) Akron General Medical Ctr Cleveland Clinic Foundation Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Parker, Kelly K, NP, (F) Provider ID: 006249964002 Mueller, Margaret H, NP, (F) Group Name: Lake Health Allied NPI: 1073984290 Group Name: Cleveland Clinic Health Professionals 17747 Chillicothe Rd Ste 100 Foundation Provider ID: 006014839004 Chagrin Falls, OH 44023 Provider ID: 003646056004 NPI: 1609236926

(440) 543-8855 EB, P, R NPI: 1083969489 510 5th Ave Ste 130 Mo-Fr - 6:00 PM - 9:00 PM 17747 Chillicothe Rd Ste 100 Chardon, OH 44024

Sa,Su - 9:00 AM - 4:00 PM Chagrin Falls, OH 44023 (440) 279-1500 EB, P, R

Does Not Accept New Patients (440) 543-8855 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Lake Health Hospital Affiliations: Hillcrest Hospital Metrohealth Medical Center

Ohio - Geauga Primary Care Providers Popp, Jeremy, NP, (M) Puljic, Rachael E, NP, (F) Hospital Affiliations: Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Foundation Provider ID: 006006325007 Provider ID: 006233028007 Scarbrough, Ann L, NP, (F) NPI: 1659733210 NPI: 1679930622 Group Name: Cleveland Clinic 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 Foundation Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Provider ID: 003620067001

(440) 543-8855 EB, P, R (440) 543-8855 EB, P, R NPI: 1124303946 Accepting Existing Patients Only Web address: www.alleghenymedic 17747 Chillicothe Rd Ste 100 Ages: 0-99 al.com Chagrin Falls, OH 44023

Hospital Affiliations: Accepting Existing Patients Only (440) 543-8855 EB, P, R Cleveland Clinic Foundation Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Porter, Dewanda L, NP, (F) Uniontown Hospital Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation Cleveland Clinic Foundation Foundation Provider ID: 003534151025 Range, Samantha S, NP, (F) Singer, Amanda L, NP, (F) NPI: 1952651721 Group Name: Cleveland Clinic Group Name: Cleveland Clinic 17747 Chillicothe Rd Ste 100 Foundation Foundation Chagrin Falls, OH 44023 Provider ID: 006504676005 Provider ID: 002858456025

(440) 543-8855 EB, P, R NPI: 1982136487 NPI: 1508063538 Does Not Accept New Patients 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 Ages: 0-99 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023

Hospital Affiliations: (440) 543-8855 EB, P, R (440) 543-8855 EB, P, R Metrohealth Medical Center Accepting Existing Patients Only Does Not Accept New Patients Cleveland Clinic Foundation Ages: 0-17 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Praisler, Kathy J, NP, (F) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Cleveland Clinic Uh Cleveland Medical Center Foundation Rice, Shaneeka J, NP, (F) Western Reserve Hospital Provider ID: 006252508004 Group Name: Cleveland Clinic NPI: 1366894214 Foundation Szarka, Lindsey A, NP, (F) 17747 Chillicothe Rd Ste 100 Provider ID: 006294705003 Group Name: Cleveland Clinic Chagrin Falls, OH 44023 NPI: 1174073258 Foundation

(440) 543-8855 EB, P, R 17747 Chillicothe Rd Ste 100 Provider ID: 003670971022 Does Not Accept New Patients Chagrin Falls, OH 44023 NPI: 1710210539

Ages: 0-99 (440) 543-8855 EB, P, R 17747 Chillicothe Rd Hospital Affiliations: Languages Spoken: Chagrin Falls, OH 44023

Cleveland Clinic Foundation Provider: Spanish (440) 543-2656 EB, P, R, RE, T Marymount Hospital Mo-Fr - 8:00 AM - 8:00 PM Ages: 0-99 Medina Hospital Sa,Su - 9:00 AM - 4:00 PM Hospital Affiliations: Does Not Accept New Patients Cleveland Clinic Foundation Ages: 0-99

Primary Care Providers Ohio - Geauga Szarka, Lindsey A, NP, (F) Whitehouse, Lauren M, NP, (F) Uh Elyria Medical Center Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Foundation Provider ID: 003670971010 Provider ID: 005996135001 Workman, Nathan A, NP, (M) NPI: 1710210539 NPI: 1952764441 Group Name: Cleveland Clinic 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 Foundation Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Provider ID: 006824410004

(440) 543-8855 EB, P, R (440) 543-8855 EB, P, R NPI: 1184114787 Ages: 0-99 Cultural Competency: Y 17747 Chillecothe Rd Ste 100 Hospital Affiliations: Does Not Accept New Patients Chagrin Falls, OH 44023

Cleveland Clinic Foundation Ages: 0-99 (440) 543-8855 EB, P, R Hospital Affiliations: Does Not Accept New Patients Votypka, Vanessa K, NP, (F) Cleveland Clinic Foundation Ages: 0-17 Group Name: Cleveland Clinic Hospital Affiliations: Foundation Wilcox, Toni Y, NP, (F) Metrohealth Medical Center Provider ID: 003721125004 Group Name: University Primary Cleveland Clinic Foundation NPI: 1144665761 Care Practices 17747 Chillicothe Rd Ste 100 Provider ID: 006821699002 Zayicek, Christina M, NP, (F) Chagrin Falls, OH 44023 NPI: 1659879484 Group Name: Lake Health Allied

(440) 543-8855 EB, P, R 8055 Mayfield Rd Ste 107 Health Professionals Cultural Competency: Y Chesterland, OH 44026 Provider ID: 003428509008

Does Not Accept New Patients (440) 729-3644 EB, P, R NPI: 1861769630 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM 510 5th Ave Hospital Affiliations: Ages: 0-99 Chardon, OH 44024

Cleveland Clinic Foundation Hospital Affiliations: (440) 286-8908 EB, IB, P, R, RE, Metrohealth Medical Center T Webster, Pamela J, NP, (F) Uh Regional Hospitals Mo-Fr - 8:00 AM - 8:00 PM Group Name: Cleveland Clinic Univ Hospitals Ahuja Med Ctr Sa,Su - 9:00 AM - 5:00 PM Foundation Cultural Competency: Y Provider ID: 004925845004 Willis, Jeanine R, NP, (F) Ages: 0-99 NPI: 1326365370 Group Name: Cleveland Clinic Hospital Affiliations: 17747 Chillicothe Rd Ste 100 Foundation Lake Health Chagrin Falls, OH 44023 Provider ID: 004331324004 Medina Hospital

(440) 543-8855 EB, P, R NPI: 1356776975 Uh Parma Medical Center Does Not Accept New Patients 17747 Chillicothe Rd Ste 100 University Hospitals Parma Ages: 0-99 Chagrin Falls, OH 44023 Medical Ctr

Hospital Affiliations: (440) 543-8855 EB, P, R Cleveland Clinic Foundation Cultural Competency: Y Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Medical Ctr

Ohio - Geauga Primary Care Providers

Fairview Hospital Failinger, Ann L, MD, (F), B Pediatrics Marymount Hospital Group Name: University Primary

Members may self-refer to these Uh Cleveland Medical Center Care Practices providers. Rainbow Babies & Childrens Provider ID: 001910948005

Hosp NPI: 1417046251 Bhadra, Eva L, MD, (F), B 13241 Ravenna Rd Ste Peds Group Name: University Primary Coliadis, Jennifer M, MD, (F), B Chardon, OH 44024 Care Practices Group Name: University Primary (440) 285-9166 EB, P, R Provider ID: 002070418001 Care Practices Mo-Fr - 8:30 AM - 4:30 PM NPI: 1326142803 Provider ID: 003532112001 Cultural Competency: Y 13241 Ravenna Rd Ste Peds NPI: 1023252988 Ages: 18-20 Chardon, OH 44024 8185 E Washington St Ste 3 Hospital Affiliations: (440) 285-9166 EB, P, R Chagrin Falls, OH 44023 Uh Geauga Medical Center Languages Spoken: (440) 543-3627 EB, P, R University Hospitals Geauga Provider: Bengali Mo-Fr - 8:30 AM - 4:30 PM Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Uh Cleveland Medical Center Cultural Competency: Y Ages: 0-20 Rainbow Babies & Childrens Web address: www.uhhospitals.org Hospital Affiliations: Hosp Ages: 0-20 Uh Cleveland Medical Center Hospital Affiliations: Rainbow Babies & Childrens Feighan, Elizabeth B, MD, (F), B Hillcrest Hospital Hosp Group Name: University Primary Euclid Hospital Care Practices Huron Hospital Coutinho, Maria-Josefa N, MD, Provider ID: 001126181002 Uh Cleveland Medical Center (F) NPI: 1205929205 Rainbow Babies & Childrens Group Name: University Primary 8185 E Washington St Ste 3 Hosp Care Practices Chagrin Falls, OH 44023

Provider ID: 001395138001 (440) 543-3627 EB, P, R Bhardwaj, Anita M, MD, (F), B NPI: 1164511994 Mo-Fr - 8:30 AM - 4:30 PM Group Name: University Primary 8055 Mayfield Rd Ste 106a Cultural Competency: Y Care Practices Chesterland, OH 44026 Ages: 0-99 Provider ID: 001863353001 (440) 729-4533 EB, P, R Hospital Affiliations: NPI: 1255346789 Mo-Fr - 8:30 AM - 4:30 PM Hillcrest Hospital 8185 E Washington St Ste 3 Cultural Competency: Y Marymount Hospital Chagrin Falls, OH 44023 Web address: www.uhhospitals.org Uh Cleveland Medical Center (440) 543-3627 EB, P, R Ages: 0-20 Rainbow Babies & Childrens Languages Spoken: Hospital Affiliations: Hosp Provider: Hindi Uh Geauga Medical Center Mo-Fr - 8:30 AM - 4:30 PM University Hospitals Geauga Cultural Competency: Y Medical Ctr Ages: 0-20 Uh Cleveland Medical Center Hospital Affiliations: Rainbow Babies & Childrens Mobile Infirmary Hosp Cleveland Clinic Foundation Hillcrest Hospital

Primary Care Providers Ohio - Geauga Grinberg, Anna, MD, (F), B Isakov, Daniela G, MD, (F), B Kammerman, Teresa M, MD, (F), Group Name: University Primary Group Name: Cleveland Clinic B Care Practices Foundation Group Name: University Primary Provider ID: 002951286009 Provider ID: 002126095005 Care Practices NPI: 1609087725 NPI: 1265633770 Provider ID: 000793540001 8185 Washington St Ste 3 8254 Mayfield Rd Ste 1 NPI: 1316030307 Chagrin Falls, OH 44023 Chesterland, OH 44026 8185 E Washington St Ste 3

(440) 543-3627 EB, P, R (440) 729-0100 EB, P, R Chagrin Falls, OH 44023

Languages Spoken: Languages Spoken: (440) 543-3627 EB, P, R Provider: Russian Provider: Italian Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Ages: 0-17 Sa - 8:30 AM - 12:00 PM Ages: 0-99 Hospital Affiliations: Ages: 0-20 Hospital Affiliations: Hillcrest Hospital Hospital Affiliations: Hillcrest Hospital Marymount Hospital Fairview Hospital Marymount Hospital Uh Cleveland Medical Center Cleveland Clinic Foundation Uh Cleveland Medical Center Rainbow Babies & Childrens Hillcrest Hospital Rainbow Babies & Childrens Hosp Hosp Kaminski, Peggy A, MD, (F), B Gunzler, Julie L, MD, (F), B Group Name: University Primary Klemenc, Jennifer F, MD, (F), B Group Name: University Primary Care Practices Group Name: Cleveland Clinic Care Practices Provider ID: 002108856020 Foundation Provider ID: 002973166002 NPI: 1699857938 Provider ID: 007019301001 NPI: 1316148679 8055 Mayfield Rd Ste 106a NPI: 1477940591 8185 E Washington St Ste 3 Chesterland, OH 44026 8254 Mayfield Rd Ste 4

Chagrin Falls, OH 44023 (440) 729-4533 EB, P, R Chesterland, OH 44026

(440) 543-3627 EB, P, R Cultural Competency: Y (440) 729-0100 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Does Not Accept New Patients Ages: 0-17 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Hillcrest Hospital Hillcrest Hospital Malinowski, Mark D, MD, (M), B Marymount Hospital Fairview Hospital Group Name: University Primary Uh Cleveland Medical Center Uh Cleveland Medical Center Care Practices Rainbow Babies & Childrens Provider ID: 001917278002 Hosp NPI: 1730101106 8185 E Washington St Ste 3 Chagrin Falls, OH 44023

(440) 543-3627 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-18 Hospital Affiliations: Childrens Hospital Med Ctr Akron

Ohio - Geauga Primary Care Providers Hillcrest Hospital Rich, Justin T, MD, (M), B Promedica Memorial Hospital Marymount Hospital Group Name: University Primary Memorial Hospital Of Union Cnty Southwest General Health Center Care Practices Rainbow Babies & Childrens St John Medical Center Provider ID: 002679953002 Hosp Uh Cleveland Medical Center NPI: 1023022183 Rainbow Babies & Childrens 8185 E Washington St Ste 3 Turell, Marni F, MD, (F), B Hosp Chagrin Falls, OH 44023 Group Name: Lake Health Allied

(440) 543-3627 EB, P, R Health Professionals Norr, Sigmund C, MD, (M), B Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 002833307001 Group Name: Cleveland Clinic Cultural Competency: Y NPI: 1043417603 Foundation Ages: 0-18 510 5th Ave Provider ID: 000177401024 Hospital Affiliations: Chardon, OH 44024

NPI: 1205828035 Hillcrest Hospital (440) 279-1590 EB, IB, P, R, RE, 8254 Mayfield Rd Ste 1 Marymount Hospital T Chesterland, OH 44026 Uh Cleveland Medical Center Mo-Fr - 9:00 AM - 5:00 PM

(440) 729-0100 EB, P, R Rainbow Babies & Childrens Ages: 0-18 Cultural Competency: Y Hosp Hospital Affiliations: Ages: 0-17 Lake Health Hospital Affiliations: Rifka, Mona G, MD, (F), B Summa Health System Group Name: Cleveland Clinic Utech, Kathleen K, MD, (F), B Cleveland Clinic Foundation Foundation Group Name: University Primary Provider ID: 001987398017 Care Practices Perisa, Michael P, MD, (M) NPI: 1932237773 Provider ID: 001975678001 Group Name: University 8254 Mayfield Rd Ste 1 NPI: 1265524573 Hospitals Medical Group Chesterland, OH 44026 8185 E Washington St Ste 3

Provider ID: 007660533001 (440) 729-0100 EB, P, R Chagrin Falls, OH 44023

NPI: 1710418629 Ages: 0-17 (440) 543-3627 EB, P, R 13241 Ravenna Rd Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Chardon, OH 44024 Cleveland Clinic Foundation Cultural Competency: Y

(440) 285-9166 Hillcrest Hospital Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-17 Shisila, David A, MD, (M), B Hillcrest Hospital Hospital Affiliations: Group Name: University Primary Marymount Hospital Uh Geauga Medical Center Care Practices Uh Cleveland Medical Center University Hospitals Geauga Provider ID: 003038582003 Rainbow Babies & Childrens Medical Ctr NPI: 1356599716 Hosp Rainbow Babies & Childrens 8185 E Washington St Ste 3 Hosp Chagrin Falls, OH 44023

(440) 543-3627 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-17 Hospital Affiliations: Memorial Hospital

Primary Care Providers Ohio - Geauga

Vitiello, Angela L, MD, (F), B Yeh, Lloyd R, MD, (M), B Group Name: University Primary Group Name: University Primary Physician Assistant Care Practices Care Practices Belmonte, Rosenda O, PA, (F) Provider ID: 002949175003 Provider ID: 001880959002 Group Name: Cleveland Clinic NPI: 1063627693 NPI: 1548201148 Foundation 8185 E Washington St Ste 3 8185 E Washington St Ste 3 Provider ID: 006465121002 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 NPI: 1811396781 (440) 543-3627 EB, P, R (440) 543-3627 EB, P, R 17747 Chillicothe Rd Ste 100 Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Chagrin Falls, OH 44023

Cultural Competency: Y Provider: Chinese, Spanish (440) 543-8855 EB, P, R Ages: 0-18 Mo-Fr - 8:30 AM - 4:30 PM Does Not Accept New Patients Hospital Affiliations: Cultural Competency: Y Ages: 0-99 St John Medical Center Ages: 0-18 Hospital Affiliations: Uh Cleveland Medical Center Hospital Affiliations: Fairview Hospital Rainbow Babies & Childrens Hillcrest Hospital Cleveland Clinic Foundation Hosp Marymount Hospital Univ Hospitals Ahuja Med Ctr Southwest General Health Center Chewning, Victoria L, PA, (F) St John Medical Center Group Name: Cleveland Clinic Wagner, Katherine M, MD, (F), B Uh Cleveland Medical Center Foundation Group Name: University Primary Rainbow Babies & Childrens Provider ID: 006934463019 Care Practices Hosp NPI: 1407339559 Provider ID: 003336159002 17747 Chillicothe Rd Ste 100 NPI: 1396908265 Zack, Brian H, MD, (M), B Chagrin Falls, OH 44023

8185 E Washington St Ste 3 Group Name: University Primary (440) 543-8855 EB, P, R Chagrin Falls, OH 44023 Care Practices Does Not Accept New Patients (440) 543-3627 EB, P, R Provider ID: 003055778001 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1023223781 Hospital Affiliations: Cultural Competency: Y 8185 E Washington St Ste 3 Akron General Medical Ctr Ages: 0-18 Chagrin Falls, OH 44023 Cleveland Clinic Foundation Hospital Affiliations: (440) 543-3627 EB, P, R Hillcrest Hospital Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM South Pointe Hospital Rainbow Babies & Childrens Cultural Competency: Y Marymount Hospital Hosp Ages: 0-99 Medina Hospital Hospital Affiliations: Hillcrest Hospital Marymount Hospital Uh Cleveland Medical Center Rainbow Babies & Childrens Hosp

Ohio - Geauga Primary Care Providers Coreno, Albert J, PA, (M) Denbow, Rachel L, PA, (F) Forte, Annie C, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003661271024 Provider ID: 005623044001 Provider ID: 004732854024 NPI: 1134469547 NPI: 1417333006 NPI: 1215353719 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023

(440) 543-8855 EB, P, R (440) 543-8855 EB, P, R (440) 543-8855 EB, P, R Languages Spoken: Does Not Accept New Patients Ages: 18-99 Provider: Spanish Ages: 0-99 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Metrohealth Medical Center Ages: 0-99 Carolinas Healthcare System Cleveland Clinic Foundation Hospital Affiliations: Union Metrohealth Medical Center Atrium Health Union Gersman, Emily A, PA, (F) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: University Primary Stanly Regional Medical Center Care Practices Cribbins, Christine T, PA, (F) Atrium Health Stanly Provider ID: 006370245008 Group Name: Cleveland Clinic NPI: 1861930844 Foundation Dougan, Terrence M, PA, (M) 8055 Mayfield Rd Ste 107 Provider ID: 003559901016 Group Name: Cleveland Clinic Chesterland, OH 44026

NPI: 1679617641 Foundation (440) 729-3644 EB, P, R 17747 Chillicothe Rd Ste 100 Provider ID: 003471992010 Mo-Fr - 8:30 AM - 4:30 PM Chagrin Falls, OH 44023 NPI: 1235161167 Ages: 0-99

(440) 543-8855 EB, P, R 17747 Chillicothe Rd Ste 100 Hospital Affiliations: Does Not Accept New Patients Chagrin Falls, OH 44023 Cleveland Clinic Foundation

Ages: 0-99 (440) 543-8855 EB, P, R Hillcrest Hospital Hospital Affiliations: Accepting Existing Patients Only Fairview Hospital Cleveland Clinic Foundation Ages: 0-17 South Pointe Hospital Hospital Affiliations: Euclid Hospital Crozier, Alyssa N, PA, (F) Uh Cleveland Medical Center Marymount Hospital Group Name: Cleveland Clinic Uh Parma Medical Center Lutheran Hospital Foundation University Hospitals Parma Cleveland Clinic Avon Hospital Provider ID: 005210842023 Medical Ctr NPI: 1831598143 Univ Hospitals Ahuja Med Ctr Kulow, Kent M, PA, (M) 17747 Chillicothe Rd Ste 100 Group Name: Cleveland Clinic Chagrin Falls, OH 44023 Foundation

(440) 543-8855 EB, P, R Provider ID: 003577598012 Cultural Competency: Y NPI: 1346256021 Accepting Existing Patients Only 17747 Chillicothe Rd Ste 100 Ages: 0-99 Chagrin Falls, OH 44023

Hospital Affiliations: (440) 543-8855 EB, P, R Cleveland Clinic Foundation Does Not Accept New Patients Ages: 18-99

Primary Care Providers Ohio - Geauga Hospital Affiliations: Perozeni, Pamela A, PA, (F) Rudert, Nicole K, PA, (F) Cleveland Clinic Foundation Group Name: University Primary Group Name: Cleveland Clinic Lutheran Hospital Care Practices Foundation Southwest General Health Center Provider ID: 003566981033 Provider ID: 003231549004 Areas of Expertise: MAT1 NPI: 1306948039 NPI: 1487896197 8055 Mayfield Rd Ste 107 17747 Chillicothe Rd Ste 100 Newsome, Elizabeth A, PA, (F) Chesterland, OH 44026 Chagrin Falls, OH 44023

Group Name: University (440) 729-3644 EB, P, R (440) 543-8855 EB, P, R Hospitals Regional Practices Cultural Competency: Y Does Not Accept New Patients Provider ID: 003449901016 Ages: 0-99 Ages: 0-99 NPI: 1144587262 Hospital Affiliations: Hospital Affiliations: 100 7th Ave Ste 111 Metrohealth Medical Center Akron General Medical Ctr Chardon, OH 44024 Cleveland Clinic Foundation Cleveland Clinic Foundation

(216) 731-7110 EB, P, R Euclid Hospital Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM Marymount Hospital Ages: 0-99 Medina Hospital Salameh, Nour I, PA, (F) Hospital Affiliations: Southwest General Health Center Group Name: University Primary Univ Hospitals Ahuja Med Ctr Uh Parma Medical Center Care Practices University Hospitals Parma Provider ID: 005760891011 Perozeni, Pamela A, PA, (F) Medical Ctr NPI: 1760861264 Group Name: Cleveland Clinic 8055 Mayfield Rd Ste 107 Foundation Richards, Todd B, PA, (M) Chesterland, OH 44026

Provider ID: 003566981025 Group Name: Cleveland Clinic (440) 729-3644 EB, P, R NPI: 1306948039 Foundation Languages Spoken: 17747 Chillicothe Rd Ste 100 Provider ID: 003256420009 Provider: Arabic Chagrin Falls, OH 44023 NPI: 1790895779 Mo-Fr - 8:30 AM - 4:30 PM

(440) 543-8855 EB, P, R 17747 Chillicothe Rd Ste 100 Ages: 0-99 Cultural Competency: Y Chagrin Falls, OH 44023

Ages: 0-99 (440) 543-8855 EB, P, R Schultz, Howard A, PA, (M) Hospital Affiliations: Does Not Accept New Patients Group Name: Cleveland Clinic Metrohealth Medical Center Ages: 0-99 Foundation Cleveland Clinic Foundation Hospital Affiliations: Provider ID: 003040283002 Euclid Hospital Cleveland Clinic Foundation NPI: 1003031188 Marymount Hospital Marymount Hospital 17747 Chillicothe Rd Ste 100 Medina Hospital Chagrin Falls, OH 44023

Southwest General Health Center (440) 543-8855 EB, P, R Uh Parma Medical Center Does Not Accept New Patients University Hospitals Parma Ages: 0-99 Medical Ctr Hospital Affiliations: Cleveland Clinic Foundation

Ohio - Geauga Primary Care Providers

Schumacher, Andrew J, PA, (M) Stebbins, Mark C, PA, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Primary Care Clinics Foundation Foundation Continuum Healthcare Group Provider ID: 003472002002 Provider ID: 003229972003 Provider ID: 005786282004 NPI: 1609953579 NPI: 1801102710 NPI: 1770951501 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 775 South St Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Chardon, OH 44024

(440) 543-8855 EB, P, R (440) 543-8855 EB, P, R (440) 542-5023 E, EB, G, IB, P, Does Not Accept New Patients Does Not Accept New Patients PL, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Lake Health Allied Health Fairview Hospital Professionals Singh, Paramjit, PA, (M) Lakewood Hospital Provider ID: 000157504010 Group Name: Cleveland Clinic Cleveland Clinic Lakewood NPI: 1851698435 Foundation 10780 Kinsman Rd Provider ID: 003507777009 Stypa, Robert, PA, (M) Newbury, OH 44065

NPI: 1548354368 Group Name: Ues Geauga (440) 564-5719 EB, P, R 17747 Chillicothe Rd Ste 100 Provider ID: 006271143019 Ages: 0-99 Chagrin Falls, OH 44023 NPI: 1245788546 (440) 543-8855 EB, P, R 13207 Ravenna Rd Lake Health Allied Health Does Not Accept New Patients Chardon, OH 44024 Professionals Ages: 0-99 (330) 656-5911 EB, P, R Provider ID: 000157504189 Hospital Affiliations: Ages: 0-99 NPI: 1851698435 Metrohealth Medical Center Hospital Affiliations: 13170 Ravenna Rd Ste 200 Cleveland Clinic Foundation Cleveland Clinic Foundation Chardon, OH 44024

(844) 542-6363 EB, P, R Slabaugh, Rachel L, PA, (F) Torsney, Anne B, PA, (F) Ages: 0-99 Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Lake Health Allied Health Provider ID: 003105291003 Provider ID: 006342235002 Professionals NPI: 1326290719 NPI: 1205806189 Provider ID: 000157504148 17747 Chillicothe Rd Ste 100 17747 Chillicothe Rd Ste 100 NPI: 1851698435 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 15389 W High St (440) 543-8855 EB, P, R (440) 543-8855 EB, P, R Middlefield, OH 44062

Does Not Accept New Patients Does Not Accept New Patients (440) 632-0594 EB, IB, P, R, RE, Ages: 0-99 Ages: 0-99 T Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Childrens Hospital Med Ctr Akron Fairview Hospital Cleveland Clinic Foundation Lutheran Hospital Cleveland Clinic Avon Hospital

Primary Care Providers Ohio - Lake Lake Health Allied Health Northeast Ohio Grp Practice Uh Regional Hospitals Professionals Provider ID: 001360345001 Uh Cleveland Medical Center Provider ID: 000157504187 NPI: 1063575462 Univ Hospitals Ahuja Med Ctr NPI: 1851698435 13207 Ravenna Rd 16030 E High St # 101 Chardon, OH 44024 Decapite, Rachel C, NP, (F)

Middlefield, OH 44062 (440) 542-5000 EB, P, R Group Name: University

(440) 632-0594 EB, P, R Ages: 18-99 Hospitals Medical Group Ages: 0-99 Provider ID: 002997576002 NPI: 1689856932 Lake Lake Health Allied Health 9000 Mentor Ave

Professionals Mentor, OH 44060 Advanced Registered Nurse Provider ID: 000157504169 (216) 844-3800 EB, P, R NPI: 1851698435 Practitioner Mo-Fr - 8:30 AM - 4:30 PM 510 5th Ave Batke Hastings, Susan, NP, (F) Cultural Competency: Y Chardon, OH 44024 Group Name: Cleveland Clinic Ages: 0-99 (440) 286-8908 EB, IB, P, R, RE, Foundation Hospital Affiliations: T Provider ID: 002714893011 Uh Geauga Medical Center Mo - 9:00 AM - 12:00 PM NPI: 1679675920 University Hospitals Geauga We,Th - 9:00 AM - 4:30 PM 7533 Center St Medical Ctr Ages: 0-99 Mentor, OH 44060 Uh Regional Hospital - Bedford

(440) 205-1714 EB, P, R Campus Lake Health Allied Health Does Not Accept New Patients Uh Regional Hospitals Professionals Ages: 0-99 Uh Cleveland Medical Center Provider ID: 000157504226 Hospital Affiliations: Univ Hospitals Ahuja Med Ctr NPI: 1851698435 Cleveland Clinic Foundation 510 5th Ave Ste 130 Chardon, OH 44024 Decapite, Rachel C, NP, (F) Family Nurse Practitioner

(440) 279-1500 EB, P, R Group Name: University Biddell, Kristin G, NP, (F) Ages: 0-99 Hospitals Medical Group Group Name: Lake Health Allied Provider ID: 002997576005 Health Professionals Lake Health Allied Health NPI: 1689856932 Provider ID: 003267278001 Professionals 7500 Auburn Rd NPI: 1467762989 Provider ID: 000157504198 Concord Township, OH 44077 8316 Yellowbrick Rd

NPI: 1851698435 (440) 358-5480 EB, IB, P, R Mentor, OH 44060 510 Fifth Ave Mo-Fr - 8:30 AM - 4:30 PM (440) 205-8818 EB, P, R, RE, T Chardon, OH 44024 Cultural Competency: Y Mo-Fr - 9:00 AM - 5:00 PM (440) 286-8908 EB, P, R Ages: 0-99 Sa - 8:00 AM - 12:00 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Uh Geauga Medical Center Ages: 0-99 University Hospitals Geauga Hospital Affiliations: Medical Ctr Lake Health Uh Regional Hospital - Bedford Campus

Ohio - Lake Primary Care Providers Biddell, Kristin G, NP, (F) Bouchard, Jennifer, NP, (F) Brown, Shelley M, NP, (F) Group Name: Lake Health Allied Group Name: Cleveland Clinic Group Name: Cleveland Clinic Health Professionals Foundation Foundation Provider ID: 003267278008 Provider ID: 003313224020 Provider ID: 003255028020 NPI: 1467762989 NPI: 1881870129 NPI: 1467624205 9500 Mentor Ave Ste 100 7533 Center St 7533 Center St Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060

(440) 352-4880 EB, P, R (440) 205-1714 EB, P, R (440) 205-1714 EB, P, R Cultural Competency: Y Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Lake Health Cleveland Clinic Foundation Cleveland Clinic Foundation

Bouchard, Jennifer, NP, (F) Brown, Shelley M, NP, (F) Galeski, Janine, FNP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Lake Health Allied Foundation Foundation Health Professionals Provider ID: 003313224015 Provider ID: 003255028015 Provider ID: 004138947003 NPI: 1881870129 NPI: 1467624205 NPI: 1588082986 2570 Som Center Rd 2570 Som Center Rd 9485 Mentor Ave Ste 212 Willoughby Hills, OH 44094 Willoughby Hills, OH 44094 Mentor, OH 44060

(440) 943-2500 EB, IB, P, R, RE, (440) 943-2500 EB, IB, P, R, RE, (440) 255-5571 EB, P, R T T Languages Spoken: Does Not Accept New Patients Does Not Accept New Patients Provider: German Ages: 0-99 Ages: 0-99 Mo-Su - 8:00 AM - 5:00 PM Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Lake Health Bouchard, Jennifer, NP, (F) Brown, Shelley M, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Kelly, Patricia D, NP, (F) Foundation Foundation Group Name: Lake Health Allied Provider ID: 003313224017 Provider ID: 003255028003 Health Professionals NPI: 1881870129 NPI: 1467624205 Provider ID: 002817228003 2999 Mcmackin Rd 2999 Mcmackin Rd NPI: 1639362916 Madison, OH 44057 Madison, OH 44057 29804 Lakeshore Blvd

(440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P Willowick, OH 44095

Does Not Accept New Patients Does Not Accept New Patients (440) 585-3322 P, R, RE, T Ages: 0-99 Ages: 0-99 Mo-Fr - 8:00 AM - 9:00 PM Hospital Affiliations: Hospital Affiliations: Sa,Su - 9:00 AM - 5:00 PM Cleveland Clinic Foundation Cleveland Clinic Foundation Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Lake Health

Primary Care Providers Ohio - Lake Kelly, Patricia D, NP, (F) Hospital Affiliations: Lake Health Group Name: Lake Health Allied Lake Health Health Professionals Stoltz, Kathryn R, FNP, (F) Provider ID: 002817228001 Lewis, Karen S, NP, (F) Group Name: Cleveland Clinic NPI: 1639362916 Group Name: Lake Health Allied Foundation 7580 Auburn Rd Ste 202 Health Professionals Provider ID: 006233170007 Concord Township, OH 44077 Provider ID: 003546537008 NPI: 1851767958

(440) 352-0400 EB, P, R NPI: 1710237565 2570 Som Center Rd Mo-Fr - 9:00 AM - 5:00 PM 7580 Auburn Rd Ste 202 Willoughby Hills, OH 44094

Sa - 9:00 AM - 2:30 PM Concord Township, OH 44077 (440) 943-2500 EB, IB, P, R, RE,

Cultural Competency: Y (440) 352-0400 EB, P, R T Ages: 0-99 Mo-Th - 8:00 AM - 9:00 PM Accepting Existing Patients Only Hospital Affiliations: Fr - 8:00 AM - 6:00 PM Ages: 0-17 Lake Health Sa - 9:00 AM - 2:00 PM Hospital Affiliations: Ages: 0-99 Lake Health Kelly, Patricia D, NP, (F) Hospital Affiliations: Hillcrest Hospital Group Name: Lake Health Allied Lake Health Health Professionals Stoltz, Kathryn R, FNP, (F) Provider ID: 002817228002 Lewis, Karen S, NP, (F) Group Name: Cleveland Clinic NPI: 1639362916 Group Name: Lake Health Allied Foundation 8655 Market St Health Professionals Provider ID: 006233170006 Mentor, OH 44060 Provider ID: 003546537010 NPI: 1851767958

(440) 255-6400 P, R, RE, T NPI: 1710237565 2999 Mcmackin Rd Mo-Fr - 8:00 AM - 8:00 PM 8316 Yellowbrick Rd Madison, OH 44057

Sa - 9:00 AM - 5:00 PM Mentor, OH 44060 (440) 428-1111 E, EB, IB, P

Su - 8:00 AM - 5:00 PM (440) 205-8818 EB, P, R, RE, T Accepting Existing Patients Only Cultural Competency: Y Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-17 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Lake Health Lake Health Lake Health Hillcrest Hospital

Lewis, Karen S, NP, (F) Lewis, Karen S, NP, (F) Stoltz, Kathryn R, FNP, (F) Group Name: Lake Health Allied Group Name: Lake Health Allied Group Name: Cleveland Clinic Health Professionals Health Professionals Foundation Provider ID: 003546537006 Provider ID: 003546537007 Provider ID: 006233170023 NPI: 1710237565 NPI: 1710237565 NPI: 1851767958 29804 Lakeshore Blvd 8655 Market St 7533 Center St Willowick, OH 44095 Mentor, OH 44060 Mentor, OH 44060

(440) 585-3322 P, R, RE, T (440) 255-6400 P, R, RE, T (440) 205-1714 EB, P, R Mo-Fr - 8:00 AM - 8:00 PM Mo-Fr - 8:00 AM - 9:00 PM Accepting Existing Patients Only Sa - 8:00 AM - 5:00 PM Sa,Su - 9:00 AM - 5:00 PM Ages: 0-17 Su - 9:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Lake Health

Ohio - Lake Primary Care Providers Hillcrest Hospital Svec, Kimberly A, FNP, (F) White, Molly M, FNP, (F) Group Name: Lake Health Allied Group Name: Cleveland Clinic Svec, Kimberly A, FNP, (F) Health Professionals Foundation Group Name: Lake Health Allied Provider ID: 005559781002 Provider ID: 002893272005 Health Professionals NPI: 1093104598 NPI: 1235209511 Provider ID: 005559781005 8316 Yellowbrick Rd 2999 Mcmackin Rd NPI: 1093104598 Mentor, OH 44060 Madison, OH 44057

29804 Lakeshore Blvd (440) 205-8818 EB, P, R, RE, T (440) 428-1111 E, EB, IB, P Willowick, OH 44095 Mo-Fr - 8:30 AM - 5:00 PM Does Not Accept New Patients

(440) 833-2905 P, R, RE, T Ages: 0-99 Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Lake Health Cleveland Clinic Foundation Hospital Affiliations: Lake Health Thomas, Kathryn M, NP, (F) White, Molly M, FNP, (F) Group Name: Lake Health Allied Group Name: Cleveland Clinic Svec, Kimberly A, FNP, (F) Health Professionals Foundation Group Name: Lake Health Allied Provider ID: 002979048002 Provider ID: 002893272035 Health Professionals NPI: 1699915744 NPI: 1235209511 Provider ID: 005559781004 7580 Auburn Rd Ste 202 7533 Center St NPI: 1093104598 Concord Township, OH 44077 Mentor, OH 44060

5105 Som Center Rd Ste 106 (440) 352-0400 EB, P, R (440) 205-1714 EB, P, R Willoughby, OH 44094 Mo-Fr - 8:00 AM - 9:00 PM Does Not Accept New Patients

(440) 953-5740 EB, P, R Cultural Competency: Y Ages: 0-99 Sa - 8:00 AM - 12:00 PM Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Lake Health Lake Health Cleveland Clinic Foundation Family Practice

Svec, Kimberly A, FNP, (F) White, Molly M, FNP, (F) Members may self-refer to these Group Name: Lake Health Allied Group Name: Cleveland Clinic providers.

Health Professionals Foundation Provider ID: 005559781006 Provider ID: 002893272006 Baker-Horn, Jordan N, DO, (F) NPI: 1093104598 NPI: 1235209511 Group Name: University Primary 6270 N Ridge Rd 2570 Som Center Rd Care Practices Madison, OH 44057 Willoughby Hills, OH 44094 Provider ID: 006261190005 NPI: 1194953976 (440) 428-8249 EB, P, R (440) 943-2500 EB, IB, P, R, RE, Mo-Fr - 8:00 AM - 4:30 PM T 7500 Auburn Rd Ste 1200 Ages: 0-99 Does Not Accept New Patients Concord Township, OH 44077 Hospital Affiliations: Ages: 0-99 (440) 358-5400 EB, P, R Lake Health Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Ages: 0-99

Primary Care Providers Ohio - Lake Bell, Jerry C, DO, (M), B Uh Cleveland Medical Center Brock, Daniel J, MD, (M) Group Name: Lake Health Areas of Expertise: MAT1 Group Name: Lake Health Allied Provider ID: 002929886001 Health Professionals NPI: 1962626564 Brinkman, Angela L, DO, (F), B Provider ID: 003064876014 6270 N Ridge Rd Group Name: Lake Health Allied NPI: 1285848614 Madison, OH 44057 Health Professionals 8655 Market St

(440) 354-1100 EB, IB, P, R, RE, Provider ID: 001046057003 Mentor, OH 44060

T NPI: 1982797874 (440) 255-7938 P, R, RE, T Cultural Competency: Y 29804 Lakeshore Blvd Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Willowick, OH 44095 Sa,Su - 9:00 AM - 5:00 PM

Hospital Affiliations: (440) 833-2095 P, R, RE, T Cultural Competency: Y Lake Health Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Areas of Expertise: E112, E160 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Lake Health Berry, Richard, MD, (M), B Hospital Affiliations: Group Name: Lake Health Allied Lake Health Cooper, Danielle D, MD, (F), B Health Professionals Hillcrest Hospital Group Name: Lake Health Allied Provider ID: 006895542001 Uh Geneva Medical Center Health Professionals NPI: 1346636628 Marymount Hospital Provider ID: 002315292002 9500 Mentor Ave Ste 100 Uh Cleveland Medical Center NPI: 1740256643 Mentor, OH 44060 8655 Market St

(440) 352-4880 EB, P, R Brock, Daniel J, MD, (M) Mentor, OH 44060

Ages: 0-99 Group Name: Lake Health Allied (440) 255-6400 P, R, RE, T Hospital Affiliations: Health Professionals Mo-Fr - 8:00 AM - 8:00 PM Lake Health Provider ID: 003064876010 Sa - 8:00 AM - 6:00 PM NPI: 1285848614 Su - 12:00 PM - 6:00 PM Bowersox, Harold J, DO, (M), B 29804 Lakeshore Blvd Cultural Competency: Y Group Name: Lake Health Allied Willowick, OH 44095 Ages: 0-99

Health Professionals (800) 354-1985 P, R, RE, T Hospital Affiliations: Provider ID: 000055650005 Mo-Fr - 8:00 AM - 9:00 PM Lake Health NPI: 1447362066 Sa,Su - 9:00 AM - 5:00 PM 8655 Market St Cultural Competency: Y Cooper, Danielle D, MD, (F), B Mentor, OH 44060 Ages: 0-99 Group Name: Lake Health Allied

(440) 255-5508 P, R, RE, T Hospital Affiliations: Health Professionals Languages Spoken: Lake Health Provider ID: 002315292001 Provider: French, German, NPI: 1740256643 Spanish 9500 Mentor Ave Ste 100 Sa - 8:00 AM - 12:00 PM Mentor, OH 44060

Cultural Competency: Y (440) 352-4880 EB, P, R Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Lake Health Hospital Affiliations: Uh Regional Hospitals Lake Health

Ohio - Lake Primary Care Providers Hall, Ami M, DO, (F), B Heng, Julia A, MD, (F), B Gerhardstein, Sarah E, DO, (F), B Group Name: Cleveland Clinic Group Name: Lake Health Allied Group Name: Lake Medical Foundation Health Professionals Center/Madison Provider ID: 002830834013 Provider ID: 001077669001 Provider ID: 005701095002 NPI: 1467653683 NPI: 1922114263 NPI: 1790026680 2570 Som Center Rd 6270 N Ridge Rd 6270 N Ridge Rd Willoughby Hills, OH 44094 Madison, OH 44057

Madison, OH 44057 (440) 943-2500 EB, IB, P, R, RE, (440) 428-8249 EB, IB, P, R, RE,

(440) 428-8222 EB, P, R T T Ages: 0-99 Cultural Competency: Y Languages Spoken: Hospital Affiliations: Ages: 18-99 Provider: French Lake Health Hospital Affiliations: Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM Uh Geauga Medical Center We - 8:00 AM - 4:30 PM Haas, Gwen H, MD, (F), B University Hospitals Geauga Cultural Competency: Y Group Name: Lake Health Allied Medical Ctr Ages: 18-99 Health Professionals Cleveland Clinic Foundation Hospital Affiliations: Provider ID: 000841654001 Hillcrest Hospital Uh Geauga Medical Center NPI: 1710092267 Fairview Hospital University Hospitals Geauga 29804 Lakeshore Blvd South Pointe Hospital Medical Ctr Willowick, OH 44095 Euclid Hospital Lake Health

(440) 833-2095 P, R, RE, T Mo-Fr - 8:00 AM - 4:30 PM Hayes, Teagan M, DO, (F), B Hillard, Bradley G, DO, (M), B Cultural Competency: Y Group Name: Cleveland Clinic Group Name: Northern Oh Ages: 0-99 Foundation Medical Specialist Hospital Affiliations: Provider ID: 004557500011 Provider ID: 001851579006 Lake Health NPI: 1194161372 NPI: 1326148560 2999 Mcmackin Rd 7515 Fredle Dr Hackett, Martha N, MD, (F), B Madison, OH 44057 Concord Township, OH 44077

Group Name: Hackett Martha N (440) 428-1111 E, EB, IB, P (419) 626-6161 EB, IB, P, R, RE, Provider ID: 000706136004 Does Not Accept New Patients T NPI: 1467454975 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM 8300 Tyler Blvd Ste 300 Hospital Affiliations: Cultural Competency: Y Mentor, OH 44060 Upmc Horizon Ages: 18-99

(440) 205-1529 EB, P, R Jameson Memorial Hospital Hospital Affiliations: Mo-Fr - 7:00 AM - 5:00 PM Upmc Jameson South Pointe Hospital Ages: 0-99 Marymount Hospital Hospital Affiliations: Southwest General Health Center Lake Health Uh Cleveland Medical Center Hillcrest Hospital Univ Hospitals Ahuja Med Ctr

Primary Care Providers Ohio - Lake Hillard, Bradley G, DO, (M), B Hofius, Daniel L, DO, (M), B Iorio, Clark D, DO, (M) Group Name: Northern Oh Group Name: Northcoast Family Group Name: University Primary Medical Specialist Practice Care Practices Provider ID: 001851579007 Provider ID: 001819908001 Provider ID: 002048238007 NPI: 1326148560 NPI: 1356301311 NPI: 1326065145 8316 Yellowbrick Rd 7580 Auburn Rd Ste 202 7500 Auburn Rd Ste 1200 Mentor, OH 44060 Concord Township, OH 44077 Concord Township, OH 44077

(440) 205-8818 EB, P, R, RE, T (440) 352-0400 EB, P, R (440) 358-5400 EB, P, R Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM Mo-Th - 8:00 AM - 9:00 PM Mo-Fr - 8:30 AM - 4:30 PM We - 2:30 PM - 5:30 PM Fr - 8:00 AM - 6:00 PM Cultural Competency: Y Sa - 9:00 AM - 12:00 PM Sa - 9:00 AM - 2:00 PM Ages: 0-99 Cultural Competency: Y Cultural Competency: Y Hospital Affiliations: Ages: 18-99 Accepting Existing Patients Only Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Medina Hospital South Pointe Hospital Hospital Affiliations: Marymount Hospital Lake Health Isakov, Vyacheslav R, MD, (M) Southwest General Health Center Uh Geneva Medical Center Group Name: Vyacheslav Isakov Uh Cleveland Medical Center Md Univ Hospitals Ahuja Med Ctr Iliano, Amanda B, NP, (F) Provider ID: 002557536002 Group Name: University NPI: 1407826803 Hillard, Erin M, DO, (F), B Hospitals Regional Practices 29640 Euclid Ave Group Name: Northern Oh Provider ID: 006951540004 Wickliffe, OH 44092

Medical Specialist NPI: 1538647920 (440) 585-2221 EB, P, R Provider ID: 001851495005 701 N Lake St Ste 101 Languages Spoken: NPI: 1083712319 Madison, OH 44057 Provider: Russian

7515 Fredle Dr (440) 428-7511 E, EB, G, P, R, Tu - 1:00 PM - 6:00 PM Concord Township, OH 44077 RE, S We,Fr - 10:00 AM - 5:00 PM

(440) 721-8331 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM Sa - 10:00 AM - 12:00 PM T Ages: 0-99 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Uh Geauga Medical Center Lake Health Ages: 0-99 University Hospitals Geauga Hillcrest Hospital Hospital Affiliations: Medical Ctr Euclid Hospital South Pointe Hospital Marymount Hospital Uh Cleveland Medical Center

Ohio - Lake Primary Care Providers Isakov, Vyacheslav R, MD, (M) Hosp Kessler, Joseph J, MD, (M), B Group Name: Vyacheslav Isakov Group Name: Lake Health Allied Md Keller, Julie C, MD, (F), B Health Professionals Provider ID: 002557536003 Group Name: University Primary Provider ID: 001933726001 NPI: 1407826803 Care Practices NPI: 1104932458 30630 Ridge Rd Provider ID: 001941846001 6270 N Ridge Rd Wickliffe, OH 44092 NPI: 1730285214 Madison, OH 44057

(440) 854-0220 EB, P, R 9000 Mentor Ave Ste 101 (440) 428-8222 EB, IB, P, R, RE, Languages Spoken: Mentor, OH 44060 T

Provider: Russian (440) 974-4443 EB, P, R Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Languages Spoken: Cultural Competency: Y Hospital Affiliations: Provider: French, Spanish Ages: 0-99 Lake Health Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Hillcrest Hospital Ages: 0-99 Lake Health Euclid Hospital Hospital Affiliations: Uh Cleveland Medical Center Kessler, Joseph J, MD, (M), B Joyce, Tina, DO, (F), B Rainbow Babies & Childrens Group Name: Lake Health Allied Group Name: Tina M Joyce Do Hosp Health Professionals Provider ID: 002735993001 Provider ID: 001933726002 NPI: 1316907827 Kelly, Patricia D, NP, (F) NPI: 1104932458 8007 Auburn Rd Ste 3 Group Name: Lake Health Allied 9500 Mentor Ave Ste 100 Concord Township, OH 44077 Health Professionals Mentor, OH 44060

(440) 375-5520 EB, P, R, RE, T Provider ID: 002817228003 (440) 352-4803 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM NPI: 1639362916 Cultural Competency: Y Ages: 0-99 29804 Lakeshore Blvd Ages: 0-99 Hospital Affiliations: Willowick, OH 44095 Hospital Affiliations:

Lake Health (440) 585-3322 P, R, RE, T Lake Health Mo-Fr - 8:00 AM - 9:00 PM Keller, Julie C, MD, (F), B Sa,Su - 9:00 AM - 5:00 PM Kruse, Elizabeth A, MD, (F), B Group Name: University Primary Cultural Competency: Y Group Name: Lake Health Allied Care Practices Ages: 0-99 Health Professionals Provider ID: 001941846001 Hospital Affiliations: Provider ID: 000758805001 NPI: 1730285214 Lake Health NPI: 1962479857 7500 Auburn Rd Ste 1200 9500 Mentor Ave Ste 100 Concord Township, OH 44077 Mentor, OH 44060

(440) 358-5400 EB, P, R (440) 352-4880 EB, P, R Languages Spoken: Cultural Competency: Y Provider: French, Spanish Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Lake Health Hospital Affiliations: Uh Cleveland Medical Center Rainbow Babies & Childrens

Primary Care Providers Ohio - Lake Leizman, Jonathan B, MD, (M), B Manger, Kelly M, MD, (F) Moyer, Eric D, MD, (M), B Group Name: Clinic Regional Group Name: Lake Health Allied Group Name: Cleveland Clinic Physicians Health Professionals Foundation Provider ID: 002030800003 Provider ID: 007507779001 Provider ID: 003230401008 NPI: 1447249677 NPI: 1528593894 NPI: 1447479399 2999 Mcmackin Rd 29804 Lakeshore Blvd 2570 Som Center Rd Madison, OH 44057 Willowick, OH 44095 Willoughby Hills, OH 44094

(440) 428-1111 E, EB, IB, P (440) 833-2095 P, R, RE, T (440) 943-2500 EB, IB, P, R, RE, Mo - 8:00 AM - 4:00 PM Mo-Fr - 8:00 AM - 4:30 PM T Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 18-99 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Lake Health Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Marymount Hospital Mcnaughton, Marc J, MD, (M), B Cleveland Clinic Foundation Medina Hospital Group Name: Lake Health Allied Saint Joseph London Health Professionals Neely, Timothy R, DO, (M), B Provider ID: 002154375001 Group Name: Lake Health Allied Lopez, Lillian Y, DO, (F), B NPI: 1114993029 Health Professionals Group Name: Lake Health Allied 9500 Mentor Ave Ste 100 Provider ID: 003690788003 Health Professionals Mentor, OH 44060 NPI: 1861704140

Provider ID: 002942818005 (440) 352-4880 EB, P, R 6270 N Ridge Rd NPI: 1932312600 Cultural Competency: Y Madison, OH 44057

9500 Mentor Ave Ste 100 Ages: 18-99 (440) 354-1100 EB, IB, P, R, RE, Mentor, OH 44060 Hospital Affiliations: T

(800) 678-8400 EB, P, R Lake Health Cultural Competency: Y Languages Spoken: Ages: 0-99 Provider: Spanish Modarelli, Daniel C, DO, (M), B Hospital Affiliations: Cultural Competency: Y Group Name: Lake Health Allied Lake Health Ages: 0-99 Health Professionals Hospital Affiliations: Provider ID: 002051072003 Neilsen, Susan A, MD, (F), B Lake Health NPI: 1033179791 Group Name: University Primary Cleveland Clinic Foundation 7580 Auburn Rd Ste 202 Care Practices Hillcrest Hospital Concord Township, OH 44077 Provider ID: 001263188008

(440) 352-0400 EB, P, R NPI: 1447336946 Mo-Th - 8:00 AM - 9:00 PM 7500 Auburn Rd Ste 1200 Fr - 8:00 AM - 6:00 PM Concord Township, OH 44077

Sa - 9:00 AM - 2:00 PM (440) 358-5400 EB, P, R Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Lake Health Hospital Affiliations: Metrohealth Medical Center Southwest General Health Center

Ohio - Lake Primary Care Providers Peacehealth Sw Med Ctr Popil, Tyler J, PA, (M) Sidari, Bonnie J, DO, (F) Group Name: University Group Name: Clinic Regional Perala, Norman R, MD, (M), B Hospitals Regional Practices Physicians Group Name: Cleveland Clinic Provider ID: 006751574006 Provider ID: 001738500006 Foundation NPI: 1235638263 NPI: 1699883959 Provider ID: 003392408006 701 N Lake St Ste 101 2999 Mcmackin Rd NPI: 1093989345 Madison, OH 44057 Madison, OH 44057

2570 Som Center Rd (440) 428-7511 E, EB, G, P, R, (440) 428-1111 E, EB, IB, P Willoughby Hills, OH 44094 RE, S Mo-Fr - 8:00 AM - 9:00 PM

(440) 943-2500 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM Sa,Su - 11:00 AM - 4:00 PM T Ages: 0-99 Cultural Competency: Y Mo,We,Fr - 8:00 AM - 9:00 PM Hospital Affiliations: Accepting Existing Patients Only Sa,Su - 8:00 AM - 4:00 PM Blanchard Valley Hospital Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Schmeiser, Thomas J, DO, (M) Lake Health Hospital Affiliations: Group Name: University Primary Metrohealth Medical Center Cleveland Clinic Foundation Care Practices Cleveland Clinic Foundation Provider ID: 002455005012 Hillcrest Hospital Perala, Norman R, MD, (M), B NPI: 1275549701 Group Name: Cleveland Clinic 7500 Auburn Rd Ste 1200 Taylor, Jay M, MD, (M), B Foundation Concord Township, OH 44077 Group Name: Lake Health Allied

Provider ID: 003392408004 (440) 358-5400 EB, P, R Health Professionals NPI: 1093989345 Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 000154498001 2999 Mcmackin Rd Cultural Competency: Y NPI: 1689641300 Madison, OH 44057 Ages: 0-99 9500 Mentor Ave Ste 100

(440) 428-1111 E, EB, IB, P Hospital Affiliations: Mentor, OH 44060

Mo,We,Fr - 8:00 AM - 9:00 PM Summa Health System (440) 352-4880 EB, P, R Sa,Su - 8:00 AM - 4:00 PM Akron General Medical Ctr Cultural Competency: Y Does Not Accept New Patients Western Reserve Hospital Ages: 0-99 Ages: 0-99 Kaleida Health Hospital Affiliations: Hospital Affiliations: Lake Health Cleveland Clinic Foundation Thomas, Kathryn M, NP, (F) Group Name: Lake Health Allied Health Professionals Provider ID: 002979048002 NPI: 1699915744 7580 Auburn Rd Ste 202 Concord Township, OH 44077

(440) 352-0400 EB, P, R Mo-Fr - 8:00 AM - 9:00 PM Cultural Competency: Y Ages: 0-99

Primary Care Providers Ohio - Lake Hospital Affiliations: Vieweg, Walter M, DO, (M), B Whitehouse, Robert J, MD, (M), Lake Health Group Name: Lake Health Allied B Cleveland Clinic Foundation Health Professionals Group Name: Whitehouse Robert Provider ID: 000052945007 J Thomas, Paul C, DO, (M), B NPI: 1548341126 Provider ID: 000783540001 Group Name: Northern Oh 29804 Lakeshore Blvd NPI: 1801989959 Medical Specialist Willowick, OH 44095 36001 Euclid Ave Ste B6

Provider ID: 001758933011 (440) 585-3322 P, R, RE, T Willoughby, OH 44094

NPI: 1780770842 Mo-Fr - 8:00 AM - 10:00 PM (440) 975-9173 EB, P, R 8316 Yellowbrick Rd Sa,Su - 9:00 AM - 5:00 PM Mo - 1:00 PM - 5:00 PM Mentor, OH 44060 Ages: 0-99 Tu - 9:00 AM - 1:00 PM

(440) 205-8818 EB, P, R, RE, T Hospital Affiliations: We - 1:00 PM - 6:00 PM Mo-Fr - 9:00 AM - 5:00 PM Lake Health Fr - 8:00 AM - 1:00 PM Sa - 8:00 AM - 12:00 PM Cultural Competency: Y Cultural Competency: Y Vieweg, Walter M, DO, (M), B Ages: 0-99 Ages: 0-99 Group Name: Lake Health Allied Hospital Affiliations: Hospital Affiliations: Health Professionals Lake Health Lake Health Provider ID: 000052945003 Euclid Hospital Hillcrest Hospital NPI: 1548341126 Uh Cleveland Medical Center Euclid Hospital 510 5th St Marymount Hospital Fairport Harbor, OH 44077 Whitehouse, Robert J, MD, (M),

Uh Regional Hospitals (440) 286-8908 EB, P, R B Mo-Fr - 8:00 AM - 8:00 PM Group Name: University Turbett, James A, MD, (M), B Sa,Su - 9:00 AM - 5:00 PM Hospitals Regional Practices Group Name: Lake Health Allied Ages: 0-99 Provider ID: 000783540007 Health Professionals Hospital Affiliations: NPI: 1801989959 Provider ID: 000758802001 Lake Health 6831 Chapel Rd NPI: 1730156621 Madison, OH 44057

9500 Mentor Ave Ste 100 Vieweg, Walter M, DO, (M), B (440) 944-4070 EB, P, R Mentor, OH 44060 Group Name: Lake Health Allied Cultural Competency: Y

(440) 352-4880 EB, P, R Health Professionals Ages: 0-99 Ages: 0-99 Provider ID: 000052945006 Hospital Affiliations: Hospital Affiliations: NPI: 1548341126 Lake Health Lake Health 8655 Market St Euclid Hospital Mentor, OH 44060 Uh Cleveland Medical Center

(440) 255-6400 P, R, RE, T Mo-Fr - 8:00 AM - 10:00 PM Sa,Su - 9:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: Lake Health

Ohio - Lake Primary Care Providers Whitehouse, Robert J, MD, (M), Zayicek, Christina M, NP, (F) Lake Health B Group Name: Lake Health Allied Group Name: University Health Professionals Znidarsic, Robert, MD, (M), B Hospitals Regional Practices Provider ID: 003428509007 Group Name: Lake Health Allied Provider ID: 000783540010 NPI: 1861769630 Health Professionals NPI: 1801989959 8655 Market St Provider ID: 002497092001 7600 S Ridge Rd Mentor, OH 44060 NPI: 1144281288

Madison, OH 44057 (440) 255-6400 P, R, RE, T 6270 N Ridge Rd

(440) 944-4070 Mo-Fr - 8:00 AM - 9:00 PM Madison, OH 44057

Mo-Fr - 8:30 AM - 4:30 PM Sa,Su - 9:00 AM - 5:00 PM (440) 428-6800 EB, IB, P, R, RE, Cultural Competency: Y Cultural Competency: Y T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Lake Health Lake Health Lake Health Euclid Hospital Medina Hospital Uh Cleveland Medical Center Uh Parma Medical Center Znidarsic, Robert, MD, (M), B University Hospitals Parma Group Name: Lake Health Allied Zayicek, Christina M, NP, (F) Medical Ctr Health Professionals Group Name: Lake Health Allied Provider ID: 002497092002 Health Professionals Zhu, Ye, MD, (F), B NPI: 1144281288 Provider ID: 003428509009 Group Name: Cleveland Clinic 7956 Tyler Blvd NPI: 1861769630 Foundation Mentor, OH 44060

29804 Lakeshore Blvd Provider ID: 003208796002 (440) 255-4455 EB, P, R Willowick, OH 44095 NPI: 1740489053 Ages: 0-99

(440) 585-3322 P, R, RE, T 2570 Som Center Rd Hospital Affiliations: Mo-Fr - 8:00 AM - 9:00 PM Willoughby Hills, OH 44094 Lake Health

Sa,Su - 9:00 AM - 5:00 PM (440) 943-2500 EB, IB, P, R, RE, Cultural Competency: Y T Znidarsic, Robin L, MD, (F), B Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Group Name: Lake Health Allied Hospital Affiliations: Ages: 0-99 Health Professionals Lake Health Hospital Affiliations: Provider ID: 001776913001 Medina Hospital Cleveland Clinic Foundation NPI: 1306952650 Uh Parma Medical Center 6270 N Ridge Rd University Hospitals Parma Znidarsic, Robert, MD, (M), B Madison, OH 44057

Medical Ctr Group Name: Lake Health Allied (440) 428-8222 EB, IB, P, R, RE, Health Professionals T Provider ID: 002497092003 Mo-Fr - 8:00 AM - 4:30 PM NPI: 1144281288 Cultural Competency: Y 30498 Lake Shore Blvd Ages: 0-99 Willowick, OH 44095 Hospital Affiliations:

(440) 585-3322 EB, P, R Lake Health Ages: 0-99 Summa Health System Hospital Affiliations: Childrens Hospital Med Ctr Akron

Primary Care Providers Ohio - Lake Dorado, Gapin P, MD, (M) Hanahan, Paul C, MD, (M) Znidarsic, Robin L, MD, (F), B Group Name: Lake Health Allied Group Name: Healthcare For Group Name: Lake Health Allied Health Professionals Business Health Professionals Provider ID: 000057511005 Provider ID: 000779000001 Provider ID: 001776913002 NPI: 1851351431 NPI: 1003976200 NPI: 1306952650 29804 Lakeshore Blvd 50 Normandy Dr Ste 5 8655 Market St Willowick, OH 44095 Painesville, OH 44077

Mentor, OH 44060 (440) 585-3322 P, R, RE, T (440) 354-4747 EB, P, R, RE

(440) 255-7938 P, R, RE, T Languages Spoken: Mo-Fr - 8:30 AM - 4:00 PM Cultural Competency: Y Provider: Tagalog Cultural Competency: Y Ages: 0-99 Mo-Fr - 8:00 AM - 9:00 PM Web address: www.healthcareforbu Hospital Affiliations: Sa,Su - 9:00 AM - 5:00 PM siness.com Lake Health Cultural Competency: Y Ages: 15-99 Summa Health System Ages: 0-99 Hospital Affiliations: Childrens Hospital Med Ctr Akron Hospital Affiliations: Lake Health Lake Health Euclid Hospital Lagman, Dennis V, MD, (M) General Practice Group Name: Community

Members may self-refer to these Dorado, Gapin P, MD, (M) Hospitalists providers. Group Name: Lake Health Allied Provider ID: 002009835009

Health Professionals NPI: 1962406355 Bowersox, Harold J, DO, (M) Provider ID: 000057511011 1919 Bishop Rd Group Name: Bowersox Harold J NPI: 1851351431 Wickliffe, OH 44092 Provider ID: 000055650006 8655 Market St (440) 944-9400 EB, P, R NPI: 1447362066 Mentor, OH 44060 Languages Spoken: 8655 Market St (440) 255-6400 P, R, RE, T Provider: Filipino, Tagalog Mentor, OH 44060 Languages Spoken: Cultural Competency: Y (440) 255-5508 P, R, RE, T Provider: Tagalog Ages: 18-99 Languages Spoken: Mo-Fr - 8:00 AM - 9:00 PM Hospital Affiliations: Provider: French, German, Sa,Su - 9:00 AM - 5:00 PM Lake Health Spanish Cultural Competency: Y Euclid Hospital Mo-Th - 8:00 AM - 4:30 PM Ages: 0-99 Areas of Expertise: MAT1 Fr - 8:00 AM - 12:00 PM Hospital Affiliations: Cultural Competency: Y Lake Health Web address: www.lakehealth.org Euclid Hospital Ages: 18-99 Hospital Affiliations: Lake Health Uh Regional Hospitals Uh Cleveland Medical Center Areas of Expertise: MAT1

Ohio - Lake Primary Care Providers

Lagman, Dennis V, MD, (M) Lagman, Dennis V, MD, (M) Group Name: Community Group Name: Community Internal Medicine

Hospitalists Hospitalists Prior authorization is required to Provider ID: 002009835001 Provider ID: 002009835007 obtain some covered services from NPI: 1962406355 NPI: 1962406355 these providers. You will not be 36000 Euclid Ave 8881 Schaeffer St covered for those services without Willoughby, OH 44094 Mentor, OH 44060 such approval by UnitedHealthcare (440) 542-5025 P, R, RE, T (440) 255-9309 EB, P, R Community Plan. Please see your Languages Spoken: Languages Spoken: member handbook, or call Member Provider: Filipino, Tagalog Provider: Filipino, Tagalog Services for details.

Cultural Competency: Y Cultural Competency: Y Ages: 18-99 Ages: 18-99 Archacki, Stephen R, MD, (M), B Hospital Affiliations: Hospital Affiliations: Group Name: Cleveland Clinic Lake Health Lake Health Foundation Euclid Hospital Euclid Hospital Provider ID: 001572779004 Areas of Expertise: MAT1 Areas of Expertise: MAT1 NPI: 1376526053 34500 Chardon Rd Ste 6 Lagman, Dennis V, MD, (M) Willoughby Hills, OH 44094 Group Name: Community Geriatrics (440) 461-9060 EB, P, R Cultural Competency: Y Hospitalists Members may self-refer to these Provider ID: 002009835008 Ages: 0-99 providers. Hospital Affiliations: NPI: 1962406355 37603 Euclid Ave Baum, Stephen A, MD, (M), B Cleveland Clinic Foundation Willoughby, OH 44094 Group Name: Lake Health Allied Hillcrest Hospital Health Professionals Euclid Hospital (440) 951-5551 EB, P, R Languages Spoken: Provider ID: 000946076001 Uh Regional Hospitals Provider: Filipino, Tagalog NPI: 1396847307 Cultural Competency: Y 9485 Mentor Ave Ste 210 Aziz, Carolina A, DO, (F), B Ages: 18-99 Mentor, OH 44060 Group Name: Cleveland Clinic Hospital Affiliations: (440) 205-5833 RE, T Foundation Lake Health Mo-Fr - 8:00 AM - 4:30 PM Provider ID: 002957039008 Euclid Hospital Cultural Competency: Y NPI: 1205048667 Areas of Expertise: MAT1 Ages: 18-99 2570 Som Center Rd Hospital Affiliations: Willoughby Hills, OH 44094 Lake Health (440) 943-2500 EB, IB, P, R, RE, T Languages Spoken: Provider: Spanish Accepting Existing Patients Only Ages: 0-99 Hospital Affiliations: Nazareth Hospital Cleveland Clinic Foundation

Primary Care Providers Ohio - Lake Bailey, Laura M, MD, (F), B Beller, Nancy O, MD, (F), B Bowersox, Harold J, DO, (M) Group Name: Lake Health Allied Group Name: University Group Name: Bowersox Harold J Health Professionals Hospitals Regional Practices Provider ID: 000055650006 Provider ID: 001066549001 Provider ID: 001023316003 NPI: 1447362066 NPI: 1770699019 NPI: 1598864423 8655 Market St 36100 Euclid Ave Ste 240 9000 Mentor Ave Ste 105 Mentor, OH 44060

Willoughby, OH 44094 Mentor, OH 44060 (440) 255-5508 P, R, RE, T

(440) 953-6294 EB, P, R (440) 974-4404 E, EB, IB, P, R Languages Spoken: Cultural Competency: Y Provider: French, German, Ages: 0-99 Cultural Competency: Y Spanish Hospital Affiliations: Ages: 0-99 Mo-Th - 8:00 AM - 4:30 PM Lake Health Hospital Affiliations: Fr - 8:00 AM - 12:00 PM Hillcrest Hospital Lake Health Cultural Competency: Y Uh Regional Hospital - Bedford Web address: www.lakehealth.org Baranauskas, Michael V, MD, Campus Ages: 18-99 (M), B Uh Regional Hospitals Hospital Affiliations: Group Name: Lake Health Allied Uh Cleveland Medical Center Lake Health Health Professionals Uh Regional Hospitals Provider ID: 002025647001 Bicer, Fuat, MD, (M), B Uh Cleveland Medical Center NPI: 1417063769 Group Name: UPCP Areas of Expertise: MAT1 9485 Mentor Ave Ste 210 Provider ID: 007218941001 Mentor, OH 44060 NPI: 1316393952 Brobbey, Andrew K, MD, (M), B 7500 Auburn Rd Ste 2300 (440) 205-5804 RE, T Group Name: Andrew K Brobbey Mo-Fr - 8:00 AM - 4:30 PM Concord Township, OH 44077 Md Cultural Competency: Y (440) 358-5701 EB, IB, P, R Provider ID: 002483679005 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1679554877 Hospital Affiliations: Ages: 18-99 36001 Euclid Ave Ste B16 Lake Health Hospital Affiliations: Willoughby, OH 44094 Uh Geauga Medical Center (440) 946-5151 E, EB, G, IB, P, Baum, Stephen A, MD, (M), B University Hospitals Geauga R, RE, S, T Group Name: Lake Health Allied Medical Ctr Mo-Fr - 9:00 AM - 5:00 PM Health Professionals Lake Health Cultural Competency: Y Provider ID: 000946076001 Ages: 16-99 NPI: 1396847307 Hospital Affiliations: 9485 Mentor Ave Ste 210 Hillcrest Hospital Mentor, OH 44060 Euclid Hospital

(440) 205-5833 RE, T Huron Hospital Mo-Fr - 8:00 AM - 4:30 PM Cultural Competency: Y Ages: 18-99 Hospital Affiliations: Lake Health

Ohio - Lake Primary Care Providers Brobbey, Andrew K, MD, (M), B Davis, Cherrica T, MD, (F) Group Name: Andrew K Brobbey Group Name: Lake Health Allied Dhillon, Varinder S, MD, (M), B Md Health Professionals Group Name: Lake Health Allied Provider ID: 002483679010 Provider ID: 002779224002 Health Professionals NPI: 1679554877 NPI: 1487677233 Provider ID: 003337379004 37121 Euclid Ave 29804 Lakeshore Blvd NPI: 1154563203 Willoughby, OH 44094 Willowick, OH 44095 9485 Mentor Ave Ste 210

(440) 946-5151 (440) 585-3322 P, R, RE, T Mentor, OH 44060

Cultural Competency: Y Mo-Fr - 8:00 AM - 10:00 PM (440) 205-5836 RE, T Ages: 16-99 Sa,Su - 9:00 AM - 5:00 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Hillcrest Hospital Ages: 0-99 Hospital Affiliations: Euclid Hospital Hospital Affiliations: Lake Health Huron Hospital Lake Health Areas of Expertise: MAT1 Donca, Mihaela, MD, (F), B Cawley, Michelle A, NP, (F) Group Name: Lake Health Allied Group Name: Lake Health Allied Dayal, Ashok K, MD, (M), B Health Professionals Health Professionals Group Name: University Primary Provider ID: 002693301011 Provider ID: 003068077001 Care Practices NPI: 1881635670 NPI: 1326270679 Provider ID: 001696798005 4176 State Route 306 9485 Mentor Ave Ste 210 NPI: 1134174485 Willoughby, OH 44094

Mentor, OH 44060 9000 Mentor Ave Ste 105 (440) 918-4690 EB, IB, P, R, RE,

(440) 205-5734 RE, T Mentor, OH 44060 S, T

Mo-Fr - 8:00 AM - 4:30 PM (440) 974-4404 E, EB, IB, P, R Languages Spoken: Cultural Competency: Y Provider: Romanian Ages: 18-99 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 9:00 AM - 5:00 PM Hospital Affiliations: Ages: 18-99 Cultural Competency: Y Lake Health Hospital Affiliations: Ages: 18-99 Holzer Hospital Affiliations: Cornette, Victoria E, MD, (F), B Lake Health Group Name: Cleveland Clinic Detore, Nicholas W, MD, (M), B Euclid Hospital Foundation Group Name: Lake Health Allied Provider ID: 001463359002 Health Professionals NPI: 1356439756 Provider ID: 003481227002 2570 Som Center Rd NPI: 1942438197 Willoughby Hills, OH 44094 9485 Mentor Ave Ste 210 Mentor, OH 44060 (440) 943-2500 EB, IB, P, R, RE, T (440) 205-5892 RE, T Ages: 18-99 Mo-Fr - 8:30 AM - 5:00 PM Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Lake Health Summa Health System

Primary Care Providers Ohio - Lake Eiswerth, Thomas F, MD, (M), B Hospital Affiliations: Gutjahr, Charmaine D, MD, (F) Group Name: Lake Health Allied Cleveland Clinic Foundation Group Name: Cleveland Clinic Health Professionals Foundation Provider ID: 001326654001 Fike, William R, MD, (M), B Provider ID: 002385399004 NPI: 1376659623 Group Name: Cleveland Clinic NPI: 1396949665 9485 Mentor Ave Ste 210 Foundation 2999 Mcmackin Rd Mentor, OH 44060 Provider ID: 000873290002 Madison, OH 44057

(440) 205-5808 RE, T NPI: 1215036967 (440) 428-1111 E, EB, IB, P Languages Spoken: 2999 Mcmackin Rd Mo,We,Fr - 8:00 AM - 9:00 PM Interpreter: Medical Interp Madison, OH 44057 Sa,Su - 8:00 AM - 4:00 PM

Vendor (440) 428-1111 E, EB, IB, P Ages: 0-17 Mo-Fr - 8:00 AM - 4:30 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Lima Memorial Hospital Ages: 0-99 Hospital Affiliations: Metrohealth Medical Center Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Lake Health Hillcrest Hospital Uh Cleveland Medical Center Gulati, Kapil, MD, (M), B Group Name: Northern Oh Hanna, Lisa G, MD, (F), B Engel-Kominsky, Suzanne E, MD, Internal Medicine Assoc Group Name: Cleveland Clinic (F), B Provider ID: 002789795009 Foundation Group Name: Cleveland Clinic NPI: 1255457081 Provider ID: 002191375003 Foundation 35040 Chardon Rd Bldg 7 Steg 200 NPI: 1700986718 Provider ID: 001352377002 Willoughby Hills, OH 44094 2570 Som Center Rd

NPI: 1750480489 (440) 953-9014 EB, P, R Willoughby Hills, OH 44094

2570 Som Center Rd Languages Spoken: (440) 943-2500 EB, IB, P, R, RE, Willoughby Hills, OH 44094 Provider: Hindi, Punjabi T

(440) 943-6599 EB, IB, P, R, RE, Mo-Fr - 9:00 AM - 5:00 PM Accepting Existing Patients Only T Cultural Competency: Y Ages: 18-99 Ages: 0-99 Ages: 16-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Lake Health Hillcrest Hospital Hillcrest Hospital Fike, William R, MD, (M), B South Pointe Hospital Hanna, Lisa G, MD, (F), B Group Name: Cleveland Clinic Euclid Hospital Group Name: Cleveland Clinic Foundation Marymount Hospital Foundation Provider ID: 000873290003 Uh Regional Hospitals Provider ID: 002191375002 NPI: 1215036967 Huron Hospital NPI: 1700986718 2570 Som Center Rd 7060 Wayside Dr Willoughby Hills, OH 44094 Mentor, OH 44060

(440) 943-5020 EB, IB, P, R, RE, (440) 357-2770 EB, P, R T Accepting Existing Patients Only Cultural Competency: Y Ages: 18-99 Ages: 0-99 Hospital Affiliations:

Ohio - Lake Primary Care Providers Cleveland Clinic Foundation Hughes, Lawrence M, MD, (M), B Hillcrest Hospital Group Name: Cleveland Clinic Joseph, Dawn R, MD, (F), B Foundation Group Name: Cleveland Clinic Ho, Winston, MD, (M) Provider ID: 001473268003 Foundation Group Name: Erieside Medical NPI: 1043300122 Provider ID: 005705857004 Group 2550 Som Center Rd NPI: 1982782363 Provider ID: 001114789001 Willoughby Hills, OH 44094 2570 Som Center Rd

NPI: 1194802454 (440) 943-2500 EB, P, R Willoughby Hills, OH 44094

38429 Lakeshore Blvd Ages: 0-99 (440) 943-2500 EB, IB, P, R, RE, Willoughby, OH 44094 Hospital Affiliations: T

(440) 946-9200 E, EB, IB, P, R, Cleveland Clinic Foundation Mo-Fr - 8:00 AM - 4:00 PM RE Cultural Competency: Y Languages Spoken: Hughes, Lawrence M, MD, (M), B Ages: 0-99 Interpreter: Medical Interp Group Name: Cleveland Clinic Hospital Affiliations: Vendor Foundation Cleveland Clinic Foundation Mo-We - 9:00 AM - 5:00 PM Provider ID: 001473268002 Th - 10:00 AM - 6:00 PM NPI: 1043300122 Juhasz, Robert S, DO, (M), B Fr - 8:00 AM - 5:00 PM 2570 Som Center Rd Group Name: Cleveland Clinic Ages: 0-99 Willoughby Hills, OH 44094 Foundation

Hospital Affiliations: (440) 943-6044 EB, IB, P, R, RE, Provider ID: 000224037004 Lake Health T NPI: 1336240233 Hillcrest Hospital Ages: 0-99 2570 Som Center Rd Euclid Hospital Hospital Affiliations: Willoughby Hills, OH 44094

Cleveland Clinic Foundation (440) 943-2500 EB, IB, P, R, RE, Horinger, John W, MD, (M), B T Group Name: Lake Health Allied Ilieva, Antoaneta I, MD, (F), B Languages Spoken: Health Professionals Group Name: Cleveland Clinic Provider: Hungarian Provider ID: 005721995003 Foundation Cultural Competency: Y NPI: 1619234689 Provider ID: 002223211004 Ages: 18-99 36100 Euclid Ave Ste 240 NPI: 1811093222 Hospital Affiliations: Willoughby, OH 44094 2570 Som Center Rd Lake Health

(440) 602-6770 EB, P, R Willoughby Hills, OH 44094 Cleveland Clinic Foundation

Mo-Th - 8:30 AM - 4:30 PM (440) 943-2500 EB, P, R South Pointe Hospital Fr - 7:30 AM - 4:00 PM Languages Spoken: Ages: 18-99 Provider: Bulgarian, Russian Hospital Affiliations: Cultural Competency: Y Lake Health Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Cleveland Clinic Foundation Uh Cleveland Medical Center

Primary Care Providers Ohio - Lake Juhasz, Robert S, DO, (M), B Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation Kousa, Haitham J, MD, (M), B Foundation Group Name: Kousa Haitham J Provider ID: 000224037003 Kostraba, Andrew J, MD, (M), B Provider ID: 001063199001 NPI: 1336240233 Group Name: Cleveland Clinic NPI: 1598774762 7060 Wayside Dr Foundation 9485 Mentor Ave Ste 104 Mentor, OH 44060 Provider ID: 002628309007 Mentor, OH 44060

(440) 357-2770 EB, P, R NPI: 1710901848 (440) 205-5770 EB, P, R Languages Spoken: 2570 Som Center Rd Cultural Competency: Y Provider: Hungarian Willoughby Hills, OH 44094 Ages: 18-99

Mo-Fr - 8:00 AM - 6:00 PM (440) 943-2500 EB, IB, P, R, RE, Hospital Affiliations: Cultural Competency: Y T Lake Health Ages: 18-99 Cultural Competency: Y Hospital Affiliations: Ages: 18-99 Krasnyansky, Inna, MD, (F), B Lake Health Hospital Affiliations: Group Name: New Millennium Cleveland Clinic Foundation Cleveland Clinic Foundation Health Care South Pointe Hospital Provider ID: 001886747001 Kotak, Sandeep V, MD, (M), B NPI: 1053312298 Kightlinger, Elizabeth A, MD, (F), Group Name: Lake Health Allied 36100 Euclid Ave Ste 420 B Health Professionals Willoughby, OH 44094

Group Name: Cleveland Clinic Provider ID: 001933729001 (440) 946-4662 EB, P, R, RE, T Foundation NPI: 1013023357 Provider ID: 007442574004 36100 Euclid Ave Ste 240 Languages Spoken: NPI: 1629464029 Willoughby, OH 44094 Provider: Russian Cultural Competency: Y 2570 Som Center Rd (440) 953-6294 EB, P, R Willoughby Hills, OH 44094 Languages Spoken: Ages: 18-99 Hospital Affiliations: (440) 943-2500 EB, IB, P, R, RE, Provider: Hindi T Cultural Competency: Y Lake Health Ages: 18-99 Ages: 13-99 Hillcrest Hospital Hospital Affiliations: Hospital Affiliations: South Pointe Hospital Cleveland Clinic Foundation Lake Health Euclid Hospital Huron Hospital Koniarczyk, Michael P, MD, (M), Kousa, Haitham J, MD, (M), B Areas of Expertise: MAT1 B Group Name: Kousa Haitham J Group Name: Cleveland Clinic Provider ID: 001063199002 Foundation NPI: 1598774762 Provider ID: 003355354002 33916 Lakeshore Blvd NPI: 1609076868 Eastlake, OH 44095

7060 Wayside Dr (440) 942-3300 EB, P, R Mentor, OH 44060 Cultural Competency: Y

(440) 357-2770 EB, P, R Ages: 18-99 Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99 Lake Health

Ohio - Lake Primary Care Providers Lagman, Dennis V, MD, (M), B Lagman, Dennis V, MD, (M), B Lazarescu, Nancy J, DO, (F), B Group Name: Community Group Name: Community Group Name: Lake Health Allied Hospitalists Hospitalists Health Professionals Provider ID: 002009835009 Provider ID: 002009835008 Provider ID: 002810970001 NPI: 1962406355 NPI: 1962406355 NPI: 1548463227 1919 Bishop Rd 37603 Euclid Ave 36100 Euclid Ave Ste 240 Wickliffe, OH 44092 Willoughby, OH 44094 Willoughby, OH 44094

(440) 944-9400 EB, P, R (440) 951-5551 EB, P, R (440) 953-6294 EB, P, R Languages Spoken: Languages Spoken: Cultural Competency: Y Provider: Filipino, Tagalog Provider: Filipino, Tagalog Ages: 18-99 Cultural Competency: Y Cultural Competency: Y Hospital Affiliations: Ages: 18-99 Ages: 18-99 Lake Health Hospital Affiliations: Hospital Affiliations: Lake Health Lake Health Lele, Anju S, MD, (F), B Euclid Hospital Euclid Hospital Group Name: University Areas of Expertise: MAT1 Areas of Expertise: MAT1 Hospitals Regional Practices Provider ID: 001977889003 Lagman, Dennis V, MD, (M), B Lagman, Dennis V, MD, (M), B NPI: 1558467423 Group Name: Community Group Name: Community 9000 Mentor Ave Ste 105 Hospitalists Hospitalists Mentor, OH 44060

Provider ID: 002009835001 Provider ID: 002009835007 (440) 974-4404 E, EB, IB, P, R NPI: 1962406355 NPI: 1962406355 36000 Euclid Ave 8881 Schaeffer St Languages Spoken: Willoughby, OH 44094 Mentor, OH 44060 Provider: Hindi Cultural Competency: Y (440) 542-5025 P, R, RE, T (440) 255-9309 EB, P, R Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Filipino, Tagalog Provider: Filipino, Tagalog Hospital Affiliations: Cultural Competency: Y Cultural Competency: Y Uh Cleveland Medical Center Ages: 18-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Lele, Shreeniwas N, MD, (M), B Lake Health Lake Health Group Name: University Euclid Hospital Euclid Hospital Hospitals Regional Practices Areas of Expertise: MAT1 Areas of Expertise: MAT1 Provider ID: 001879693003 NPI: 1568568426 9000 Mentor Ave Ste 105 Mentor, OH 44060

(440) 974-4404 E, EB, IB, P, R Languages Spoken: Provider: Hindi Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center

Primary Care Providers Ohio - Lake Hospital Affiliations: Mehta, Dharmesh A, MD, (M), B Lenk, Jean B, MD, (F), B Uh Cleveland Medical Center Group Name: Atrium Medical Group Name: Northern Oh Group Medical Specialist Mcdonough, Joan M, DO, (F), B Provider ID: 003647713005 Provider ID: 001572015002 Group Name: Cleveland Clinic NPI: 1629381363 NPI: 1770570335 Foundation 36100 Euclid Ave Ste 350 36100 Euclid Ave Ste 430 Provider ID: 000708456002 Willoughby, OH 44094

Willoughby, OH 44094 NPI: 1487755203 (440) 946-8300 EB, P, R

(440) 946-4070 RE, T 2570 Som Center Rd Mo,We,Th - 9:00 AM - 4:30 PM Mo,Tu,Th,Fr - 9:00 AM - 4:00 PM Willoughby Hills, OH 44094 Tu - 9:00 AM - 12:00 PM

We - 8:00 AM - 5:00 PM (440) 943-5020 EB, IB, P, R, RE, Fr - 11:30 AM - 5:30 PM Cultural Competency: Y T Cultural Competency: Y Ages: 18-99 Mo-Fr - 8:00 AM - 5:30 PM Ages: 18-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Lake Health Ages: 0-99 Lake Health Euclid Hospital Hospital Affiliations: Lake Health Mikhail, Josephine R, MD, (F), B Lester, Shayla K, MD, (F), B Cleveland Clinic Foundation Group Name: UPCP Group Name: Cleveland Clinic Provider ID: 001891525003 Foundation Meek, Lisa E, MD, (F) NPI: 1508946708 Provider ID: 005421096005 Group Name: The Parker Skin & 701 N Lake St Ste 102 NPI: 1225359656 Aest Clin Madison, OH 44057

2570 Som Center Rd Provider ID: 001037052004 (440) 428-1106 EB, P, R Willoughby Hills, OH 44094 NPI: 1043366107 Cultural Competency: Y

(440) 943-2500 EB, IB, P, R, RE, 4212 State Rte 306 Ste 200 Ages: 0-99 T Willoughby, OH 44094 Hospital Affiliations:

Mo-Fr - 8:00 AM - 6:00 PM (216) 464-7333 EB, P, R Uh Cleveland Medical Center Ages: 18-99 Mo-Fr - 9:00 AM - 5:00 PM Hospital Affiliations: Ages: 0-99 Mohseni, Razieh N, MD, (F), B Cleveland Clinic Foundation Hospital Affiliations: Group Name: Vein Clinic Of Lake Health Lake County Manohar, Chenguttai J, MD, (M), Provider ID: 001917130008 B NPI: 1629053426 Group Name: University 6270 N Ridge Rd Hospitals Regional Practices Madison, OH 44057

Provider ID: 001830408003 (440) 352-2702 EB, IB, P, R, RE, NPI: 1194805374 T 701 N Lake St Ste 101 Languages Spoken: Madison, OH 44057 Provider: Afrikaans, Italian,

(440) 428-7512 E, EB, G, P, R, Persian RE, S Mo-Fr - 8:00 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 18-99

Ohio - Lake Primary Care Providers Hospital Affiliations: Morledge, Thomas J, MD, (M), B Huron Hospital Lake Health Group Name: Cleveland Clinic Foundation Nichols, Theodore J, MD, (M), B Mohseni, Razieh N, MD, (F), B Provider ID: 000869231004 Group Name: Lake Health Allied Group Name: Vein Clinic Of NPI: 1548361389 Health Professionals Lake County 2570 Som Center Rd Provider ID: 001933736005 Provider ID: 001917130006 Willoughby Hills, OH 44094 NPI: 1689780934

NPI: 1629053426 (440) 943-2500 EB, IB, P, R, RE, 9485 Mentor Ave Ste 210 7580 Auburn Rd Ste 309 T Mentor, OH 44060

Concord Township, OH 44077 Cultural Competency: Y (440) 205-5836 RE, T

(440) 352-2702 EB, IB, P, R Ages: 18-99 Languages Spoken: Languages Spoken: Hospital Affiliations: Interpreter: Medical Interp Provider: Afrikaans, Italian, Cleveland Clinic Foundation Vendor Persian Hillcrest Hospital Mo-Fr - 8:00 AM - 4:30 PM Staff: Farsi, Italian Cultural Competency: Y Mo-Fr - 8:00 AM - 4:30 PM Mossad, Dalia M, MD, (F), B Ages: 18-99 Cultural Competency: Y Group Name: Cleveland Clinic Hospital Affiliations: Ages: 18-99 Foundation Lake Health Hospital Affiliations: Provider ID: 002233476002 Lake Health NPI: 1679674386 Parmar, Harbhajan S, MD, (M), 2570 Som Center Rd B Mohseni, Razieh N, MD, (F), B Willoughby Hills, OH 44094 Group Name: Atrium Medical

Group Name: Lake Health Allied (440) 943-2500 EB, IB, P, R, RE, Group Health Professionals T Provider ID: 002423506010 Provider ID: 001917130010 Ages: 0-99 NPI: 1003842824 NPI: 1629053426 Hospital Affiliations: 124 Liberty St Ste B 8655 Market St Cleveland Clinic Foundation Painesville, OH 44077

Mentor, OH 44060 (440) 449-1540 EB, P, R

(440) 255-6400 P, R, RE, T Mukunda, Beejadi N, MD, (M), B Mo-Fr - 8:00 AM - 4:00 PM Languages Spoken: Group Name: Atrium Medical Cultural Competency: Y Provider: Afrikaans, Italian, Group Ages: 0-99 Persian Provider ID: 001842079008 Hospital Affiliations: Mo-Fr - 8:00 AM - 8:00 PM NPI: 1225087208 Lake Health Sa,Su - 9:00 AM - 5:00 PM 36100 Euclid Ave Ste 350 Hillcrest Hospital Cultural Competency: Y Willoughby, OH 44094 Euclid Hospital

Ages: 18-99 (440) 946-8300 EB, P, R Huron Hospital Hospital Affiliations: Mo,Th - 9:30 AM - 3:30 PM Lake Health We,Fr - 11:30 AM - 5:30 PM Cultural Competency: Y Ages: 18-99 Hospital Affiliations: Lake Health Euclid Hospital

Primary Care Providers Ohio - Lake Parmar, Harbhajan S, MD, (M), Hospital Affiliations: Rastogi, Vijay, MD, (M), B B Cleveland Clinic Foundation Group Name: Northern Oh Group Name: Atrium Medical Hillcrest Hospital Internal Medicine Assoc Group Euclid Hospital Provider ID: 002069538004 Provider ID: 002423506005 Uh Regional Hospitals NPI: 1457458648 NPI: 1003842824 35040 Chardon Rd Bldg 7 Steg 200 36100 Euclid Ave Ste 350 Ramzan, Iram, MD, (F), B Willoughby Hills, OH 44094

Willoughby, OH 44094 Group Name: Lake Health Allied (440) 953-9014 EB, P, R

(440) 946-8300 EB, P, R Health Professionals Languages Spoken: Mo,Th - 9:30 AM - 3:30 PM Provider ID: 005721959001 Provider: Hindi We,Fr - 11:30 AM - 5:30 PM NPI: 1437411626 Staff: Hindi Cultural Competency: Y 2747 Som Center Rd Unit D Cultural Competency: Y Ages: 18-99 Willoughby Hills, OH 44094 Ages: 0-99

Hospital Affiliations: (440) 516-0530 EB, P, R Hospital Affiliations: Lake Health Mo-Fr - 8:30 AM - 5:00 PM South Pointe Hospital Hillcrest Hospital Ages: 18-99 Marymount Hospital Euclid Hospital Huron Hospital Huron Hospital Ramzan, Iram, MD, (F), B Uh Cleveland Medical Center Group Name: Lake Health Allied Univ Hospitals Ahuja Med Ctr Poliakova, Marina, MD, (F) Health Professionals Group Name: Health First Provider ID: 005721959002 Rastogi, Vijay, MD, (M), B Primary Care NPI: 1437411626 Group Name: Northern Oh Provider ID: 002250752006 36500 Euclid Ave Internal Medicine Assoc NPI: 1114983970 Willoughby, OH 44094 Provider ID: 002069538006

9313 Larimar Dr (440) 527-8934 EB, P, R NPI: 1457458648 Eastlake, OH 44095 Mo-Fr - 8:30 AM - 12:00 PM 35040 Chardon Rd Ste G200

(440) 312-2676 Ages: 18-99 Willoughby Hills, OH 44094

Languages Spoken: (440) 953-9014 EB, P, R Provider: Russian Ramzan, Iram, MD, (F), B Languages Spoken: Ages: 0-99 Group Name: Lake Health Allied Provider: Hindi Hospital Affiliations: Health Professionals Cultural Competency: Y Hillcrest Hospital Provider ID: 005721959004 Ages: 0-99 Cumberland Medical Center NPI: 1437411626 Hospital Affiliations: 4175 State Route 306 South Pointe Hospital Rainey, Jon M, MD, (M), B Willoughby, OH 44094 Marymount Hospital

Group Name: Cleveland Clinic (440) 918-4690 EB, P, R Huron Hospital Foundation Mo-Fr - 8:30 AM - 5:00 PM Uh Cleveland Medical Center Provider ID: 000050678003 Ages: 0-99 Univ Hospitals Ahuja Med Ctr NPI: 1730145103 34500 Chardon Rd Ste 6 Willoughby Hills, OH 44094

(440) 386-4200 EB, P, R Ages: 18-99

Ohio - Lake Primary Care Providers Razmjouei, Karim, MD, (M), B Hospital Affiliations: Group Name: University Sadlon, Stephanie J, MD, (F), B Cleveland Clinic Foundation Hospitals Regional Practices Group Name: University Primary Uh Cleveland Medical Center Provider ID: 002531862006 Care Practices NPI: 1518935279 Provider ID: 001413624013 Sumego, Marianne J, MD, (F), B 701 N Lake St Ste 101 NPI: 1790726800 Group Name: Cleveland Clinic Madison, OH 44057 7500 Auburn Rd Ste 1200 Foundation

(440) 428-7511 E, EB, G, P, R, Concord Township, OH 44077 Provider ID: 001386598003

RE, S (440) 358-5400 EB, P, R NPI: 1578654620 Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM 2570 Som Center Rd Provider: Italian, Persian Cultural Competency: Y Willoughby Hills, OH 44094

Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 (440) 943-5500 EB, IB, P, R, RE, Ages: 0-99 Hospital Affiliations: T Hospital Affiliations: Metrohealth Medical Center Ages: 18-99 Uh Geauga Medical Center Southwest General Health Center Hospital Affiliations: University Hospitals Geauga Cleveland Clinic Foundation Medical Ctr Spech-Holderbaum, Michelle M, MD, (F), B Sumego, Marianne J, MD, (F), B Roth, David L, MD, (M), B Group Name: Lake Health Allied Group Name: Cleveland Clinic Group Name: Community Health Professionals Foundation Hospitalists Provider ID: 000497296001 Provider ID: 001386598001 Provider ID: 002097606001 NPI: 1851407167 NPI: 1578654620 NPI: 1508897380 36100 Euclid Ave Ste 240 7060 Wayside Dr 36000 Euclid Ave Willoughby, OH 44094 Mentor, OH 44060

Willoughby, OH 44094 (440) 953-6294 EB, P, R (440) 357-2770 EB, P, R

(440) 542-5023 P, R, RE, T Cultural Competency: Y Ages: 18-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Lake Health Lake Health Euclid Hospital St Vincent Charity Medical Center Roth, David L, MD, (M), B Group Name: Community Stein, Richard E, MD, (M), B Hospitalists Group Name: Cleveland Clinic Provider ID: 002097606002 Foundation NPI: 1508897380 Provider ID: 002195060004 7590 Auburn Rd NPI: 1902844780 Concord Township, OH 44077 2570 Som Center Rd

(440) 542-5023 EB, P, R Willoughby Hills, OH 44094

Cultural Competency: Y (440) 943-2500 EB, IB, P, R, RE, Ages: 0-99 T Hospital Affiliations: Cultural Competency: Y Lake Health Ages: 18-99

Primary Care Providers Ohio - Lake Tamaskar, Ranjit B, MD, (M), B Todorinov, Alexandar L, MD, Hospital Affiliations: Group Name: Atrium Medical (M), B Lake Health Group Group Name: Community Euclid Hospital Provider ID: 002099869003 Hospitalists Uh Regional Hospitals NPI: 1912956418 Provider ID: 002694507004 36100 Euclid Ave Ste 350 NPI: 1003815010 Turc, Marinella L, MD, (F), B Willoughby, OH 44094 7590 Auburn Rd Group Name: Marinella L Turc

(440) 946-8300 EB, P, R Concord Township, OH 44077 Md LLC

Languages Spoken: (440) 375-8100 EB, P, R Provider ID: 002001974003 Provider: Hindi, Marathi Languages Spoken: NPI: 1487750477 Mo,Th - 9:30 AM - 3:30 PM Provider: Bulgarian, Russian 8200 Mentor Hills Dr We - 11:30 AM - 5:30 PM Staff: Spanish Mentor, OH 44060

Fr - 11:30 AM - 3:30 PM Cultural Competency: Y (440) 226-0992 Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Lake Health Hospital Affiliations: Hillcrest Hospital Lake Health Euclid Hospital Turc, Marinella L, MD, (F), B Euclid Hospital Huron Hospital Group Name: Marinella L Turc Uh Regional Hospitals Md LLC Todorinov, Alexandar L, MD, Provider ID: 002001974004 Turoczi, Steven, MD, (M) (M), B NPI: 1487750477 Group Name: Cleveland Clinic Group Name: Community 1919 Bishop Rd Foundation Hospitalists Wickliffe, OH 44092 Provider ID: 002007571018

Provider ID: 002694507003 (440) 226-0992 NPI: 1083727044 NPI: 1003815010 Cultural Competency: Y 2570 Som Center Rd 36000 Euclid Ave Ages: 0-99 Willoughby Hills, OH 44094

Willoughby, OH 44094 Hospital Affiliations: (440) 943-2500 EB, IB, P, R, RE,

(440) 542-5023 P, R, RE, T Lake Health T Languages Spoken: Euclid Hospital Mo-Fr - 9:00 AM - 5:00 PM Provider: Bulgarian, Russian Uh Regional Hospitals Ages: 18-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Turc, Marinella L, MD, (F), B Cleveland Clinic Foundation Hospital Affiliations: Group Name: Marinella L Turc Uh Cleveland Medical Center Lake Health Md LLC Provider ID: 002001974002 NPI: 1487750477 36001 Euclid Ave Ste B11 Willoughby, OH 44094

(440) 953-3979 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Ages: 18-99

Ohio - Lake Primary Care Providers Turoczi, Steven, MD, (M) Zapotocky, Lisa C, MD, (F), B Adkins, Nicole M, NP, (F) Group Name: Cleveland Clinic Group Name: Lake Health Allied Group Name: Cleveland Clinic Foundation Health Professionals Foundation Provider ID: 002007571014 Provider ID: 002236120006 Provider ID: 006223596007 NPI: 1083727044 NPI: 1376658500 NPI: 1770967788 2999 Mcmackin Rd 9485 Mentor Ave Ste 210 2999 Mcmackin Rd Madison, OH 44057 Mentor, OH 44060 Madison, OH 44057

(440) 428-1111 E, EB, IB, P (440) 205-5835 RE, T (440) 428-1111 E, EB, IB, P Mo-Fr - 9:00 AM - 5:00 PM Mo-Fr - 8:00 AM - 4:30 PM Does Not Accept New Patients Ages: 18-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Lake Health Akron General Medical Ctr Uh Cleveland Medical Center Metrohealth Medical Center Cleveland Clinic Foundation Southwest General Health Center South Pointe Hospital Turoczi, Steven, MD, (M) Euclid Hospital Group Name: Cleveland Clinic Marymount Hospital Foundation Nurse Practitioner Medina Hospital

Provider ID: 002007571017 Members may self-refer to these NPI: 1083727044 providers. Adkins, Nicole M, NP, (F)

7060 Wayside Dr Group Name: Cleveland Clinic Mentor, OH 44060 Adkins, Nicole M, NP, (F) Foundation Group Name: Cleveland Clinic (440) 357-2770 EB, P, R Provider ID: 006223596042 Mo-Fr - 9:00 AM - 5:00 PM Foundation NPI: 1770967788 Ages: 18-99 Provider ID: 006223596008 7533 Center St Hospital Affiliations: NPI: 1770967788 Mentor, OH 44060 2570 Som Center Rd Cleveland Clinic Foundation (440) 205-1714 EB, P, R Uh Cleveland Medical Center Willoughby Hills, OH 44094 Does Not Accept New Patients (440) 943-2500 EB, IB, P, R, RE, Ages: 0-99 Urban, Monica M, MD, (F), B T Hospital Affiliations: Group Name: Cleveland Clinic Does Not Accept New Patients Akron General Medical Ctr Foundation Ages: 0-99 Cleveland Clinic Foundation Provider ID: 003158631004 Hospital Affiliations: South Pointe Hospital NPI: 1790872547 Akron General Medical Ctr Euclid Hospital 2570 Som Center Rd Cleveland Clinic Foundation Marymount Hospital Willoughby Hills, OH 44094 South Pointe Hospital Medina Hospital Euclid Hospital (440) 943-2500 EB, IB, P, R, RE, T Marymount Hospital Mo-Fr - 8:00 AM - 4:00 PM Medina Hospital Ages: 18-99 Hospital Affiliations: Cleveland Clinic Foundation

Primary Care Providers Ohio - Lake Arnovitz, Jeffrey W, NP, (M) Bailey, Shannon N, NP, (F) Berger, Andrew M, NP, (M) Group Name: Cleveland Clinic Group Name: Andrew K Brobbey Group Name: Cleveland Clinic Foundation Md Foundation Provider ID: 002389614001 Provider ID: 006057985008 Provider ID: 003519027010 NPI: 1740336239 NPI: 1356709265 NPI: 1942593967 2570 Som Center Rd 37121 Euclid Ave 2570 Som Center Rd Willoughby Hills, OH 44094 Willoughby, OH 44094 Willoughby Hills, OH 44094

(440) 516-8572 EB, IB, P, R, RE, (440) 946-5151 (440) 943-2500 EB, IB, P, R, RE, T Ages: 0-99 T Cultural Competency: Y Hospital Affiliations: Web address: www.northcountryhea Ages: 0-99 Lake Health lthcare.org Hospital Affiliations: Does Not Accept New Patients Cleveland Clinic Foundation Batke Hastings, Susan, NP, (F) Ages: 0-99 Group Name: Cleveland Clinic Hospital Affiliations: Arnovitz, Jeffrey W, NP, (M) Foundation Cleveland Clinic Foundation Group Name: Cleveland Clinic Provider ID: 002714893011 Foundation NPI: 1679675920 Berger, Andrew M, NP, (M) Provider ID: 002389614013 7533 Center St Group Name: Cleveland Clinic NPI: 1740336239 Mentor, OH 44060 Foundation

2999 Mcmackin Rd (440) 205-1714 EB, P, R Provider ID: 003519027009 Madison, OH 44057 Does Not Accept New Patients NPI: 1942593967

(440) 428-1111 E, EB, IB, P Ages: 0-99 2999 Mcmackin Rd Cultural Competency: Y Hospital Affiliations: Madison, OH 44057

Ages: 0-99 Cleveland Clinic Foundation (440) 428-1111 E, EB, IB, P Hospital Affiliations: Web address: www.northcountryhea Cleveland Clinic Foundation Bennett, Michael S, NP, (M) lthcare.org Group Name: University Primary Does Not Accept New Patients Arnovitz, Jeffrey W, NP, (M) Care Practices Ages: 0-99 Group Name: Cleveland Clinic Provider ID: 003653313006 Hospital Affiliations: Foundation NPI: 1952746067 Cleveland Clinic Foundation Provider ID: 002389614019 35110 Euclid Ave Ste 2 NPI: 1740336239 Willoughby, OH 44094 Berger, Andrew M, NP, (M)

7533 Center St (440) 214-8000 EB, P, R Group Name: Cleveland Clinic Mentor, OH 44060 Languages Spoken: Foundation

(440) 205-1714 EB, P, R Provider: Spanish Provider ID: 003519027021 Cultural Competency: Y Staff: Spanish NPI: 1942593967 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM 7533 Center St Hospital Affiliations: Ages: 0-99 Mentor, OH 44060

Cleveland Clinic Foundation (440) 205-1714 EB, P, R Web address: www.northcountryhea lthcare.org Does Not Accept New Patients Ages: 0-99

Ohio - Lake Primary Care Providers Hospital Affiliations: Brothers, Debra J, NP, (F) Brothers, Debra J, NP, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Biddell, Kristin G, NP, (F) Provider ID: 002622868005 Provider ID: 002622868025 Group Name: Lake Health Allied NPI: 1013016963 NPI: 1013016963 Health Professionals 2570 Som Center Rd 7533 Center St Provider ID: 003267278001 Willoughby Hills, OH 44094 Mentor, OH 44060

NPI: 1467762989 (440) 943-2500 EB, IB, P, R, RE, (440) 205-1714 EB, P, R 8316 Yellowbrick Rd T Languages Spoken: Mentor, OH 44060 Languages Spoken: Provider: Chinese, Croatian,

(440) 205-8818 EB, P, R, RE, T Provider: Chinese, Croatian, Tagalog Mo-Fr - 9:00 AM - 5:00 PM Tagalog Web address: www.clevelandclinic. Sa - 8:00 AM - 12:00 PM Web address: www.clevelandclinic. org Cultural Competency: Y org Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Lake Health Cleveland Clinic Foundation Brown, Richelle R, NP, (F) Bouchard, Jennifer, NP, (F) Brothers, Debra J, NP, (F) Group Name: Cleveland Clinic Group Name: Clinic Regional Group Name: Cleveland Clinic Foundation Physicians Foundation Provider ID: 003522286006 Provider ID: 003313224021 Provider ID: 002622868002 NPI: 1144589318 NPI: 1881870129 NPI: 1013016963 2570 Som Center Rd 2999 Mcmackin Rd 2999 Mcmackin Rd Willoughby Hills, OH 44094

Madison, OH 44057 Madison, OH 44057 (440) 943-2500 EB, IB, P, R, RE,

(440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P T Ages: 0-99 Languages Spoken: Does Not Accept New Patients Hospital Affiliations: Provider: Chinese, Croatian, Ages: 0-99 Cleveland Clinic Foundation Tagalog Hospital Affiliations: Web address: www.clevelandclinic. Cleveland Clinic Foundation org Ages: 0-99 Brown, Richelle R, NP, (F) Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Provider ID: 003522286005 NPI: 1144589318 2999 Mcmackin Rd Madison, OH 44057

(440) 428-1111 E, EB, IB, P Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

Primary Care Providers Ohio - Lake Brown, Shelley M, NP, (F) Brugger, Virginia B, NP, (F) Brown, Richelle R, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003255028020 Provider ID: 003194195023 Provider ID: 003522286017 NPI: 1467624205 NPI: 1457671091 NPI: 1144589318 7533 Center St 7533 Center St 7533 Center St Mentor, OH 44060 Mentor, OH 44060

Mentor, OH 44060 (440) 205-1714 EB, P, R (440) 205-1714 EB, P, R

(440) 205-1714 EB, P, R Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Areas of Expertise: MAT1 Brugger, Virginia B, NP, (F) Brown, Shelley M, NP, (F) Group Name: Cleveland Clinic Bushman, Ashleigh A, NP, (F) Group Name: Cleveland Clinic Foundation Group Name: UPCP Foundation Provider ID: 003194195009 Provider ID: 005632666007 Provider ID: 003255028015 NPI: 1457671091 NPI: 1982096723 NPI: 1467624205 2570 Som Center Rd 7500 Auburn Rd Ste 2300 2570 Som Center Rd Willoughby Hills, OH 44094 Concord Township, OH 44077

Willoughby Hills, OH 44094 (440) 943-2500 EB, IB, P, R, RE, (440) 358-5701 EB, IB, P, R

(440) 943-2500 EB, IB, P, R, RE, T Mo-Fr - 8:30 AM - 4:30 PM T Does Not Accept New Patients Ages: 18-99 Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Uh Regional Hospitals Hospital Affiliations: Cleveland Clinic Foundation Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation Areas of Expertise: MAT1 Bushman, Ashleigh A, NP, (F) Brown, Shelley M, NP, (F) Brugger, Virginia B, NP, (F) Group Name: UPCP Group Name: Cleveland Clinic Group Name: Cleveland Clinic Provider ID: 005632666004 Foundation Foundation NPI: 1982096723 Provider ID: 003255028003 Provider ID: 003194195008 9000 Mentor Ave Ste 101 NPI: 1467624205 NPI: 1457671091 Mentor, OH 44060

2999 Mcmackin Rd 2999 Mcmackin Rd (440) 255-0250 EB, P, R Madison, OH 44057 Madison, OH 44057 Mo-Fr - 8:30 AM - 4:30 PM

(440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P Ages: 18-99 Does Not Accept New Patients Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Ages: 0-99 Uh Regional Hospitals Hospital Affiliations: Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation Cleveland Clinic Foundation Areas of Expertise: MAT1

Ohio - Lake Primary Care Providers Cairns, Cheryl L, NP, (F) Cawley, Michelle A, NP, (F) Cerny, Catherine M, NP, (F) Group Name: Cleveland Clinic Group Name: Lake Health Allied Group Name: Clinic Regional Foundation Health Professionals Physicians Provider ID: 002465864007 Provider ID: 003068077001 Provider ID: 002221671006 NPI: 1972511327 NPI: 1326270679 NPI: 1982644076 2570 Som Center Rd 9485 Mentor Ave Ste 210 7060 Wayside Dr Willoughby Hills, OH 44094 Mentor, OH 44060 Mentor, OH 44060

(440) 943-2500 EB, IB, P, R, RE, (440) 205-5734 RE, T (440) 357-2770 EB, P, R T Mo-Fr - 8:00 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 18-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Lake Health Marymount Hospital Cales, Carrie L, NP, (F) Group Name: Signature Health Cerny, Catherine M, NP, (F) Chatal, Eric, NP, (M) Provider ID: 003587756005 Group Name: Clinic Regional Group Name: Cleveland Clinic NPI: 1043560683 Physicians Foundation 38882 Mentor Ave Provider ID: 002221671007 Provider ID: 006979465006 Willoughby, OH 44094 NPI: 1982644076 NPI: 1174015085

(440) 953-9999 EB, P, R 2570 Som Center Rd 2570 Som Center Rd Ages: 0-99 Willoughby Hills, OH 44094 Willoughby Hills, OH 44094

Hospital Affiliations: (440) 943-2500 EB, IB, P, R, RE, (440) 943-2500 EB, IB, P, R, RE, Lake Health T T Areas of Expertise: MAT1 Cultural Competency: Y Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Cales, Carrie L, NP, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Signature Health Cleveland Clinic Foundation Uh Cleveland Medical Center Provider ID: 003587756015 Marymount Hospital NPI: 1043560683 Chatal, Eric, NP, (M) 462 Chardon St Cerny, Catherine M, NP, (F) Group Name: Cleveland Clinic Painesville, OH 44077 Group Name: Clinic Regional Foundation

(440) 853-1501 EB, P, R Physicians Provider ID: 006979465005 Ages: 0-99 Provider ID: 002221671014 NPI: 1174015085 Hospital Affiliations: NPI: 1982644076 2999 Mcmackin Rd Lake Health 2999 Mcmackin Rd Madison, OH 44057

Areas of Expertise: MAT1 Madison, OH 44057 (440) 428-1111 E, EB, IB, P

(440) 428-1111 E, EB, IB, P Does Not Accept New Patients Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Cleveland Clinic Foundation Marymount Hospital

Primary Care Providers Ohio - Lake Chatal, Eric, NP, (M) Chiplinski, Alison B, NP, (F) Coleman, Colleen T, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 006979465021 Provider ID: 005832090016 Provider ID: 002835879021 NPI: 1174015085 NPI: 1700280922 NPI: 1033308846 7533 Center St 7533 Center St 7533 Center St Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060

(440) 205-1714 EB, P, R (440) 205-1714 EB, P, R (440) 205-1714 EB, P, R Does Not Accept New Patients Cultural Competency: Y Does Not Accept New Patients Ages: 0-99 Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Chiplinski, Alison B, NP, (F) Corniello, Amanda L, NP, (F) Group Name: Cleveland Clinic Coleman, Colleen T, NP, (F) Group Name: Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Provider ID: 005832090010 Foundation Provider ID: 003314071023 NPI: 1700280922 Provider ID: 002835879025 NPI: 1396188629 2570 Som Center Rd NPI: 1033308846 2570 Som Center Rd Willoughby Hills, OH 44094 2570 Som Center Rd Willoughby Hills, OH 44094

(440) 943-2500 EB, IB, P, R, RE, Willoughby Hills, OH 44094 (440) 943-2500 EB, IB, P, R, RE,

T (440) 943-2500 EB, IB, P, R, RE, T Cultural Competency: Y T Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation

Chiplinski, Alison B, NP, (F) Coleman, Colleen T, NP, (F) Corniello, Amanda L, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 005832090005 Provider ID: 002835879024 Provider ID: 003314071022 NPI: 1700280922 NPI: 1033308846 NPI: 1396188629 2999 Mcmackin Rd 2999 Mcmackin Rd 2999 Mcmackin Rd Madison, OH 44057 Madison, OH 44057 Madison, OH 44057

(440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P Cultural Competency: Y Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Metrohealth Medical Center Cleveland Clinic Foundation Cleveland Clinic Foundation

Ohio - Lake Primary Care Providers Corniello, Amanda L, NP, (F) Crites, Cheryl L, NP, (F) Decapite, Rachel C, NP, (F) Group Name: Clinic Regional Group Name: Cleveland Clinic Group Name: University Physicians Foundation Hospitals Medical Group Provider ID: 003314071037 Provider ID: 004078504005 Provider ID: 002997576005 NPI: 1396188629 NPI: 1760819528 NPI: 1689856932 7060 Wayside Dr 2570 Som Center Rd 7500 Auburn Rd Mentor, OH 44060 Willoughby Hills, OH 44094 Concord Township, OH 44077

(440) 357-2770 EB, P, R (440) 943-2500 EB, IB, P, R, RE, (440) 358-5480 EB, IB, P, R Ages: 0-99 T Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Does Not Accept New Patients Cultural Competency: Y Metrohealth Medical Center Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Uh Geauga Medical Center Corniello, Amanda L, NP, (F) University Hospitals Geauga Group Name: Cleveland Clinic Crites, Cheryl L, NP, (F) Medical Ctr Foundation Group Name: Cleveland Clinic Uh Regional Hospital - Bedford Provider ID: 003314071042 Foundation Campus NPI: 1396188629 Provider ID: 004078504004 Uh Regional Hospitals 7533 Center St NPI: 1760819528 Uh Cleveland Medical Center Mentor, OH 44060 2999 Mcmackin Rd Univ Hospitals Ahuja Med Ctr

(440) 205-1714 EB, P, R Madison, OH 44057

Does Not Accept New Patients (440) 428-1111 E, EB, IB, P Decapite, Rachel C, NP, (F) Ages: 0-99 Does Not Accept New Patients Group Name: University Hospital Affiliations: Ages: 0-99 Hospitals Medical Group Metrohealth Medical Center Hospital Affiliations: Provider ID: 002997576002 Cleveland Clinic Foundation Cleveland Clinic Foundation NPI: 1689856932 9000 Mentor Ave Creager, Katie A, NP, (F) Crites, Cheryl L, NP, (F) Mentor, OH 44060

Group Name: Cleveland Clinic Group Name: Cleveland Clinic (216) 844-3800 EB, P, R Foundation Foundation Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 003563030031 Provider ID: 004078504016 Cultural Competency: Y NPI: 1629352760 NPI: 1760819528 Ages: 0-99 2550 Som Center Rd 7533 Center St Hospital Affiliations: Willoughby Hills, OH 44094 Mentor, OH 44060 Uh Geauga Medical Center

(440) 943-2500 EB, P, R (440) 205-1714 EB, P, R University Hospitals Geauga Mo-Fr - 8:00 AM - 4:00 PM Does Not Accept New Patients Medical Ctr Ages: 0-99 Ages: 0-99 Uh Regional Hospital - Bedford Hospital Affiliations: Hospital Affiliations: Campus Cleveland Clinic Foundation Cleveland Clinic Foundation Uh Regional Hospitals Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

Primary Care Providers Ohio - Lake Duber, Carol A, NP, (F) Dwyer, Meggan E, NP, (F) Folger, Allison R, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003435575001 Provider ID: 003307482024 Provider ID: 004159611006 NPI: 1114290459 NPI: 1609175207 NPI: 1164849766 2570 Som Center Rd 2570 Som Center Rd 2570 Som Center Rd Willoughby Hills, OH 44094 Willoughby Hills, OH 44094 Willoughby Hills, OH 44094

(440) 943-2500 EB, IB, P, R, RE, (440) 943-2500 EB, IB, P, R, RE, (440) 943-2500 EB, IB, P, R, RE, T T T Ages: 0-99 Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Metrohealth Medical Center Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Duber, Carol A, NP, (F) Group Name: Cleveland Clinic Dwyer, Meggan E, NP, (F) Folger, Allison R, NP, (F) Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Provider ID: 003435575001 Foundation Foundation NPI: 1114290459 Provider ID: 003307482003 Provider ID: 004159611017 2999 Mcmackin Rd NPI: 1609175207 NPI: 1164849766 Madison, OH 44057 2999 Mcmackin Rd 7533 Center St

(440) 428-1111 E, EB, IB, P Madison, OH 44057 Mentor, OH 44060

Ages: 0-99 (440) 428-1111 E, EB, IB, P (440) 205-1714 EB, P, R Hospital Affiliations: Ages: 0-99 Accepting Existing Patients Only Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Metrohealth Medical Center Hospital Affiliations: Duber, Carol A, NP, (F) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Dwyer, Meggan E, NP, (F) Gunselman, Beth A, NP, (F) Provider ID: 003435575001 Group Name: Cleveland Clinic Group Name: Cleveland Clinic NPI: 1114290459 Foundation Foundation 7533 Center St Provider ID: 003307482033 Provider ID: 002510399027 Mentor, OH 44060 NPI: 1609175207 NPI: 1437143286

(440) 205-1714 EB, P, R 7533 Center St 2570 Som Center Rd Ages: 0-99 Mentor, OH 44060 Willoughby Hills, OH 44094

Hospital Affiliations: (440) 205-1714 EB, P, R (440) 943-2500 EB, IB, P, R, RE, Cleveland Clinic Foundation Ages: 0-99 T Hospital Affiliations: Ages: 0-99 Metrohealth Medical Center Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation

Ohio - Lake Primary Care Providers Gunselman, Beth A, NP, (F) Higgins, Svetlana M, NP, (F) Hughes, Ronae J, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Andrew K Brobbey Foundation Foundation Md Provider ID: 002510399026 Provider ID: 006977077006 Provider ID: 006472508029 NPI: 1437143286 NPI: 1730664707 NPI: 1265953277 2999 Mcmackin Rd 2999 Mcmackin Rd 37121 Euclid Ave Madison, OH 44057 Madison, OH 44057 Willoughby, OH 44094

(440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P (440) 946-5151 Ages: 0-99 Accepting Existing Patients Only Ages: 0-99 Hospital Affiliations: Ages: 0-17 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Euclid Hospital Gunselman, Beth A, NP, (F) Hillcrest Hospital Group Name: Cleveland Clinic Lutheran Hospital Johnston, Michelle L, NP, (F) Foundation Group Name: Cleveland Clinic Provider ID: 002510399022 Higgins, Svetlana M, NP, (F) Foundation NPI: 1437143286 Group Name: Cleveland Clinic Provider ID: 005187358007 7533 Center St Foundation NPI: 1447669601 Mentor, OH 44060 Provider ID: 006977077024 2570 Som Center Rd

(440) 205-1714 EB, P, R NPI: 1730664707 Willoughby Hills, OH 44094

Ages: 0-99 7533 Center St (440) 943-2500 EB, IB, P, R, RE, Hospital Affiliations: Mentor, OH 44060 T

Cleveland Clinic Foundation (440) 205-1714 EB, P, R Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Higgins, Svetlana M, NP, (F) Ages: 0-17 Cleveland Clinic Foundation Group Name: Cleveland Clinic Hospital Affiliations: Foundation Cleveland Clinic Foundation Johnston, Michelle L, NP, (F) Provider ID: 006977077007 Hillcrest Hospital Group Name: Cleveland Clinic NPI: 1730664707 Lutheran Hospital Foundation 2570 Som Center Rd Provider ID: 005187358006 Willoughby Hills, OH 44094 Hovest, Jennifer F, NP, (F) NPI: 1447669601

(440) 943-2500 EB, IB, P, R, RE, Group Name: Cleveland Clinic 2999 Mcmackin Rd T Foundation Madison, OH 44057

Accepting Existing Patients Only Provider ID: 003811808013 (440) 428-1111 E, EB, IB, P Ages: 0-17 NPI: 1184068108 Ages: 0-99 Hospital Affiliations: 7533 Center St Hospital Affiliations: Cleveland Clinic Foundation Mentor, OH 44060 Cleveland Clinic Foundation

Hillcrest Hospital (440) 205-1714 EB, P, R Lutheran Hospital Ages: 0-17 Hospital Affiliations: Cleveland Clinic Foundation

Primary Care Providers Ohio - Lake Johnston, Michelle L, NP, (F) Kline, Michele M, NP, (F) Kolasky, Maureen A, NP, (F) Group Name: Cleveland Clinic Group Name: Tina M Joyce Do Group Name: Cleveland Clinic Foundation Provider ID: 002389128001 Foundation Provider ID: 005187358020 NPI: 1124114731 Provider ID: 002899272014 NPI: 1447669601 8007 Auburn Rd Ste 3 NPI: 1588830210 7533 Center St Painesville, OH 44077 7533 Center St

Mentor, OH 44060 (440) 375-5520 EB, P, R, RE, T Mentor, OH 44060

(440) 205-1714 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM (440) 205-1714 EB, P, R Ages: 0-99 Cultural Competency: Y Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Accepting Existing Patients Only Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Lake Health Hospital Affiliations: Kitchen, Bonnie S, NP, (F) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Lake Health Allied Health Professionals Kolasky, Maureen A, NP, (F) Kolman, Natalie A, NP, (F) Provider ID: 006004503002 Group Name: Cleveland Clinic Group Name: Cleveland Clinic NPI: 1194188268 Foundation Foundation 6270 N Ridge Rd Provider ID: 002899272004 Provider ID: 005712311002 Madison, OH 44057 NPI: 1588830210 NPI: 1063894681

(508) 836-3663 EB, IB, P, R, RE, 2570 Som Center Rd 2999 Mcmackin Rd T Willoughby Hills, OH 44094 Madison, OH 44057

Ages: 18-99 (440) 516-8572 EB, IB, P, R, RE, (440) 428-1111 E, EB, IB, P T Accepting Existing Patients Only Kitchen, Bonnie S, NP, (F) Cultural Competency: Y Ages: 0-99 Group Name: Lake Health Allied Accepting Existing Patients Only Hospital Affiliations: Health Professionals Ages: 0-99 Lake Health Provider ID: 006004503004 Hospital Affiliations: Cleveland Clinic Foundation NPI: 1194188268 Cleveland Clinic Foundation 9485 Mentor Ave Ste 212 Kreuer, Carrie E, NP, (F) Mentor, OH 44060 Kolasky, Maureen A, NP, (F) Group Name: Cleveland Clinic

(440) 205-5571 EB, P, R Group Name: Cleveland Clinic Foundation Mo-Fr - 8:00 AM - 4:30 PM Foundation Provider ID: 002964546002 Ages: 18-99 Provider ID: 002899272016 NPI: 1275748865 NPI: 1588830210 2550 Som Center Rd 2999 Mcmackin Rd Willoughby Hills, OH 44094

Madison, OH 44057 (440) 943-2500 EB, P, R

(440) 428-1111 E, EB, IB, P Mo-Fr - 8:00 AM - 4:00 PM Cultural Competency: Y Does Not Accept New Patients Accepting Existing Patients Only Ages: 0-17 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Wooster Community Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital

Ohio - Lake Primary Care Providers Hospital Affiliations: Lawrence, Lisa M, NP, (F) Kreuer, Carrie E, NP, (F) Metrohealth Medical Center Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Foundation Fairview Hospital Provider ID: 003054185020 Provider ID: 002964546002 NPI: 1306856679 NPI: 1275748865 Lally, Maureen M, NP, (F) 2999 Mcmackin Rd 2570 Som Center Rd Group Name: Cleveland Clinic Madison, OH 44057

Willoughby Hills, OH 44094 Foundation (440) 428-1111 E, EB, IB, P

(440) 943-2500 EB, IB, P, R, RE, Provider ID: 003511459023 Cultural Competency: Y T NPI: 1356697692 Does Not Accept New Patients Does Not Accept New Patients 7533 Center St Ages: 0-99 Ages: 0-17 Mentor, OH 44060 Hospital Affiliations:

Hospital Affiliations: (440) 205-1714 EB, P, R Wooster Community Hospital Wooster Community Hospital Cultural Competency: Y Metrohealth Medical Center Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Fairview Hospital Hospital Affiliations: Lutheran Hospital Metrohealth Medical Center Uh Cleveland Medical Center Lally, Maureen M, NP, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Fairview Hospital Lawrence, Lisa M, NP, (F) Foundation Group Name: Cleveland Clinic Provider ID: 003511459005 Lawrence, Lisa M, NP, (F) Foundation NPI: 1356697692 Group Name: Cleveland Clinic Provider ID: 003054185035 2570 Som Center Rd Foundation NPI: 1306856679 Willoughby Hills, OH 44094 Provider ID: 003054185043 7533 Center St

(440) 943-2500 EB, IB, P, R, RE, NPI: 1306856679 Mentor, OH 44060

T 2570 Som Center Rd (440) 205-1714 EB, P, R Cultural Competency: Y Willoughby Hills, OH 44094 Cultural Competency: Y

Ages: 0-99 (440) 516-8572 EB, IB, P, R, RE, Does Not Accept New Patients Hospital Affiliations: T Ages: 0-99 Metrohealth Medical Center Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Foundation Does Not Accept New Patients Wooster Community Hospital Fairview Hospital Ages: 0-99 Metrohealth Medical Center Hospital Affiliations: Cleveland Clinic Foundation Lally, Maureen M, NP, (F) Wooster Community Hospital Lutheran Hospital Group Name: Cleveland Clinic Metrohealth Medical Center Uh Cleveland Medical Center Foundation Cleveland Clinic Foundation Provider ID: 003511459004 Lutheran Hospital NPI: 1356697692 Uh Cleveland Medical Center 2999 Mcmackin Rd Madison, OH 44057

(440) 428-1111 E, EB, IB, P Cultural Competency: Y Ages: 0-99

Primary Care Providers Ohio - Lake Lewis, Christopher M, NP, (M) Lake Health Hospital Affiliations: Group Name: Lake Health Allied Cleveland Clinic Foundation Health Professionals Lewis, Christopher M, NP, (M) Provider ID: 005230964010 Group Name: Lake Health Allied Luppa, Viktoria F, NP, (F) NPI: 1912315615 Health Professionals Group Name: Cleveland Clinic 29804 Lakeshore Blvd Provider ID: 005230964015 Foundation Willowick, OH 44095 NPI: 1912315615 Provider ID: 002625382007

(440) 585-3322 P, R, RE, T 8655 Market St NPI: 1669436267 Mo-Fr - 8:00 AM - 9:00 PM Mentor, OH 44060 2999 Mcmackin Rd

Sa,Su - 9:00 AM - 5:00 PM (440) 255-6400 P, R, RE, T Madison, OH 44057

Cultural Competency: Y Mo-Fr - 8:00 AM - 8:00 PM (440) 428-1111 E, EB, IB, P Ages: 0-99 Sa,Su - 8:00 AM - 5:00 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Does Not Accept New Patients Lake Health Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Lewis, Christopher M, NP, (M) Lake Health Cleveland Clinic Foundation Group Name: Lake Health Allied Health Professionals Lucas, Julianna N, NP, (F) Luppa, Viktoria F, NP, (F) Provider ID: 005230964013 Group Name: Andrew K Brobbey Group Name: Cleveland Clinic NPI: 1912315615 Md Foundation 36100 Euclid Ave Provider ID: 006341116005 Provider ID: 002625382014 Willoughby, OH 44094 NPI: 1285181495 NPI: 1669436267

(440) 602-6770 EB, P, R 37121 Euclid Ave 7533 Center St Mo-Fr - 8:30 AM - 5:00 PM Willoughby, OH 44094 Mentor, OH 44060

Cultural Competency: Y (440) 946-5151 (440) 205-1714 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Does Not Accept New Patients Lake Health Lake Health Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Lewis, Christopher M, NP, (M) Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation Group Name: Lake Health Allied Health Professionals Luppa, Viktoria F, NP, (F) Mack, Marissa M, NP, (F) Provider ID: 005230964014 Group Name: Cleveland Clinic Group Name: Atrium Medical NPI: 1912315615 Foundation Group 6270 N Ridge Rd Provider ID: 002625382002 Provider ID: 005343895007 Madison, OH 44057 NPI: 1669436267 NPI: 1497146195

(440) 428-8256 EB, IB, P, R, RE, 2570 Som Center Rd 36100 Euclid Ave Ste 350 T Willoughby Hills, OH 44094 Willoughby, OH 44094

Mo-Fr - 8:00 AM - 8:00 PM (440) 943-2500 EB, IB, P, R, RE, (440) 946-8300 EB, P, R Sa - 9:00 AM - 5:00 PM T Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 16-99 Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99

Ohio - Lake Primary Care Providers Marek, Andrea, NP, (F) Marrott, Erin M, NP, (F) Hospital Affiliations: Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Foundation Provider ID: 003019451004 Provider ID: 006249964003 Mcmillin, Jennifer L, NP, (F) NPI: 1437383486 NPI: 1073984290 Group Name: Cleveland Clinic 2570 Som Center Rd 2999 Mcmackin Rd Foundation Willoughby Hills, OH 44094 Madison, OH 44057 Provider ID: 003376557010

(440) 516-8572 EB, IB, P, R, RE, (440) 428-1111 E, EB, IB, P NPI: 1215215256 T Mo-Fr - 6:00 PM - 9:00 PM 2999 Mcmackin Rd Ages: 0-99 Sa - 9:00 AM - 4:00 PM Madison, OH 44057

Hospital Affiliations: Does Not Accept New Patients (440) 428-1111 E, EB, IB, P Cleveland Clinic Foundation Ages: 0-99 Mo-Fr - 8:00 AM - 4:00 PM Hospital Affiliations: Cultural Competency: Y Marin, Patricia A, NP, (F) Cleveland Clinic Foundation Does Not Accept New Patients Group Name: Cleveland Clinic Ages: 18-99 Foundation Marrott, Erin M, NP, (F) Hospital Affiliations: Provider ID: 002389137014 Group Name: Cleveland Clinic Cleveland Clinic Foundation NPI: 1881794931 Foundation 7533 Center St Provider ID: 006249964014 Mcmillin, Jennifer L, NP, (F) Mentor, OH 44060 NPI: 1073984290 Group Name: Cleveland Clinic

(440) 205-1714 EB, P, R 7533 Center St Foundation Ages: 0-99 Mentor, OH 44060 Provider ID: 003376557021

Hospital Affiliations: (440) 974-8362 EB, P, R NPI: 1215215256 Cleveland Clinic Foundation Mo-Fr - 6:00 PM - 9:00 PM 7533 Center St Sa,Su - 8:00 AM - 4:00 PM Mentor, OH 44060

Marrott, Erin M, NP, (F) Does Not Accept New Patients (440) 205-1714 EB, P, R Group Name: Cleveland Clinic Ages: 0-99 Mo-Fr - 8:00 AM - 4:00 PM Foundation Hospital Affiliations: Cultural Competency: Y Provider ID: 006249964004 Cleveland Clinic Foundation Does Not Accept New Patients NPI: 1073984290 Ages: 18-99 2570 Som Center Rd Mcmillin, Jennifer L, NP, (F) Hospital Affiliations: Willoughby Hills, OH 44094 Group Name: Cleveland Clinic Cleveland Clinic Foundation

(440) 943-2500 EB, IB, P, R, RE, Foundation T Provider ID: 003376557012 Mo-Fr - 6:00 PM - 9:00 PM NPI: 1215215256 Sa,Su - 8:00 AM - 4:00 PM 2570 Som Center Rd Does Not Accept New Patients Willoughby Hills, OH 44094

Ages: 0-99 (440) 943-2500 EB, IB, P, R, RE, Hospital Affiliations: T Cleveland Clinic Foundation Mo-Fr - 8:00 AM - 4:00 PM Cultural Competency: Y Does Not Accept New Patients Ages: 18-99

Primary Care Providers Ohio - Lake Meeks, Deborah K, NP, (F) Mosneag, Katalin E, NP, (F) Metrohealth Medical Center Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Foundation Provider ID: 003265358003 Provider ID: 006034742008 Mueller, Margaret H, NP, (F) NPI: 1710978721 NPI: 1982066213 Group Name: Cleveland Clinic 2570 Som Center Rd 2999 Mcmackin Rd Foundation Willoughby Hills, OH 44094 Madison, OH 44057 Provider ID: 003646056009

(440) 943-2500 EB, IB, P, R, RE, (440) 428-1111 E, EB, IB, P NPI: 1083969489 T Cultural Competency: Y 2999 Mcmackin Rd Accepting Existing Patients Only Does Not Accept New Patients Madison, OH 44057

Ages: 0-99 Ages: 0-99 (440) 428-1111 E, EB, IB, P Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Akron General Medical Ctr Does Not Accept New Patients Cleveland Clinic Foundation Ages: 0-99 Miller, Kim C, NP, (F) Hospital Affiliations: Group Name: Northern Oh Mosneag, Katalin E, NP, (F) Metrohealth Medical Center Medical Specialist Group Name: Cleveland Clinic Cleveland Clinic Foundation Provider ID: 003503785017 Foundation NPI: 1215285424 Provider ID: 006034742021 Mueller, Margaret H, NP, (F) 8316 Yellowbrick Rd NPI: 1982066213 Group Name: Cleveland Clinic Mentor, OH 44060 7533 Center St Foundation

(440) 205-8818 EB, P, R, RE, T Mentor, OH 44060 Provider ID: 003646056043

Mo-Fr - 9:00 AM - 5:00 PM (440) 205-1714 EB, P, R NPI: 1083969489 Sa - 8:00 AM - 12:00 PM Cultural Competency: Y 7533 Center St Ages: 0-99 Does Not Accept New Patients Mentor, OH 44060

Ages: 0-99 (440) 204-1714 EB, P, R Mosneag, Katalin E, NP, (F) Hospital Affiliations: Cultural Competency: Y Group Name: Cleveland Clinic Akron General Medical Ctr Does Not Accept New Patients Foundation Cleveland Clinic Foundation Ages: 0-99 Provider ID: 006034742009 Hospital Affiliations: NPI: 1982066213 Mueller, Margaret H, NP, (F) Metrohealth Medical Center 2570 Som Center Rd Group Name: Cleveland Clinic Cleveland Clinic Foundation Willoughby Hills, OH 44094 Foundation

(440) 943-2500 EB, IB, P, R, RE, Provider ID: 003646056006 T NPI: 1083969489 Cultural Competency: Y 2570 Som Center Rd Does Not Accept New Patients Willoughby Hills, OH 44094

Ages: 0-99 (440) 943-2500 EB, IB, P, R, RE, Hospital Affiliations: T Akron General Medical Ctr Cultural Competency: Y Cleveland Clinic Foundation Does Not Accept New Patients Ages: 0-99 Hospital Affiliations:

Ohio - Lake Primary Care Providers Myers, Leanne D, NP, (F) Nawrocki, Colleen M, NP, (F) Page, Denise L, NP, (F) Group Name: Cleveland Clinic Group Name: Lake Hospital Group Name: Cleveland Clinic Foundation System Foundation Provider ID: 005747075018 Provider ID: 002730024001 Provider ID: 005177183023 NPI: 1730433996 NPI: 1437236460 NPI: 1003215427 2570 Som Center Rd 36100 Euclid Ave Ste 210 7533 Center St Willoughby Hills, OH 44094 Willoughby, OH 44094 Mentor, OH 44060

(440) 943-2500 EB, IB, P, R, RE, (440) 602-6770 EB, P, R (440) 205-1714 EB, P, R T Mo-Fr - 9:00 AM - 5:00 PM Does Not Accept New Patients Does Not Accept New Patients Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Cleveland Clinic Foundation Lake Health Cleveland Clinic Foundation

Myers, Leanne D, NP, (F) Page, Denise L, NP, (F) Popp, Jeremy, NP, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 005747075017 Provider ID: 005177183009 Provider ID: 006006325010 NPI: 1730433996 NPI: 1003215427 NPI: 1659733210 2999 Mcmackin Rd 2570 Som Center Rd 2570 Som Center Rd Madison, OH 44057 Willoughby Hills, OH 44094 Willoughby Hills, OH 44094

(440) 428-1111 E, EB, IB, P (440) 943-2500 EB, IB, P, R, RE, (440) 943-2500 EB, IB, P, R, RE, Does Not Accept New Patients T T Ages: 0-99 Does Not Accept New Patients Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Cleveland Clinic Foundation Myers, Leanne D, NP, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Popp, Jeremy, NP, (M) Foundation Page, Denise L, NP, (F) Group Name: Cleveland Clinic Provider ID: 005747075016 Group Name: Cleveland Clinic Foundation NPI: 1730433996 Foundation Provider ID: 006006325009 7533 Center St Provider ID: 005177183008 NPI: 1659733210 Mentor, OH 44060 NPI: 1003215427 2999 Mcmackin Rd

(440) 205-1714 EB, P, R 2999 Mcmackin Rd Madison, OH 44057

Does Not Accept New Patients Madison, OH 44057 (440) 428-1111 E, EB, IB, P

Ages: 0-99 (440) 428-1111 E, EB, IB, P Accepting Existing Patients Only Hospital Affiliations: Does Not Accept New Patients Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Akron General Medical Ctr Cleveland Clinic Foundation

Primary Care Providers Ohio - Lake Popp, Jeremy, NP, (M) Praisler, Kathy J, NP, (F) Marymount Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Medina Hospital Foundation Foundation Provider ID: 006006325024 Provider ID: 006252508007 Puljic, Rachael E, NP, (F) NPI: 1659733210 NPI: 1366894214 Group Name: Cleveland Clinic 7533 Center St 2570 Som Center Rd Foundation Mentor, OH 44060 Willoughby Hills, OH 44094 Provider ID: 006233028013

(440) 205-1714 EB, P, R (440) 943-2500 EB, IB, P, R, RE, NPI: 1679930622 Accepting Existing Patients Only T 2570 Som Center Rd Ages: 0-99 Does Not Accept New Patients Willoughby Hills, OH 44094

Hospital Affiliations: Ages: 0-99 (440) 943-2500 EB, P, R Cleveland Clinic Foundation Hospital Affiliations: Web address: www.alleghenymedic Cleveland Clinic Foundation al.com Porter, Dewanda L, NP, (F) Marymount Hospital Accepting Existing Patients Only Group Name: Cleveland Clinic Medina Hospital Ages: 0-99 Foundation Hospital Affiliations: Provider ID: 003534151026 Praisler, Kathy J, NP, (F) Uniontown Hospital NPI: 1952651721 Group Name: Cleveland Clinic Cleveland Clinic Foundation 2570 Som Center Rd Foundation Willoughby Hills, OH 44094 Provider ID: 006252508006 Puljic, Rachael E, NP, (F)

(440) 943-2500 EB, IB, P, R, RE, NPI: 1366894214 Group Name: Cleveland Clinic T 2999 Mcmackin Rd Foundation Does Not Accept New Patients Madison, OH 44057 Provider ID: 006233028009

Ages: 0-99 (440) 428-1111 E, EB, IB, P NPI: 1679930622 Hospital Affiliations: Does Not Accept New Patients 2999 Mcmackin Rd Metrohealth Medical Center Ages: 0-99 Madison, OH 44057

Cleveland Clinic Foundation Hospital Affiliations: (440) 428-1111 E, EB, IB, P Cleveland Clinic Foundation Web address: www.alleghenymedic Porter, Dewanda L, NP, (F) Marymount Hospital al.com Group Name: Cleveland Clinic Medina Hospital Accepting Existing Patients Only Foundation Ages: 0-99 Provider ID: 003534151031 Praisler, Kathy J, NP, (F) Hospital Affiliations: NPI: 1952651721 Group Name: Cleveland Clinic Uniontown Hospital 7533 Center St Foundation Cleveland Clinic Foundation Mentor, OH 44060 Provider ID: 006252508019

(440) 205-1714 EB, P, R NPI: 1366894214 Does Not Accept New Patients 7533 Center St Ages: 0-99 Mentor, OH 44060

Hospital Affiliations: (440) 205-1714 EB, P, R Metrohealth Medical Center Does Not Accept New Patients Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

Ohio - Lake Primary Care Providers Puljic, Rachael E, NP, (F) Range, Samantha S, NP, (F) Rice, Shaneeka J, NP, (F) Group Name: Cleveland Clinic Group Name: Maguire Medical Group Name: Cleveland Clinic Foundation LLC Foundation Provider ID: 006233028050 Provider ID: 006504676003 Provider ID: 006294705005 NPI: 1679930622 NPI: 1982136487 NPI: 1174073258 7533 Center St 30575 Euclid Ave 2999 Mcmackin Rd Mentor, OH 44060 Wickliffe, OH 44092 Madison, OH 44057

(440) 205-1714 EB, P, R (440) 516-3776 EB, P, R (440) 428-1111 E, EB, IB, P Web address: www.alleghenymedic Ages: 0-99 Languages Spoken: al.com Hospital Affiliations: Provider: Spanish Accepting Existing Patients Only Cleveland Clinic Foundation Mo-Fr - 8:00 AM - 9:00 PM Ages: 0-99 Sa - 9:00 AM - 4:00 PM Hospital Affiliations: Range, Samantha S, NP, (F) Does Not Accept New Patients Uniontown Hospital Group Name: Cleveland Clinic Ages: 0-99 Cleveland Clinic Foundation Foundation Hospital Affiliations: Provider ID: 006504676024 Cleveland Clinic Foundation Range, Samantha S, NP, (F) NPI: 1982136487 Group Name: Cleveland Clinic 7533 Center St Rice, Shaneeka J, NP, (F) Foundation Mentor, OH 44060 Group Name: Cleveland Clinic

Provider ID: 006504676008 (440) 205-1714 EB, P, R Foundation NPI: 1982136487 Accepting Existing Patients Only Provider ID: 006294705021 2570 Som Center Rd Ages: 0-17 NPI: 1174073258 Willoughby Hills, OH 44094 Hospital Affiliations: 7533 Center St

(440) 943-2500 EB, IB, P, R, RE, Cleveland Clinic Foundation Mentor, OH 44060

T (440) 205-1714 EB, P, R Accepting Existing Patients Only Rice, Shaneeka J, NP, (F) Languages Spoken: Ages: 0-17 Group Name: Cleveland Clinic Provider: Spanish Hospital Affiliations: Foundation Mo-Fr - 5:00 AM - 9:00 PM Cleveland Clinic Foundation Provider ID: 006294705006 Sa,Su - 8:00 AM - 4:00 PM NPI: 1174073258 Does Not Accept New Patients Range, Samantha S, NP, (F) 2570 Som Center Rd Ages: 0-99 Group Name: Cleveland Clinic Willoughby Hills, OH 44094 Hospital Affiliations:

Foundation (440) 943-2500 EB, IB, P, R, RE, Cleveland Clinic Foundation Provider ID: 006504676007 T NPI: 1982136487 Languages Spoken: Rozelle, Dawn M, NP, (F) 2999 Mcmackin Rd Provider: Spanish Group Name: Atrium Medical Madison, OH 44057 Mo-Fr - 1:00 AM - 9:00 PM Group

(440) 428-1111 E, EB, IB, P Sa,Su - 8:00 AM - 4:00 PM Provider ID: 003323003007 Accepting Existing Patients Only Does Not Accept New Patients NPI: 1871818559 Ages: 0-17 Ages: 0-99 36100 Euclid Ave Ste 350 Hospital Affiliations: Hospital Affiliations: Willoughby, OH 44094

Cleveland Clinic Foundation Cleveland Clinic Foundation (440) 946-8300 EB, P, R Ages: 16-99

Primary Care Providers Ohio - Lake Scarbrough, Ann L, NP, (F) Singer, Amanda L, NP, (F) Ruthenberg, Kristen R, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Lake Health Allied Foundation Foundation Health Professionals Provider ID: 003620067004 Provider ID: 002858456020 Provider ID: 003424635007 NPI: 1124303946 NPI: 1508063538 NPI: 1932472859 2999 Mcmackin Rd 2999 Mcmackin Rd 9485 Mentor Ave Ste 212 Madison, OH 44057 Madison, OH 44057

Mentor, OH 44060 (440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P

(440) 205-5883 EB, P, R Does Not Accept New Patients Does Not Accept New Patients Sa - 9:00 AM - 1:00 PM Ages: 0-99 Ages: 0-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Lake Health Uh Cleveland Medical Center Scarbrough, Ann L, NP, (F) Western Reserve Hospital Scaminace, Joseph M, NP, (M) Group Name: Cleveland Clinic Group Name: Andrew K Brobbey Foundation Singer, Amanda L, NP, (F) Md Provider ID: 003620067014 Group Name: Cleveland Clinic Provider ID: 004905265005 NPI: 1124303946 Foundation NPI: 1508279464 7533 Center St Provider ID: 002858456028 37121 Euclid Ave Mentor, OH 44060 NPI: 1508063538

Willoughby, OH 44094 (440) 205-1714 EB, P, R 7533 Center St

(440) 946-5151 Does Not Accept New Patients Mentor, OH 44060

Accepting Existing Patients Only Ages: 0-99 (440) 205-1714 EB, P, R Ages: 0-99 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Marymount Hospital Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Singer, Amanda L, NP, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Uh Cleveland Medical Center Scarbrough, Ann L, NP, (F) Foundation Western Reserve Hospital Group Name: Cleveland Clinic Provider ID: 002858456029 Foundation NPI: 1508063538 Smyth, Jennifer J, NP, (F) Provider ID: 003620067005 2570 Som Center Rd Group Name: Cleveland Clinic NPI: 1124303946 Willoughby Hills, OH 44094 Foundation

2570 Som Center Rd (440) 943-2500 EB, IB, P, R, RE, Provider ID: 006396258026 Willoughby Hills, OH 44094 T NPI: 1316485808

(440) 943-2500 EB, IB, P, R, RE, Does Not Accept New Patients 2570 Som Center Rd T Ages: 0-99 Willoughby Hills, OH 44094

Does Not Accept New Patients Hospital Affiliations: (440) 943-2500 EB, IB, P, R, RE, Ages: 0-99 Cleveland Clinic Foundation T Hospital Affiliations: Uh Cleveland Medical Center Does Not Accept New Patients Cleveland Clinic Foundation Western Reserve Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

Ohio - Lake Primary Care Providers Szarka, Lindsey A, NP, (F) Turner, Jennifer L, NP, (F) Smyth, Jennifer J, NP, (F) Group Name: Cleveland Clinic Group Name: University Primary Group Name: Cleveland Clinic Foundation Care Practices Foundation Provider ID: 003670971012 Provider ID: 006268076001 Provider ID: 006396258005 NPI: 1710210539 NPI: 1700335023 NPI: 1316485808 2570 Som Center Rd 7500 Auburn Rd Ste 2300 2999 Mcmackin Rd Willoughby Hills, OH 44094 Concord Township, OH 44077

Madison, OH 44057 (440) 943-2500 EB, IB, P, R, RE, (440) 358-5433 EB, IB, P, R

(440) 428-1111 E, EB, IB, P T Mo-Fr - 8:30 AM - 4:30 PM Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Ashtabula County Med Center Cleveland Clinic Foundation Szarka, Lindsey A, NP, (F) Votypka, Vanessa K, NP, (F) Smyth, Jennifer J, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003670971011 Provider ID: 003721125005 Provider ID: 006396258020 NPI: 1710210539 NPI: 1144665761 NPI: 1316485808 2999 Mcmackin Rd 2570 Som Center Rd 7533 Center St Madison, OH 44057 Willoughby Hills, OH 44094

Mentor, OH 44060 (440) 428-1111 E, EB, IB, P (440) 943-2500 EB, IB, P, R, RE,

(440) 205-1714 EB, P, R Ages: 0-99 T Does Not Accept New Patients Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Cleveland Clinic Foundation Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Szarka, Lindsey A, NP, (F) Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation Svoboda, Brittanie N, NP, (F) Foundation Group Name: Erieside Medical Provider ID: 003670971021 Votypka, Vanessa K, NP, (F) Group NPI: 1710210539 Group Name: Cleveland Clinic Provider ID: 006843339003 7533 Center St Foundation NPI: 1235639725 Mentor, OH 44060 Provider ID: 003721125021

9485 Mentor Ave Ste 212 (440) 205-1714 EB, P, R NPI: 1144665761 Mentor, OH 44060 Ages: 0-99 7533 Center St

(440) 205-5571 Hospital Affiliations: Mentor, OH 44060

Sa - 9:00 AM - 1:00 PM Cleveland Clinic Foundation (440) 205-1714 EB, P, R Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Does Not Accept New Patients Lake Health Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

Primary Care Providers Ohio - Lake Warmington, Ashley S, NP, (F) Webster, Pamela J, NP, (F) Whitehouse, Lauren M, NP, (F) Group Name: Lake Health Allied Group Name: Cleveland Clinic Group Name: Cleveland Clinic Health Professionals Foundation Foundation Provider ID: 005977823004 Provider ID: 004925845016 Provider ID: 005996135014 NPI: 1720445240 NPI: 1326365370 NPI: 1952764441 7580 Auburn Rd Ste 207 2999 Mcmackin Rd 2999 Mcmackin Rd Concord Township, OH 44077 Madison, OH 44057 Madison, OH 44057

(440) 354-1802 EB, P, R (440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P Mo-Fr - 7:00 AM - 4:30 PM Does Not Accept New Patients Cultural Competency: Y Ages: 0-99 Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Lake Health Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Warmington, Ashley S, NP, (F) Webster, Pamela J, NP, (F) Group Name: Lake Health Allied Group Name: Cleveland Clinic Whitehouse, Lauren M, NP, (F) Health Professionals Foundation Group Name: Cleveland Clinic Provider ID: 005977823001 Provider ID: 004925845014 Foundation NPI: 1720445240 NPI: 1326365370 Provider ID: 005996135023 7590 Auburn Rd 7533 Center St NPI: 1952764441 Concord Township, OH 44077 Mentor, OH 44060 7533 Center St

(440) 375-8100 EB, P, R (440) 205-1714 EB, P, R Mentor, OH 44060

Ages: 0-99 Does Not Accept New Patients (440) 205-1714 EB, P, R Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Lake Health Hospital Affiliations: Does Not Accept New Patients Cleveland Clinic Foundation Ages: 0-99 Webster, Pamela J, NP, (F) Hospital Affiliations: Group Name: Cleveland Clinic Whitehouse, Lauren M, NP, (F) Cleveland Clinic Foundation Foundation Group Name: Cleveland Clinic Provider ID: 004925845005 Foundation Wilkes, Jaline N, NP, (F) NPI: 1326365370 Provider ID: 005996135004 Group Name: Cleveland Clinic 2570 Som Center Rd NPI: 1952764441 Foundation Willoughby Hills, OH 44094 2570 Som Center Rd Provider ID: 005970037014

(440) 943-2500 EB, IB, P, R, RE, Willoughby Hills, OH 44094 NPI: 1093175101

T (440) 943-2500 EB, IB, P, R, RE, 2999 Mcmackin Rd Does Not Accept New Patients T Madison, OH 44057

Ages: 0-99 Cultural Competency: Y (440) 428-1111 E, EB, IB, P Hospital Affiliations: Does Not Accept New Patients Does Not Accept New Patients Cleveland Clinic Foundation Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Metrohealth Medical Center Cleveland Clinic Foundation

Ohio - Lake Primary Care Providers Williams, Monique, NP, (F) Cleveland Clinic Foundation Workman, Nathan A, NP, (M) Group Name: Andrew K Brobbey Group Name: Cleveland Clinic Md Willis, Jeanine R, NP, (F) Foundation Provider ID: 006787460007 Group Name: Cleveland Clinic Provider ID: 006824410006 NPI: 1730321464 Foundation NPI: 1184114787 37121 Euclid Ave Provider ID: 004331324022 2999 Mcmackin Rd Willoughby, OH 44094 NPI: 1356776975 Madison, OH 44057

(440) 946-5151 7533 Center St (440) 428-1111 E, EB, IB, P Ages: 0-99 Mentor, OH 44060 Does Not Accept New Patients

(440) 205-1714 EB, P, R Ages: 0-17 Willis, Jeanine R, NP, (F) Cultural Competency: Y Hospital Affiliations: Group Name: Cleveland Clinic Does Not Accept New Patients Metrohealth Medical Center Foundation Ages: 0-99 Cleveland Clinic Foundation Provider ID: 004331324011 Hospital Affiliations: NPI: 1356776975 University Hospitals Elyria Workman, Nathan A, NP, (M) 2570 Som Center Rd Medical Ctr Group Name: Cleveland Clinic Willoughby Hills, OH 44094 Uh Elyria Medical Center Foundation

(440) 943-2500 EB, IB, P, R, RE, Cleveland Clinic Foundation Provider ID: 006824410023 T NPI: 1184114787 Cultural Competency: Y Workman, Nathan A, NP, (M) 7533 Center St Does Not Accept New Patients Group Name: Cleveland Clinic Mentor, OH 44060

Ages: 0-99 Foundation (440) 205-1714 EB, P, R Hospital Affiliations: Provider ID: 006824410007 Does Not Accept New Patients University Hospitals Elyria NPI: 1184114787 Ages: 0-17 Medical Ctr 2570 Som Center Rd Hospital Affiliations: Uh Elyria Medical Center Willoughby Hills, OH 44094 Metrohealth Medical Center

Cleveland Clinic Foundation (440) 943-2500 EB, IB, P, R, RE, Cleveland Clinic Foundation T Willis, Jeanine R, NP, (F) Does Not Accept New Patients Zalar, Rosemarie S, NP, (F) Group Name: Cleveland Clinic Ages: 0-17 Group Name: Cleveland Clinic Foundation Hospital Affiliations: Foundation Provider ID: 004331324019 Metrohealth Medical Center Provider ID: 002849092002 NPI: 1356776975 Cleveland Clinic Foundation NPI: 1164616744 2999 Mcmackin Rd 7060 Wayside Dr Madison, OH 44057 Mentor, OH 44060

(440) 428-1111 E, EB, IB, P (440) 357-2770 EB, P, R Cultural Competency: Y Web address: www.clevelandclinicf Does Not Accept New Patients oundation.org Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: University Hospitals Elyria Cleveland Clinic Foundation Medical Ctr Uh Elyria Medical Center

Primary Care Providers Ohio - Lake

Zappitelli-Sason, Lucille, NP, (F) Zayicek, Christina M, NP, (F) Group Name: Lake Health Allied Group Name: Lake Health Allied Obstetrics & Gynecology

Health Professionals Health Professionals All female members are allowed to Provider ID: 006473883003 Provider ID: 003428509007 self-refer to certified nurse NPI: 1396284873 NPI: 1861769630 midwives (CNMs), obstetricians and 36000 Euclid Ave 8655 Market St gynecologists on UnitedHealthcare Willoughby, OH 44094 Mentor, OH 44060 Community Plan's provider panel. (440) 352-4803 P, R, RE, T (440) 255-6400 P, R, RE, T In addition female members are also Ages: 0-99 Mo-Fr - 8:00 AM - 9:00 PM allowed to self-refer to women's Hospital Affiliations: Sa,Su - 9:00 AM - 5:00 PM health specialists on Lake Health Cultural Competency: Y UnitedHealthcare Community Ages: 0-99 Plan's panel for routine and Zappitelli-Sason, Lucille, NP, (F) Hospital Affiliations: preventative health care services if Group Name: Lake Health Allied Lake Health their PCP is not a women's health Health Professionals Medina Hospital specialist. For a list of women's Provider ID: 006473883001 Uh Parma Medical Center health specialists on NPI: 1396284873 University Hospitals Parma UnitedHealthcare Community 9500 Mentor Ave Ste 100 Medical Ctr Plan's panel, please call Mentor, OH 44060 1.877-542-9236; Relay: 711.

(440) 352-4880 EB, P, R Ages: 0-99 Boes, Cynthia R, MD, (F), B Hospital Affiliations: Group Name: Lake Health Allied Lake Health Health Professionals Provider ID: 001926385001 Zayicek, Christina M, NP, (F) NPI: 1295797132 Group Name: Lake Health Allied 35040 Chardon Rd Bldg 7 Ste 205 Health Professionals Willoughby Hills, OH 44094 Provider ID: 003428509009 (440) 205-5830 EB, P, R NPI: 1861769630 Mo-Fr - 8:30 AM - 5:00 PM 29804 Lakeshore Blvd Cultural Competency: Y Willowick, OH 44095 Ages: 0-99 Hospital Affiliations: (440) 585-3322 P, R, RE, T Mo-Fr - 8:00 AM - 9:00 PM Lake Health Sa,Su - 9:00 AM - 5:00 PM Cultural Competency: Y Boes, Cynthia R, MD, (F), B Ages: 0-99 Group Name: Lake Health Allied Hospital Affiliations: Health Professionals Lake Health Provider ID: 001926385002 Medina Hospital NPI: 1295797132 Uh Parma Medical Center 35040 Chardon Rd Bldg Vii University Hospitals Parma Willoughby Hills, OH 44094 Medical Ctr (440) 205-5830 EB, P, R Cultural Competency: Y Ages: 0-99

Ohio - Lake Primary Care Providers Hospital Affiliations: Zart, Janie M, MD, (F), B Ashland, Sarah, DO, (F) Lake Health Group Name: Lake Health Allied Group Name: UPCP Health Professionals Provider ID: 007147018002 Buchanan, Kelly V, MD, (F), B Provider ID: 001572557001 NPI: 1538521224 Group Name: Lake Health Allied NPI: 1043273352 35010 Chardon Rd Ste 205 Health Professionals 35040 Chardon Rd Bldg 7 Ste 205 Willoughby Hills, OH 44094

Provider ID: 002073773004 Willoughby Hills, OH 44094 (440) 918-0501 E, EB, P, R

NPI: 1457451577 (440) 205-5830 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM 5105 Som Center Rd Ste 201 Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-17 Willoughby, OH 44094 Cultural Competency: Y Hospital Affiliations:

(440) 602-6710 EB, P, PL, R, RE, Ages: 0-99 Uh Cleveland Medical Center T Hospital Affiliations: Rainbow Babies & Childrens Cultural Competency: Y Lake Health Hosp Ages: 0-99 Hospital Affiliations: Brindza, Deborah, MD, (F), B Lake Health Pediatrics Group Name: University Primary

Hillcrest Hospital Members may self-refer to these Care Practices Huron Hospital providers. Provider ID: 000151388001

Uh Cleveland Medical Center NPI: 1346321262 Arnett, Heather E, MD, (F), B 9000 Mentor Ave Ste 100 Clinger, Wendy J, MD, (F), B Group Name: UPCP Mentor, OH 44060 Provider ID: 002221171002 Group Name: Lake Health Allied (440) 974-4411 EB, P, R Health Professionals NPI: 1609873025 Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 001385324003 35010 Chardon Rd Ste 205 Cultural Competency: Y NPI: 1518920917 Willoughby Hills, OH 44094 Ages: 0-20 4175 State Route 306 (440) 918-0501 E, EB, P, R Hospital Affiliations: Willoughby, OH 44094 Languages Spoken: Uh Geauga Medical Center Provider: French, Spanish (440) 205-5830 EB, P, R University Hospitals Geauga Mo-Fr - 8:30 AM - 5:00 PM Mo-Fr - 8:30 AM - 4:30 PM Medical Ctr Ages: 18-99 Ages: 0-17 Uh Cleveland Medical Center Hospital Affiliations: Hospital Affiliations: Rainbow Babies & Childrens Lake Health Cleveland Clinic Foundation Hosp Hillcrest Hospital Uh Cleveland Medical Center Rainbow Babies & Childrens Hosp

Primary Care Providers Ohio - Lake Burgin, Diane C, MD, (F), B Cauwenbergh, Jude T, DO, (M), Rainbow Babies & Childrens Group Name: University Primary B Hosp Care Practices Group Name: University Primary Provider ID: 000195172001 Care Practices Dykeman, Susan M, MD, (F), B NPI: 1710068622 Provider ID: 001961555005 Group Name: University Primary 9000 Mentor Ave Ste 100 NPI: 1831157841 Care Practices Mentor, OH 44060 701 N Lake St Ste 106 Provider ID: 000990913002

(440) 974-4411 EB, P, R Madison, OH 44057 NPI: 1932280872

Mo-Fr - 8:30 AM - 4:30 PM (440) 261-1611 EB, P, R 7500 Auburn Rd Ste 2600 Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Concord Township, OH 44077

Ages: 0-20 Ages: 0-17 (440) 358-5455 EB, P, R Hospital Affiliations: Hospital Affiliations: Mo-Fr - 8:30 AM - 5:00 PM Uh Regional Hospital - Bedford Ashtabula County Med Center Cultural Competency: Y Campus Ages: 0-20 Geneva General Hospital Cifra-Bean, Laura A, MD, (F), B Hospital Affiliations: Uh Cleveland Medical Center Group Name: Lake Health Allied Uh Cleveland Medical Center Windsor Laurelwood Ctr For Beh Health Professionals Medicine Provider ID: 001572556005 Dykeman, Susan M, MD, (F), B Rainbow Babies & Childrens NPI: 1720194046 Group Name: University Primary Hosp 9485 Mentor Ave Ste 101 Care Practices Mentor, OH 44060 Provider ID: 000990913001

Catanzaro, Peter M, MD, (M), B (440) 205-5800 E, EB, IB, P, R NPI: 1932280872 Group Name: University Primary 9000 Mentor Ave Ste 100 Care Practices Mo-Fr - 9:00 AM - 4:30 PM Mentor, OH 44060 Cultural Competency: Y Provider ID: 001975388006 (440) 974-4411 EB, P, R NPI: 1407950074 Ages: 0-18 Mo-Fr - 8:30 AM - 4:30 PM 9000 Mentor Ave Ste 101 Hospital Affiliations: Cultural Competency: Y Mentor, OH 44060 Lake Health Ages: 0-20

(440) 255-0250 EB, P, R Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Danan, Naser A, MD, (M), B Uh Cleveland Medical Center Cultural Competency: Y Group Name: University Primary Ages: 0-20 Care Practices Ertel, Joy B, MD, (F), B Hospital Affiliations: Provider ID: 001396305001 Group Name: University Primary Hillcrest Hospital NPI: 1447349287 Care Practices Marymount Hospital 4212 State Route 306 Ste 304 Provider ID: 000622057002 Uh Cleveland Medical Center Willoughby, OH 44094 NPI: 1497836324 Rainbow Babies & Childrens (440) 946-7391 EB, P, R 7500 Auburn Rd Ste 2600 Hosp Languages Spoken: Concord Township, OH 44077 Provider: Arabic (440) 358-5458 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-20 Ages: 0-20 Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center

Ohio - Lake Primary Care Providers Uh Regional Hospital - Bedford Failinger, Ann L, MD, (F), B Gutjahr, Charmaine D, MD, (F), Campus Group Name: University Primary B Uh Cleveland Medical Center Care Practices Group Name: Cleveland Clinic Provider ID: 001910948007 Foundation Ertel, Joy B, MD, (F), B NPI: 1417046251 Provider ID: 002385399004 Group Name: University Primary 9000 Mentor Ave Ste 101 NPI: 1396949665 Care Practices Mentor, OH 44060 2999 Mcmackin Rd

Provider ID: 000622057001 (440) 255-0250 EB, P, R Madison, OH 44057

NPI: 1497836324 Mo-Fr - 8:30 AM - 4:30 PM (440) 428-1111 E, EB, IB, P 9000 Mentor Ave Ste 100 Cultural Competency: Y Mo,We,Fr - 8:00 AM - 9:00 PM Mentor, OH 44060 Ages: 18-20 Sa,Su - 8:00 AM - 4:00 PM

(440) 974-4411 EB, P, R Hospital Affiliations: Ages: 0-17 Mo-Fr - 8:30 AM - 4:30 PM Uh Geauga Medical Center Hospital Affiliations: Cultural Competency: Y University Hospitals Geauga Lima Memorial Hospital Ages: 0-20 Medical Ctr Metrohealth Medical Center Hospital Affiliations: Uh Cleveland Medical Center Cleveland Clinic Foundation Uh Regional Hospital - Bedford Rainbow Babies & Childrens Hillcrest Hospital Campus Hosp Uh Cleveland Medical Center Huff, Randal N, DO, (M), B Gherman, Cynthia R, MD, (F), B Group Name: Cleveland Clinic Failinger, Ann L, MD, (F), B Group Name: University Primary Foundation Group Name: University Primary Care Practices Provider ID: 000056959009 Care Practices Provider ID: 001341903002 NPI: 1972500312 Provider ID: 001910948006 NPI: 1518048453 7060 Wayside Dr NPI: 1417046251 9000 Mentor Ave Ste 100 Mentor, OH 44060

4212 State Route 306 Ste 304 Mentor, OH 44060 (440) 357-2770 EB, P, R

Willoughby, OH 44094 (440) 974-4411 EB, P, R Cultural Competency: Y

(440) 946-7391 EB, P, R Cultural Competency: Y Ages: 0-20 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-20 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Foundation Ages: 18-20 Uh Geauga Medical Center Hillcrest Hospital Hospital Affiliations: University Hospitals Geauga Uh Cleveland Medical Center Uh Geauga Medical Center Medical Ctr University Hospitals Geauga Uh Regional Hospital - Bedford Medical Ctr Campus Uh Cleveland Medical Center Uh Cleveland Medical Center Rainbow Babies & Childrens Hosp

Primary Care Providers Ohio - Lake Isakov, Vyacheslav R, MD, (M) Hospital Affiliations: Kannensohn, Jon D, MD, (M), B Group Name: Vyacheslav Isakov Lake Health Group Name: University Primary Md Care Practices Provider ID: 002557536003 Judge, Constance M, MD, (F), B Provider ID: 002029281001 NPI: 1407826803 Group Name: University Primary NPI: 1760583587 30630 Ridge Rd Care Practices 9000 Mentor Ave Ste 100 Wickliffe, OH 44092 Provider ID: 001385893002 Mentor, OH 44060

(440) 854-0220 EB, P, R NPI: 1851398291 (440) 974-4411 EB, P, R Languages Spoken: 35010 Chardon Rd Ste 205 Mo-Fr - 8:30 AM - 4:30 PM Provider: Russian Willoughby Hills, OH 44094 Cultural Competency: Y

Ages: 0-99 (440) 918-0501 E, EB, P, R Ages: 0-99 Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Lake Health Ages: 0-17 Metrohealth Medical Center Hillcrest Hospital Hospital Affiliations: Cleveland Clinic Foundation Euclid Hospital Hillcrest Hospital Uh Cleveland Medical Center Uh Cleveland Medical Center Jackson, Joann, MD, (F), B Rainbow Babies & Childrens Korah, Joey M, MD, (M), B Group Name: University Primary Hosp Group Name: Lake Health Allied Care Practices Health Professionals Provider ID: 001306675008 Kannensohn, Jon D, MD, (M), B Provider ID: 002712965005 NPI: 1588765630 Group Name: University Primary NPI: 1477667004 9000 Mentor Ave Ste 100 Care Practices 36100 Euclid Ave Ste 300 Mentor, OH 44060 Provider ID: 002029281003 Willoughby, OH 44094

(440) 974-4411 EB, P, R NPI: 1760583587 (440) 942-4844 EB, P, R Cultural Competency: Y 7500 Auburn Rd Ste 2600 Mo-Fr - 9:00 AM - 4:30 PM Ages: 0-18 Concord Township, OH 44077 Cultural Competency: Y

Hospital Affiliations: (440) 974-4411 EB, P, R Ages: 0-99 Metrohealth Medical Center Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Cleveland Clinic Foundation Cultural Competency: Y Lake Health Rainbow Babies & Childrens Ages: 0-99 Hosp Hospital Affiliations: Lonzer, M Deborah, MD, (F), B Metrohealth Medical Center Group Name: Cleveland Clinic Jennings, Matthew S, MD, (M), B Cleveland Clinic Foundation Foundation Group Name: Lake Health Allied Uh Cleveland Medical Center Provider ID: 001143468006 Health Professionals NPI: 1538260369 Provider ID: 002270654001 2570 Som Center Rd NPI: 1891801148 Willoughby Hills, OH 44094

6270 N Ridge Rd (440) 943-2500 EB, IB, P, R, RE, Madison, OH 44057 T

(440) 428-7018 EB, IB, P, R, RE, Does Not Accept New Patients T Ages: 0-99 Mo-Fr - 9:00 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation

Ohio - Lake Primary Care Providers Hillcrest Hospital Malik, Simee I, MD, (F), B Lake Health Group Name: Lake Health Allied Uh Cleveland Medical Center Magro, Robert J, MD, (M), B Health Professionals Group Name: Lake Health Allied Provider ID: 002003009007 Norr, Sigmund C, MD, (M), B Health Professionals NPI: 1437265766 Group Name: Cleveland Clinic Provider ID: 001046056001 36100 Euclid Ave Ste 300 Foundation NPI: 1811003148 Willoughby, OH 44094 Provider ID: 000177401019

9485 Mentor Ave Ste 101 (440) 942-4844 EB, P, R NPI: 1205828035 Mentor, OH 44060 Languages Spoken: 2570 Som Center Rd

(440) 205-5800 E, EB, IB, P, R Provider: Hindi, Urdu Willoughby Hills, OH 44094

Mo-Fr - 9:00 AM - 4:30 PM (440) 943-2500 EB, IB, P, R, RE, Mo-Fr - 9:00 AM - 4:30 PM Ages: 0-17 T Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Accepting Existing Patients Only Lake Health Ages: 0-17 Ages: 0-18 Hospital Affiliations: Hospital Affiliations: Mandelik, James A, MD, (M), B Summa Health System Lake Health Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Malik, Simee I, MD, (F), B Provider ID: 001310726003 Orosz, Linda S, MD, (F), B Group Name: Lake Health Allied NPI: 1154408490 Group Name: UPCP Health Professionals 2550 Som Center Rd Provider ID: 001311626002 Provider ID: 002003009001 Willoughby Hills, OH 44094 NPI: 1538166962 NPI: 1437265766 (440) 943-2500 EB, P, R 35010 Chardon Rd Ste 205 36001 Euclid Ave Ste B16 Mo-Fr - 8:00 AM - 8:00 PM Willoughby Hills, OH 44094 Willoughby, OH 44094 Ages: 0-17 (440) 918-0501 E, EB, P, R (440) 942-4844 E, EB, G, IB, P, Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM R, RE, S, T Lake Health Ages: 0-17 Languages Spoken: Cleveland Clinic Foundation Hospital Affiliations: Provider: Hindi, Urdu Euclid Hospital Cleveland Clinic Foundation Mo-Fr - 9:00 AM - 4:30 PM Lutheran Hospital Hillcrest Hospital Ages: 0-17 Uh Cleveland Medical Center Hospital Affiliations: Mcclave, Julie L, MD, (F), B Lake Health Group Name: Lake Health Allied Robinson, Joann, MD, (F), B Health Professionals Group Name: Cleveland Clinic Provider ID: 003492392004 Foundation NPI: 1437384922 Provider ID: 001392648003 36100 Euclid Ave Ste 300 NPI: 1255422473 Willoughby, OH 44094 2570 Som Center Rd

(440) 942-4844 EB, P, R Willoughby Hills, OH 44094

Mo-Fr - 8:30 AM - 5:00 PM (440) 943-6550 EB, IB, P, R, RE, Cultural Competency: Y T Ages: 0-20 Ages: 0-19 Hospital Affiliations: Hospital Affiliations:

Primary Care Providers Ohio - Lake

Cleveland Clinic Foundation Rainbow Babies & Childrens Hosp Physician Assistant Rowane, Barbara G, MD, (F), B Belmonte, Rosenda O, PA, (F) Group Name: University Primary Tang, Maria C, MD, (F) Group Name: Cleveland Clinic Care Practices Group Name: Cleveland Clinic Foundation Provider ID: 001396533001 Foundation Provider ID: 006465121005 NPI: 1194814939 Provider ID: 006881770001 NPI: 1811396781 4212 State Route 306 Ste 304 NPI: 1881081750 2570 Som Center Rd Willoughby, OH 44094 2550 Som Center Rd Willoughby Hills, OH 44094

(440) 946-7391 EB, P, R Willoughby Hills, OH 44094 (440) 943-2500 EB, IB, P, R, RE, Languages Spoken: (440) 516-8301 EB, P, R T Provider: Slovak Mo-Fr - 8:00 AM - 8:00 PM Does Not Accept New Patients Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-17 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-20 Cleveland Clinic Foundation Fairview Hospital Hospital Affiliations: Cleveland Clinic Foundation Uh Cleveland Medical Center Usis, Eriks A, MD, (M), B Rainbow Babies & Childrens Group Name: University Primary Belmonte, Rosenda O, PA, (F) Hosp Care Practices Group Name: Cleveland Clinic Provider ID: 002031939002 Foundation Sheth, Neha N, MD, (F), B NPI: 1982601324 Provider ID: 006465121004 Group Name: University Primary 9000 Mentor Ave Ste 100 NPI: 1811396781 Care Practices Mentor, OH 44060 2999 Mcmackin Rd Provider ID: 002336225002 (440) 974-4411 EB, P, R Madison, OH 44057

NPI: 1336238179 Languages Spoken: (440) 428-1111 E, EB, IB, P 4212 State Route 306 Ste 304 Provider: German, Latin, Latvian Does Not Accept New Patients Willoughby, OH 44094 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 (440) 946-7391 EB, P, R Cultural Competency: Y Hospital Affiliations: Languages Spoken: Ages: 0-18 Fairview Hospital Provider: French, Gujarati Hospital Affiliations: Cleveland Clinic Foundation Staff: Arabic, Slovak Lake Health Mo-Fr - 8:30 AM - 5:00 PM Hillcrest Hospital Belmonte, Rosenda O, PA, (F) Sa - 8:30 AM - 12:00 PM Uh Cleveland Medical Center Group Name: Cleveland Clinic Cultural Competency: Y Foundation Web address: www.rainbowbabies.o Provider ID: 006465121018 rg/northeastpeds NPI: 1811396781 Ages: 0-20 7533 Center St Hospital Affiliations: Mentor, OH 44060

Uh Geauga Medical Center (440) 205-1714 EB, P, R University Hospitals Geauga Does Not Accept New Patients Medical Ctr Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Uh Cleveland Medical Center Fairview Hospital

Ohio - Lake Primary Care Providers Cleveland Clinic Foundation Chewning, Victoria L, PA, (F) Chewning, Victoria L, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Bishop, Nichole E, PA, (F) Foundation Foundation Group Name: Cleveland Clinic Provider ID: 006934463022 Provider ID: 006934463040 Foundation NPI: 1407339559 NPI: 1407339559 Provider ID: 006927571001 2570 Som Center Rd 7533 Center St NPI: 1306329487 Willoughby Hills, OH 44094 Mentor, OH 44060

2999 Mcmackin Rd (440) 943-2500 EB, IB, P, R, RE, (440) 205-1714 EB, P, R Madison, OH 44057 T Does Not Accept New Patients

(440) 428-1111 E, EB, IB, P Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Cleveland Clinic Foundation Akron General Medical Ctr Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital Buck, Leah, PA, (F) Hillcrest Hospital South Pointe Hospital Group Name: University Primary South Pointe Hospital Marymount Hospital Care Practices Marymount Hospital Medina Hospital Provider ID: 006969341008 Medina Hospital NPI: 1982186573 Coreno, Albert J, PA, (M) 7500 Auburn Rd Ste 1200 Chewning, Victoria L, PA, (F) Group Name: Cleveland Clinic Concord Township, OH 44077 Group Name: Cleveland Clinic Foundation

(440) 358-5400 EB, P, R Foundation Provider ID: 003661271028 Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 006934463021 NPI: 1134469547 Ages: 0-99 NPI: 1407339559 2570 Som Center Rd 2999 Mcmackin Rd Willoughby Hills, OH 44094

Chewning, Victoria L, PA, (F) Madison, OH 44057 (440) 943-2500 EB, IB, P, R, RE,

Group Name: Cleveland Clinic (440) 428-1111 E, EB, IB, P T Foundation Does Not Accept New Patients Languages Spoken: Provider ID: 006934463035 Ages: 0-99 Provider: Spanish NPI: 1407339559 Hospital Affiliations: Does Not Accept New Patients 2550 Som Center Rd Akron General Medical Ctr Ages: 0-99 Willoughby Hills, OH 44094 Cleveland Clinic Foundation Hospital Affiliations:

(440) 943-2500 EB, P, R Hillcrest Hospital Metrohealth Medical Center Does Not Accept New Patients South Pointe Hospital Cleveland Clinic Foundation Ages: 0-99 Marymount Hospital Hospital Affiliations: Medina Hospital Akron General Medical Ctr Cleveland Clinic Foundation Hillcrest Hospital South Pointe Hospital Marymount Hospital Medina Hospital

100

Primary Care Providers Ohio - Lake Coreno, Albert J, PA, (M) Cribbins, Christine T, PA, (F) Crozier, Alyssa N, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003661271027 Provider ID: 003559901028 Provider ID: 005210842019 NPI: 1134469547 NPI: 1679617641 NPI: 1831598143 2999 Mcmackin Rd 7533 Center St 7533 Center St Madison, OH 44057 Mentor, OH 44060 Mentor, OH 44060

(440) 428-1111 E, EB, IB, P (440) 205-1714 EB, P, R (440) 205-1714 EB, P, R Languages Spoken: Does Not Accept New Patients Cultural Competency: Y Provider: Spanish Ages: 0-99 Accepting Existing Patients Only Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Metrohealth Medical Center Crozier, Alyssa N, PA, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Davis, Bryan T, PA, (M) Foundation Group Name: Cleveland Clinic Cribbins, Christine T, PA, (F) Provider ID: 005210842025 Foundation Group Name: Cleveland Clinic NPI: 1831598143 Provider ID: 005007777018 Foundation 2570 Som Center Rd NPI: 1609846591 Provider ID: 003559901018 Willoughby Hills, OH 44094 7533 Center St

NPI: 1679617641 (440) 943-2500 EB, IB, P, R, RE, Mentor, OH 44060

2570 Som Center Rd T (440) 205-1714 EB, P, R Willoughby Hills, OH 44094 Cultural Competency: Y Does Not Accept New Patients

(440) 943-2500 EB, IB, P, R, RE, Accepting Existing Patients Only Ages: 0-99 T Ages: 0-99 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Denbow, Rachel L, PA, (F) Cleveland Clinic Foundation Crozier, Alyssa N, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Cribbins, Christine T, PA, (F) Foundation Provider ID: 005623044021 Group Name: Cleveland Clinic Provider ID: 005210842006 NPI: 1417333006 Foundation NPI: 1831598143 2570 Som Center Rd Provider ID: 003559901017 2999 Mcmackin Rd Willoughby Hills, OH 44094

NPI: 1679617641 Madison, OH 44057 (440) 943-2500 EB, IB, P, R, RE,

2999 Mcmackin Rd (440) 428-1111 E, EB, IB, P T Madison, OH 44057 Cultural Competency: Y Does Not Accept New Patients

(440) 428-1111 E, EB, IB, P Accepting Existing Patients Only Ages: 0-99 Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Carolinas Healthcare System Hospital Affiliations: Cleveland Clinic Foundation Union Cleveland Clinic Foundation Atrium Health Union Cleveland Clinic Foundation

101

Ohio - Lake Primary Care Providers Stanly Regional Medical Center Dougan, Terrence M, PA, (M) Dougan, Terrence M, PA, (M) Atrium Health Stanly Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Denbow, Rachel L, PA, (F) Provider ID: 003471992013 Provider ID: 003471992029 Group Name: Cleveland Clinic NPI: 1235161167 NPI: 1235161167 Foundation 2570 Som Center Rd 7533 Center St Provider ID: 005623044002 Willoughby Hills, OH 44094 Mentor, OH 44060

NPI: 1417333006 (440) 943-2500 EB, IB, P, R, RE, (440) 205-1714 EB, P, R 2999 Mcmackin Rd T Accepting Existing Patients Only Madison, OH 44057 Accepting Existing Patients Only Ages: 0-17

(440) 428-1111 E, EB, IB, P Ages: 0-17 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Uh Cleveland Medical Center Ages: 0-99 Uh Cleveland Medical Center Uh Parma Medical Center Hospital Affiliations: Uh Parma Medical Center University Hospitals Parma Carolinas Healthcare System University Hospitals Parma Medical Ctr Union Medical Ctr Univ Hospitals Ahuja Med Ctr Atrium Health Union Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation Ferencak, Jamie L, PA, (F) Stanly Regional Medical Center Dougan, Terrence M, PA, (M) Group Name: Cleveland Clinic Atrium Health Stanly Group Name: Cleveland Clinic Foundation Foundation Provider ID: 005545848016 Denbow, Rachel L, PA, (F) Provider ID: 003471992012 NPI: 1891767711 Group Name: Cleveland Clinic NPI: 1235161167 2999 Mcmackin Rd Foundation 2999 Mcmackin Rd Madison, OH 44057

Provider ID: 005623044016 Madison, OH 44057 (440) 428-1111 E, EB, IB, P

NPI: 1417333006 (440) 428-1111 E, EB, IB, P Cultural Competency: Y 7533 Center St Accepting Existing Patients Only Accepting Existing Patients Only Mentor, OH 44060 Ages: 0-17 Ages: 0-99

(440) 205-1714 EB, P, R Hospital Affiliations: Hospital Affiliations: Does Not Accept New Patients Uh Cleveland Medical Center Cleveland Clinic Foundation Ages: 0-99 Uh Parma Medical Center Hospital Affiliations: University Hospitals Parma Forte, Annie C, PA, (F) Carolinas Healthcare System Medical Ctr Group Name: Cleveland Clinic Union Univ Hospitals Ahuja Med Ctr Foundation Atrium Health Union Provider ID: 004732854025 Cleveland Clinic Foundation NPI: 1215353719 Stanly Regional Medical Center 2570 Som Center Rd Atrium Health Stanly Willoughby Hills, OH 44094

(440) 943-2500 EB, IB, P, R, RE, T Ages: 18-99 Hospital Affiliations: Metrohealth Medical Center

102

Primary Care Providers Ohio - Lake Cleveland Clinic Foundation Gersman, Emily A, PA, (F) Homoki, Kristin R, PA, (F) Group Name: University Primary Group Name: Cleveland Clinic Forte, Annie C, PA, (F) Care Practices Foundation Group Name: Cleveland Clinic Provider ID: 006370245003 Provider ID: 003260264004 Foundation NPI: 1861930844 NPI: 1467664391 Provider ID: 004732854030 9000 Mentor Ave Ste 101 2570 Som Center Rd NPI: 1215353719 Mentor, OH 44060 Willoughby Hills, OH 44094

7533 Center St (440) 255-0250 EB, P, R (440) 943-2500 EB, IB, P, R, RE, Mentor, OH 44060 Mo-Fr - 8:30 AM - 4:30 PM T

(440) 205-1714 EB, P, R Ages: 0-99 Does Not Accept New Patients Ages: 18-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Metrohealth Medical Center Hillcrest Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Hillcrest Hospital South Pointe Hospital Gersman, Emily A, PA, (F) Euclid Hospital Homoki, Kristin R, PA, (F) Group Name: University Primary Marymount Hospital Group Name: Cleveland Clinic Care Practices Lutheran Hospital Foundation Provider ID: 006370245004 Cleveland Clinic Avon Hospital Provider ID: 003260264028 NPI: 1861930844 NPI: 1467664391 7500 Auburn Rd Ste 1200 Hollobaugh, Susan A, PA, (F) 7533 Center St Concord Township, OH 44077 Group Name: Lake Health Allied Mentor, OH 44060

(440) 358-5400 EB, P, R Health Professionals (440) 205-1714 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 003341580001 Does Not Accept New Patients Ages: 0-99 NPI: 1710181532 Ages: 0-99 Hospital Affiliations: 9500 Mentor Ave Ste 100 Hospital Affiliations: Cleveland Clinic Foundation Mentor, OH 44060 Cleveland Clinic Foundation

Hillcrest Hospital (440) 352-4880 EB, P, R Hillcrest Hospital Fairview Hospital Web address: www.lcfp.net South Pointe Hospital Ages: 0-99 Jakubowski, Sarah E, PA, (F) Euclid Hospital Hospital Affiliations: Group Name: University Primary Marymount Hospital Lake Health Care Practices Lutheran Hospital Provider ID: 002834263003 Cleveland Clinic Avon Hospital NPI: 1013983154 470 Bacon Rd Painesville, OH 44077

(440) 354-9900 EB, P, R Ages: 0-99

103

Ohio - Lake Primary Care Providers Johnson, Allyssa K, PA, (F) Kulow, Kent M, PA, (M) Hospital Affiliations: Group Name: University Primary Group Name: Cleveland Clinic Cleveland Clinic Foundation Care Practices Foundation Lutheran Hospital Provider ID: 006268134013 Provider ID: 003577598014 Southwest General Health Center NPI: 1205386448 NPI: 1346256021 Areas of Expertise: MAT1 9000 Mentor Ave Ste 101 2570 Som Center Rd Mentor, OH 44060 Willoughby Hills, OH 44094 Lewis, Julie A, PA, (F)

(440) 255-0250 EB, P, R (440) 943-2500 EB, IB, P, R, RE, Group Name: Lake Health Allied Mo-Fr - 8:30 AM - 4:30 PM T Health Professionals Ages: 0-99 Does Not Accept New Patients Provider ID: 004462811003 Hospital Affiliations: Ages: 18-99 NPI: 1497181044 Cleveland Clinic Foundation Hospital Affiliations: 9500 Mentor Ave Ste 100 Hillcrest Hospital Cleveland Clinic Foundation Mentor, OH 44060

Euclid Hospital Lutheran Hospital (440) 352-4880 EB, P, R Southwest General Health Center Cultural Competency: Y Korduba, Renee M, PA, (F) Areas of Expertise: MAT1 Ages: 18-99 Group Name: Cleveland Clinic Hospital Affiliations: Foundation Kulow, Kent M, PA, (M) Lake Health Provider ID: 006271098002 Group Name: Cleveland Clinic NPI: 1164694717 Foundation Perozeni, Pamela A, PA, (F) 2999 Mcmackin Rd Provider ID: 003577598013 Group Name: Cleveland Clinic Madison, OH 44057 NPI: 1346256021 Foundation

(440) 428-1111 E, EB, IB, P 2999 Mcmackin Rd Provider ID: 003566981017 Does Not Accept New Patients Madison, OH 44057 NPI: 1306948039

Ages: 0-99 (440) 428-1111 E, EB, IB, P 2570 Som Center Rd Hospital Affiliations: Does Not Accept New Patients Willoughby Hills, OH 44094

Cleveland Clinic Foundation Ages: 18-99 (440) 943-2500 EB, IB, P, R, RE, Medina Hospital Hospital Affiliations: T Cleveland Clinic Foundation Cultural Competency: Y Kozek, Courtney K, PA, (F) Lutheran Hospital Does Not Accept New Patients Group Name: Lake Health Allied Southwest General Health Center Ages: 0-99 Health Professionals Areas of Expertise: MAT1 Hospital Affiliations: Provider ID: 006294750001 Metrohealth Medical Center NPI: 1821547274 Kulow, Kent M, PA, (M) Cleveland Clinic Foundation 9500 Mentor Ave Ste 100 Group Name: Cleveland Clinic Euclid Hospital Mentor, OH 44060 Foundation Marymount Hospital

(440) 352-4880 EB, P, R Provider ID: 003577598021 Medina Hospital Sa - 9:00 AM - 12:00 PM NPI: 1346256021 Southwest General Health Center Ages: 0-99 7533 Center St Uh Parma Medical Center Hospital Affiliations: Mentor, OH 44060 University Hospitals Parma

Lake Health (440) 205-1714 EB, P, R Medical Ctr Does Not Accept New Patients Ages: 18-99

104

Primary Care Providers Ohio - Lake Perozeni, Pamela A, PA, (F) Medical Ctr Group Name: Cleveland Clinic Perozeni, Pamela A, PA, (F) Foundation Group Name: Cleveland Clinic Peterson, Michael C, PA, (M) Provider ID: 003566981016 Foundation Group Name: Lake Health Allied NPI: 1306948039 Provider ID: 003566981029 Health Professionals 2999 Mcmackin Rd NPI: 1306948039 Provider ID: 003021844005 Madison, OH 44057 7533 Center St NPI: 1861542086

(440) 428-1111 E, EB, IB, P Mentor, OH 44060 8655 Market St

Cultural Competency: Y (440) 205-1714 EB, P, R Mentor, OH 44060

Does Not Accept New Patients Cultural Competency: Y (440) 255-7938 P, R, RE, T Ages: 0-99 Does Not Accept New Patients Languages Spoken: Hospital Affiliations: Ages: 0-99 Provider: Spanish Metrohealth Medical Center Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Metrohealth Medical Center Euclid Hospital Cleveland Clinic Foundation Richards, Todd B, PA, (M) Marymount Hospital Euclid Hospital Group Name: Cleveland Clinic Medina Hospital Marymount Hospital Foundation Southwest General Health Center Medina Hospital Provider ID: 003256420010 Uh Parma Medical Center Southwest General Health Center NPI: 1790895779 University Hospitals Parma Uh Parma Medical Center 2570 Som Center Rd Medical Ctr University Hospitals Parma Willoughby Hills, OH 44094

Medical Ctr (440) 943-2500 EB, IB, P, R, RE, Perozeni, Pamela A, PA, (F) T Group Name: University Primary Perozeni, Pamela A, PA, (F) Does Not Accept New Patients Care Practices Group Name: University Primary Ages: 0-99 Provider ID: 003566981011 Care Practices Hospital Affiliations: NPI: 1306948039 Provider ID: 003566981032 Cleveland Clinic Foundation 7500 Auburn Rd Ste 1200 NPI: 1306948039 Marymount Hospital Concord Township, OH 44077 9000 Mentor Ave Ste 101

(440) 358-5400 EB, P, R Mentor, OH 44060 Richards, Todd B, PA, (M)

Mo-Fr - 8:30 AM - 4:30 PM (440) 255-0250 EB, P, R Group Name: Cleveland Clinic Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Foundation Ages: 0-99 Cultural Competency: Y Provider ID: 003256420016 Hospital Affiliations: Ages: 0-99 NPI: 1790895779 Metrohealth Medical Center Hospital Affiliations: 7533 Center St Cleveland Clinic Foundation Metrohealth Medical Center Mentor, OH 44060

Euclid Hospital Cleveland Clinic Foundation (440) 205-1714 EB, P, R Marymount Hospital Euclid Hospital Does Not Accept New Patients Medina Hospital Marymount Hospital Ages: 0-99 Southwest General Health Center Medina Hospital Hospital Affiliations: Uh Parma Medical Center Southwest General Health Center Cleveland Clinic Foundation University Hospitals Parma Uh Parma Medical Center Marymount Hospital Medical Ctr University Hospitals Parma

105

Ohio - Lake Primary Care Providers Rudert, Nicole K, PA, (F) Cleveland Clinic Foundation Schultz, Howard A, PA, (M) Group Name: Cleveland Clinic Uh Cleveland Medical Center Group Name: Cleveland Clinic Foundation Foundation Provider ID: 003231549007 Salameh, Nour I, PA, (F) Provider ID: 003040283002 NPI: 1487896197 Group Name: University Primary NPI: 1003031188 2570 Som Center Rd Care Practices 2999 Mcmackin Rd Willoughby Hills, OH 44094 Provider ID: 005760891007 Madison, OH 44057

(440) 943-2500 EB, IB, P, R, RE, NPI: 1760861264 (440) 428-1111 E, EB, IB, P T 7500 Auburn Rd Ste 1200 Does Not Accept New Patients Does Not Accept New Patients Concord Township, OH 44077 Ages: 0-99

Ages: 0-99 (440) 358-5400 EB, P, R Hospital Affiliations: Hospital Affiliations: Languages Spoken: Cleveland Clinic Foundation Akron General Medical Ctr Provider: Arabic Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM Schultz, Howard A, PA, (M) Uh Cleveland Medical Center Ages: 0-99 Group Name: Cleveland Clinic Foundation Rudert, Nicole K, PA, (F) Salameh, Nour I, PA, (F) Provider ID: 003040283002 Group Name: Cleveland Clinic Group Name: University Primary NPI: 1003031188 Foundation Care Practices 7533 Center St Provider ID: 003231549006 Provider ID: 005760891010 Mentor, OH 44060

NPI: 1487896197 NPI: 1760861264 (440) 205-1714 EB, P, R 2999 Mcmackin Rd 9000 Mentor Ave Ste 101 Does Not Accept New Patients Madison, OH 44057 Mentor, OH 44060 Ages: 0-99

(440) 428-1111 E, EB, IB, P (440) 255-0250 EB, P, R Hospital Affiliations: Does Not Accept New Patients Languages Spoken: Cleveland Clinic Foundation Ages: 0-99 Provider: Arabic Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Schumacher, Andrew J, PA, (M) Akron General Medical Ctr Ages: 0-99 Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Uh Cleveland Medical Center Schultz, Howard A, PA, (M) Provider ID: 003472002004 Group Name: Cleveland Clinic NPI: 1609953579 Rudert, Nicole K, PA, (F) Foundation 2570 Som Center Rd Group Name: Cleveland Clinic Provider ID: 003040283002 Willoughby Hills, OH 44094

Foundation NPI: 1003031188 (440) 943-2500 EB, IB, P, R, RE, Provider ID: 003231549018 2570 Som Center Rd T NPI: 1487896197 Willoughby Hills, OH 44094 Does Not Accept New Patients

7533 Center St (440) 943-2500 EB, IB, P, R, RE, Ages: 0-99 Mentor, OH 44060 T Hospital Affiliations:

(440) 205-1714 EB, P, R Does Not Accept New Patients Cleveland Clinic Foundation Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Akron General Medical Ctr

106

Primary Care Providers Ohio - Lake Schumacher, Andrew J, PA, (M) Singh, Paramjit, PA, (M) Slabaugh, Rachel L, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003472002003 Provider ID: 003507777007 Provider ID: 003105291004 NPI: 1609953579 NPI: 1548354368 NPI: 1326290719 2999 Mcmackin Rd 2999 Mcmackin Rd 2999 Mcmackin Rd Madison, OH 44057 Madison, OH 44057 Madison, OH 44057

(440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P (440) 428-1111 E, EB, IB, P Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Metrohealth Medical Center Childrens Hospital Med Ctr Akron Cleveland Clinic Foundation Cleveland Clinic Foundation Schumacher, Andrew J, PA, (M) Group Name: Cleveland Clinic Singh, Paramjit, PA, (M) Slabaugh, Rachel L, PA, (F) Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Provider ID: 003472002016 Foundation Foundation NPI: 1609953579 Provider ID: 003507777029 Provider ID: 003105291017 7533 Center St NPI: 1548354368 NPI: 1326290719 Mentor, OH 44060 7533 Center St 7533 Center St

(440) 205-1714 EB, P, R Mentor, OH 44060 Mentor, OH 44060

Does Not Accept New Patients (440) 205-1714 EB, P, R (440) 205-1714 EB, P, R Ages: 0-99 Does Not Accept New Patients Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Childrens Hospital Med Ctr Akron Singh, Paramjit, PA, (M) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Slabaugh, Rachel L, PA, (F) Smith, Jordan L, PA, (M) Provider ID: 003507777021 Group Name: Cleveland Clinic Group Name: Lake Health Allied NPI: 1548354368 Foundation Health Professionals 2570 Som Center Rd Provider ID: 003105291005 Provider ID: 005331002001 Willoughby Hills, OH 44094 NPI: 1326290719 NPI: 1932507092

(440) 943-2500 EB, IB, P, R, RE, 2570 Som Center Rd 9500 Mentor Ave Ste 100 T Willoughby Hills, OH 44094 Mentor, OH 44060

Does Not Accept New Patients (440) 943-2500 EB, IB, P, R, RE, (440) 352-4880 EB, P, R Ages: 0-99 T Mo-Th - 8:00 AM - 7:30 PM Hospital Affiliations: Does Not Accept New Patients Fr - 8:00 AM - 5:00 PM Metrohealth Medical Center Ages: 0-99 Sa - 9:00 AM - 12:00 PM Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Childrens Hospital Med Ctr Akron Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation

107

Ohio - Lake Primary Care Providers Spencer, Jennie M, PA, (F) Cleveland Clinic Lakewood Torsney, Anne B, PA, (F) Group Name: Lake Health Allied Group Name: Cleveland Clinic Health Professionals Stebbins, Mark C, PA, (M) Foundation Provider ID: 003219997005 Group Name: Cleveland Clinic Provider ID: 006342235005 NPI: 1427215771 Foundation NPI: 1205806189 5105 Som Center Rd Ste 107 Provider ID: 003229972008 2570 Som Center Rd Willoughby, OH 44094 NPI: 1801102710 Willoughby Hills, OH 44094

(440) 953-5712 EB, P, R 2999 Mcmackin Rd (440) 943-2500 EB, IB, P, R, RE, Mo-Fr - 9:00 AM - 5:00 PM Madison, OH 44057 T

Ages: 0-99 (440) 428-1111 E, EB, IB, P Does Not Accept New Patients Hospital Affiliations: Does Not Accept New Patients Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: South Pointe Hospital Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Lutheran Hospital Spencer, Jennie M, PA, (F) Fairview Hospital Cleveland Clinic Avon Hospital Group Name: Lake Health Allied Lakewood Hospital Health Professionals Cleveland Clinic Lakewood Torsney, Anne B, PA, (F) Provider ID: 003219997004 Group Name: Cleveland Clinic NPI: 1427215771 Stebbins, Mark C, PA, (M) Foundation 7590 Auburn Rd Group Name: Cleveland Clinic Provider ID: 006342235004 Concord Township, OH 44077 Foundation NPI: 1205806189

(440) 953-5712 EB, P, R Provider ID: 003229972018 2999 Mcmackin Rd Mo-Fr - 9:00 AM - 5:00 PM NPI: 1801102710 Madison, OH 44057

Ages: 0-99 7533 Center St (440) 428-1111 E, EB, IB, P Hospital Affiliations: Mentor, OH 44060 Does Not Accept New Patients

Cleveland Clinic Foundation (440) 205-1714 EB, P, R Ages: 0-99 South Pointe Hospital Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Fairview Hospital Stebbins, Mark C, PA, (M) Hospital Affiliations: Lutheran Hospital Group Name: Cleveland Clinic Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Foundation Fairview Hospital Provider ID: 003229972012 Lakewood Hospital Torsney, Anne B, PA, (F) NPI: 1801102710 Cleveland Clinic Lakewood Group Name: Cleveland Clinic 2570 Som Center Rd Foundation Willoughby Hills, OH 44094 Provider ID: 006342235020

(440) 943-2500 EB, IB, P, R, RE, NPI: 1205806189 T 7533 Center St Does Not Accept New Patients Mentor, OH 44060

Ages: 0-99 (440) 205-1714 EB, P, R Hospital Affiliations: Does Not Accept New Patients Cleveland Clinic Foundation Ages: 0-99 Fairview Hospital Hospital Affiliations: Lakewood Hospital Fairview Hospital

108

Primary Care Providers Ohio - Lake Lutheran Hospital Lake Health Allied Health Lake Health Allied Health Cleveland Clinic Avon Hospital Professionals Professionals Provider ID: 000157504118 Provider ID: 000157504045 NPI: 1851698435 NPI: 1851698435 Primary Care Clinics 10 E Washington St 30498 Lake Shore Blvd Andrew K Brobbey Md Painesville, OH 44077 Willowick, OH 44095 Provider ID: 002737576007 (440) 354-2400 EB, P, R (440) 585-3322 EB, P, R NPI: 1831214774 Ages: 0-99 Ages: 0-99 36001 Euclid Ave Willoughby, OH 44094 Lake Health Allied Health Lake Health Allied Health

(440) 946-5151 EB, P, R Professionals Professionals Ages: 0-99 Provider ID: 000157504160 Provider ID: 000157504220 NPI: 1851698435 NPI: 1851698435 Andrew K Brobbey Md 2120 S Greene Ste 02 34050 Glen Dr Provider ID: 002737576006 Mentor, OH 44060 Eastlake, OH 44095 NPI: 1831214774 (440) 352-4803 EB, P, R (440) 283-2711 EB, P, R 36001 Euclid Ave Ste B16 Ages: 0-99 Ages: 0-99 Willoughby, OH 44094

(216) 731-7110 E, EB, G, IB, P, Lake Health Allied Health Lake Health Allied Health R, RE, S, T Professionals Professionals Ages: 0-99 Provider ID: 000157504251 Provider ID: 000157504153 NPI: 1851698435 NPI: 1851698435 Andrew K Brobbey Md 29804 Lakeshore Blvd 34500 Chardon Rd Ste 4 Provider ID: 002737576022 Willowick, OH 44095 Willoughby Hills, OH 44094 NPI: 1831214774 (800) 354-1985 P, R, RE, T (440) 953-8700 EB, P, R 37121 Euclid Ave Ages: 0-99 Ages: 0-99 Willoughby, OH 44094

(440) 946-5151 Lake Health Allied Health Lake Health Allied Health Ages: 0-99 Professionals Professionals Provider ID: 000157504202 Provider ID: 000157504023 Andrew K Brobbey Md NPI: 1851698435 NPI: 1851698435 Provider ID: 002737576009 30348 Lakeshore Blvd 35040 Chardon Rd Bldg 7 NPI: 1831214774 Willowick, OH 44095 Willoughby Hills, OH 44094 37603 Euclid Ave (440) 585-3322 EB, P, R (440) 205-5830 EB, P, R Willoughby, OH 44094 Ages: 0-99 Ages: 0-99

(440) 854-0212 EB, P, R Ages: 0-99

109

Ohio - Lake Primary Care Providers Lake Health Allied Health Lake Health Allied Health Lake Health Allied Health Professionals Professionals Professionals Provider ID: 000157504121 Provider ID: 000157504203 Provider ID: 000157504011 NPI: 1851698435 NPI: 1851698435 NPI: 1851698435 35040 Chardon Rd Bldg 7 Ste 205 36001 Euclid Ave Ste B16 36100 Euclid Ave Ste 170 Willoughby Hills, OH 44094 Willoughby, OH 44094 Willoughby, OH 44094

(440) 205-5830 EB, P, R (440) 942-4844 E, EB, G, IB, P, (440) 602-6737 EB, P, R Ages: 0-99 R, RE, S, T Ages: 0-99 Ages: 0-99 Lake Health Allied Health Lake Health Allied Health Professionals Lake Health Allied Health Professionals Provider ID: 000157504233 Professionals Provider ID: 000157504058 NPI: 1851698435 Provider ID: 000157504197 NPI: 1851698435 35040 Chardon Rd Bldg Vii NPI: 1851698435 36100 Euclid Ave Ste 210 Willoughby Hills, OH 44094 36060 Euclid Ave Ste 204 Willoughby, OH 44094

(440) 918-4630 EB, P, R Willoughby, OH 44094 (440) 602-6880 EB, P, R

Ages: 0-99 (440) 602-6640 EB, P, R Mo - 8:30 AM - 5:00 PM Ages: 0-99 Tu - 8:30 AM - 6:00 PM Lake Health Allied Health We,Th - 9:00 AM - 5:00 PM Professionals Lake Health Allied Health Fr - 8:00 AM - 4:00 PM Provider ID: 000157504205 Professionals Ages: 0-99 NPI: 1851698435 Provider ID: 000157504158 36000 Euclid Ave NPI: 1851698435 Lake Health Allied Health Willoughby, OH 44094 36100 Euclid Ave Professionals

(440) 354-1985 P, R, RE, T Willoughby, OH 44094 Provider ID: 000157504207

Ages: 0-99 (440) 602-6770 EB, P, R NPI: 1851698435 Ages: 0-99 36100 Euclid Ave Ste 240 Lake Health Allied Health Willoughby, OH 44094

Professionals Lake Health Allied Health (440) 953-6294 EB, P, R Provider ID: 000157504142 Professionals Ages: 0-99 NPI: 1851698435 Provider ID: 000157504235 36001 Euclid Ave Ste 300 NPI: 1851698435 Lake Health Allied Health Willoughby, OH 44094 36100 Euclid Ave Ste 120 Professionals

(440) 942-4844 EB, P, R Willoughby, OH 44094 Provider ID: 000157504204

Ages: 0-99 (440) 951-8360 EB, IB, P, R, RE, NPI: 1851698435 S, T 36100 Euclid Ave Ste 300 Ages: 0-99 Willoughby, OH 44094

(440) 942-4844 EB, P, R Ages: 0-99

110

Primary Care Providers Ohio - Lake Lake Health Allied Health Lake Health Allied Health Lake Health Allied Health Professionals Professionals Professionals Provider ID: 000157504188 Provider ID: 000157504059 Provider ID: 000157504141 NPI: 1851698435 NPI: 1851698435 NPI: 1851698435 36100 Euclid Ave Ste 320 38429 Lakeshore Blvd 5105 Som Center Rd # 102 Willoughby, OH 44094 Willoughby, OH 44094 Willoughby, OH 44094

(440) 951-1073 EB, P, R (440) 602-6880 EB, IB, P, R, RE, (440) 375-8191 EB, P, R, RE, T Ages: 0-99 T Ages: 0-99 Ages: 0-99 Lake Health Allied Health Professionals Lake Health Allied Health Lake Health Allied Health Provider ID: 000157504129 Professionals Professionals NPI: 1851698435 Provider ID: 000157504162 Provider ID: 000157504245 36100 Euclid Ave Ste 450 NPI: 1851698435 NPI: 1851698435 Willoughby, OH 44094 4176 State Route 306 5105 Som Center Rd # 107 Willoughby, OH 44094 (440) 946-9555 EB, P, R Willoughby, OH 44094 (440) 953-5712 EB, P, R Ages: 0-99 (440) 918-4690 EB, IB, P, R, RE, S, T Ages: 0-99 Lake Health Allied Health Ages: 0-99 Professionals Lake Health Allied Health Provider ID: 000157504151 Lake Health Allied Health Professionals NPI: 1851698435 Professionals Provider ID: 000157504196 36500 Euclid Ave Provider ID: 000157504146 NPI: 1851698435 Willoughby, OH 44094 NPI: 1851698435 5105 Som Center Rd # 202 Willoughby, OH 44094 (440) 527-8934 EB, P, R 4212 State Route 306 Ste 110 Ages: 0-99 Willoughby, OH 44094 (440) 953-9600 EB, P, R Ages: 0-99 (440) 953-9135 EB, P, R Lake Health Allied Health Ages: 0-99 Professionals Lake Health Allied Health Provider ID: 000157504138 Lake Health Allied Health Professionals NPI: 1851698435 Professionals Provider ID: 000157504239 37603 Euclid Ave Provider ID: 000157504215 NPI: 1851698435 Willoughby, OH 44094 NPI: 1851698435 5105 Som Center Rd Ste 106 Willoughby, OH 44094 (440) 354-1100 EB, P, R 5105 Som Center Rd Ages: 0-99 Willoughby, OH 44094 (440) 953-5740 EB, P, R Ages: 0-99 (440) 953-5760 EB, P, R Ages: 0-99

111

Ohio - Lake Primary Care Providers Lake Health Allied Health Lake Health Allied Health Lake Health Allied Health Professionals Professionals Professionals Provider ID: 000157504214 Provider ID: 000157504200 Provider ID: 000157504206 NPI: 1851698435 NPI: 1851698435 NPI: 1851698435 5105 Som Center Rd Ste 107 74 S Park Pl 7580 Auburn Rd Ste 207 Willoughby, OH 44094 Painesville, OH 44077 Concord Township, OH 44077

(440) 953-5712 EB, P, R (440) 274-5035 EB, P, R (440) 354-1802 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Lake Health Allied Health Lake Health Allied Health Lake Health Allied Health Professionals Professionals Professionals Provider ID: 000157504185 Provider ID: 000157504221 Provider ID: 000157504209 NPI: 1851698435 NPI: 1851698435 NPI: 1851698435 5105 Som Center Rd Ste 201 7580 Auburn Rd Ste 106 7580 Auburn Rd Ste 214 Willoughby, OH 44094 Concord Township, OH 44077 Concord Township, OH 44077

(440) 602-6710 EB, P, PL, R, RE, (440) 352-9554 EB, P, R, RE, T (440) 602-6670 EB, P, R T Ages: 0-99 Ages: 0-99 Ages: 0-99 Lake Health Allied Health Lake Health Allied Health Lake Health Allied Health Professionals Professionals Professionals Provider ID: 000157504147 Provider ID: 000157504219 Provider ID: 000157504077 NPI: 1851698435 NPI: 1851698435 NPI: 1851698435 7580 Auburn Rd Ste 108 7590 Auburn Rd 6270 N Ridge Rd Concord Township, OH 44077 Concord Township, OH 44077

Madison, OH 44057 (440) 352-9554 EB, P, R (440) 354-1874 EB, P, R

(440) 428-8256 EB, IB, P, R, RE, Ages: 0-99 Ages: 0-99 T Ages: 0-99 Lake Health Allied Health Lake Health Allied Health Professionals Professionals Lake Health Allied Health Provider ID: 000157504192 Provider ID: 000157504212 Professionals NPI: 1851698435 NPI: 1851698435 Provider ID: 000157504055 7580 Auburn Rd Ste 202 7590 Auburn Rd Ste 214 NPI: 1851698435 Concord Township, OH 44077 Concord Township, OH 44077

6990 Lindsay Dr Ste 3 (440) 352-0400 EB, P, R (844) 746-8537 EB, P, R, RE, T Mentor, OH 44060 Mo-Th - 8:00 AM - 9:00 AM Ages: 0-99

(440) 255-7938 EB, P, R Fr - 8:00 AM - 9:00 PM Ages: 0-99 Ages: 0-99

112

Primary Care Providers Ohio - Lake Lake Health Allied Health Lake Health Allied Health Lake Health Allied Health Professionals Professionals Professionals Provider ID: 000157504074 Provider ID: 000157504217 Provider ID: 000157504019 NPI: 1851698435 NPI: 1851698435 NPI: 1851698435 7956 Tyler Blvd 8300 Tyler Blvd Ste 300 9485 Mentor Ave Ste 100 Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060

(800) 611-6912 EB, P, R (440) 205-1529 EB, P, R (440) 974-6800 E, EB, IB, P, R, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Lake Health Allied Health Lake Health Allied Health Professionals Professionals Lake Health Allied Health Provider ID: 000157504161 Provider ID: 000157504193 Professionals NPI: 1851698435 NPI: 1851698435 Provider ID: 000157504208 8155 Mentor Hills Dr 8316 Yellowbrick Rd NPI: 1851698435 Mentor, OH 44060 Mentor, OH 44060 9485 Mentor Ave Ste 101 Mentor, OH 44060 (440) 354-1100 EB, IB, P, R (440) 205-8818 EB, P, R, RE, T Ages: 0-99 Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM (440) 205-5800 E, EB, IB, P, R We - 9:00 AM - 1:00 PM Ages: 0-99 Lake Health Allied Health Ages: 0-99

Professionals Lake Health Allied Health Provider ID: 000157504213 Lake Health Allied Health Professionals NPI: 1851698435 Professionals Provider ID: 000157504211 8200 Mentor Hills Dr Provider ID: 000157504154 NPI: 1851698435 Mentor, OH 44060 NPI: 1851698435 9485 Mentor Ave Ste 103 (440) 354-1100 EB, P, R 8655 Market St Mentor, OH 44060 Ages: 0-99 Mentor, OH 44060 (440) 205-5799 EB, P, R (440) 255-7938 P, R, RE, T Ages: 0-99 Lake Health Allied Health Ages: 0-99

Professionals Lake Health Allied Health Provider ID: 000157504225 Lake Health Allied Health Professionals NPI: 1851698435 Professionals Provider ID: 000157504195 8300 Tyler Blvd Ste 102 Provider ID: 000157504228 NPI: 1851698435 Mentor, OH 44060 NPI: 1851698435 9485 Mentor Ave Ste 200 (440) 266-5000 E, EB, IB, P, R, 9485 Mentor Ave Mentor, OH 44060 RE, S, T Mentor, OH 44060 (440) 205-5799 EB, P, R Ages: 0-99 (440) 205-5883 EB, P, R Ages: 0-99 Ages: 0-99

113

Ohio - Lake Primary Care Providers Lake Health Allied Health Lake Health Allied Health Professionals Professionals Northeast Ohio Grp Practice Provider ID: 000157504042 Provider ID: 000157504109 Provider ID: 001360345080 NPI: 1851698435 NPI: 1851698435 NPI: 1063575462 9485 Mentor Ave Ste 202 9500 Mentor Ave Ste 200 1919 Bishop Rd Mentor, OH 44060 Mentor, OH 44060 Wickliffe, OH 44092

(440) 205-5864 EB, P, R (440) 354-0377 EB, IB, P, R (440) 944-9400 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Lake Health Allied Health Lake Health Allied Health Northeast Ohio Grp Practice Professionals Professionals Provider ID: 001360345081 Provider ID: 000157504201 Provider ID: 000157504157 NPI: 1063575462 NPI: 1851698435 NPI: 1851698435 37603 Euclid Ave 9485 Mentor Ave Ste 210 9500 Mentor Ave Ste 300 Willoughby, OH 44094

Mentor, OH 44060 Mentor, OH 44060 (440) 951-5551 EB, P, R

(440) 205-5835 RE, T (440) 354-0377 EB, P, R Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Northeast Ohio Grp Practice Lake Health Allied Health Provider ID: 001360345079 Lake Health Allied Health Professionals NPI: 1063575462 Professionals Provider ID: 000157504057 8881 Schaeffer St Provider ID: 000157504227 NPI: 1851698435 Mentor, OH 44060

NPI: 1851698435 9500 Mentor Ave Ste 360 (440) 255-9309 EB, P, R 9485 Mentor Ave Ste 212 Mentor, OH 44060 Ages: 0-99

Mentor, OH 44060 (440) 255-5508

(440) 255-5571 EB, P, R Ages: 0-99 Northeast Ohio Practitioner Ages: 0-99 Provider ID: 006833079031 Lake Health Allied Health NPI: 1831681014 Lake Health Allied Health Professionals 9685 Chillicote Rd Professionals Provider ID: 000157504134 Kirtland, OH 44094

Provider ID: 000157504088 NPI: 1851698435 (440) 256-8100 EB, P, R NPI: 1851698435 9521 Lake Shore Ages: 0-99 9500 Mentor Ave Ste 100 Mentor, OH 44060

Mentor, OH 44060 (440) 354-1100 EB, P, R Northeast Ohio Practitioner

(440) 352-4803 EB, P, R Ages: 0-99 Provider ID: 006833079013 Ages: 0-99 NPI: 1831681014 Maguire Medical LLC 9685 Chillicothe Rd Provider ID: 006652556002 Kirtland, OH 44094

NPI: 1700397775 (440) 256-8100 EB, P, R 30575 Euclid Ave Ages: 0-99 Wickliffe, OH 44092

(330) 468-3312 EB, P, R Ages: 0-99

114

Primary Care Providers Ohio - Lake Primary Nurse Practitioner Primary Nurse Practitioner Primary Nurse Practitioner Provider ID: 002844953005 Provider ID: 002844953013 Provider ID: 002844953004 NPI: 1225224132 NPI: 1225224132 NPI: 1225224132 2041 Hubbard Rd 7685 Lake Shore Blvd 9930 Johnny Cake Rd Madison, OH 44057 Mentor, OH 44060 Mentor, OH 44060

(440) 392-9550 EB, IB, P, R (440) 392-9550 EB, P, R (440) 352-4417 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Primary Nurse Practitioner Primary Nurse Practitioner Rajesh Agarwal Md Provider ID: 002844953003 Provider ID: 002844953014 Provider ID: 002606491019 NPI: 1225224132 NPI: 1225224132 NPI: 1942422035 36100 Euclid Ave Ste 120 8155 Mentor Hills Dr 7900 Mentor Ave Willoughby, OH 44094 Mentor, OH 44060 Mentor, OH 44060

(440) 951-8360 EB, IB, P, R, RE, (440) 392-9550 EB, IB, P, R (440) 525-5446 EB, P, R S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Primary Nurse Practitioner University Hospitals Medical Primary Nurse Practitioner Provider ID: 002844953007 Group Provider ID: 002844953019 NPI: 1225224132 Provider ID: 002722235547 NPI: 1225224132 8200 Mentor Hills Dr NPI: 1578895751 37603 Euclid Ave Mentor, OH 44060 9485 Mentor Ave

Willoughby, OH 44094 (440) 256-1496 EB, P, R Mentor, OH 44060

(216) 881-5055 EB, P, R Ages: 0-99 (216) 844-3951 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Primary Nurse Practitioner Ages: 0-99 Primary Nurse Practitioner Provider ID: 002844953015 Provider ID: 002844953012 NPI: 1225224132 Lorain NPI: 1225224132 8506 Hendricks Rd

5301 E Heisley Rd Mentor, OH 44060 Family Nurse Practitioner Mentor, OH 44060 (440) 392-9500 EB, P, R

(440) 231-9143 EB, P, R Ages: 0-99 Bradford, Julie E, NP, (F) Ages: 0-99 Group Name: UPCP Primary Nurse Practitioner Provider ID: 005159678005 Primary Nurse Practitioner Provider ID: 002844953006 NPI: 1467796417 Provider ID: 002844953017 NPI: 1225224132 2535 Hale St Ste A NPI: 1225224132 8881 Schaeffer St Avon, OH 44011

5700 Emerald Ct Mentor, OH 44060 (440) 934-8810 EB, P, R Mentor, OH 44060 (440) 392-9550 EB, P, R Mo-Fr - 8:00 AM - 4:30 PM (440) 392-9550 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: St John Medical Center

115

Ohio - Lorain Primary Care Providers Francis, Melissa P, FNP, (F) Francis, Melissa P, FNP, (F) Francis, Melissa P, FNP, (F) Group Name: Mercy Health Group Name: Mercy Health Group Name: Mercy Health Physicians Lorain Physicians Lorain Physicians Lorain Provider ID: 006497270013 Provider ID: 006497270018 Provider ID: 006497270005 NPI: 1194247833 NPI: 1194247833 NPI: 1194247833 1025 W 23rd St 1957 Cooper Foster Park Rd 3600 Kolbe Rd Ste 106 Lorain, OH 44052 Amherst, OH 44001 Lorain, OH 44053

(440) 830-4210 EB, P, R (440) 370-5446 E, EB, P, R, RE, (440) 960-3954 EB, P, R, RE, T Accepting Existing Patients Only S, T Accepting Existing Patients Only Ages: 0-99 Mo-Fr - 9:00 AM - 7:00 PM Ages: 0-99 Does Not Accept Male Patients Accepting Existing Patients Only Does Not Accept Male Patients Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Mercy Regional Medical Center Does Not Accept Male Patients Mercy Regional Medical Center Communtiy Health Partners Rgnl Hospital Affiliations: Communtiy Health Partners Rgnl Mdcl Ctr Mercy Regional Medical Center Mdcl Ctr Communtiy Health Partners Rgnl Francis, Melissa P, FNP, (F) Mdcl Ctr Francis, Melissa P, FNP, (F) Group Name: Mercy Health Group Name: Mercy Health Physicians Lorain Francis, Melissa P, FNP, (F) Physicians Lorain Provider ID: 006497270016 Group Name: Mercy Health Provider ID: 006497270014 NPI: 1194247833 Physicians Lorain NPI: 1194247833 1813 Nagle Rd Ste 500 Provider ID: 006497270017 5940 Oak Point Rd Avon, OH 44011 NPI: 1194247833 Lorain, OH 44053

(440) 937-4600 EB, P, PL, R, RE, 224 W Lorain St Ste 100 (440) 988-3705 RE, T T Oberlin, OH 44074 Accepting Existing Patients Only

Mo-Su - 8:00 AM - 5:00 PM (440) 775-1881 E, EB, P, R, RE, Ages: 0-99 Accepting Existing Patients Only S, T Does Not Accept Male Patients Ages: 0-99 Mo-Fr - 9:00 AM - 7:00 PM Hospital Affiliations: Does Not Accept Male Patients Sa,Su - 10:00 AM - 4:00 PM Mercy Regional Medical Center Hospital Affiliations: Accepting Existing Patients Only Communtiy Health Partners Rgnl Mercy Regional Medical Center Ages: 0-99 Mdcl Ctr Communtiy Health Partners Rgnl Does Not Accept Male Patients Mdcl Ctr Hospital Affiliations: Gienke, Laura, NP, (F) Mercy Regional Medical Center Group Name: Mercy Allen Communtiy Health Partners Rgnl Hosp/Prof Fee Mdcl Ctr Provider ID: 006260829005 NPI: 1295186757 105 Opportunity Way Lagrange, OH 44050

(440) 222-4160 EB, P, R Accepting Existing Patients Only Ages: 0-99

116

Primary Care Providers Ohio - Lorain Gienke, Laura, NP, (F) Januzzi, Jenna L, FNP, (F) Maddock, Nicole, NP, (F) Group Name: Mercy Allen Group Name: UPCP Group Name: Mercy Allen Rhc Hosp/Prof Fee Provider ID: 006889523019 Lagrange Provider ID: 006260829004 NPI: 1679065163 Provider ID: 006266876023 NPI: 1295186757 1480 Center Rd Ste A NPI: 1548719487 508 Dickson St Ste 2 Avon, OH 44011 105 Opportunity Way

Wellington, OH 44090 (440) 695-6550 EB, P, R Lagrange, OH 44050

(440) 647-2225 E, EB, P, R Mo-Fr - 8:30 AM - 4:30 PM (440) 222-4160 EB, P, R Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mercy Regional Medical Center Mercy Regional Medical Center Januzzi, Jenna L, FNP, (F) Communtiy Health Partners Rgnl Group Name: UPCP Januzzi, Jenna L, FNP, (F) Mdcl Ctr Provider ID: 006889523015 Group Name: UPCP NPI: 1679065163 Provider ID: 006889523021 Maddock, Nicole, NP, (F) 101 Cooper Foster Park Rd NPI: 1679065163 Group Name: Mercy Health Amherst, OH 44001 1480 Center Rd Ste B Physicians Lorain

(440) 988-6060 EB, P, R Avon, OH 44011 Provider ID: 006266876037

Mo-Fr - 8:30 AM - 4:30 PM (440) 406-5810 E, EB, G, P, R, NPI: 1548719487 Ages: 0-99 RE, S, T 1957 Cooper Foster Park Rd Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Amherst, OH 44001

Mercy Regional Medical Center Ages: 0-99 (440) 370-5446 E, EB, P, R, RE, Hospital Affiliations: S, T Januzzi, Jenna L, FNP, (F) Mercy Regional Medical Center Does Not Accept New Patients Group Name: UPCP Ages: 0-99 Provider ID: 006889523017 Januzzi, Jenna L, FNP, (F) Hospital Affiliations: NPI: 1679065163 Group Name: UPCP Mercy Regional Medical Center 1120 E Broad St Ste 200 Provider ID: 006889523020 Communtiy Health Partners Rgnl Elyria, OH 44035 NPI: 1679065163 Mdcl Ctr

(440) 326-4410 EB, P, R 6115 Emerald St Mo-Fr - 8:30 AM - 4:30 PM North Ridgeville, OH 44039 Maddock, Nicole, NP, (F)

Ages: 0-99 (440) 406-5810 EB, P, R Group Name: Mercy Health Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Physicians Lorain Mercy Regional Medical Center Ages: 0-99 Provider ID: 006266876036 Hospital Affiliations: NPI: 1548719487 Mercy Regional Medical Center 224 W Lorain St Ste 100 Oberlin, OH 44074

(440) 775-1881 E, EB, P, R, RE, S, T Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Mercy Regional Medical Center

117

Ohio - Lorain Primary Care Providers Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Malear, Kathleen M, NP, (F) Mdcl Ctr Mdcl Ctr Group Name: Mercy Health Physicians Lorain Maddock, Nicole, NP, (F) Malear, Kathleen M, NP, (F) Provider ID: 002999084051 Group Name: Mercy Allen Rhc Group Name: Mercy Health NPI: 1881831311 Lagrange Physicians Lorain 1957 Cooper Foster Park Rd Provider ID: 006266876022 Provider ID: 002999084035 Amherst, OH 44001

NPI: 1548719487 NPI: 1881831311 (440) 370-5446 E, EB, P, R, RE, 508 Dickson St Ste 2 1201 Nebraska Ave S, T Wellington, OH 44090 Lorain, OH 44052 Ages: 0-99

(440) 647-2225 E, EB, P, R (440) 370-5446 EB, P, R Hospital Affiliations: Ages: 0-99 Ages: 0-99 Metrohealth Medical Center Hospital Affiliations: Hospital Affiliations: Mercy Regional Medical Center Mercy Regional Medical Center Metrohealth Medical Center Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mercy Regional Medical Center Mdcl Ctr Mdcl Ctr Communtiy Health Partners Rgnl Mdcl Ctr Malear, Kathleen M, NP, (F) Maddock, Nicole, NP, (F) Group Name: Mercy Health Group Name: Mercy Allen Rhc Malear, Kathleen M, NP, (F) Physicians Lorain Lagrange Group Name: Mercy Health Provider ID: 002999084049 Provider ID: 006266876028 Physicians Lorain NPI: 1881831311 NPI: 1548719487 Provider ID: 002999084047 200 W Lorain St 840 Patriot Dr NPI: 1881831311 Oberlin, OH 44074

Wellington, OH 44090 1813 Nagle Rd Ste 500 (440) 213-5333 EB, IB, P, R, RE,

(440) 647-2225 EB, P, R, RE, T Avon, OH 44011 S, T

Ages: 0-99 (440) 937-4600 EB, P, PL, R, RE, Ages: 0-99 Hospital Affiliations: T Hospital Affiliations: Mercy Regional Medical Center Ages: 0-99 Metrohealth Medical Center Communtiy Health Partners Rgnl Hospital Affiliations: Mercy Regional Medical Center Mdcl Ctr Metrohealth Medical Center Communtiy Health Partners Rgnl Mercy Regional Medical Center Mdcl Ctr Malear, Kathleen M, NP, (F) Communtiy Health Partners Rgnl Group Name: Mercy Health Mdcl Ctr Malear, Kathleen M, NP, (F) Physicians Lorain Group Name: Mercy Health Provider ID: 002999084021 Physicians Lorain NPI: 1881831311 Provider ID: 002999084050 101 Cooper Foster Park Rd NPI: 1881831311 Amherst, OH 44001 224 W Lorain St Ste 100

(440) 988-3705 EB, P, R Oberlin, OH 44074

Ages: 0-99 (440) 775-1881 E, EB, P, R, RE, Hospital Affiliations: S, T Metrohealth Medical Center Ages: 0-99 Mercy Regional Medical Center Hospital Affiliations:

118

Primary Care Providers Ohio - Lorain Metrohealth Medical Center Malear, Kathleen M, NP, (F) Mdcl Ctr Mercy Regional Medical Center Group Name: Mercy Health Communtiy Health Partners Rgnl Physicians Lorain Malear, Kathleen M, NP, (F) Mdcl Ctr Provider ID: 002999084045 Group Name: Mercy Health NPI: 1881831311 Physicians Lorain Malear, Kathleen M, NP, (F) 2600 Ashland Ave Provider ID: 002999084024 Group Name: Mercy Health Lorain, OH 44052 NPI: 1881831311

Physicians Lorain (440) 370-5446 EB, P, R 3600 Kolbe Rd Ste 106 Provider ID: 002999084034 Ages: 0-99 Lorain, OH 44053

NPI: 1881831311 Hospital Affiliations: (440) 960-3954 EB, P, R, RE, T 2319 E 34th St Metrohealth Medical Center Ages: 0-99 Lorain, OH 44055 Mercy Regional Medical Center Hospital Affiliations:

(440) 370-5446 EB, P, R Communtiy Health Partners Rgnl Metrohealth Medical Center Ages: 0-99 Mdcl Ctr Mercy Regional Medical Center Hospital Affiliations: Communtiy Health Partners Rgnl Metrohealth Medical Center Malear, Kathleen M, NP, (F) Mdcl Ctr Mercy Regional Medical Center Group Name: Mercy Health Communtiy Health Partners Rgnl Physicians Lorain Malear, Kathleen M, NP, (F) Mdcl Ctr Provider ID: 002999084043 Group Name: Mercy Health NPI: 1881831311 Physicians Lorain Malear, Kathleen M, NP, (F) 2700 Washington Ave Provider ID: 002999084042 Group Name: Mercy Health Lorain, OH 44052 NPI: 1881831311

Physicians Lorain (440) 370-5446 EB, P, R 5940 Oak Point Rd Provider ID: 002999084046 Ages: 0-99 Lorain, OH 44053

NPI: 1881831311 Hospital Affiliations: (440) 988-3705 RE, T 2321 Fairless Dr Metrohealth Medical Center Ages: 0-99 Lorain, OH 44055 Mercy Regional Medical Center Hospital Affiliations:

(440) 370-5446 EB, P, R Communtiy Health Partners Rgnl Metrohealth Medical Center Ages: 0-99 Mdcl Ctr Mercy Regional Medical Center Hospital Affiliations: Communtiy Health Partners Rgnl Metrohealth Medical Center Malear, Kathleen M, NP, (F) Mdcl Ctr Mercy Regional Medical Center Group Name: Mercy Health Communtiy Health Partners Rgnl Physicians Lorain Russell, Krystal M, NP, (F) Mdcl Ctr Provider ID: 002999084044 Group Name: Mercy Health NPI: 1881831311 Physicians Lorain 305 Louisiana Ave Provider ID: 005388675026 Lorain, OH 44052 NPI: 1750770244

(440) 370-5446 EB, P, R 224 W Lorain St Ste 100 Ages: 0-99 Oberlin, OH 44074

Hospital Affiliations: (440) 775-1881 E, EB, P, R, RE, Metrohealth Medical Center S, T Mercy Regional Medical Center Accepting Existing Patients Only Communtiy Health Partners Rgnl Ages: 0-99

119

Ohio - Lorain Primary Care Providers Hospital Affiliations: Strodtbeck, Leslie A, FNP, (F) Strodtbeck, Leslie A, FNP, (F) Mercy Hospital Group Name: Mercy Health Group Name: Mercy Health Mercy Allen Hospital Physicians Lorain Physicians Lorain Provider ID: 006977110024 Provider ID: 006977110014 Stoltz, Kathryn R, FNP, (F) NPI: 1003384207 NPI: 1003384207 Group Name: Cleveland Clinic 1957 Cooper Foster Park Rd 3600 Kolbe Rd Ste 106 Foundation Amherst, OH 44001 Lorain, OH 44053

Provider ID: 006233170019 (440) 370-5446 E, EB, P, R, RE, (440) 960-3954 EB, P, R, RE, T NPI: 1851767958 S, T Accepting Existing Patients Only 303 Chestnut Commons Dr Accepting Existing Patients Only Ages: 0-99 Elyria, OH 44035 Ages: 0-99

(440) 366-9444 EB, P, R Strodtbeck, Leslie A, FNP, (F) Accepting Existing Patients Only Strodtbeck, Leslie A, FNP, (F) Group Name: Mercy Health Ages: 0-17 Group Name: Mercy Health Physicians Lorain Hospital Affiliations: Physicians Lorain Provider ID: 006977110018 Lake Health Provider ID: 006977110022 NPI: 1003384207 Hillcrest Hospital NPI: 1003384207 5077 Waterford Dr Ste 305 200 W Lorain St Sheffield Village, OH 44035

Stoltz, Kathryn R, FNP, (F) Oberlin, OH 44074 (440) 222-4592 E, EB, IB, P, R,

Group Name: Cleveland Clinic (440) 213-5333 EB, IB, P, R, RE, RE, S, T Foundation S, T Accepting Existing Patients Only Provider ID: 006233170005 Accepting Existing Patients Only Ages: 0-99 NPI: 1851767958 Ages: 0-99 5700 Cooper Foster Park Rd W Strodtbeck, Leslie A, FNP, (F) Lorain, OH 44053 Strodtbeck, Leslie A, FNP, (F) Group Name: Mercy Health

(440) 204-7400 EB, IB, P, R, RE, T Group Name: Mercy Health Physicians Lorain Accepting Existing Patients Only Physicians Lorain Provider ID: 006977110016 Ages: 0-17 Provider ID: 006977110023 NPI: 1003384207 Hospital Affiliations: NPI: 1003384207 5940 Oak Point Rd Lake Health 224 W Lorain St Ste 100 Lorain, OH 44053

Hillcrest Hospital Oberlin, OH 44074 (440) 988-3705 RE, T

(440) 775-1881 E, EB, P, R, RE, Accepting Existing Patients Only Strodtbeck, Leslie A, FNP, (F) S, T Ages: 0-99 Group Name: Mercy Health Mo-Fr - 8:00 AM - 7:00 PM Physicians Lorain Sa,Su - 10:00 AM - 4:00 PM Provider ID: 006977110017 Accepting Existing Patients Only NPI: 1003384207 Ages: 0-99 1813 Nagel Rd Ste 500 Avon, OH 44011

(440) 937-4600 EB, P, R, RE, T Accepting Existing Patients Only Ages: 0-99

120

Primary Care Providers Ohio - Lorain

White, Molly M, FNP, (F) Babiuch, Christopher M, MD, Group Name: Cleveland Clinic Family Practice (M), B

Foundation Members may self-refer to these Group Name: Cleveland Clinic Provider ID: 002893272034 providers. Foundation

NPI: 1235209511 Provider ID: 002926967004 33100 Cleveland Clinic Blvd Adedipe, Adefunke G, MD, (F), B NPI: 1063689107 Avon, OH 44011 Group Name: Mercy Health 5700 Cooper Foster Park Rd W Physicians Lorain (440) 695-4000 EB, P, R Lorain, OH 44053 Provider ID: 006866083006 Does Not Accept New Patients (440) 204-7200 EB, IB, P, R, RE, T Ages: 0-99 NPI: 1114313590 Ages: 0-99 Hospital Affiliations: 5940 Oak Point Rd Hospital Affiliations: Cleveland Clinic Foundation Lorain, OH 44053 Cleveland Clinic Foundation (440) 988-3705 RE, T Macneal Hospital Willis, Jeanine R, NP, (F) Languages Spoken: Areas of Expertise: MAT1 Group Name: UPCP Provider: French, Latin Provider ID: 004331324002 Staff: French, Latin Baker, Vickie E, MD, (F), B NPI: 1356776975 Interpreter: French, Latin Group Name: Cleveland Clinic 1268 E Broad St Ste 4 Ages: 0-99 Foundation Elyria, OH 44035 Hospital Affiliations: Provider ID: 001369705005 Mercy Regional Medical Center (440) 365-1602 EB, P, R NPI: 1346205614 Mo-Fr - 8:30 AM - 4:30 PM Communtiy Health Partners Rgnl 303 Chestnut Commons Dr Cultural Competency: Y Mdcl Ctr Elyria, OH 44035

Ages: 0-99 (440) 366-9444 EB, P, R Hospital Affiliations: Anthony, James M, MD, (M), B Sa - 8:00 AM - 12:00 PM University Hospitals Elyria Group Name: Mercy Medical Does Not Accept New Patients Medical Ctr Partners Ages: 0-99 Uh Elyria Medical Center Provider ID: 000249726003 Hospital Affiliations: Cleveland Clinic Foundation NPI: 1003806209 University Hospitals Elyria 39263 Center Ridge Rd Medical Ctr North Ridgeville, OH 44039 Uh Elyria Medical Center (440) 327-9216 P, R Cleveland Clinic Foundation Cultural Competency: Y Accepting Existing Patients Only Baker, Vickie E, MD, (F), B Ages: 18-99 Group Name: Cleveland Clinic Hospital Affiliations: Foundation Mercy Regional Medical Center Provider ID: 001369705008 Communtiy Health Partners Rgnl NPI: 1346205614 Mdcl Ctr 33100 Cleveland Clinic Blvd Avon, OH 44011

(440) 695-4000 EB, P, R Does Not Accept New Patients Ages: 0-99 Hospital Affiliations:

121

Ohio - Lorain Primary Care Providers University Hospitals Elyria Barker, Bradley D, MD, (M), B Barker, Bradley D, MD, (M), B Medical Ctr Group Name: University Primary Group Name: University Primary Uh Elyria Medical Center Care Practices Care Practices Cleveland Clinic Foundation Provider ID: 000902872006 Provider ID: 000902872007 NPI: 1619191731 NPI: 1619191731 Baker, Vickie E, MD, (F), B 101 Cooper Foster Park Rd 1480 Center Rd Ste A Group Name: Cleveland Clinic Amherst, OH 44001 Avon, OH 44011

Foundation (440) 988-6060 EB, P, R (440) 695-6550 EB, P, R Provider ID: 001369705009 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM NPI: 1346205614 Ages: 0-99 Ages: 0-99 5172 Leavitt Rd Hospital Affiliations: Hospital Affiliations: Lorain, OH 44053 University Hospitals Elyria University Hospitals Elyria

(440) 282-7420 EB, P, R Medical Ctr Medical Ctr Does Not Accept New Patients Uh Elyria Medical Center Uh Elyria Medical Center Ages: 0-99 St John Medical Center St John Medical Center Hospital Affiliations: Mercy Regional Medical Center Mercy Regional Medical Center University Hospitals Elyria Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Medical Ctr Mdcl Ctr Mdcl Ctr Uh Elyria Medical Center Cleveland Clinic Foundation Barker, Bradley D, MD, (M), B Borland, Cary C, DO, (F), B Group Name: University Primary Group Name: Cleveland Clinic Baker, Vickie E, MD, (F), B Care Practices Foundation Group Name: Cleveland Clinic Provider ID: 000902872005 Provider ID: 003467200008 Foundation NPI: 1619191731 NPI: 1225266133 Provider ID: 001369705001 1120 E Broad St Ste 200 33100 Cleveland Clinic Blvd NPI: 1346205614 Elyria, OH 44035 Avon, OH 44011

5700 Cooper Foster Park Rd W (440) 326-4410 EB, P, R (440) 695-4000 EB, P, R Lorain, OH 44053 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99

(440) 204-7200 EB, IB, P, R, RE, T Ages: 0-99 Hospital Affiliations: Mo,We,Th,Fr - 8:00 AM - 5:00 PM Hospital Affiliations: Cleveland Clinic Foundation Tu - 7:00 AM - 6:00 PM University Hospitals Elyria Sa - 7:30 AM - 12:00 PM Medical Ctr Borland, Cary C, DO, (F), B Does Not Accept New Patients Uh Elyria Medical Center Group Name: Cleveland Clinic Ages: 0-99 St John Medical Center Foundation Hospital Affiliations: Mercy Regional Medical Center Provider ID: 003467200003 University Hospitals Elyria Communtiy Health Partners Rgnl NPI: 1225266133 Medical Ctr Mdcl Ctr 35105 Center Ridge Rd Uh Elyria Medical Center North Ridgeville, OH 44039

Cleveland Clinic Foundation (440) 204-7400 EB, P, R Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

122

Primary Care Providers Ohio - Lorain Borland, Cary C, DO, (F), B Cajigas, Israel J, MD, (M), B Carbone, Kenneth J, DO, (M), B Group Name: Cleveland Clinic Group Name: Mercy Health Group Name: University Primary Foundation Physicians Lorain Care Practices Provider ID: 003467200004 Provider ID: 002942567004 Provider ID: 000885434008 NPI: 1225266133 NPI: 1164694758 NPI: 1649482936 450 Avon Belden Rd 224 W Lorain St Ste 100 1480 Center Rd Ste A Avon Lake, OH 44012 Oberlin, OH 44074 Avon, OH 44011

(440) 930-6800 EB, P, R (440) 775-1881 E, EB, P, R, RE, (440) 695-6550 EB, P, R Ages: 0-99 S, T Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Languages Spoken: Ages: 0-99 Cleveland Clinic Foundation Provider: Spanish Hospital Affiliations: Does Not Accept New Patients University Hospitals Elyria Butrey, Charles M, MD, (M), B Ages: 0-99 Medical Ctr Group Name: University Primary Hospital Affiliations: Uh Elyria Medical Center Care Practices Summa Health System St John Medical Center Provider ID: 000902875005 Akron General Medical Ctr Mercy Regional Medical Center NPI: 1013129394 Mercy Allen Hospital Communtiy Health Partners Rgnl 1480 Center Rd Ste A Mdcl Ctr Avon, OH 44011 Calabrese, Jennifer A, MD, (F), B

(440) 695-6550 EB, P, R Group Name: University Primary Carissimi, Ronald C, MD, (M), B Mo-Fr - 8:30 AM - 4:30 PM Care Practices Group Name: Mercy Health Ages: 0-99 Provider ID: 002152009004 Physicians Lorain Hospital Affiliations: NPI: 1053523340 Provider ID: 000993664006 University Hospitals Elyria 101 Cooper Foster Park Rd NPI: 1407068703 Medical Ctr Amherst, OH 44001 578 N Leavitt Rd

Uh Elyria Medical Center (440) 988-6060 EB, P, R Amherst, OH 44001

St John Medical Center Mo-Fr - 8:00 AM - 4:30 PM (440) 988-5234 E, EB, IB, P, R, Mercy Regional Medical Center Ages: 0-99 RE, S, T Communtiy Health Partners Rgnl Hospital Affiliations: Accepting Existing Patients Only Mdcl Ctr University Hospitals Elyria Ages: 0-99 Medical Ctr Hospital Affiliations: Uh Elyria Medical Center University Hospitals Elyria St John Medical Center Medical Ctr Mercy Regional Medical Center Uh Elyria Medical Center Communtiy Health Partners Rgnl St John Medical Center Mdcl Ctr Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

123

Ohio - Lorain Primary Care Providers Carissimi, Ronald C, MD, (M), B Carroccio, James, DO, (M), B Carson, Dennis E, MD, (M), B Group Name: Mercy Health Group Name: University Primary Group Name: University Primary Physicians Lorain Care Practices Care Practices Provider ID: 000993664007 Provider ID: 002102588009 Provider ID: 000902881009 NPI: 1407068703 NPI: 1922210228 NPI: 1982816294 5940 Oak Point Rd 6115 Emerald St 489 Main St Lorain, OH 44053 North Ridgeville, OH 44039 Grafton, OH 44044

(440) 988-3705 RE, T (440) 406-5810 EB, P, R (440) 406-5700 EB, P, R Accepting Existing Patients Only Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: University Hospitals Elyria University Hospitals Elyria University Hospitals Elyria Medical Ctr Medical Ctr Medical Ctr Uh Elyria Medical Center Uh Elyria Medical Center Uh Elyria Medical Center St John Medical Center St John Medical Center St John Medical Center Mercy Regional Medical Center Mercy Regional Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr Mdcl Ctr Areas of Expertise: MAT1 Carroccio, James, DO, (M), B Carson, Dennis E, MD, (M), B Group Name: University Primary Group Name: University Primary Chisholm, Jessica L, MD, (F), B Care Practices Care Practices Group Name: Cleveland Clinic Provider ID: 002102588010 Provider ID: 000902881008 Foundation NPI: 1922210228 NPI: 1982816294 Provider ID: 002428002003 1480 Center Rd Ste B 1120 E Broad St Ste 200 NPI: 1255445433 Avon, OH 44011 Elyria, OH 44035 33100 Cleveland Clinic Blvd

(440) 695-6550 E, EB, G, P, R, (440) 326-4410 EB, P, R Avon, OH 44011

RE, S, T Mo-Fr - 8:00 AM - 4:30 PM (440) 695-4000 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Hospital Affiliations: University Hospitals Elyria Medical Ctr Cleveland Clinic Foundation Medical Ctr Uh Elyria Medical Center Fairview Hospital Uh Elyria Medical Center St John Medical Center Lakewood Hospital St John Medical Center Mercy Regional Medical Center Cleveland Clinic Lakewood Mercy Regional Medical Center Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr Areas of Expertise: MAT1

124

Primary Care Providers Ohio - Lorain Cloud, Lisa A, DO, (F), B Cramer, Jack W, DO, (M), B Dinger, Gary W, DO, (M), B Group Name: Cleveland Clinic Group Name: University Primary Group Name: UPCP Foundation Care Practices Provider ID: 002042986003 Provider ID: 003365440009 Provider ID: 000654576005 NPI: 1609895945 NPI: 1285808527 NPI: 1134331440 254 Cleveland Ave Ste 101 33100 Cleveland Clinic Blvd 489 Main St Amherst, OH 44001

Avon, OH 44011 Grafton, OH 44044 (440) 934-2650 EB, G, P, PL, R,

(440) 695-4000 EB, P, R (440) 406-5700 EB, P, R RE, S, T Accepting Existing Patients Only Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation University Hospitals Elyria Hospital Affiliations: South Pointe Hospital Medical Ctr University Hospitals Elyria Medina Hospital Uh Elyria Medical Center Medical Ctr St John Medical Center Uh Elyria Medical Center Cramer, Jack W, DO, (M), B Mercy Regional Medical Center Mercy Regional Medical Center Group Name: University Primary Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Care Practices Mdcl Ctr Mdcl Ctr Provider ID: 000654576004 NPI: 1134331440 Degidio, Ernest R, DO, (M), B Dorobek, Ann M, MD, (F), B 1120 E Broad St Ste 200 Group Name: University Primary Group Name: Cleveland Clinic Elyria, OH 44035 Care Practices Foundation

(440) 326-4410 EB, P, R Provider ID: 002441759006 Provider ID: 002168825008 Mo-Fr - 8:00 AM - 4:30 PM NPI: 1386622298 NPI: 1245204106 Ages: 0-99 5001 Transportation Dr Ste 300 5172 Leavitt Rd Hospital Affiliations: Sheffield Village, OH 44054 Lorain, OH 44053

University Hospitals Elyria (440) 328-3420 EB, P, R (440) 282-7420 EB, P, R Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Uh Elyria Medical Center Cultural Competency: Y Hospital Affiliations: St John Medical Center Web address: sheryl.johnson@uhho Cleveland Clinic Foundation Mercy Regional Medical Center spitals.org Mercy Regional Medical Center Communtiy Health Partners Rgnl Ages: 0-99 Communtiy Health Partners Rgnl Mdcl Ctr Hospital Affiliations: Mdcl Ctr South Pointe Hospital Areas of Expertise: MAT1 Affinity Medical Center

125

Ohio - Lorain Primary Care Providers Dorobek, Ann M, MD, (F), B Franko, Andrew P, MD, (M), B Gomez, Gustavo, MD, (M), B Group Name: Northern Oh Group Name: Cleveland Clinic Group Name: Mercy Allen Rhc Medical Specialist Foundation Lagrange Provider ID: 002168825004 Provider ID: 000109946002 Provider ID: 006202393007 NPI: 1245204106 NPI: 1538276936 NPI: 1699031088 570 N Leavitt Rd 5700 Cooper Foster Park Rd W 105 Opportunity Way Amherst, OH 44001 Lorain, OH 44053 Lagrange, OH 44050

(440) 340-1970 EB, P, R, RE, T (440) 204-7400 EB, IB, P, R, RE, T (440) 222-4160 EB, P, R Mo-Th - 8:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Hospital Affiliations: Sa - 8:00 AM - 12:00 PM Cleveland Clinic Foundation Mercy Allen Hospital Ages: 0-99 Areas of Expertise: MAT1 Hospital Affiliations: Gomez, Gustavo, MD, (M), B Cleveland Clinic Foundation Goldman, Matthew J, MD, (M), B Group Name: Mercy Health Mercy Regional Medical Center Group Name: Cleveland Clinic Physicians Lorain Communtiy Health Partners Rgnl Foundation Provider ID: 006202393010 Mdcl Ctr Provider ID: 006101630003 NPI: 1699031088 Areas of Expertise: MAT1 NPI: 1033552344 200 W Lorain St 35105 Center Ridge Rd Oberlin, OH 44074

Escolas, John W, MD, (M) North Ridgeville, OH 44039 (440) 213-5333 EB, IB, P, R, RE,

Group Name: University Primary (440) 327-1050 EB, P, R S, T Care Practices Ages: 0-99 Ages: 0-99 Provider ID: 001072348008 Hospital Affiliations: Hospital Affiliations: NPI: 1386856698 Cleveland Clinic Foundation Mercy Allen Hospital 1480 Center Rd Ste A Mcleod Loris Seacoast Hospital Avon, OH 44011 Areas of Expertise: MAT1 Gomez, Gustavo, MD, (M), B

(440) 695-6550 EB, P, R Group Name: Mercy Health Mo-Fr - 8:30 AM - 4:30 PM Goldman, Matthew J, MD, (M), B Physicians Lorain Ages: 0-99 Group Name: Cleveland Clinic Provider ID: 006202393009 Hospital Affiliations: Foundation NPI: 1699031088 University Hospitals Elyria Provider ID: 006101630004 254 Cleveland Ave Medical Ctr NPI: 1033552344 Amherst, OH 44001

Uh Elyria Medical Center 5700 Cooper Foster Park Rd W (440) 988-5234 EB, P, R St John Medical Center Lorain, OH 44053 Ages: 0-99

Mercy Regional Medical Center (440) 204-7400 E, EB, IB, P, R Hospital Affiliations: Communtiy Health Partners Rgnl Ages: 0-99 Mercy Allen Hospital Mdcl Ctr Hospital Affiliations: Cleveland Clinic Foundation Mcleod Loris Seacoast Hospital Areas of Expertise: MAT1

126

Primary Care Providers Ohio - Lorain Gomez, Gustavo, MD, (M), B Hiti, Frank M, MD, (M), B Hussain, Saadia, MD, (F), B Group Name: Mercy Health Group Name: University Primary Group Name: Mercy Health Physicians Lorain Care Practices Physicians Lorain Provider ID: 006202393011 Provider ID: 000902885009 Provider ID: 003653470007 NPI: 1699031088 NPI: 1073725396 NPI: 1528370384 417 S Main St 6115 Emerald St 578 N Leavitt Rd Oberlin, OH 44074 North Ridgeville, OH 44039 Amherst, OH 44001

(440) 988-5234 EB, P, R (440) 406-5810 EB, P, R (440) 988-5234 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Hospital Affiliations: Ages: 0-99 Provider: French, Hindi, Punjabi Mercy Allen Hospital Hospital Affiliations: Accepting Existing Patients Only University Hospitals Elyria Ages: 0-99 Gomez, Gustavo, MD, (M), B Medical Ctr Hospital Affiliations: Group Name: Mercy Allen Rhc Uh Elyria Medical Center Mercy Allen Hospital Lagrange St John Medical Center Provider ID: 006202393008 Mercy Regional Medical Center Jayber, Mohammed A, DO, (M), NPI: 1699031088 Communtiy Health Partners Rgnl B 840 Patriot Dr Mdcl Ctr Group Name: Community Family Wellington, OH 44090 Care

(440) 647-2225 EB, P, R, RE, T Hussain, Saadia, MD, (F), B Provider ID: 001781942001 Ages: 0-99 Group Name: Mercy Health NPI: 1215914759 Hospital Affiliations: Physicians Lorain 2217 Wisteria Way Mercy Allen Hospital Provider ID: 003653470006 Avon, OH 44011

NPI: 1528370384 (440) 934-7080 EB, IB, P, R, RE, Hiti, Frank M, MD, (M), B 1813 Nagel Rd Ste 500 T Group Name: University Primary Avon, OH 44011 Languages Spoken:

Care Practices (440) 937-4600 EB, P, R, RE, T Provider: Arabic Provider ID: 000902885007 Languages Spoken: Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM NPI: 1073725396 Provider: French, Hindi, Punjabi We - 2:00 PM - 5:00 PM 1480 Center Rd Accepting Existing Patients Only Ages: 5-99 Avon, OH 44011 Ages: 0-99 Hospital Affiliations:

(440) 695-6550 EB, P, R Hospital Affiliations: University Hospitals Elyria Mo-Fr - 8:00 AM - 4:30 PM Mercy Allen Hospital Medical Ctr Ages: 0-99 Uh Elyria Medical Center Hospital Affiliations: Areas of Expertise: CIL, CODT, University Hospitals Elyria MAT1, SMI Medical Ctr Uh Elyria Medical Center St John Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

127

Ohio - Lorain Primary Care Providers Jesse, Michael L, DO, (M), B Mercy Regional Medical Center Mdcl Ctr Group Name: University Primary Communtiy Health Partners Rgnl Care Practices Mdcl Ctr Meehan-De La Cruz, Kathleen A, Provider ID: 000370612004 MD, (F) NPI: 1538125885 Ksenich, Nicholas J, MD, (M), B Group Name: Mercy Health 32800 Lorain Rd Ste 2100 Group Name: University Primary Physicians Lorain North Ridgeville, OH 44039 Care Practices Provider ID: 001908197005

(440) 353-3433 EB, P, R Provider ID: 001072349007 NPI: 1811972979 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1952513277 3600 Kolbe Rd Ste 106 Cultural Competency: Y 1120 E Broad St Ste 200 Lorain, OH 44053

Ages: 0-99 Elyria, OH 44035 (440) 960-3954 EB, P, R, RE, T

Hospital Affiliations: (440) 326-4410 EB, P, R Languages Spoken: Fairview Hospital Cultural Competency: Y Provider: Spanish Southwest General Health Center Web address: www.immgmed.com Staff: Spanish St John Medical Center Ages: 0-99 Interpreter: Spanish Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Jurek, Ilona E, MD, (F), B University Hospitals Elyria Ages: 4-99 Group Name: Mercy Health Medical Ctr Hospital Affiliations: Physicians Lorain Uh Elyria Medical Center Fisher-titus Medical Center Provider ID: 001187168006 St John Medical Center Margaret R Pardee Memorial NPI: 1669431540 Mercy Regional Medical Center Hospital 5077 Waterford Dr Ste 305 Communtiy Health Partners Rgnl Sheffield Village, OH 44035 Mdcl Ctr Ohliger, James E, DO, (M), B

(440) 222-4592 E, EB, IB, P, R, Group Name: UPCP RE, S, T Ksenich, Nicholas J, MD, (M), B Provider ID: 000087651006 Accepting Existing Patients Only Group Name: University Primary NPI: 1043202252 Ages: 0-99 Care Practices 5323 Meadow Lane Ct Ste A&b Hospital Affiliations: Provider ID: 001072349008 Sheffield Village, OH 44035

Mercy Regional Medical Center NPI: 1952513277 (440) 934-0276 EB, P, R Communtiy Health Partners Rgnl 489 Main St Mo-Fr - 8:30 AM - 4:30 PM Mdcl Ctr Grafton, OH 44044 Ages: 0-99

(440) 406-5700 EB, P, R Hospital Affiliations: Jurek, Ilona E, MD, (F), B Mo-Fr - 8:00 AM - 4:30 PM University Hospitals Elyria Group Name: Mercy Health Cultural Competency: Y Medical Ctr Physicians Lorain Web address: www.immgmed.com Uh Elyria Medical Center Provider ID: 001187168005 Ages: 0-99 St John Medical Center NPI: 1669431540 Hospital Affiliations: 5940 Oak Point Rd University Hospitals Elyria Lorain, OH 44053 Medical Ctr

(440) 988-3705 RE, T Uh Elyria Medical Center Accepting Existing Patients Only St John Medical Center Ages: 0-99 Mercy Regional Medical Center Hospital Affiliations: Communtiy Health Partners Rgnl

128

Primary Care Providers Ohio - Lorain Pedro, Abraham O, MD, (M), B Pedro, Abraham O, MD, (M), B Potoczak, Douglas J, MD, (M), B Group Name: University Primary Group Name: University Primary Group Name: University Primary Care Practices Care Practices Care Practices Provider ID: 002152011004 Provider ID: 002152011005 Provider ID: 001006226005 NPI: 1578775805 NPI: 1578775805 NPI: 1710190046 1120 E Broad St Ste 200 489 Main St 1480 Center Rd Elyria, OH 44035 Grafton, OH 44044 Avon, OH 44011

(440) 326-4110 EB, P, R (440) 406-5700 EB, P, R (440) 695-6550 EB, P, R Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Ages: 0-99 University Hospitals Elyria Hospital Affiliations: Hospital Affiliations: Medical Ctr University Hospitals Elyria University Hospitals Elyria Uh Elyria Medical Center Medical Ctr Medical Ctr St John Medical Center Uh Elyria Medical Center Uh Elyria Medical Center Mercy Regional Medical Center St John Medical Center St John Medical Center Communtiy Health Partners Rgnl Mercy Regional Medical Center Mercy Regional Medical Center Mdcl Ctr Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr Pedro, Abraham O, MD, (M), B Group Name: University Primary Pestak, Regina M, DO, (F) Potoczak, Douglas J, MD, (M), B Care Practices Group Name: Cleveland Clinic Group Name: University Primary Provider ID: 002152011006 Foundation Care Practices NPI: 1578775805 Provider ID: 006489291006 Provider ID: 001006226007 1480 Center Rd Ste A NPI: 1336564509 NPI: 1710190046 Avon, OH 44011 33300 Cleveland Clinic Blvd 6115 Emerald St

(440) 695-6550 EB, P, R Avon, OH 44011 North Ridgeville, OH 44039

Mo-Fr - 8:30 AM - 4:30 PM (216) 538-9022 EB, P, R (440) 406-5810 EB, P, R Ages: 0-99 Does Not Accept New Patients Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Ages: 0-99 University Hospitals Elyria Hospital Affiliations: Hospital Affiliations: Medical Ctr Cleveland Clinic Foundation University Hospitals Elyria Uh Elyria Medical Center Fairview Hospital Medical Ctr St John Medical Center Medina Hospital Uh Elyria Medical Center Mercy Regional Medical Center Cleveland Clinic Avon Hospital St John Medical Center Communtiy Health Partners Rgnl Mercy Regional Medical Center Mdcl Ctr Communtiy Health Partners Rgnl Mdcl Ctr

129

Ohio - Lorain Primary Care Providers Ralofsky, Louis W, MD, (M), B Medical Ctr Schaeffer, Matthew S, MD, (M) Group Name: Integr8 Health Ltd Uh Elyria Medical Center Group Name: North Ohio Heart Provider ID: 002005274004 Fairview Hospital Provider ID: 002457731004 NPI: 1780643056 St John Medical Center NPI: 1831138601 2250 Kresge Dr 10325 Dewhurst Rd Amherst, OH 44001 Robinson, Larry E, DO, (M), B Elyria, OH 44035

(419) 239-2088 EB, P, R Group Name: Firelands Regional (440) 414-9260 EB, P, R, RE, T Ages: 0-99 Medical Center Cultural Competency: Y Hospital Affiliations: Provider ID: 002977976030 Ages: 0-99 Memorial Hospital NPI: 1538144357 Hospital Affiliations: Promedica Memorial Hospital 6150 Park Square Dr Ste B University Hospitals Elyria Bellevue Hospital Lorain, OH 44053 Medical Ctr

(440) 984-3882 EB, P, R Uh Elyria Medical Center Regis, Deon K, MD, (M), B Cultural Competency: Y Group Name: Mercy Health Ages: 0-99 Siscu, Haralambie, MD, (M), B Physicians Lorain Hospital Affiliations: Group Name: Cleveland Clinic Provider ID: 003539223004 Firelands Regional Medical Ctr Foundation NPI: 1972837722 Areas of Expertise: E112, MAT1 Provider ID: 002111884003 224 W Lorain St Ste 100 NPI: 1881778140 Oberlin, OH 44074 Sabine, Laurie L, MD, (F), B 303 Chestnut Commons Dr

(440) 775-1881 E, EB, P, R, RE, Group Name: Cleveland Clinic Elyria, OH 44035

S, T Foundation (440) 366-9444 EB, P, R Ages: 0-99 Provider ID: 001220333003 Ages: 0-99 Hospital Affiliations: NPI: 1629055165 Hospital Affiliations: Mount Carmel St Ann's Hospital 5334 Meadow Lane Ct Fl 1 Cleveland Clinic Foundation Mercy Regional Medical Center Sheffield Village, OH 44035 Harrison Community Hospital

Communtiy Health Partners Rgnl (440) 934-5454 EB, P, R Mdcl Ctr Cultural Competency: Y Siscu, Haralambie, MD, (M), B Does Not Accept New Patients Group Name: Cleveland Clinic Rish, Michael J, MD, (M), B Ages: 0-99 Foundation Group Name: UPCP Hospital Affiliations: Provider ID: 002111884005 Provider ID: 001786701002 University Hospitals Elyria NPI: 1881778140 NPI: 1184616682 Medical Ctr 33100 Cleveland Clinic Blvd 32730 Walker Rd Bldg H Uh Elyria Medical Center Avon, OH 44011

Avon Lake, OH 44012 Cleveland Clinic Foundation (440) 695-4000 EB, P, R

(440) 930-4955 EB, P, R, RE, T Ages: 0-99 Mo,Tu,Th - 8:30 AM - 8:00 PM Hospital Affiliations: We - 8:00 AM - 8:00 PM Cleveland Clinic Foundation Fr - 8:30 AM - 5:00 PM Harrison Community Hospital Sa - 9:00 AM - 1:00 PM Ages: 0-99 Hospital Affiliations: University Hospitals Elyria

130

Primary Care Providers Ohio - Lorain Siscu, Haralambie, MD, (M), B Spoden, Cristen A, NP, (F) Spoden, Cristen A, NP, (F) Group Name: Cleveland Clinic Group Name: University Primary Group Name: University Primary Foundation Care Practices Care Practices Provider ID: 002111884004 Provider ID: 006907153032 Provider ID: 006907153030 NPI: 1881778140 NPI: 1215418256 NPI: 1215418256 5700 Cooper Foster Park Rd W 1120 E Broad St Ste 200 6115 Emerald St Lorain, OH 44053 Elyria, OH 44035 North Ridgeville, OH 44039

(440) 204-7400 EB, IB, P, R, RE, T (440) 406-5810 EB, P, R (440) 406-5810 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Spoden, Cristen A, NP, (F) Stagliano, Vanessa J, MD, (F), B Harrison Community Hospital Group Name: University Primary Group Name: Cleveland Clinic Care Practices Foundation Smarsch, Robert D, DO, (M), B Provider ID: 006907153033 Provider ID: 006863609013 Group Name: Cleveland Clinic NPI: 1215418256 NPI: 1477931319 Foundation 1480 Center Rd Ste A 33300 Cleveland Clinic Blvd Provider ID: 002578925017 Avon, OH 44011 Avon, OH 44011

NPI: 1518913649 (440) 406-5810 EB, P, R (440) 695-5000 EB, P, R 33100 Cleveland Clinic Blvd Ages: 0-99 Does Not Accept New Patients Avon, OH 44011 Ages: 0-99

(440) 695-4600 EB, P, R Spoden, Cristen A, NP, (F) Hospital Affiliations: Does Not Accept New Patients Group Name: University Primary Cleveland Clinic Foundation Ages: 0-99 Care Practices Hospital Affiliations: Provider ID: 006907153031 Sun, Yun-Lai, MD, (M) Cleveland Clinic Foundation NPI: 1215418256 Group Name: Yun Lai Sun Md Marymount Hospital 1480 Center Rd Ste B Provider ID: 000087704001 Uh Cleveland Medical Center Avon, OH 44011 NPI: 1225120132

University Hospitals Hlth System (440) 406-5810 E, EB, G, P, R, 5295 Oberlin Ave Areas of Expertise: MAT1 RE, S, T Lorain, OH 44053

Ages: 0-99 (440) 282-7679 EB, P, R, RE Spoden, Cristen A, NP, (F) Languages Spoken: Group Name: University Primary Spoden, Cristen A, NP, (F) Provider: Chinese, Mandarin Care Practices Group Name: University Primary Staff: Chinese Provider ID: 006907153028 Care Practices Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM NPI: 1215418256 Provider ID: 006907153029 We,Sa - 9:00 AM - 12:00 PM 101 Cooper Foster Park Rd NPI: 1215418256 Ages: 0-99 Amherst, OH 44001 489 Main St Hospital Affiliations:

(440) 406-5810 EB, P, R Grafton, OH 44044 Mercy Regional Medical Center

Mo-Fr - 8:30 AM - 4:30 PM (440) 406-5810 EB, P, R Communtiy Health Partners Rgnl Ages: 0-99 Ages: 0-99 Mdcl Ctr

131

Ohio - Lorain Primary Care Providers Tseng, Emily I, DO, (F), B Wagner, Thomas W, DO, (M), B White, Richard B, MD, (M), B Group Name: Lorain County Group Name: University Primary Group Name: Mercy Health Health & Dentis Care Practices Physicians Lorain Provider ID: 006596385004 Provider ID: 002124754003 Provider ID: 002102715013 NPI: 1871999573 NPI: 1669464673 NPI: 1164637609 3745 Grove Ave 32800 Lorain Rd Ste 2100 5940 Oak Point Rd Lorain, OH 44055 North Ridgeville, OH 44039 Lorain, OH 44053

(440) 240-1655 E, EB, G, IB, P, (440) 353-3433 EB, P, R (440) 988-3705 RE, T PL, R, RE, S, T Mo-Fr - 8:00 AM - 4:30 PM Web address: www.immgmed.com Mo,Tu,Fr - 8:30 AM - 5:00 PM Ages: 0-99 Ages: 0-99 We - 8:00 AM - 5:00 PM Hospital Affiliations: Hospital Affiliations: Th - 8:30 AM - 7:30 PM St John Medical Center University Hospitals Elyria Ages: 0-99 Ashtabula County Med Center Medical Ctr Uh Elyria Medical Center Tseng, Emily I, DO, (F), B Wagner, Thomas W, DO, (M), B St John Medical Center Group Name: Lorain County Group Name: University Primary Mercy Regional Medical Center Health & Dentis Care Practices Communtiy Health Partners Rgnl Provider ID: 006596385003 Provider ID: 002124754002 Mdcl Ctr NPI: 1871999573 NPI: 1669464673 6140 S Broadway 34960 Center Ridge Rd Zangmeister, John M, MD, (M), B Lorain, OH 44053 North Ridgeville, OH 44039 Group Name: Cleveland Clinic

(440) 240-1655 EB, P, R (440) 353-3433 EB, P, R Foundation Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 000451305014 Ages: 0-99 NPI: 1447208343 Vicario, Deborah A, MD, (F), B Hospital Affiliations: 33300 Cleveland Clinic Blvd Group Name: North Ohio Heart St John Medical Center Avon, OH 44011

Provider ID: 002104145002 Ashtabula County Med Center (216) 538-9022 EB, P, R NPI: 1831169333 Cultural Competency: Y 10325 Dewhurst Rd Wagner, Timothy J, DO, (M), B Accepting Existing Patients Only Elyria, OH 44035 Group Name: University Primary Ages: 0-99

(440) 414-9260 EB, P, R, RE, T Care Practices Hospital Affiliations: Cultural Competency: Y Provider ID: 001839407008 Cleveland Clinic Foundation Accepting Existing Patients Only NPI: 1205949690 Fairview Hospital Ages: 0-99 101 Cooper Foster Park Rd St John Medical Center Hospital Affiliations: Amherst, OH 44001 Cleveland Clinic Avon Hospital

University Hospitals Elyria (440) 988-6060 EB, P, R Medical Ctr Ages: 0-99 Uh Elyria Medical Center Hospital Affiliations: Salem Community Hospital St Elizabeth Youngstown Hospital

132

Primary Care Providers Ohio - Lorain

*Lorain County Health & *Lorain County Health & Federally Qualified Health Care Dentistry Dentistry Agency Group Name: Lorain County Group Name: Lorain County

You are entitled to access the Health & Dentis Health & Dentis services of any federally qualified Provider ID: 003581973015 Provider ID: 003581973010 health center (FQHC) or rural NPI: 1720485659 NPI: 1720485659 health center (RHC) providers. The 260 S Main St 554 N Leavitt Rd following is a listing of the FQHC Oberlin, OH 44074 Amherst, OH 44001 and RHC providers in your county. (440) 240-1655 E, EB, G, IB, P, (440) 240-1655 EB, P, R Those providers listed with an PL, R, RE, S, T Ages: 0-99 asterisk (*) are contracted Does Not Accept New Patients providers with UnitedHealthcare Ages: 0-99 *Lorain County Health & Community Plan. You might also Dentistry see providers from these facilities *Lorain County Health & Group Name: Lorain County listed individually in other parts of Dentistry Health & Dentis this provider directory. Group Name: Lorain County Provider ID: 003581973016

Health & Dentis NPI: 1720485659 *Lorain County Health & Provider ID: 003581973014 6140 S Broadway Dentistry NPI: 1720485659 Lorain, OH 44053 Group Name: Lorain County 3745 Grove Ave (440) 240-1655 E, EB, G, IB, P, Health & Dentis Lorain, OH 44055 PL, R, RE, S, T Provider ID: 003581973011 (440) 240-1655 E, EB, G, IB, P, Does Not Accept New Patients NPI: 1720485659 PL, R, RE, S, T Ages: 0-99 105 Louden Ct Does Not Accept New Patients Elyria, OH 44035 Ages: 0-99 *The Free Medical Clinic Of (440) 240-1655 EB, G, IB, P, R, Greater Cleve RE, S, T *Lorain County Health & Group Name: Circle Health Does Not Accept New Patients Dentistry Services Ages: 0-99 Group Name: Lorain County Provider ID: 003651345027 Health & Dentis NPI: 1508261959 *Lorain County Health & Provider ID: 003581973013 228 Miller Rd Dentistry NPI: 1720485659 Avon Lake, OH 44012 Group Name: Lorain County 412 E River St (216) 287-5759 EB, P, R Health & Dentis Elyria, OH 44035 Ages: 0-99 Provider ID: 003581973009 (440) 240-1655 EB, G, IB, P, PL, NPI: 1720485659 R, RE, S, T 1205 Broadway Does Not Accept New Patients Lorain, OH 44052 Ages: 0-99 (440) 240-1655 EB, G, IB, P, PL, R, RE, S, T Does Not Accept New Patients Ages: 0-99

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Ohio - Lorain Primary Care Providers *The Free Medical Clinic Of Ortiz, Carrie L, NP, (F) Greater Cleve Ortiz, Carrie L, NP, (F) Group Name: University Group Name: Circle Health Group Name: University Hospitals Regional Practices Services Hospitals Regional Practices Provider ID: 007369385001 Provider ID: 003651345017 Provider ID: 007369385006 807 West Ave NPI: 1508261959 1212 Abbe Rd S Elyria, OH 44035

3364 Kolbe Rd Ste 200 Elyria, OH 44035 (440) 284-9000 EB, P, R Lorain, OH 44053 (440) 366-8980 Mo-Fr - 8:30 AM - 4:30 PM (440) 969-7960 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Sun, Yun-Lai, MD, (M) Ortiz, Carrie L, NP, (F) Group Name: Yun Lai Sun Md General Practice Group Name: University Provider ID: 000087704001

Members may self-refer to these Hospitals Regional Practices NPI: 1225120132 providers. Provider ID: 007369385002 5295 Oberlin Ave

1212 S Abbe Rd Lorain, OH 44053 Cornett, Edward L, DO, (M) Elyria, OH 44035 (440) 282-7679 EB, P, R, RE Group Name: Lorain County (440) 365-5200 EB, P, R Languages Spoken: Health & Dentis Mo-Fr - 8:30 AM - 4:30 PM Provider: Chinese, Mandarin Provider ID: 000795322008 Ages: 0-99 Staff: Chinese NPI: 1124064274 Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM 1205 Broadway Ortiz, Carrie L, NP, (F) We,Sa - 9:00 AM - 12:00 PM Lorain, OH 44052 Group Name: University Ages: 0-99 (440) 240-1655 EB, G, IB, P, PL, Hospitals Regional Practices Hospital Affiliations: R, RE, S, T Provider ID: 007369385004 Mercy Regional Medical Center Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM 383 Opportunity Way Communtiy Health Partners Rgnl We - 8:00 AM - 7:30 PM Lagrange, OH 44050 Mdcl Ctr Ages: 0-99 (440) 355-4616 EB, P, R Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Viswanath, Basavarajappa, MD, Brown County General Hospital Ages: 0-99 (M) Group Name: UPCP Cornett, Edward L, DO, (M) Ortiz, Carrie L, NP, (F) Provider ID: 000114842003 Group Name: Lorain County Group Name: University NPI: 1144207143 Health & Dentis Hospitals Regional Practices 125 E Broad St Ste 209 Provider ID: 000795322010 Provider ID: 007369385003 Elyria, OH 44035 NPI: 1124064274 38600 Center Ridge Rd (440) 329-7320 EB, P, R 260 S Main St North Ridgeville, OH 44039 Mo-Fr - 8:30 AM - 4:30 PM Oberlin, OH 44074 (440) 327-1295 EB, P, R Cultural Competency: Y (440) 240-1655 E, EB, G, IB, P, Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Mo-Fr - 8:30 AM - 5:00 PM University Hospitals Elyria Ages: 0-99 Medical Ctr Hospital Affiliations: Uh Elyria Medical Center Brown County General Hospital

134

Primary Care Providers Ohio - Lorain Cleveland Clinic Foundation Arobelidze, Salome, MD, (F), B Southwest General Health Center Group Name: Cleveland Clinic Internal Medicine St John Medical Center Foundation

Prior authorization is required to Uh Cleveland Medical Center Provider ID: 006121422008 obtain some covered services from Uh Parma Medical Center NPI: 1710322813 these providers. You will not be University Hospitals Parma 33300 Cleveland Clinic Blvd covered for those services without Medical Ctr Avon, OH 44011 such approval by UnitedHealthcare (440) 695-5000 EB, P, R Community Plan. Please see your Al-Khadra, Yasser, MD, (M), B Does Not Accept New Patients member handbook, or call Member Group Name: Cleveland Clinic Ages: 18-99 Services for details. Foundation Hospital Affiliations:

Provider ID: 006482704007 Cleveland Clinic Foundation Abumeri, Sana, MD, (F), B NPI: 1891104915 Fairview Hospital Group Name: Sana Abumeri Md 33300 Cleveland Clinic Blvd Cleveland Clinic Avon Hospital Provider ID: 001458091002 Avon, OH 44011 NPI: 1669458709 (216) 538-9022 EB, P, R Baidoun, Firas, MD, (M), B 860 E Broad St Does Not Accept New Patients Group Name: Cleveland Clinic Elyria, OH 44035 Ages: 18-99 Foundation (440) 284-3800 E, EB, P, R Hospital Affiliations: Provider ID: 006482566009 Languages Spoken: Fairview Hospital NPI: 1881012607 Provider: Arabic, French Cleveland Clinic Foundation 33300 Cleveland Clinic Blvd Mo,Tu,Fr - 9:00 AM - 5:00 PM Cleveland Clinic Avon Hospital Avon, OH 44011 We,Th - 8:30 AM - 3:30 PM (216) 538-9022 EB, P, R Ages: 14-99 Alfes, John C, MD, (M), B Does Not Accept New Patients Hospital Affiliations: Group Name: Cleveland Clinic Ages: 18-99 University Hospitals Elyria Foundation Hospital Affiliations: Medical Ctr Provider ID: 004925686002 Cleveland Clinic Foundation Uh Elyria Medical Center NPI: 1952414435 Cleveland Clinic Avon Hospital Metrohealth Medical Center 33100 Cleveland Clinic Blvd Areas of Expertise: CIL, CODT, Avon, OH 44011 Bradford, Julie E, NP, (F) E112 (440) 695-4000 EB, P, R Group Name: UPCP Ages: 0-99 Provider ID: 005159678005 Al-Abousi, May H, MD, (F), B Hospital Affiliations: NPI: 1467796417 Group Name: Cleveland Clinic Cleveland Clinic Foundation 2535 Hale St Ste A Foundation Avon, OH 44011 Provider ID: 001808687006 (440) 934-8810 EB, P, R NPI: 1740256437 Mo-Fr - 8:00 AM - 4:30 PM 33100 Cleveland Clinic Blvd Ages: 0-99 Avon, OH 44011 Hospital Affiliations: (440) 695-4000 EB, P, R St John Medical Center Languages Spoken: Staff: Arabic Ages: 18-99 Hospital Affiliations:

135

Ohio - Lorain Primary Care Providers Brobbey, Victoria N, MD, (F), B Hospital Affiliations: St John Medical Center Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Medina Hospital Decaro, Garren J, MD, (M), B Provider ID: 003064563010 Group Name: Mercy Health NPI: 1306060918 Dahbar, Mazen, MD, (M), B Physicians Lorain 450 Avon Belden Rd Group Name: Cleveland Clinic Provider ID: 006089086013 Avon Lake, OH 44012 Foundation NPI: 1326381682

(440) 930-6800 EB, P, R Provider ID: 003050692004 200 W Lorain St Does Not Accept New Patients NPI: 1770785115 Oberlin, OH 44074

Ages: 0-99 5172 Leavitt Rd (440) 213-5333 EB, IB, P, R, RE, Hospital Affiliations: Lorain, OH 44053 S, T

Cleveland Clinic Foundation (440) 282-7420 EB, P, R Ages: 0-99 Cultural Competency: Y Chand, Prakash, MD, (M), B Ages: 18-99 Decaro, Garren J, MD, (M), B Group Name: Prakash Chand Md Hospital Affiliations: Group Name: Mercy Health Provider ID: 004047807003 Cleveland Clinic Foundation Physicians Lorain NPI: 1275812497 Gateway Rehabilitation Hospital Provider ID: 006089086009 125 E Broad St Ste 122 NPI: 1326381682 Elyria, OH 44035 Dahbar, Mazen, MD, (M), B 5077 Waterford Dr Ste 305

(440) 329-7350 EB, P, R Group Name: Cleveland Clinic Sheffield Village, OH 44035

Languages Spoken: Foundation (440) 988-3705 E, EB, IB, P, R, Staff: Hindi Provider ID: 003050692002 RE, S, T Cultural Competency: Y NPI: 1770785115 Ages: 0-99 Ages: 18-99 5334 Meadow Lane Ct Fl 3 Hospital Affiliations: Sheffield Village, OH 44035 Decaro, Garren J, MD, (M), B

Wooster Community Hospital (440) 934-5454 EB, P, R Group Name: Mercy Health University Hospitals Elyria Cultural Competency: Y Physicians Lorain Medical Ctr Ages: 18-99 Provider ID: 006089086005 Uh Elyria Medical Center Hospital Affiliations: NPI: 1326381682 Knox Community Hospital Cleveland Clinic Foundation 578 N Leavitt Rd South Pointe Hospital Gateway Rehabilitation Hospital Amherst, OH 44001

Fisher-titus Medical Center (440) 988-5226 E, EB, IB, P, R, Davis Luarde, Laura A, DO, (F), RE, S, T Chukwuani, Vivian, MD, (F), B B Ages: 0-99 Group Name: Cleveland Clinic Group Name: UPCP Foundation Provider ID: 002452987002 Provider ID: 003249233011 NPI: 1114919222 NPI: 1013109081 2535 Hale St Ste A 33300 Cleveland Clinic Blvd Avon, OH 44011

Avon, OH 44011 (440) 934-8810 EB, P, R

(216) 538-9022 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Does Not Accept New Patients Ages: 18-18 Ages: 0-99 Hospital Affiliations:

136

Primary Care Providers Ohio - Lorain Decaro, Garren J, MD, (M), B Eren, Itri A, MD, (M), B Cleveland Clinic Foundation Group Name: Mercy Health Group Name: Cleveland Clinic Physicians Lorain Foundation Esho, Mary A, MD, (F), B Provider ID: 006089086006 Provider ID: 000037620003 Group Name: Mercy Health NPI: 1326381682 NPI: 1861465809 Physicians Lorain 5940 Oak Point Rd 1130 Tower Blvd Ste B Provider ID: 006559386003 Lorain, OH 44053 Lorain, OH 44052 NPI: 1598171951

(440) 988-3705 RE, T (440) 989-4874 E, EB, IB, P, R 1813 Nagel Rd Ste 500 Ages: 0-99 Languages Spoken: Avon, OH 44011

Provider: Turkish (440) 937-4600 EB, P, R, RE, T Dhillon, Harmohinder S, MD, Mo-Fr - 9:00 AM - 5:00 PM Languages Spoken: (M), B Cultural Competency: Y Provider: Yoruba Group Name: UPCP Accepting Existing Patients Only Ages: 18-99 Provider ID: 002067648003 Ages: 18-99 NPI: 1578552568 Hospital Affiliations: Ferenczy, Stephen J, MD, (M), B 507 E River St Ste A Cleveland Clinic Foundation Group Name: Cleveland Clinic Elyria, OH 44035 Mercy Regional Medical Center Foundation

(440) 322-4333 EB, P, R Communtiy Health Partners Rgnl Provider ID: 001842029015 Mo-Fr - 8:30 AM - 4:30 PM Mdcl Ctr NPI: 1033175229 Cultural Competency: Y 33300 Cleveland Clinic Blvd Ages: 18-99 Esch, Peter A, MD, (M), B Avon, OH 44011

Hospital Affiliations: Group Name: Cleveland Clinic (440) 695-5000 EB, P, R University Hospitals Elyria Foundation Cultural Competency: Y Medical Ctr Provider ID: 001124727003 Does Not Accept New Patients Uh Elyria Medical Center NPI: 1073570958 Ages: 18-99 St John Medical Center 303 Chestnut Commons Dr Hospital Affiliations: Elyria, OH 44035 Cleveland Clinic Foundation

Eltelbany, Ahmed S, MD, (M), B (440) 366-9444 EB, P, R Group Name: Cleveland Clinic Sa - 8:00 AM - 12:00 PM Floro, Norman A, MD, (M) Foundation Ages: 0-99 Group Name: Norman Floro Provider ID: 006176843004 Hospital Affiliations: Medical NPI: 1205279858 Cleveland Clinic Foundation Provider ID: 001274572001 33300 Cleveland Clinic Blvd NPI: 1124042387 Avon, OH 44011 Esch, Peter A, MD, (M), B 455 Griswold Rd

(440) 695-5000 EB, P, R Group Name: Cleveland Clinic Elyria, OH 44035

Does Not Accept New Patients Foundation (440) 324-4608 EB, IB, P, R, RE, Ages: 0-99 Provider ID: 001124727007 T Hospital Affiliations: NPI: 1073570958 Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM Cleveland Clinic Foundation 5700 Cooper Foster Park Rd W We,Sa - 9:00 AM - 12:00 PM Cleveland Clinic Avon Hospital Lorain, OH 44053 Ages: 18-99

(440) 204-7400 EB, IB, P, R, RE, T Hospital Affiliations: Ages: 0-99 Mercy Regional Medical Center Hospital Affiliations: Communtiy Health Partners Rgnl

137

Ohio - Lorain Primary Care Providers Mdcl Ctr Garcia, Ronald L, MD, (M), B Gerges, Meana R, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Frazier, Jason B, DO, (M), B Foundation Foundation Group Name: Cleveland Clinic Provider ID: 000804264004 Provider ID: 003668368005 Foundation NPI: 1841267069 NPI: 1255651345 Provider ID: 002660300003 33100 Cleveland Clinic Blvd 5334 Meadow Lane Ct NPI: 1083683114 Avon, OH 44011 Sheffield Village, OH 44035

5172 Leavitt Rd (440) 695-4000 EB, P, R (440) 934-5454 EB, P, R Lorain, OH 44053 Ages: 18-99 Cultural Competency: Y

(440) 282-7420 EB, P, R Hospital Affiliations: Does Not Accept New Patients Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99 Ages: 0-99 Fairview Hospital Hospital Affiliations: Hospital Affiliations: Lakewood Hospital Cleveland Clinic Foundation University Hospitals Elyria Cleveland Clinic Lakewood Fairview Hospital Medical Ctr St John Medical Center Lakewood Hospital Uh Elyria Medical Center Cleveland Clinic Lakewood Cleveland Clinic Foundation Gayomali, Nestor G, MD, (M) Medina Hospital St John Medical Center Group Name: Gayomali Nestor G Cleveland Clinic Avon Hospital Provider ID: 001952409001 Gannon, Patricia A, MD, (F), B NPI: 1184669558 Gorty, Archana A, MD, (F), B Group Name: Cleveland Clinic 5311 Meadow Lane Court #3 Group Name: Cleveland Clinic Foundation Sheffield Village, OH 44035 Foundation

Provider ID: 001298031004 (440) 934-5443 EB, IB, P, R, RE, Provider ID: 002546055005 NPI: 1639274863 T NPI: 1588615652 33100 Cleveland Clinic Blvd Languages Spoken: 33100 Cleveland Clinic Blvd Avon, OH 44011 Provider: Spanish, Tagalog Avon, OH 44011

(440) 695-4000 EB, P, R Staff: Spanish (440) 695-4000 EB, P, R Accepting Existing Patients Only Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Ages: 18-99 Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation University Hospitals Elyria Hospital Affiliations: Fairview Hospital Medical Ctr Froedtert Memorial Lutheran Lakewood Hospital Uh Elyria Medical Center Hosp Cleveland Clinic Lakewood Mercy Regional Medical Center Cleveland Clinic Foundation Communtiy Health Partners Rgnl Fairview Hospital Mdcl Ctr Lakewood Hospital Specialty Hospital/lorain Cleveland Clinic Lakewood

138

Primary Care Providers Ohio - Lorain Gulling-Leftwich, Tracy L, DO, Gupta, Shalini, MD, (F), B Jadhao, Yogesh, MD, (M), B (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 006487288006 Provider ID: 006489152008 Provider ID: 003236337008 NPI: 1841601879 NPI: 1083024459 NPI: 1578763330 33300 Cleveland Clinic Blvd 33300 Cleveland Clinic Blvd 33300 Cleveland Clinic Blvd Avon, OH 44011 Avon, OH 44011

Avon, OH 44011 (216) 538-9022 EB, P, R (216) 538-9022 EB, P, R

(440) 695-5000 EB, P, R Does Not Accept New Patients Ages: 0-99 Does Not Accept New Patients Ages: 18-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Cleveland Clinic Foundation Fairview Hospital Cleveland Clinic Avon Hospital Hillcrest Hospital Fairview Hospital Hazzi, Rami, MD, (M), B Jain, Rashmi, MD, (F), B Hartford Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Medina Hospital Foundation Foundation Cleveland Clinic Avon Hospital Provider ID: 003673227011 Provider ID: 003355341008 NPI: 1255644217 NPI: 1689906067 Gupta, Mohit, MD, (M), B 33300 Cleveland Clinic Blvd 303 Chestnut Commons Dr Group Name: Cleveland Clinic Avon, OH 44011 Elyria, OH 44035

Foundation (440) 695-5000 EB, P, R (440) 366-9444 EB, P, R Provider ID: 003608159007 Cultural Competency: Y Cultural Competency: Y NPI: 1720243181 Does Not Accept New Patients Ages: 18-99 33300 Cleveland Clinic Blvd Ages: 0-99 Hospital Affiliations: Avon, OH 44011 Hospital Affiliations: Cleveland Clinic Foundation

(440) 695-5000 EB, P, R Cleveland Clinic Foundation Lakewood Hospital Does Not Accept New Patients Fairview Hospital Cleveland Clinic Lakewood Ages: 0-99 Medina Hospital Hospital Affiliations: Cleveland Clinic Avon Hospital Jain, Rashmi, MD, (F), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Euclid Hospital Herbert, Eileen F, MD, (F), B Foundation Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Provider ID: 003355341010 Foundation NPI: 1689906067 Provider ID: 001463342003 33100 Cleveland Clinic Blvd NPI: 1306912563 Avon, OH 44011

33100 Cleveland Clinic Blvd (440) 695-4000 EB, P, R Avon, OH 44011 Cultural Competency: Y

(440) 695-4000 EB, P, R Ages: 18-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Lakewood Hospital Cleveland Clinic Lakewood

139

Ohio - Lorain Primary Care Providers Khan, Kashif Z, MD, (M), B Khan, Kashif Z, MD, (M), B Jain, Rashmi, MD, (F), B Group Name: Mercy Health Group Name: Mercy Health Group Name: Cleveland Clinic Physicians Lorain Physicians Lorain Foundation Provider ID: 002245259034 Provider ID: 002245259024 Provider ID: 003355341007 NPI: 1891768438 NPI: 1891768438 NPI: 1689906067 214 E Herrick Ave 578 N Leavitt Rd 5700 Cooper Foster Park Rd W Wellington, OH 44090 Amherst, OH 44001

Lorain, OH 44053 (440) 988-5234 EB, P, R (440) 988-5234 E, EB, IB, P, R,

(440) 204-7400 EB, IB, P, R, RE, T Languages Spoken: RE, S, T Cultural Competency: Y Provider: Spanish, Urdu Languages Spoken: Ages: 18-99 Staff: Spanish, Urdu Provider: Spanish, Urdu Hospital Affiliations: Interpreter: Spanish, Urdu Staff: Spanish, Urdu Cleveland Clinic Foundation Cultural Competency: Y Interpreter: Spanish, Urdu Lakewood Hospital Accepting Existing Patients Only Cultural Competency: Y Cleveland Clinic Lakewood Ages: 18-99 Accepting Existing Patients Only Hospital Affiliations: Ages: 18-99 Khan, Kashif Z, MD, (M), B Cleveland Clinic Foundation Hospital Affiliations: Group Name: Mercy Health Mercy Allen Hospital Cleveland Clinic Foundation Physicians Lorain Mercy Allen Hospital Provider ID: 002245259033 Khan, Kashif Z, MD, (M), B NPI: 1891768438 Group Name: Mercy Health Khan, Kashif Z, MD, (M), B 200 W Lorain St Physicians Lorain Group Name: Mercy Health Oberlin, OH 44074 Provider ID: 002245259022 Physicians Lorain

(440) 775-1211 EB, IB, P, R, RE, NPI: 1891768438 Provider ID: 002245259032 S, T 500 Community Dr NPI: 1891768438 Languages Spoken: Avon Lake, OH 44012 630 E River St

Provider: Spanish, Urdu (440) 930-6600 EB, P, R Elyria, OH 44035

Staff: Spanish, Urdu Languages Spoken: (440) 989-3801 EB, P, R Interpreter: Spanish, Urdu Provider: Spanish, Urdu Languages Spoken: Cultural Competency: Y Staff: Spanish, Urdu Provider: Spanish, Urdu Accepting Existing Patients Only Interpreter: Spanish, Urdu Staff: Spanish, Urdu Ages: 18-99 Cultural Competency: Y Interpreter: Spanish, Urdu Hospital Affiliations: Accepting Existing Patients Only Cultural Competency: Y Cleveland Clinic Foundation Ages: 18-99 Accepting Existing Patients Only Mercy Allen Hospital Hospital Affiliations: Ages: 18-99 Cleveland Clinic Foundation Hospital Affiliations: Mercy Allen Hospital Cleveland Clinic Foundation Mercy Allen Hospital

140

Primary Care Providers Ohio - Lorain Khatri, Saloni, MD, (F), B Khubber, Shameer, MD, (M), B Cleveland Clinic Lakewood Group Name: Cleveland Clinic Group Name: Cleveland Clinic Firelands Regional Medical Ctr Foundation Foundation Provider ID: 002542287003 Provider ID: 006482552009 Liang, Jake R, MD, (M), B NPI: 1720063472 NPI: 1710394010 Group Name: Cleveland Clinic 5172 Leavitt Rd 33300 Cleveland Clinic Blvd Foundation Lorain, OH 44053 Avon, OH 44011 Provider ID: 006490757008

(440) 282-7420 EB, P, R (216) 538-9022 EB, P, R NPI: 1508270521 Cultural Competency: Y Does Not Accept New Patients 33300 Cleveland Clinic Blvd Ages: 0-99 Ages: 0-99 Avon, OH 44011

Hospital Affiliations: Hospital Affiliations: (216) 538-9022 EB, P, R University Hospitals Elyria Cleveland Clinic Foundation Does Not Accept New Patients Medical Ctr Fairview Hospital Ages: 0-99 Uh Elyria Medical Center Medina Hospital Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Cleveland Clinic Foundation Mercy Regional Medical Center Fairview Hospital Communtiy Health Partners Rgnl Kostraba, Andrew J, MD, (M), B South Pointe Hospital Mdcl Ctr Group Name: Cleveland Clinic Marymount Hospital Specialty Hospital/lorain Foundation Cleveland Clinic Avon Hospital Provider ID: 002628309005 Khoudari, George, MD, (M), B NPI: 1710901848 Mahmood, Mushtaq, MD, (M), B Group Name: Cleveland Clinic 36901 American Way Ste C Group Name: North Ohio Heart Foundation Avon, OH 44011 Provider ID: 003602659002

Provider ID: 006514437007 (440) 930-6250 EB, P, R NPI: 1497733075 NPI: 1578978995 Cultural Competency: Y 10325 Dewhurst Rd 33300 Cleveland Clinic Blvd Ages: 18-99 Elyria, OH 44035

Avon, OH 44011 Hospital Affiliations: (440) 414-9260 EB, P, R, RE, T

(216) 538-9022 EB, P, R Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 5:00 PM Does Not Accept New Patients Cultural Competency: Y Ages: 0-99 Kumar, Sunir C, MD, (M), B Ages: 0-99 Hospital Affiliations: Group Name: Cleveland Clinic Hospital Affiliations: Cleveland Clinic Foundation Foundation Uh Geauga Medical Center Fairview Hospital Provider ID: 003130525002 University Hospitals Geauga Medina Hospital NPI: 1437309713 Medical Ctr Cleveland Clinic Avon Hospital 33100 Cleveland Clinic Blvd University Hospitals Elyria Avon, OH 44011 Medical Ctr

(440) 695-4000 EB, P, R Uh Elyria Medical Center Does Not Accept New Patients Firelands Regional Medical Ctr Ages: 0-99 Mercy Allen Hospital Hospital Affiliations: Southwest General Health Center Cleveland Clinic Foundation Uh Parma Medical Center Fairview Hospital Lakewood Hospital

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Ohio - Lorain Primary Care Providers Manickam, Sundara K, MD, (M), Mdcl Ctr Fairview Hospital B Specialty Hospital/lorain Mercy Regional Medical Center Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital Communtiy Health Partners Rgnl Foundation Mdcl Ctr Provider ID: 002299797008 Manickam, Sundara K, MD, (M), Specialty Hospital/lorain NPI: 1548234321 B Cleveland Clinic Avon Hospital 3700 Kolbe Rd Group Name: Cleveland Clinic Lorain, OH 44053 Foundation Marr, Edgar R, MD, (M), B

(440) 960-4000 EB, G, IB, P, PL, Provider ID: 002299797006 Group Name: Marr Edgar R R, RE, S, T NPI: 1548234321 Provider ID: 001778005001 Cultural Competency: Y 5334 Meadow Lane Ct NPI: 1649375049 Ages: 18-99 Sheffield Village, OH 44035 36465 Detroit Rd

Hospital Affiliations: (440) 934-5454 EB, P, R Avon, OH 44011

University Hospitals Elyria Cultural Competency: Y (440) 934-5236 PL, RE, T Medical Ctr Ages: 18-99 Languages Spoken: Uh Elyria Medical Center Hospital Affiliations: Provider: German, Latin Cleveland Clinic Foundation University Hospitals Elyria Staff: German Fairview Hospital Medical Ctr Mo,We,Th,Fr - 9:00 AM - 6:00 PM Mercy Regional Medical Center Uh Elyria Medical Center Ages: 18-99 Communtiy Health Partners Rgnl Cleveland Clinic Foundation Hospital Affiliations: Mdcl Ctr Fairview Hospital University Hospitals Elyria Specialty Hospital/lorain Mercy Regional Medical Center Medical Ctr Cleveland Clinic Avon Hospital Communtiy Health Partners Rgnl Uh Elyria Medical Center Mdcl Ctr St John Medical Center Manickam, Sundara K, MD, (M), Specialty Hospital/lorain St Joseph Health Center B Cleveland Clinic Avon Hospital St Joseph Health Centeral Group Name: Cleveland Clinic St Joseph Warren Hospital Foundation Manickam, Sundara K, MD, (M), Mercy Regional Medical Center Provider ID: 002299797011 B Communtiy Health Partners Rgnl NPI: 1548234321 Group Name: Cleveland Clinic Mdcl Ctr 5172 Leavitt Rd Foundation Areas of Expertise: MAT1 Lorain, OH 44053 Provider ID: 002299797010

(440) 282-7420 EB, P, R NPI: 1548234321 Martin, Danielle S, DO, (F) Cultural Competency: Y 630 E River St Group Name: Cleveland Clinic Ages: 18-99 Elyria, OH 44035 Foundation

Hospital Affiliations: (440) 329-7500 EB, P, R Provider ID: 003390621011 University Hospitals Elyria Cultural Competency: Y NPI: 1033398409 Medical Ctr Ages: 18-99 33300 Cleveland Clinic Blvd Uh Elyria Medical Center Hospital Affiliations: Avon, OH 44011

Cleveland Clinic Foundation University Hospitals Elyria (440) 695-5000 EB, P, R Fairview Hospital Medical Ctr Does Not Accept New Patients Mercy Regional Medical Center Uh Elyria Medical Center Ages: 0-99 Communtiy Health Partners Rgnl Cleveland Clinic Foundation Hospital Affiliations:

142

Primary Care Providers Ohio - Lorain Fairview Hospital Mendoza, Jose E, MD, (M), B Mistry, Niraj C, MD, (M), B Uh Parma Medical Center Group Name: Mercy Health Group Name: UPCP University Hospitals Parma Physicians Lorain Provider ID: 001933425004 Medical Ctr Provider ID: 001457190011 NPI: 1528069952 Cleveland Clinic Avon Hospital NPI: 1578533659 125 E Broad St Ste 202 5940 Oak Point Rd Elyria, OH 44035

Mauer, Yael, MD, (F), B Lorain, OH 44053 (440) 329-7306 EB, P, R

Group Name: Cleveland Clinic (440) 988-3705 RE, T Languages Spoken: Foundation Ages: 12-99 Provider: Gujarati, Hindi, Provider ID: 006739917011 Hospital Affiliations: Spanish NPI: 1235557992 St John Medical Center Mo-Fr - 8:30 AM - 4:30 PM 33300 Cleveland Clinic Blvd Mercy Regional Medical Center Cultural Competency: Y Avon, OH 44011 Communtiy Health Partners Rgnl Ages: 18-99

(440) 695-5000 EB, P, R Mdcl Ctr Hospital Affiliations: Does Not Accept New Patients University Hospitals Elyria Ages: 0-99 Miclat, Romeo S, MD, (M), B Medical Ctr Hospital Affiliations: Group Name: Romeo S Miclat Uh Elyria Medical Center Akron General Medical Ctr Md Inc St John Medical Center Cleveland Clinic Foundation Provider ID: 000173662001 Hillcrest Hospital NPI: 1558346783 Mistry, Niraj C, MD, (M), B Fairview Hospital 1060 N Abbe Rd Group Name: Elyria Internal Marymount Hospital Elyria, OH 44035 Medicine

Lutheran Hospital (440) 365-9371 EB, IB, P, R, RE, Provider ID: 001933425003 Medina Hospital T NPI: 1528069952 Languages Spoken: 507 E River St Ste A Mendoza, Jose E, MD, (M), B Provider: Tagalog Elyria, OH 44035

Group Name: Mercy Health Mo,Tu,Th,Fr - 9:30 AM - 5:00 PM (440) 329-7306 EB, P, R Physicians Lorain Ages: 16-99 Languages Spoken: Provider ID: 001457190016 Hospital Affiliations: Provider: Gujarati, Hindi, NPI: 1578533659 University Hospitals Elyria Spanish 1813 Nagel Rd Ste 500 Medical Ctr Cultural Competency: Y Avon, OH 44011 Uh Elyria Medical Center Ages: 18-99

(440) 937-4600 EB, P, R, RE, T St John Medical Center Hospital Affiliations: Ages: 12-99 Uh Cleveland Medical Center University Hospitals Elyria Hospital Affiliations: Mercy Regional Medical Center Medical Ctr St John Medical Center Communtiy Health Partners Rgnl Uh Elyria Medical Center Mercy Regional Medical Center Mdcl Ctr St John Medical Center Communtiy Health Partners Rgnl Specialty Hospital/lorain Mdcl Ctr

143

Ohio - Lorain Primary Care Providers Moya, Rummel T, MD, (M), B Newman, Georgia L, MD, (F), B Group Name: Cleveland Clinic Navartnarajah, Nishanthika, MD, Group Name: Northern Oh Foundation (F), B Medical Specialist Provider ID: 001798827005 Group Name: University Provider ID: 000554848006 NPI: 1225070907 Hospitals Medical Group NPI: 1194716555 33300 Cleveland Clinic Blvd Provider ID: 005689490003 600 Kendal Dr Ste A Avon, OH 44011 NPI: 1104165620 Oberlin, OH 44074

(440) 695-5000 EB, P, R 630 E River St (440) 775-0094 EB, P, R Ages: 0-99 Elyria, OH 44035 Ages: 0-99

Hospital Affiliations: (440) 329-7500 E, EB, G, IB, P, Hospital Affiliations: University Hospitals Elyria PL, R, RE, S, T Mercy Allen Hospital Medical Ctr Ages: 0-99 Uh Elyria Medical Center O'shaughnessy, Charles D, MD, Cleveland Clinic Foundation Neri-Nixon, Maria S, MD, (F), B (M), B Group Name: Cleveland Clinic Group Name: North Ohio Heart Moya, Rummel T, MD, (M), B Foundation Provider ID: 000087119003 Group Name: Cleveland Clinic Provider ID: 002268935004 NPI: 1831178003 Foundation NPI: 1629045810 125 E Broad St Ste 305 Provider ID: 001798827003 33100 Cleveland Clinic Blvd Elyria, OH 44035

NPI: 1225070907 Avon, OH 44011 (440) 414-9100 EB, P, R

5334 Meadow Lane Ct Fl 3 (440) 695-4000 EB, P, R Cultural Competency: Y Sheffield Village, OH 44035 Does Not Accept New Patients Accepting Existing Patients Only

(440) 934-5454 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation University Hospitals Elyria University Hospitals Elyria Fairview Hospital Medical Ctr Medical Ctr Lakewood Hospital Uh Elyria Medical Center Uh Elyria Medical Center Cleveland Clinic Lakewood Firelands Regional Medical Ctr Cleveland Clinic Foundation St John Medical Center Mercy Allen Hospital St John Medical Center Munzar, Saad, MD, (M), B Newman, Georgia L, MD, (F), B Mercy Regional Medical Center Group Name: Cleveland Clinic Group Name: Northern Oh Communtiy Health Partners Rgnl Foundation Medical Specialist Mdcl Ctr Provider ID: 006842122012 Provider ID: 000554848005 Specialty Hospital/lorain NPI: 1699157453 NPI: 1194716555 Areas of Expertise: E112, E160 33300 Cleveland Clinic Blvd 319 W Lorain St Avon, OH 44011 Oberlin, OH 44074

(440) 695-5000 EB, P, R (440) 774-5518 EB, P, R, RE, T Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mercy Allen Hospital Cleveland Clinic Foundation Areas of Expertise: MAT1

144

Primary Care Providers Ohio - Lorain Olasokan, Olapeju F, MD, (F), B Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation Richardson, William S, MD, (M), Foundation St Francis Hospital Medical Ctr B Provider ID: 006481945007 Trumbull Memorial Hospital Group Name: University Primary NPI: 1083024269 Steward Trumbull Memorial Care Practices 33300 Cleveland Clinic Blvd Hospital Provider ID: 001867495003 Avon, OH 44011 St Joseph Health Center NPI: 1659363752

(216) 538-9022 EB, P, R St Joseph Health Centeral 2535 Hale St Ste A Does Not Accept New Patients St Joseph Warren Hospital Avon, OH 44011

Ages: 0-99 (440) 934-8810 EB, P, R Hospital Affiliations: Prabhakaran, Anbazhagan, MD, Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation (M), B Ages: 18-99 Hillcrest Hospital Group Name: Cleveland Clinic Hospital Affiliations: South Pointe Hospital Foundation University Hospitals Elyria Marymount Hospital Provider ID: 002795109007 Medical Ctr Medina Hospital NPI: 1053521781 Uh Elyria Medical Center Cleveland Clinic Avon Hospital 33300 Cleveland Clinic Blvd Fairview Hospital Avon, OH 44011 Lakewood Hospital

Oprisescu, Gina M, MD, (F), B (440) 695-5000 EB, P, R Cleveland Clinic Lakewood Group Name: Cleveland Clinic Does Not Accept New Patients St John Medical Center Foundation Ages: 0-99 Provider ID: 003559683010 Hospital Affiliations: Riley, Michelle R, DO, (F), B NPI: 1104073212 Cleveland Clinic Foundation Group Name: UPCP 33100 Cleveland Clinic Blvd Fairview Hospital Provider ID: 002610773003 Avon, OH 44011 South Pointe Hospital NPI: 1952370090

(440) 695-4000 EB, P, R Euclid Hospital 2535 Hale St Ste A Ages: 18-99 Marymount Hospital Avon, OH 44011

Hospital Affiliations: Medina Hospital (440) 934-8810 EB, P, R Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Mo-Fr - 8:30 AM - 4:30 PM Fairview Hospital Ages: 0-99 Cleveland Clinic Avon Hospital Ravichandran, Kamaleswary, Hospital Affiliations: MD, (F), B University Hospitals Elyria Parikh, Mona H, MD, (F), B Group Name: North Ohio Heart Medical Ctr Group Name: Cleveland Clinic Provider ID: 002532998001 Uh Elyria Medical Center Foundation NPI: 1154391647 St John Medical Center Provider ID: 003363292004 10325 Dewhurst Rd Mercy Regional Medical Center NPI: 1134426224 Elyria, OH 44035 Communtiy Health Partners Rgnl

33100 Cleveland Clinic Blvd (440) 414-9260 EB, P, R, RE, T Mdcl Ctr Avon, OH 44011 Ages: 18-99

(440) 695-4000 EB, P, R Hospital Affiliations: Languages Spoken: University Hospitals Elyria Provider: Gujarati Medical Ctr Ages: 0-99 Uh Elyria Medical Center

145

Ohio - Lorain Primary Care Providers Sanad, Mohamed A, MD, (M), B Southwest General Health Center Uh Elyria Medical Center Group Name: Cleveland Clinic St John Medical Center Cleveland Clinic Foundation Foundation Cleveland Clinic Avon Hospital Fairview Hospital Provider ID: 002122720008 Southwest General Health Center NPI: 1851362545 Sanad, Mohamed A, MD, (M), B St John Medical Center 3700 Kolbe Rd Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital Lorain, OH 44053 Foundation

(440) 960-4000 EB, G, IB, P, PL, Provider ID: 002122720010 Seo, Monica E, MD, (F), B R, RE, S, T NPI: 1851362545 Group Name: Cleveland Clinic Languages Spoken: 5334 Meadow Lane Ct Foundation Provider: Arabic Sheffield Village, OH 44035 Provider ID: 001873814001

Cultural Competency: Y (440) 934-5454 EB, P, R NPI: 1093772824 Does Not Accept New Patients Languages Spoken: 303 Chestnut Commons Dr Ages: 0-99 Provider: Arabic Elyria, OH 44035

Hospital Affiliations: Cultural Competency: Y (440) 366-9444 EB, P, R University Hospitals Elyria Does Not Accept New Patients Sa - 8:00 AM - 12:00 PM Medical Ctr Ages: 0-99 Cultural Competency: Y Uh Elyria Medical Center Hospital Affiliations: Ages: 18-99 Cleveland Clinic Foundation University Hospitals Elyria Hospital Affiliations: Fairview Hospital Medical Ctr Cleveland Clinic Foundation Southwest General Health Center Uh Elyria Medical Center St John Medical Center Cleveland Clinic Foundation Seo, Monica E, MD, (F), B Cleveland Clinic Avon Hospital Fairview Hospital Group Name: Cleveland Clinic Southwest General Health Center Foundation Sanad, Mohamed A, MD, (M), B St John Medical Center Provider ID: 001873814006 Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital NPI: 1093772824 Foundation 33100 Cleveland Clinic Blvd Provider ID: 002122720014 Sanad, Mohamed A, MD, (M), B Avon, OH 44011

NPI: 1851362545 Group Name: Cleveland Clinic (440) 695-4000 EB, P, R 5172 Leavitt Rd Foundation Cultural Competency: Y Lorain, OH 44053 Provider ID: 002122720011 Ages: 18-99

(440) 282-7420 EB, P, R NPI: 1851362545 Hospital Affiliations: Languages Spoken: 630 E River St Cleveland Clinic Foundation Provider: Arabic Elyria, OH 44035

Cultural Competency: Y (440) 329-7500 EB, P, R Does Not Accept New Patients Languages Spoken: Ages: 0-99 Provider: Arabic Hospital Affiliations: Cultural Competency: Y University Hospitals Elyria Does Not Accept New Patients Medical Ctr Ages: 0-99 Uh Elyria Medical Center Hospital Affiliations: Cleveland Clinic Foundation University Hospitals Elyria Fairview Hospital Medical Ctr

146

Primary Care Providers Ohio - Lorain Seo, Monica E, MD, (F), B Medical Ctr Sundaram, Rajendran, MD, (M), Group Name: Cleveland Clinic Uh Elyria Medical Center B Foundation Areas of Expertise: CIL, CODT Group Name: Cleveland Clinic Provider ID: 001873814002 Foundation NPI: 1093772824 Stamatis, Bonnie, MD, (F) Provider ID: 001888186005 5700 Cooper Foster Park Rd W Group Name: Stamatis Bonnie NPI: 1396731865 Lorain, OH 44053 Provider ID: 001263665003 5334 Meadow Lane Ct

(440) 204-7400 EB, IB, P, R, RE, T NPI: 1982677399 Sheffield Village, OH 44035

Sa - 8:00 AM - 12:00 PM 860 E Broad St Ste H (440) 934-5454 EB, P, R Cultural Competency: Y Elyria, OH 44035 Cultural Competency: Y

Ages: 18-99 (440) 365-4800 EB, P, R Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital Shaia, Samir J, DO, (M), B University Hospitals Elyria Lakewood Hospital Group Name: Orthopaedic Medical Ctr Cleveland Clinic Lakewood Associates Uh Elyria Medical Center St John Medical Center Provider ID: 002570073004 NPI: 1164468831 Sundaram, Rajendran, MD, (M), Sutton, Jazmine M, MD, (F), B 1502 Travelers Point B Group Name: Cleveland Clinic Avon, OH 44011 Group Name: Cleveland Clinic Foundation

(440) 892-1440 EB, P, PL, R, RE, Foundation Provider ID: 005554427008 T Provider ID: 001888186006 NPI: 1114288008 Mo - 8:30 AM - 4:30 PM NPI: 1396731865 33300 Cleveland Clinic Blvd Tu,We,Th,Fr - 8:30 AM - 4:00 PM 5172 Leavitt Rd Avon, OH 44011

Ages: 0-99 Lorain, OH 44053 (216) 538-9022 EB, P, R

Hospital Affiliations: (440) 282-7420 EB, P, R Does Not Accept New Patients Fairview Hospital Cultural Competency: Y Ages: 0-99 Mercy Regional Medical Center Ages: 0-99 Hospital Affiliations: Communtiy Health Partners Rgnl Hospital Affiliations: Cleveland Clinic Foundation Mdcl Ctr Cleveland Clinic Foundation Fairview Hospital Tadross, Nabil A, MD, (M), B Stamatis, Bonnie, MD, (F) Lakewood Hospital Group Name: Cleveland Clinic Group Name: Stamatis Bonnie Cleveland Clinic Lakewood Foundation Provider ID: 001263665002 St John Medical Center Provider ID: 002082194009 NPI: 1982677399 NPI: 1285724377 860 E Broad St 33300 Cleveland Clinic Blvd Elyria, OH 44035 Avon, OH 44011

(440) 365-4800 E, EB, P, R (440) 695-5000 EB, P, R Cultural Competency: Y Languages Spoken: Ages: 0-99 Provider: Arabic Hospital Affiliations: Ages: 0-99 University Hospitals Elyria Hospital Affiliations:

147

Ohio - Lorain Primary Care Providers Cleveland Clinic Foundation Thet, Phyo K, MD, (M), B Thomas, Robert L, MD, (M) Fairview Hospital Group Name: Cleveland Clinic Group Name: Mercy Health Lakewood Hospital Foundation Physicians Lorain Cleveland Clinic Lakewood Provider ID: 006397389006 Provider ID: 002734071011 Mercy Regional Medical Center NPI: 1578988960 NPI: 1841353083 Communtiy Health Partners Rgnl 33300 Cleveland Clinic Blvd 5940 Oak Point Rd Mdcl Ctr Avon, OH 44011 Lorain, OH 44053

(216) 538-9022 EB, P, R (440) 988-3705 RE, T Tak, James I, MD, (M), B Does Not Accept New Patients Mo-Th - 8:30 AM - 8:00 PM Group Name: Cleveland Clinic Ages: 0-99 Fr - 8:30 AM - 5:00 PM Foundation Hospital Affiliations: Sa - 8:30 AM - 12:00 PM Provider ID: 006519233006 Cleveland Clinic Foundation Cultural Competency: Y NPI: 1265850689 Hillcrest Hospital Accepting Existing Patients Only 33300 Cleveland Clinic Blvd Fairview Hospital Ages: 50-99 Avon, OH 44011 Medina Hospital Hospital Affiliations:

(216) 538-9022 EB, P, R Cleveland Clinic Avon Hospital Metrohealth Medical Center Does Not Accept New Patients Marymount Hospital Ages: 0-99 Thiagarajan, Kiruthika, MD, (F), Mercy Allen Hospital Hospital Affiliations: B Mercy Regional Medical Center Cleveland Clinic Foundation Group Name: Cleveland Clinic Communtiy Health Partners Rgnl Fairview Hospital Foundation Mdcl Ctr Marymount Hospital Provider ID: 005185602001 NPI: 1437431988 Unnithan, Jaya S, MD, (F), B Tchelidze, Tea A, MD, (F), B 450 Avon Belden Rd Group Name: Cleveland Clinic Group Name: Cleveland Clinic Avon Lake, OH 44012 Foundation

Foundation (440) 930-6800 EB, P, R Provider ID: 002716524007 Provider ID: 002570580015 Ages: 18-99 NPI: 1023108289 NPI: 1508959693 Hospital Affiliations: 303 Chestnut Commons Dr 33300 Cleveland Clinic Blvd Cleveland Clinic Foundation Elyria, OH 44035

Avon, OH 44011 (440) 366-9444 EB, P, R

(440) 695-5000 EB, P, R Thiagarajan, Kiruthika, MD, (F), Sa - 8:00 AM - 12:00 PM Languages Spoken: B Cultural Competency: Y Provider: Georgian, Russian Group Name: Cleveland Clinic Ages: 0-99 Cultural Competency: Y Foundation Hospital Affiliations: Ages: 0-99 Provider ID: 005185602009 Cleveland Clinic Foundation Hospital Affiliations: NPI: 1437431988 Cleveland Clinic Foundation 5700 Cooper Foster Park Rd W Hillcrest Hospital Lorain, OH 44053

Uh Geneva Medical Center (440) 204-7400 EB, IB, P, R, RE, T Uh Cleveland Medical Center Ages: 18-99 Univ Hospitals Ahuja Med Ctr Hospital Affiliations: Cleveland Clinic Foundation

148

Primary Care Providers Ohio - Lorain Vacca, Maidana, MD, (F), B Hospital Affiliations: Zaw, Tin Z, MD, (F) Group Name: Cleveland Clinic Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Fairview Hospital Foundation Provider ID: 003404418006 Lakewood Hospital Provider ID: 006484502007 NPI: 1326297706 Cleveland Clinic Lakewood NPI: 1336555382 1130 Tower Blvd Ste B St John Medical Center 33300 Cleveland Clinic Blvd Lorain, OH 44052 Avon, OH 44011

(440) 989-4874 E, EB, IB, P, R Ware, Rebecca A, MD, (F), B (216) 538-9022 EB, P, R Cultural Competency: Y Group Name: Northern Oh Does Not Accept New Patients Accepting Existing Patients Only Medical Specialist Ages: 0-99 Ages: 0-99 Provider ID: 006292279007 Hospital Affiliations: Hospital Affiliations: NPI: 1568412161 Cleveland Clinic Foundation Cleveland Clinic Foundation 6055 Park Square Dr Fairview Hospital Lorain, OH 44053 Cleveland Clinic Avon Hospital

Wang, James J, MD, (M), B (440) 723-5685 EB, P, PL, R, RE, Group Name: Cleveland Clinic T Foundation Mo - 8:00 AM - 6:00 PM Nurse Practitioner

Provider ID: 001954659009 Tu,We,Th,Fr - 8:00 AM - 5:00 PM Members may self-refer to these NPI: 1225006935 Sa - 8:00 AM - 12:00 PM providers.

33100 Cleveland Clinic Blvd Ages: 0-99 Avon, OH 44011 Adkins, Nicole M, NP, (F) Group Name: Cleveland Clinic (440) 695-4000 EB, P, R Wu, Nancy, MD, (F), B Languages Spoken: Group Name: Cleveland Clinic Foundation Provider: Chinese Foundation Provider ID: 006223596039 Ages: 0-99 Provider ID: 002581308005 NPI: 1770967788 Hospital Affiliations: NPI: 1518057611 303 Chestnut Commons Dr Cleveland Clinic Foundation 33100 Cleveland Clinic Blvd Elyria, OH 44035 Fairview Hospital Avon, OH 44011 (440) 366-9444 EB, P, R Does Not Accept New Patients Lakewood Hospital (440) 695-4000 EB, P, R Cleveland Clinic Lakewood Cultural Competency: Y Ages: 0-99 St John Medical Center Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Wang, James J, MD, (M), B Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Cleveland Clinic South Pointe Hospital Foundation Euclid Hospital Provider ID: 001954659005 Marymount Hospital NPI: 1225006935 Medina Hospital 450 Avon Belden Rd Avon Lake, OH 44012

(440) 988-4041 EB, P, R Languages Spoken: Provider: Chinese Ages: 0-99

149

Ohio - Lorain Primary Care Providers Adkins, Nicole M, NP, (F) Baumgartner, Stacy L, NP, (F) Brown, Richelle R, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 006223596027 Provider ID: 002388654001 Provider ID: 003522286015 NPI: 1770967788 NPI: 1487619169 NPI: 1144589318 5700 Cooper Foster Park Rd W 5700 Cooper Foster Park Rd W 303 Chestnut Commons Dr Lorain, OH 44053 Lorain, OH 44053 Elyria, OH 44035

(440) 204-7400 EB, IB, P, R, RE, T (440) 204-7400 EB, IB, P, R, RE, T (440) 366-9444 EB, P, R Does Not Accept New Patients Ages: 18-99 Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Akron General Medical Ctr Cleveland Clinic Foundation Cleveland Clinic Foundation Berger, Andrew M, NP, (M) South Pointe Hospital Group Name: Cleveland Clinic Brown, Richelle R, NP, (F) Euclid Hospital Foundation Group Name: Cleveland Clinic Marymount Hospital Provider ID: 003519027019 Foundation Medina Hospital NPI: 1942593967 Provider ID: 003522286004 303 Chestnut Commons Dr NPI: 1144589318 Astrab, Carrie L, NP, (F) Elyria, OH 44035 5700 Cooper Foster Park Rd W

Group Name: University Primary (440) 366-9444 EB, P, R Lorain, OH 44053

Care Practices Web address: www.northcountryhea (440) 204-7400 EB, IB, P, R, RE, T Provider ID: 006529813005 lthcare.org Does Not Accept New Patients NPI: 1497271654 Does Not Accept New Patients Ages: 0-99 35755 Detroit Rd Ages: 0-99 Hospital Affiliations: Avon, OH 44011 Hospital Affiliations: Cleveland Clinic Foundation

(440) 937-3111 EB, P, R Cleveland Clinic Foundation Ages: 0-99 Brubaker, Jennifer A, NP, (F) Berger, Andrew M, NP, (M) Group Name: Cleveland Clinic Astrab, Carrie L, NP, (F) Group Name: Cleveland Clinic Foundation Group Name: University Primary Foundation Provider ID: 003085129003 Care Practices Provider ID: 003519027008 NPI: 1851555494 Provider ID: 006529813004 NPI: 1942593967 5172 Leavitt Rd NPI: 1497271654 5700 Cooper Foster Park Rd W Lorain, OH 44053

37800 French Creek Rd Lorain, OH 44053 (440) 282-7420 EB, P, R

Avon, OH 44011 (440) 204-7400 EB, IB, P, R, RE, T Ages: 0-99

(440) 934-5204 EB, P, R Web address: www.northcountryhea Hospital Affiliations: Ages: 0-99 lthcare.org Cleveland Clinic Foundation Does Not Accept New Patients Fairview Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

150

Primary Care Providers Ohio - Lorain Brugger, Virginia B, NP, (F) Calfee, Janice M, NP, (F) Calfee, Janice M, NP, (F) Group Name: Cleveland Clinic Group Name: Mercy Health Group Name: Mercy Health Foundation Physicians Lorain Physicians Lorain Provider ID: 003194195020 Provider ID: 002996054021 Provider ID: 002996054011 NPI: 1457671091 NPI: 1811167570 NPI: 1811167570 303 Chestnut Commons Dr 1212 Abbe Rd S 35990 Westminister Ave Elyria, OH 44035 Elyria, OH 44035 North Ridgeville, OH 44039

(440) 366-9444 EB, P, R (440) 988-5234 EB, P, R (440) 988-5234 EB, P, R Does Not Accept New Patients Cultural Competency: Y Mo-Fr - 8:00 AM - 5:30 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Areas of Expertise: MAT1 Mercy Allen Hospital Cleveland Clinic Foundation Mercy Regional Medical Center Mercy Allen Hospital Brugger, Virginia B, NP, (F) Communtiy Health Partners Rgnl Mercy Regional Medical Center Group Name: Cleveland Clinic Mdcl Ctr Communtiy Health Partners Rgnl Foundation Mdcl Ctr Provider ID: 003194195029 Calfee, Janice M, NP, (F) NPI: 1457671091 Group Name: Mercy Health Capito, Nancy, NP, (F) 33100 Cleveland Clinic Blvd Physicians Lorain Group Name: Lorain County Avon, OH 44011 Provider ID: 002996054020 Health & Dentis

(440) 695-4000 EB, P, R NPI: 1811167570 Provider ID: 003522736011 Does Not Accept New Patients 35755 Detroit Rd NPI: 1467703835 Ages: 0-99 Avon, OH 44011 3745 Grove Ave

Hospital Affiliations: (440) 988-5234 EB, P, R Lorain, OH 44055

Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 5:30 PM (440) 240-1655 E, EB, G, IB, P, Areas of Expertise: MAT1 Cultural Competency: Y PL, R, RE, S, T Ages: 0-99 Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM Brugger, Virginia B, NP, (F) Hospital Affiliations: We - 8:00 AM - 7:30 PM Group Name: Cleveland Clinic Cleveland Clinic Foundation Ages: 18-99 Foundation Mercy Allen Hospital Provider ID: 003194195005 Mercy Regional Medical Center Capito, Nancy, NP, (F) NPI: 1457671091 Communtiy Health Partners Rgnl Group Name: Lorain County 5700 Cooper Foster Park Rd W Mdcl Ctr Health & Dentis Lorain, OH 44053 Provider ID: 003522736009

(440) 204-7400 EB, IB, P, R, RE, T NPI: 1467703835 Does Not Accept New Patients 554 N Leavitt Rd Ages: 0-99 Amherst, OH 44001

Hospital Affiliations: (440) 240-1655 EB, P, R Cleveland Clinic Foundation Ages: 18-99 Areas of Expertise: MAT1

151

Ohio - Lorain Primary Care Providers Cardona Weese, Beatrice M, NP, Cardona Weese, Beatrice M, NP, Chatal, Eric, NP, (M) (F) (F) Group Name: Cleveland Clinic Group Name: Lorain County Group Name: Lorain County Foundation Health & Dentis Health & Dentis Provider ID: 006979465017 Provider ID: 006358753026 Provider ID: 006358753022 NPI: 1174015085 NPI: 1104210715 NPI: 1104210715 303 Chestnut Commons Dr 1205 Broadway 412 E River St Elyria, OH 44035

Lorain, OH 44052 Elyria, OH 44035 (440) 366-9444 EB, P, R

(440) 240-1655 EB, G, IB, P, PL, (440) 240-1655 EB, G, IB, P, PL, Does Not Accept New Patients R, RE, S, T R, RE, S, T Ages: 0-99 Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM Mo-Fr - 8:30 AM - 5:00 PM Hospital Affiliations: We - 8:00 AM - 7:30 PM Ages: 0-99 Uh Cleveland Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mercy Regional Medical Center Chatal, Eric, NP, (M) Mercy Regional Medical Center Communtiy Health Partners Rgnl Group Name: Cleveland Clinic Communtiy Health Partners Rgnl Mdcl Ctr Foundation Mdcl Ctr Provider ID: 006979465004 Cardona Weese, Beatrice M, NP, NPI: 1174015085 Cardona Weese, Beatrice M, NP, (F) 5700 Cooper Foster Park Rd W (F) Group Name: Lorain County Lorain, OH 44053

Group Name: Lorain County Health & Dentis (440) 204-7400 EB, IB, P, R, RE, T Health & Dentis Provider ID: 006358753023 Does Not Accept New Patients Provider ID: 006358753024 NPI: 1104210715 Ages: 0-99 NPI: 1104210715 6140 S Broadway Hospital Affiliations: 3745 Grove Ave Lorain, OH 44053 Uh Cleveland Medical Center

Lorain, OH 44055 (440) 240-1655 EB, P, R

(440) 240-1655 E, EB, G, IB, P, Ages: 0-99 Coleman, Colleen T, NP, (F) PL, R, RE, S, T Hospital Affiliations: Group Name: Cleveland Clinic Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM Mercy Regional Medical Center Foundation We - 8:00 AM - 7:30 PM Communtiy Health Partners Rgnl Provider ID: 002835879034 Ages: 0-99 Mdcl Ctr NPI: 1033308846 Hospital Affiliations: 303 Chestnut Commons Dr Mercy Regional Medical Center Case, Cassandra L, NP, (F) Elyria, OH 44035

Communtiy Health Partners Rgnl Group Name: Northern Oh (440) 366-9444 EB, P, R Mdcl Ctr Medical Specialist Does Not Accept New Patients Provider ID: 005069437008 Ages: 0-99 NPI: 1952716086 Hospital Affiliations: 5319 Hoag Dr Ste 210d Cleveland Clinic Foundation Sheffield Village, OH 44035

(440) 925-5378 E, EB, IB, P, R Ages: 0-99

152

Primary Care Providers Ohio - Lorain Coleman, Colleen T, NP, (F) Creager, Katie A, NP, (F) Devito, Melanie A, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 002835879023 Provider ID: 003563030039 Provider ID: 005210851004 NPI: 1033308846 NPI: 1629352760 NPI: 1952580664 5700 Cooper Foster Park Rd W 36901 American Way 5172 Leavitt Rd Lorain, OH 44053 Avon, OH 44011 Lorain, OH 44053

(440) 204-7400 EB, IB, P, R, RE, T (440) 930-6250 E, EB, IB, P, R (440) 282-7420 EB, P, R Does Not Accept New Patients Mo-Fr - 8:00 AM - 4:00 PM Cultural Competency: Y Ages: 0-99 Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Coppola, Eileen M, NP, (F) Crites, Cheryl L, NP, (F) Fairview Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Duvall, Kristine N, NP, (F) Provider ID: 003509561002 Provider ID: 004078504014 Group Name: Premium Quality NPI: 1922356013 NPI: 1760819528 Np 1130 Tower Blvd Ste B 303 Chestnut Commons Dr Provider ID: 006794513003 Lorain, OH 44052 Elyria, OH 44035 NPI: 1730679952

(440) 989-4874 E, EB, IB, P, R (440) 366-9444 EB, P, R 10515 E River Rd Languages Spoken: Does Not Accept New Patients Columbia Station, OH 44028

Provider: Spanish Ages: 0-99 (330) 461-0914 EB, P, R Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Accepting Existing Patients Only Cleveland Clinic Foundation Ages: 0-99 Dwyer, Meggan E, NP, (F) Hospital Affiliations: Crites, Cheryl L, NP, (F) Group Name: Cleveland Clinic Metrohealth Medical Center Group Name: Cleveland Clinic Foundation Cleveland Clinic Foundation Foundation Provider ID: 003307482031 Provider ID: 004078504003 NPI: 1609175207 Cox, Maryann E, NP, (F) NPI: 1760819528 303 Chestnut Commons Dr Group Name: Cleveland Clinic 5700 Cooper Foster Park Rd W Elyria, OH 44035

Foundation Lorain, OH 44053 (440) 366-9444 EB, P, R

Provider ID: 005552391009 (440) 204-7400 EB, IB, P, R, RE, T Ages: 0-99 NPI: 1255718466 Does Not Accept New Patients Hospital Affiliations: 450 Avon Belden Rd Ages: 0-99 Metrohealth Medical Center Avon Lake, OH 44012 Hospital Affiliations: Cleveland Clinic Foundation

(440) 930-6800 EB, P, R Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

153

Ohio - Lorain Primary Care Providers Dwyer, Meggan E, NP, (F) Gibson-Owens, Dawn M, FNP, (F) Gibson-Owens, Dawn M, FNP, (F) Group Name: Cleveland Clinic Group Name: Mercy Health Group Name: Mercy Health Foundation Physicians Lorain Physicians Lorain Provider ID: 003307482005 Provider ID: 003766483039 Provider ID: 003766483038 NPI: 1609175207 NPI: 1316375959 NPI: 1316375959 5700 Cooper Foster Park Rd W 1957 Cooper Foster Park Rd 5940 Oak Point Rd # 2 Lorain, OH 44053 Amherst, OH 44001 Lorain, OH 44053

(440) 204-7400 EB, IB, P, R, RE, T (440) 370-5446 E, EB, P, R, RE, (440) 988-3705 EB, P, R, RE, T Ages: 0-99 S, T Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Metrohealth Medical Center Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Mercy Regional Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Folger, Allison R, NP, (F) Communtiy Health Partners Rgnl Mdcl Ctr Group Name: Cleveland Clinic Mdcl Ctr Foundation Goodwin, Donna S, NP, (F) Provider ID: 004159611015 Gibson-Owens, Dawn M, FNP, (F) Group Name: UPCP NPI: 1164849766 Group Name: Mercy Health Provider ID: 006495177002 303 Chestnut Commons Dr Physicians Lorain NPI: 1295255610 Elyria, OH 44035 Provider ID: 003766483037 36711 American Way Ste A

(440) 366-9444 EB, P, R NPI: 1316375959 Avon, OH 44011

Accepting Existing Patients Only 224 W Lorain St Ste 100 (440) 695-6503 EB, P, R Ages: 0-99 Oberlin, OH 44074 Mo-Fr - 8:30 AM - 4:30 PM

Hospital Affiliations: (440) 775-1881 E, EB, P, R, RE, Ages: 18-99 Cleveland Clinic Foundation S, T Mo-Fr - 9:00 AM - 7:00 PM Gunselman, Beth A, NP, (F) Folger, Allison R, NP, (F) Sa,Su - 10:00 AM - 4:00 PM Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cultural Competency: Y Foundation Foundation Ages: 0-99 Provider ID: 002510399018 Provider ID: 004159611005 Hospital Affiliations: NPI: 1437143286 NPI: 1164849766 Mercy Regional Medical Center 303 Chestnut Commons Dr 5700 Cooper Foster Park Rd W Communtiy Health Partners Rgnl Elyria, OH 44035

Lorain, OH 44053 Mdcl Ctr (440) 366-9444 EB, P, R

(440) 204-7400 EB, IB, P, R, RE, T Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation

154

Primary Care Providers Ohio - Lorain Gunselman, Beth A, NP, (F) Higgins, Svetlana M, NP, (F) Kane, Laura L, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Lorain County Foundation Foundation Health & Dentis Provider ID: 002510399025 Provider ID: 006977077005 Provider ID: 006787673010 NPI: 1437143286 NPI: 1730664707 NPI: 1679091318 33100 Cleveland Clinic Blvd 5700 Cooper Foster Park Rd W 260 S Main St Avon, OH 44011 Lorain, OH 44053 Oberlin, OH 44074

(440) 695-4000 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T (440) 240-1655 E, EB, G, IB, P, Ages: 0-99 Accepting Existing Patients Only PL, R, RE, S, T Hospital Affiliations: Ages: 0-17 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Areas of Expertise: MAT1 Cleveland Clinic Foundation Gunselman, Beth A, NP, (F) Hillcrest Hospital Kane, Laura L, NP, (F) Group Name: Cleveland Clinic Lutheran Hospital Group Name: Lorain County Foundation Health & Dentis Provider ID: 002510399005 Kane, Laura L, NP, (F) Provider ID: 006787673008 NPI: 1437143286 Group Name: Lorain County NPI: 1679091318 5700 Cooper Foster Park Rd W Health & Dentis 3745 Grove Ave Lorain, OH 44053 Provider ID: 006787673009 Lorain, OH 44055

(440) 204-7400 EB, IB, P, R, RE, T NPI: 1679091318 (440) 240-1655 E, EB, G, IB, P, Ages: 0-99 105 Louden Ct PL, R, RE, S, T Hospital Affiliations: Elyria, OH 44035 Ages: 0-99

Cleveland Clinic Foundation (440) 240-1655 EB, G, IB, P, R, Areas of Expertise: MAT1 RE, S, T Higgins, Svetlana M, NP, (F) Ages: 0-99 Kane, Laura L, NP, (F) Group Name: Cleveland Clinic Areas of Expertise: MAT1 Group Name: Lorain County Foundation Health & Dentis Provider ID: 006977077019 Kane, Laura L, NP, (F) Provider ID: 006787673005 NPI: 1730664707 Group Name: Lorain County NPI: 1679091318 303 Chestnut Commons Dr Health & Dentis 412 E River St Elyria, OH 44035 Provider ID: 006787673004 Elyria, OH 44035

(440) 366-9444 EB, P, R NPI: 1679091318 (440) 240-1655 EB, G, IB, P, PL, Accepting Existing Patients Only 1205 Broadway R, RE, S, T Ages: 0-17 Lorain, OH 44052 Ages: 0-99

Hospital Affiliations: (440) 240-1655 EB, G, IB, P, PL, Areas of Expertise: MAT1 Cleveland Clinic Foundation R, RE, S, T Hillcrest Hospital Ages: 0-99 Lutheran Hospital Areas of Expertise: MAT1

155

Ohio - Lorain Primary Care Providers Kane, Laura L, NP, (F) Kwasny, Lauren N, NP, (F) Maddock, Nicole, NP, (F) Group Name: Lorain County Group Name: UPCP Group Name: Mercy Health Health & Dentis Provider ID: 007230081007 Physicians Lorain Provider ID: 006787673006 NPI: 1124680954 Provider ID: 006266876036 NPI: 1679091318 1480 Center Rd Ste A NPI: 1548719487 6140 S Broadway Avon, OH 44011 224 W Lorain St Ste 100

Lorain, OH 44053 (440) 406-5810 EB, P, R Oberlin, OH 44074

(440) 240-1655 E, EB, G, IB, P, Mo-Fr - 8:30 AM - 4:30 PM (440) 775-1881 E, EB, P, R, RE, PL, R, RE, S, T Ages: 0-99 S, T Ages: 0-99 Hospital Affiliations: Does Not Accept New Patients Areas of Expertise: MAT1 Firelands Regional Medical Ctr Ages: 0-99 Hospital Affiliations: Kane, Laura L, NP, (F) Maddock, Nicole, NP, (F) Mercy Regional Medical Center Group Name: Lorain County Group Name: Mercy Allen Rhc Communtiy Health Partners Rgnl Health & Dentis Lagrange Mdcl Ctr Provider ID: 006787673011 Provider ID: 006266876023 NPI: 1679091318 NPI: 1548719487 Maddock, Nicole, NP, (F) 6150 Park Square Dr 105 Opportunity Way Group Name: Mercy Allen Rhc Lorain, OH 44053 Lagrange, OH 44050 Lagrange

(440) 240-1655 EB, P, R (440) 222-4160 EB, P, R Provider ID: 006266876022 Ages: 0-99 Ages: 0-99 NPI: 1548719487 Areas of Expertise: MAT1 Hospital Affiliations: 508 Dickson St Ste 2 Mercy Regional Medical Center Wellington, OH 44090

Kreuer, Carrie E, NP, (F) Communtiy Health Partners Rgnl (440) 647-2225 E, EB, P, R Group Name: Cleveland Clinic Mdcl Ctr Ages: 0-99 Foundation Hospital Affiliations: Provider ID: 002964546002 Maddock, Nicole, NP, (F) Mercy Regional Medical Center NPI: 1275748865 Group Name: Mercy Health Communtiy Health Partners Rgnl 36901 American Way Ste A Physicians Lorain Mdcl Ctr Avon, OH 44011 Provider ID: 006266876037

(440) 930-6236 EB, P, R NPI: 1548719487 Maddock, Nicole, NP, (F) Mo-Fr - 8:00 AM - 4:00 PM 1957 Cooper Foster Park Rd Group Name: Mercy Allen Rhc Does Not Accept New Patients Amherst, OH 44001 Lagrange

Ages: 0-17 (440) 370-5446 E, EB, P, R, RE, Provider ID: 006266876028 Hospital Affiliations: S, T NPI: 1548719487 Wooster Community Hospital Does Not Accept New Patients 840 Patriot Dr Cleveland Clinic Foundation Ages: 0-99 Wellington, OH 44090

Fairview Hospital Hospital Affiliations: (440) 647-2225 EB, P, R, RE, T Mercy Regional Medical Center Ages: 0-99 Communtiy Health Partners Rgnl Hospital Affiliations: Mdcl Ctr Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

156

Primary Care Providers Ohio - Lorain Mercy Regional Medical Center Malear, Kathleen M, NP, (F) Malear, Kathleen M, NP, (F) Communtiy Health Partners Rgnl Group Name: Mercy Health Group Name: Mercy Health Mdcl Ctr Physicians Lorain Physicians Lorain Provider ID: 002999084050 Provider ID: 002999084021 Malear, Kathleen M, NP, (F) NPI: 1881831311 NPI: 1881831311 Group Name: Mercy Health 224 W Lorain St Ste 100 101 Cooper Foster Park Rd Physicians Lorain Oberlin, OH 44074

Amherst, OH 44001 Provider ID: 002999084051 (440) 775-1881 E, EB, P, R, RE,

(440) 988-3705 EB, P, R NPI: 1881831311 S, T Ages: 0-99 1957 Cooper Foster Park Rd Ages: 0-99 Hospital Affiliations: Amherst, OH 44001 Hospital Affiliations:

Metrohealth Medical Center (440) 370-5446 E, EB, P, R, RE, Metrohealth Medical Center Mercy Regional Medical Center S, T Mercy Regional Medical Center Communtiy Health Partners Rgnl Ages: 0-99 Communtiy Health Partners Rgnl Mdcl Ctr Hospital Affiliations: Mdcl Ctr Metrohealth Medical Center Malear, Kathleen M, NP, (F) Mercy Regional Medical Center Malear, Kathleen M, NP, (F) Group Name: Mercy Health Communtiy Health Partners Rgnl Group Name: Mercy Health Physicians Lorain Mdcl Ctr Physicians Lorain Provider ID: 002999084035 Provider ID: 002999084034 NPI: 1881831311 Malear, Kathleen M, NP, (F) NPI: 1881831311 1201 Nebraska Ave Group Name: Mercy Health 2319 E 34th St Lorain, OH 44052 Physicians Lorain Lorain, OH 44055

(440) 370-5446 EB, P, R Provider ID: 002999084049 (440) 370-5446 EB, P, R Ages: 0-99 NPI: 1881831311 Ages: 0-99 Hospital Affiliations: 200 W Lorain St Hospital Affiliations: Metrohealth Medical Center Oberlin, OH 44074 Metrohealth Medical Center

Mercy Regional Medical Center (440) 213-5333 EB, IB, P, R, RE, Mercy Regional Medical Center Communtiy Health Partners Rgnl S, T Communtiy Health Partners Rgnl Mdcl Ctr Ages: 0-99 Mdcl Ctr Hospital Affiliations: Malear, Kathleen M, NP, (F) Metrohealth Medical Center Malear, Kathleen M, NP, (F) Group Name: Mercy Health Mercy Regional Medical Center Group Name: Mercy Health Physicians Lorain Communtiy Health Partners Rgnl Physicians Lorain Provider ID: 002999084047 Mdcl Ctr Provider ID: 002999084046 NPI: 1881831311 NPI: 1881831311 1813 Nagle Rd Ste 500 2321 Fairless Dr Avon, OH 44011 Lorain, OH 44055

(440) 937-4600 EB, P, PL, R, RE, (440) 370-5446 EB, P, R T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Metrohealth Medical Center Mercy Regional Medical Center

157

Ohio - Lorain Primary Care Providers Communtiy Health Partners Rgnl Metrohealth Medical Center Marin, Patricia A, NP, (F) Mdcl Ctr Mercy Regional Medical Center Group Name: Cleveland Clinic Communtiy Health Partners Rgnl Foundation Malear, Kathleen M, NP, (F) Mdcl Ctr Provider ID: 002389137013 Group Name: Mercy Health NPI: 1881794931 Physicians Lorain Malear, Kathleen M, NP, (F) 33100 Cleveland Clinic Blvd Provider ID: 002999084045 Group Name: Mercy Health Avon, OH 44011

NPI: 1881831311 Physicians Lorain (440) 695-4000 EB, P, R 2600 Ashland Ave Provider ID: 002999084024 Ages: 0-99 Lorain, OH 44052 NPI: 1881831311 Hospital Affiliations:

(440) 370-5446 EB, P, R 3600 Kolbe Rd Ste 106 Cleveland Clinic Foundation Ages: 0-99 Lorain, OH 44053

Hospital Affiliations: (440) 960-3954 EB, P, R, RE, T Marin, Patricia A, NP, (F) Metrohealth Medical Center Ages: 0-99 Group Name: Cleveland Clinic Mercy Regional Medical Center Hospital Affiliations: Foundation Communtiy Health Partners Rgnl Metrohealth Medical Center Provider ID: 002389137004 Mdcl Ctr Mercy Regional Medical Center NPI: 1881794931 Communtiy Health Partners Rgnl 36901 American Way Ste C Malear, Kathleen M, NP, (F) Mdcl Ctr Avon, OH 44011

Group Name: Mercy Health (440) 930-6250 EB, P, R Physicians Lorain Malear, Kathleen M, NP, (F) Ages: 0-99 Provider ID: 002999084043 Group Name: Mercy Health Hospital Affiliations: NPI: 1881831311 Physicians Lorain Cleveland Clinic Foundation 2700 Washington Ave Provider ID: 002999084042 Lorain, OH 44052 NPI: 1881831311 Mccullar, Jeffrey S, NP, (M)

(440) 370-5446 EB, P, R 5940 Oak Point Rd Group Name: Cleveland Clinic Ages: 0-99 Lorain, OH 44053 Foundation

Hospital Affiliations: (440) 988-3705 RE, T Provider ID: 006034535032 Metrohealth Medical Center Ages: 0-99 NPI: 1528428026 Mercy Regional Medical Center Hospital Affiliations: 303 Chestnut Commons Dr Communtiy Health Partners Rgnl Metrohealth Medical Center Elyria, OH 44035

Mdcl Ctr Mercy Regional Medical Center (440) 366-9444 EB, P, R Communtiy Health Partners Rgnl Does Not Accept New Patients Malear, Kathleen M, NP, (F) Mdcl Ctr Ages: 0-99 Group Name: Mercy Health Hospital Affiliations: Physicians Lorain Akron General Medical Ctr Provider ID: 002999084044 Cleveland Clinic Foundation NPI: 1881831311 305 Louisiana Ave Lorain, OH 44052

(440) 370-5446 EB, P, R Ages: 0-99 Hospital Affiliations:

158

Primary Care Providers Ohio - Lorain Miklovich, Robyn J, NP, (F) Musat, Lisa, NP, (F) Group Name: Lorain County Musat, Lisa, NP, (F) Group Name: University Primary Health & Dentis Group Name: University Primary Care Practices Provider ID: 002389265008 Care Practices Provider ID: 006372079004 NPI: 1871513762 Provider ID: 006372079002 NPI: 1821538547 1205 Broadway NPI: 1821538547 1480 Center Rd Ste B Lorain, OH 44052 101 Cooper Foster Park Rd Avon, OH 44011

(440) 240-1655 EB, G, IB, P, PL, Amherst, OH 44001 (440) 406-5810 E, EB, G, P, R,

R, RE, S, T (440) 406-5810 EB, P, R RE, S, T Mo-Fr - 8:30 AM - 5:00 PM Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-18 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center Musat, Lisa, NP, (F) Musat, Lisa, NP, (F) Group Name: University Primary Group Name: University Primary Mosneag, Katalin E, NP, (F) Care Practices Care Practices Group Name: Cleveland Clinic Provider ID: 006372079006 Provider ID: 006372079007 Foundation NPI: 1821538547 NPI: 1821538547 Provider ID: 006034742035 1120 E Broad St Ste 100 489 Main St NPI: 1982066213 Elyria, OH 44035 Grafton, OH 44044

303 Chestnut Commons Dr (440) 406-5810 EB, P, R (440) 406-5700 Elyria, OH 44035 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM

(440) 366-9444 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Does Not Accept New Patients Musat, Lisa, NP, (F) Musat, Lisa, NP, (F) Ages: 0-99 Group Name: University Primary Group Name: University Primary Hospital Affiliations: Care Practices Care Practices Akron General Medical Ctr Provider ID: 006372079005 Provider ID: 006372079003 Cleveland Clinic Foundation NPI: 1821538547 NPI: 1821538547 1120 E Broad St Ste 200 6115 Emerald St Mosneag, Katalin E, NP, (F) Elyria, OH 44035 North Ridgeville, OH 44039

Group Name: Cleveland Clinic (440) 406-5810 EB, P, R (440) 406-5810 EB, P, R Foundation Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 006034742025 Ages: 0-99 Ages: 0-99 NPI: 1982066213 5700 Cooper Foster Park Rd W Lorain, OH 44053

(440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Akron General Medical Ctr Cleveland Clinic Foundation

159

Ohio - Lorain Primary Care Providers Ornelas, Joanna L, NP, (F) Ornelas, Joanna L, NP, (F) Ornelas, Joanna L, NP, (F) Group Name: Mercy Health Group Name: Mercy Health Group Name: Mercy Health Physicians Lorain Physicians Lorain Physicians Lorain Provider ID: 007065676013 Provider ID: 007065676017 Provider ID: 007065676005 NPI: 1467916536 NPI: 1467916536 NPI: 1467916536 1813 Nagel Rd Ste 500 224 W Lorain St Ste 100 5940 Oak Point Rd Avon, OH 44011 Oberlin, OH 44074 Lorain, OH 44053

(440) 937-4600 EB, P, R, RE, T (440) 775-1881 E, EB, P, R, RE, (440) 988-3705 RE, T Accepting Existing Patients Only S, T Accepting Existing Patients Only Ages: 0-99 Mo-Fr - 9:00 AM - 7:00 PM Ages: 0-99 Sa,Su - 10:00 AM - 4:00 PM Ornelas, Joanna L, NP, (F) Accepting Existing Patients Only Ornelas, Joanna L, NP, (F) Group Name: Mercy Health Ages: 0-99 Group Name: Mercy Allen Rhc Physicians Lorain Wellington Provider ID: 007065676018 Ornelas, Joanna L, NP, (F) Provider ID: 007065676007 NPI: 1467916536 Group Name: Mercy Health NPI: 1467916536 1957 Cooper Foster Park Rd Physicians Lorain 840 Patriot Dr Amherst, OH 44001 Provider ID: 007065676010 Wellington, OH 44090

(440) 370-5446 E, EB, P, R, RE, NPI: 1467916536 (440) 647-2225 EB, P, R, RE, T S, T 3600 Kolbe Rd Ste 106 Mo-Fr - 12:00 PM - 8:00 PM Accepting Existing Patients Only Lorain, OH 44053 Sa,Su - 11:00 AM - 5:00 PM

Ages: 0-99 (440) 960-3954 EB, P, R, RE, T Ages: 0-99 Accepting Existing Patients Only Ornelas, Joanna L, NP, (F) Ages: 0-99 Page, Denise L, NP, (F) Group Name: Mercy Health Group Name: Cleveland Clinic Physicians Lorain Ornelas, Joanna L, NP, (F) Foundation Provider ID: 007065676016 Group Name: Mercy Health Provider ID: 005177183018 NPI: 1467916536 Physicians Lorain NPI: 1003215427 200 W Lorain St Provider ID: 007065676011 303 Chestnut Commons Dr Oberlin, OH 44074 NPI: 1467916536 Elyria, OH 44035

(440) 213-5333 EB, IB, P, R, RE, 5077 Waterford Dr Ste 305 (440) 366-9444 EB, P, R S, T Sheffield Village, OH 44035 Does Not Accept New Patients

Accepting Existing Patients Only (440) 222-4592 E, EB, IB, P, R, Ages: 0-99 Ages: 0-99 RE, S, T Hospital Affiliations: Accepting Existing Patients Only Akron General Medical Ctr Ages: 0-99 Cleveland Clinic Foundation

160

Primary Care Providers Ohio - Lorain Page, Denise L, NP, (F) Peterson, Corie M, NP, (F) Praisler, Kathy J, NP, (F) Group Name: Cleveland Clinic Group Name: UPCP Group Name: Cleveland Clinic Foundation Provider ID: 006480492008 Foundation Provider ID: 005177183007 NPI: 1104352582 Provider ID: 006252508017 NPI: 1003215427 6115 Emerald St NPI: 1366894214 5700 Cooper Foster Park Rd W North Ridgeville, OH 44039 303 Chestnut Commons Dr

Lorain, OH 44053 (440) 406-5810 EB, P, R Elyria, OH 44035

(440) 204-7400 EB, IB, P, R, RE, T Mo-Fr - 8:30 AM - 4:30 PM (440) 366-9444 EB, P, R Does Not Accept New Patients Ages: 0-99 Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Metrohealth Medical Center Hospital Affiliations: Akron General Medical Ctr Hillcrest Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Medina Hospital Marymount Hospital Medina Hospital Peterson, Corie M, NP, (F) Popp, Jeremy, NP, (M) Group Name: UPCP Group Name: Cleveland Clinic Praisler, Kathy J, NP, (F) Provider ID: 006480492005 Foundation Group Name: Cleveland Clinic NPI: 1104352582 Provider ID: 006006325022 Foundation 101 Cooper Foster Park Rd NPI: 1659733210 Provider ID: 006252508005 Amherst, OH 44001 303 Chestnut Commons Dr NPI: 1366894214

(440) 998-6060 EB, P, R Elyria, OH 44035 5700 Cooper Foster Park Rd W

Mo-Fr - 8:30 AM - 4:30 PM (440) 366-9444 EB, P, R Lorain, OH 44053

Ages: 0-99 Accepting Existing Patients Only (440) 204-7400 EB, IB, P, R, RE, T Hospital Affiliations: Ages: 0-99 Does Not Accept New Patients Metrohealth Medical Center Hospital Affiliations: Ages: 0-99 Hillcrest Hospital Cleveland Clinic Foundation Hospital Affiliations: Medina Hospital Cleveland Clinic Foundation Popp, Jeremy, NP, (M) Marymount Hospital Peterson, Corie M, NP, (F) Group Name: Cleveland Clinic Medina Hospital Group Name: UPCP Foundation Provider ID: 006480492007 Provider ID: 006006325008 Puljic, Rachael E, NP, (F) NPI: 1104352582 NPI: 1659733210 Group Name: Cleveland Clinic 1480 Center Rd Ste B 5700 Cooper Foster Park Rd W Foundation Avon, OH 44011 Lorain, OH 44053 Provider ID: 006233028042

(440) 406-5810 E, EB, G, P, R, (440) 204-7400 EB, IB, P, R, RE, T NPI: 1679930622 RE, S, T Accepting Existing Patients Only 303 Chestnut Commons Dr Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Elyria, OH 44035

Ages: 0-99 Hospital Affiliations: (440) 366-9444 EB, P, R Hospital Affiliations: Cleveland Clinic Foundation Web address: www.alleghenymedic Metrohealth Medical Center al.com Hillcrest Hospital Accepting Existing Patients Only Medina Hospital Ages: 0-99 Hospital Affiliations:

161

Ohio - Lorain Primary Care Providers Uniontown Hospital Hospital Affiliations: Resar, Taneesha M, NP, (F) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Mercy Health Physicians Lorain Puljic, Rachael E, NP, (F) Range, Samantha S, NP, (F) Provider ID: 007142600011 Group Name: Cleveland Clinic Group Name: Cleveland Clinic NPI: 1689232324 Foundation Foundation 200 W Lorain St Provider ID: 006233028008 Provider ID: 006504676020 Oberlin, OH 44074

NPI: 1679930622 NPI: 1982136487 (440) 213-5333 EB, IB, P, R, RE, 5700 Cooper Foster Park Rd W 303 Chestnut Commons Dr S, T Lorain, OH 44053 Elyria, OH 44035 Accepting Existing Patients Only

(440) 204-7400 EB, IB, P, R, RE, T (440) 366-9444 EB, P, R Ages: 0-99 Web address: www.alleghenymedic Accepting Existing Patients Only al.com Ages: 0-17 Resar, Taneesha M, NP, (F) Accepting Existing Patients Only Hospital Affiliations: Group Name: Mercy Health Ages: 0-99 Cleveland Clinic Foundation Physicians Lorain Hospital Affiliations: Provider ID: 007142600001 Uniontown Hospital Range, Samantha S, NP, (F) NPI: 1689232324 Cleveland Clinic Foundation Group Name: Cleveland Clinic 3600 Kolbe Rd Ste 106 Foundation Lorain, OH 44053

Purcell, Megan E, NP, (F) Provider ID: 006504676006 (440) 960-3954 EB, P, R, RE, T Group Name: University Primary NPI: 1982136487 Sa,Su - 11:00 AM - 5:00 PM Care Practices 5700 Cooper Foster Park Rd W Accepting Existing Patients Only Provider ID: 006637600005 Lorain, OH 44053 Ages: 0-99

NPI: 1871828418 (440) 204-7400 EB, IB, P, R, RE, T 1120 E Broad St Ste 100 Accepting Existing Patients Only Resar, Taneesha M, NP, (F) Elyria, OH 44035 Ages: 0-17 Group Name: Mercy Health

(440) 406-5810 EB, P, R Hospital Affiliations: Physicians Lorain Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Provider ID: 007142600007 Ages: 0-99 NPI: 1689232324 Hospital Affiliations: Resar, Taneesha M, NP, (F) 5077 Waterford Dr Ste 305 Cleveland Clinic Foundation Group Name: Mercy Health Sheffield Village, OH 44035

Physicians Lorain (440) 222-4592 E, EB, IB, P, R, Purcell, Megan E, NP, (F) Provider ID: 007142600006 RE, S, T Group Name: University Primary NPI: 1689232324 Accepting Existing Patients Only Care Practices 1813 Nagel Rd Ste 500 Ages: 0-99 Provider ID: 006637600004 Avon, OH 44011

NPI: 1871828418 (440) 937-4600 EB, P, R, RE, T 1480 Center Rd Ste B Accepting Existing Patients Only Avon, OH 44011 Ages: 0-99

(440) 406-5810 E, EB, G, P, R, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99

162

Primary Care Providers Ohio - Lorain Resar, Taneesha M, NP, (F) Rice, Shaneeka J, NP, (F) Russell, Krystal M, NP, (F) Group Name: Mercy Health Group Name: Cleveland Clinic Group Name: Mercy Health Physicians Lorain Foundation Physicians Lorain Provider ID: 007142600005 Provider ID: 006294705004 Provider ID: 005388675026 NPI: 1689232324 NPI: 1174073258 NPI: 1750770244 5940 Oak Point Rd 5700 Cooper Foster Park Rd W 224 W Lorain St Ste 100 Lorain, OH 44053 Lorain, OH 44053 Oberlin, OH 44074

(440) 988-3705 RE, T (440) 204-7400 EB, IB, P, R, RE, T (440) 775-1881 E, EB, P, R, RE, Mo-Fr - 12:00 PM - 8:00 PM Languages Spoken: S, T Sa,Su - 11:00 AM - 5:00 PM Provider: Spanish Accepting Existing Patients Only Accepting Existing Patients Only Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mercy Hospital Resar, Taneesha M, NP, (F) Cleveland Clinic Foundation Mercy Allen Hospital Group Name: Mercy Health Wellington Primary Care Riedy, Melinda D, NP, (F) Shock, Addie, NP, (F) Provider ID: 007142600014 Group Name: Mercy Allen Group Name: UPCP NPI: 1689232324 Hosp/Prof Fee Provider ID: 006477530007 840 Patriot Dr Provider ID: 003473398013 NPI: 1215380423 Wellington, OH 44090 NPI: 1508125469 125 E Broad St Ste 302

(440) 647-2225 EB, P, R, RE, T 508 Dickson St Ste 2 Elyria, OH 44035

Ages: 0-99 Wellington, OH 44090 (440) 323-0258 EB, P, R

(440) 647-2225 E, EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Rice, Shaneeka J, NP, (F) Ages: 0-99 Ages: 0-20 Group Name: Cleveland Clinic Areas of Expertise: MAT1 Foundation Shockley, Jennifer, NP, (F) Provider ID: 006294705013 Rospert, Elizabeth A, NP, (F) Group Name: Lorain County NPI: 1174073258 Group Name: Cleveland Clinic Health & Dentis 303 Chestnut Commons Dr Foundation Provider ID: 005789399006 Elyria, OH 44035 Provider ID: 006346110002 NPI: 1588034656

(440) 366-9444 EB, P, R NPI: 1568906899 1205 Broadway Languages Spoken: 303 Chestnut Commons Dr Lorain, OH 44052

Provider: Spanish Elyria, OH 44035 (440) 240-1655 EB, G, IB, P, PL,

Does Not Accept New Patients (440) 366-9444 EB, P, R R, RE, S, T Ages: 0-99 Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation University Hospitals Elyria Medical Ctr Uh Elyria Medical Center

163

Ohio - Lorain Primary Care Providers Shockley, Jennifer, NP, (F) Medical Ctr Cleveland Clinic Foundation Group Name: Lorain County Uh Elyria Medical Center Health & Dentis Smith, Renee B, NP, (F) Provider ID: 005789399003 Singer, Amanda L, NP, (F) Group Name: Cleveland Clinic NPI: 1588034656 Group Name: Cleveland Clinic Foundation 3745 Grove Ave Foundation Provider ID: 002389164005 Lorain, OH 44055 Provider ID: 002858456034 NPI: 1497712095

(440) 240-1655 E, EB, G, IB, P, NPI: 1508063538 450 Avon Belden Rd PL, R, RE, S, T 303 Chestnut Commons Dr Avon Lake, OH 44012

Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM Elyria, OH 44035 (440) 930-6800 EB, P, R

We - 8:00 AM - 7:30 PM (440) 366-9444 EB, P, R Ages: 18-99 Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation University Hospitals Elyria Hospital Affiliations: Medical Ctr Cleveland Clinic Foundation Smyth, Jennifer J, NP, (F) Uh Elyria Medical Center Uh Cleveland Medical Center Group Name: Cleveland Clinic Western Reserve Hospital Foundation Shockley, Jennifer, NP, (F) Provider ID: 006396258017 Group Name: Lorain County Singer, Amanda L, NP, (F) NPI: 1316485808 Health & Dentis Group Name: Cleveland Clinic 303 Chestnut Commons Dr Provider ID: 005789399005 Foundation Elyria, OH 44035

NPI: 1588034656 Provider ID: 002858456047 (440) 366-9444 EB, P, R 412 E River St NPI: 1508063538 Does Not Accept New Patients Elyria, OH 44035 5700 Cooper Foster Park Rd W Ages: 0-99

(440) 240-1655 EB, G, IB, P, PL, Lorain, OH 44053 Hospital Affiliations:

R, RE, S, T (440) 204-7400 EB, IB, P, R, RE, T Cleveland Clinic Foundation Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Smyth, Jennifer J, NP, (F) University Hospitals Elyria Hospital Affiliations: Group Name: Cleveland Clinic Medical Ctr Cleveland Clinic Foundation Foundation Uh Elyria Medical Center Uh Cleveland Medical Center Provider ID: 006396258004 Western Reserve Hospital NPI: 1316485808 Shockley, Jennifer, NP, (F) 5700 Cooper Foster Park Rd W Group Name: Lorain County Smith, Renee B, NP, (F) Lorain, OH 44053

Health & Dentis Group Name: Cleveland Clinic (440) 204-7400 EB, IB, P, R, RE, T Provider ID: 005789399004 Foundation Does Not Accept New Patients NPI: 1588034656 Provider ID: 002389164004 Ages: 0-99 554 N Leavitt Rd NPI: 1497712095 Hospital Affiliations: Amherst, OH 44001 1130 Tower Blvd Ste B Cleveland Clinic Foundation

(440) 240-1655 EB, P, R Lorain, OH 44052

Ages: 0-99 (440) 989-4874 E, EB, IB, P, R Hospital Affiliations: Ages: 18-99 University Hospitals Elyria Hospital Affiliations:

164

Primary Care Providers Ohio - Lorain Spoden, Cristen A, NP, (F) Spoden, Cristen A, NP, (F) Hospital Affiliations: Group Name: University Primary Group Name: University Primary Cleveland Clinic Foundation Care Practices Care Practices Provider ID: 006907153028 Provider ID: 006907153029 Willis, Jeanine R, NP, (F) NPI: 1215418256 NPI: 1215418256 Group Name: UPCP 101 Cooper Foster Park Rd 489 Main St Provider ID: 004331324002 Amherst, OH 44001 Grafton, OH 44044 NPI: 1356776975

(440) 406-5810 EB, P, R (440) 406-5810 EB, P, R 1268 E Broad St Ste 4 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Elyria, OH 44035

Ages: 0-99 (440) 365-1602 EB, P, R Spoden, Cristen A, NP, (F) Mo-Fr - 8:30 AM - 4:30 PM Spoden, Cristen A, NP, (F) Group Name: University Primary Cultural Competency: Y Group Name: University Primary Care Practices Ages: 0-99 Care Practices Provider ID: 006907153030 Hospital Affiliations: Provider ID: 006907153032 NPI: 1215418256 University Hospitals Elyria NPI: 1215418256 6115 Emerald St Medical Ctr 1120 E Broad St Ste 200 North Ridgeville, OH 44039 Uh Elyria Medical Center

Elyria, OH 44035 (440) 406-5810 EB, P, R Cleveland Clinic Foundation

(440) 406-5810 EB, P, R Ages: 0-99 Ages: 0-99 Willis, Jeanine R, NP, (F) Webster, Pamela J, NP, (F) Group Name: Cleveland Clinic Spoden, Cristen A, NP, (F) Group Name: Cleveland Clinic Foundation Group Name: University Primary Foundation Provider ID: 004331324009 Care Practices Provider ID: 004925845035 NPI: 1356776975 Provider ID: 006907153033 NPI: 1326365370 303 Chestnut Commons Dr NPI: 1215418256 303 Chestnut Commons Dr Elyria, OH 44035

1480 Center Rd Ste A Elyria, OH 44035 (440) 366-9444 EB, P, R

Avon, OH 44011 (440) 366-9444 EB, P, R Cultural Competency: Y

(440) 406-5810 EB, P, R Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Spoden, Cristen A, NP, (F) Cleveland Clinic Foundation University Hospitals Elyria Group Name: University Primary Medical Ctr Care Practices Webster, Pamela J, NP, (F) Uh Elyria Medical Center Provider ID: 006907153031 Group Name: Cleveland Clinic Cleveland Clinic Foundation NPI: 1215418256 Foundation 1480 Center Rd Ste B Provider ID: 004925845030 Avon, OH 44011 NPI: 1326365370

(440) 406-5810 E, EB, G, P, R, 5700 Cooper Foster Park Rd W RE, S, T Lorain, OH 44053

Ages: 0-99 (440) 204-7400 EB, IB, P, R, RE, T Does Not Accept New Patients Ages: 0-99

165

Ohio - Lorain Primary Care Providers Willis, Jeanine R, NP, (F) Cleveland Clinic Foundation Zayas, Audra, NP, (F) Group Name: Cleveland Clinic Group Name: Mercy Health Foundation Zayas, Audra, NP, (F) Physicians Lorain Provider ID: 004331324018 Group Name: Mercy Allen Provider ID: 006910040019 NPI: 1356776975 Hosp/Prof Fee NPI: 1235618372 5700 Cooper Foster Park Rd W Provider ID: 006910040011 200 W Lorain St Lorain, OH 44053 NPI: 1235618372 Oberlin, OH 44074

(440) 204-7400 EB, IB, P, R, RE, T 105 Opportunity Way (440) 213-5333 EB, IB, P, R, RE, Cultural Competency: Y Lagrange, OH 44050 S, T

Does Not Accept New Patients (440) 222-4160 EB, P, R Does Not Accept New Patients Ages: 0-99 Mo-Fr - 8:00 AM - 5:30 PM Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Hospital Affiliations: Metrohealth Medical Center Medical Ctr Metrohealth Medical Center Uh Elyria Medical Center Zayas, Audra, NP, (F) Cleveland Clinic Foundation Zayas, Audra, NP, (F) Group Name: Mercy Health Group Name: Mercy Health Physicians Lorain Workman, Nathan A, NP, (M) Physicians Lorain Provider ID: 006910040022 Group Name: Cleveland Clinic Provider ID: 006910040014 NPI: 1235618372 Foundation NPI: 1235618372 224 W Lorain St Ste 100 Provider ID: 006824410018 1813 Nagel Rd Ste 500 Oberlin, OH 44074

NPI: 1184114787 Avon, OH 44011 (440) 775-1881 E, EB, P, R, RE,

303 Chestnut Commons Dr (440) 937-4600 EB, P, R, RE, T S, T Elyria, OH 44035 Does Not Accept New Patients Mo-Fr - 9:00 AM - 7:00 PM

(440) 366-9444 EB, P, R Ages: 0-99 Sa,Su - 10:00 AM - 4:00 PM Does Not Accept New Patients Hospital Affiliations: Does Not Accept New Patients Ages: 0-17 Metrohealth Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Zayas, Audra, NP, (F) Metrohealth Medical Center Cleveland Clinic Foundation Group Name: Mercy Health Physicians Lorain Zayas, Audra, NP, (F) Workman, Nathan A, NP, (M) Provider ID: 006910040023 Group Name: Mercy Health Group Name: Cleveland Clinic NPI: 1235618372 Physicians Lorain Foundation 1957 Cooper Foster Park Rd Provider ID: 006910040005 Provider ID: 006824410021 Amherst, OH 44001 NPI: 1235618372

NPI: 1184114787 (440) 370-5446 E, EB, P, R, RE, 3600 Kolbe Rd Ste 106 5700 Cooper Foster Park Rd W S, T Lorain, OH 44053

Lorain, OH 44053 Does Not Accept New Patients (440) 960-3954 EB, P, R, RE, T

(440) 204-7400 E, EB, IB, P, R Ages: 0-99 Does Not Accept New Patients Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Ages: 0-17 Metrohealth Medical Center Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Metrohealth Medical Center

166

Primary Care Providers Ohio - Lorain Zayas, Audra, NP, (F) Zufan, Crista M, NP, (F) Akbar, Khalid, MD, (M), B Group Name: Mercy Health Group Name: Cleveland Clinic Group Name: University Primary Physicians Lorain Foundation Care Practices Provider ID: 006910040015 Provider ID: 003194094013 Provider ID: 001788743017 NPI: 1235618372 NPI: 1922327667 NPI: 1396749370 5077 Waterford Dr Ste 305 36901 American Way 590 N Leavitt Rd Sheffield Village, OH 44035 Avon, OH 44011 Amherst, OH 44001

(440) 222-4592 E, EB, IB, P, R, (440) 930-6250 E, EB, IB, P, R (440) 282-7408 RE, S, T Mo-Tu - 8:00 AM - 8:00 PM Languages Spoken: Does Not Accept New Patients Fr - 8:00 AM - 5:00 PM Provider: Urdu Ages: 0-99 Sa - 8:00 AM - 12:00 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Metrohealth Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Firelands Regional Medical Ctr Zayas, Audra, NP, (F) Cleveland Clinic Foundation Henry Ford Hospital Group Name: Mercy Health Mercy Allen Hospital Physicians Lorain St John Medical Center Provider ID: 006910040012 Pediatrics Rainbow Babies & Childrens

NPI: 1235618372 Members may self-refer to these Hosp 5940 Oak Point Rd providers. Mercy Regional Medical Center

Lorain, OH 44053 Communtiy Health Partners Rgnl Akbar, Khalid, MD, (M), B (440) 988-3705 RE, T Mdcl Ctr Does Not Accept New Patients Group Name: University Primary Ages: 0-99 Care Practices Cutter-Ali, Diane C, DO, (F), B Hospital Affiliations: Provider ID: 001788743016 Group Name: Cleveland Clinic Metrohealth Medical Center NPI: 1396749370 Foundation 3600 Kolbe Rd Ste 120 Provider ID: 001458799002 Zayas, Audra, NP, (F) Lorain, OH 44053 NPI: 1255445060 Group Name: Mercy Allen (440) 282-7408 EB, P, R 5700 Cooper Foster Park Rd Hosp/Prof Fee Languages Spoken: Lorain, OH 44053 Provider ID: 006910040020 Provider: Urdu (440) 204-7400 NPI: 1235618372 Cultural Competency: Y Ages: 18-99 840 Patriot Dr Ages: 0-99 Hospital Affiliations: Wellington, OH 44090 Hospital Affiliations: Cleveland Clinic Foundation Firelands Regional Medical Ctr (440) 647-2225 EB, P, R, RE, T Uh Parma Medical Center Mo-Fr - 8:00 AM - 5:30 PM Henry Ford Hospital University Hospitals Parma Ages: 0-99 Mercy Allen Hospital Medical Ctr Hospital Affiliations: St John Medical Center Metrohealth Medical Center Rainbow Babies & Childrens Hosp Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

167

Ohio - Lorain Primary Care Providers Dubinsky, Kristi F, DO, (F), B Flask, Vaishali, MD, (F), B Flask, Vaishali, MD, (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003085056004 Provider ID: 001976546006 Provider ID: 001976546007 NPI: 1992901375 NPI: 1609833912 NPI: 1609833912 5700 Cooper Foster Park Rd W 303 Chestnut Commons Dr 5172 Leavitt Rd Lorain, OH 44053 Elyria, OH 44035 Lorain, OH 44053

(440) 204-7200 EB, IB, P, R, RE, T (440) 366-9444 EB, P, R (440) 282-7420 EB, P, R Cultural Competency: Y Sa - 8:00 AM - 12:00 PM Ages: 0-20 Ages: 0-17 Ages: 0-20 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Flask, Vaishali, MD, (F), B Finley, Lori B, MD, (F), B Flask, Vaishali, MD, (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 001976546004 Provider ID: 002795126005 Provider ID: 001976546008 NPI: 1609833912 NPI: 1720284516 NPI: 1609833912 5700 Cooper Foster Park Rd W 36901 American Way 33100 Cleveland Clinic Blvd Lorain, OH 44053

Avon, OH 44011 Avon, OH 44011 (440) 204-7400 EB, IB, P, R, RE, T

(440) 930-6250 E, EB, IB, P, R (440) 695-4000 EB, P, R Ages: 0-20 Ages: 0-17 Ages: 0-20 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Francy, Scott A, MD, (M), B Finley, Lori B, MD, (F), B Flask, Vaishali, MD, (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 001883556013 Provider ID: 002795126003 Provider ID: 001976546014 NPI: 1912965690 NPI: 1720284516 NPI: 1609833912 36901 American Way Ste C 5700 Cooper Foster Park Rd W 33300 Cleveland Clinic Blvd Avon, OH 44011

Lorain, OH 44053 Avon, OH 44011 (440) 930-6250 EB, P, R

(440) 204-7400 EB, IB, P, R, RE, T (440) 695-5000 EB, P, R Sa - 8:00 AM - 12:00 PM Ages: 0-17 Ages: 0-20 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-20 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation

168

Primary Care Providers Ohio - Lorain Getachew, Samuel, MD, (M), B Hansford, Carmen K, MD, (F), B Jacono, Kari M, MD, (F), B Group Name: Samuel Getachew Group Name: University Primary Group Name: University Primary Md Care Practices Care Practices Provider ID: 001387869001 Provider ID: 001318088003 Provider ID: 002430933001 NPI: 1770557001 NPI: 1902868086 NPI: 1518979962 2152 Reid Ave 125 E Broad St Ste 302 3600 Kolbe Rd Ste 120 Lorain, OH 44052 Elyria, OH 44035 Lorain, OH 44053

(440) 244-1677 EB, IB, P, R, RE, (440) 323-0258 EB, P, R (440) 282-7408 EB, P, R T Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Cultural Competency: Y Cultural Competency: Y Provider: Amharic Ages: 0-18 Ages: 0-17 Staff: Spanish Hospital Affiliations: Hospital Affiliations: Mo-Fr - 9:00 AM - 5:00 PM University Hospitals Elyria Southwest General Health Center Ages: 0-99 Medical Ctr Uh Cleveland Medical Center Hospital Affiliations: Uh Elyria Medical Center Rainbow Babies & Childrens Mercy Regional Medical Center Cleveland Clinic Foundation Hosp Communtiy Health Partners Rgnl Rainbow Babies & Childrens Mdcl Ctr Hosp Kalata-Cetin, Ann Marie, DO, Areas of Expertise: MAT1 (F), B Horansky, Kristin H, MD, (F) Group Name: Cleveland Clinic Hanasoge, Lakshmi V, MD, (F), B Group Name: UPCP Foundation Group Name: Cleveland Clinic Provider ID: 005719086001 Provider ID: 001298040026 Foundation NPI: 1891044939 NPI: 1427124684 Provider ID: 002343156004 125 E Broad St Ste 302 36901 American Way NPI: 1568545077 Elyria, OH 44035 Avon, OH 44011

5172 Leavitt Rd (440) 323-0258 EB, P, R (440) 930-6250 E, EB, IB, P, R Lorain, OH 44053 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y

(440) 282-2720 EB, P, R Cultural Competency: Y Ages: 0-20 Mo-Fr - 8:00 AM - 8:00 PM Ages: 0-18 Hospital Affiliations: Ages: 0-20 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Rainbow Babies & Childrens Cleveland Clinic Foundation Hosp Kalata-Cetin, Ann Marie, DO, Beaumont Hospital Dearborn (F), B Oakwood Hospital And Medical Group Name: Cleveland Clinic Center Foundation Oakwood Hospital Medical Center Provider ID: 001298040021 Beaumont Hospital Trenton NPI: 1427124684 5700 Cooper Foster Park Rd W Lorain, OH 44053

(440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y Ages: 0-20 Hospital Affiliations:

169

Ohio - Lorain Primary Care Providers Cleveland Clinic Foundation Kukay, John M, MD, (M), B Kukay, John M, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Klein, Sarah E, MD, (F) Foundation Foundation Group Name: Cleveland Clinic Provider ID: 002214933002 Provider ID: 002214933005 Foundation NPI: 1871579938 NPI: 1871579938 Provider ID: 007467239001 33100 Cleveland Clinic Blvd 5700 Cooper Foster Park Rd W NPI: 1720519168 Avon, OH 44011 Lorain, OH 44053

303 Chestnut Commons Dr (440) 695-4000 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T Elyria, OH 44035 Cultural Competency: Y Cultural Competency: Y

(440) 366-9444 EB, P, R Ages: 0-17 Ages: 0-17 Mo-Fr - 8:00 AM - 8:00 PM Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Lakewood Hospital Lakewood Hospital Cleveland Clinic Foundation Cleveland Clinic Lakewood Cleveland Clinic Lakewood Southern New Hampshire Medical Southern New Hampshire Medical Kukay, John M, MD, (M), B Center Center Group Name: Cleveland Clinic St Joseph Hospital St Joseph Hospital Foundation St Joseph Hospital Of Nashua, St Joseph Hospital Of Nashua, Provider ID: 002214933001 N.h. N.h. NPI: 1871579938 St Joseph Hospital Of Nashua Nh St Joseph Hospital Of Nashua Nh 303 Chestnut Commons Dr Elyria, OH 44035 Kukay, John M, MD, (M), B Norr, Sigmund C, MD, (M), B

(440) 366-9444 EB, P, R Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cultural Competency: Y Foundation Foundation Ages: 0-17 Provider ID: 002214933008 Provider ID: 000177401017 Hospital Affiliations: NPI: 1871579938 NPI: 1205828035 Cleveland Clinic Foundation 36901 American Way 36901 American Way Ste C Lakewood Hospital Avon, OH 44011 Avon, OH 44011

Cleveland Clinic Lakewood (440) 930-6250 E, EB, IB, P, R (440) 930-6200 EB, P, R Southern New Hampshire Medical Cultural Competency: Y Cultural Competency: Y Center Ages: 0-17 Ages: 0-17 St Joseph Hospital Hospital Affiliations: Hospital Affiliations: St Joseph Hospital Of Nashua, Cleveland Clinic Foundation Summa Health System N.h. Lakewood Hospital Cleveland Clinic Foundation St Joseph Hospital Of Nashua Nh Cleveland Clinic Lakewood Southern New Hampshire Medical Center St Joseph Hospital St Joseph Hospital Of Nashua, N.h. St Joseph Hospital Of Nashua Nh

170

Primary Care Providers Ohio - Lorain Prabhakaran, Radhai, MD, (F), B Preston, Andrea D, MD, (F), B Lakewood Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Lakewood Foundation Foundation St John Medical Center Provider ID: 003208599010 Provider ID: 002916027007 NPI: 1558530261 NPI: 1558450460 Romero, Lynne D, MD, (F), B 33100 Cleveland Clinic Blvd 36901 American Way Group Name: University Primary Avon, OH 44011 Avon, OH 44011 Care Practices

(440) 695-4000 EB, P, R (440) 930-6250 E, EB, IB, P, R Provider ID: 000125041002 Cultural Competency: Y Cultural Competency: Y NPI: 1427075969 Ages: 0-20 Ages: 0-17 125 E Broad St Ste 302 Hospital Affiliations: Hospital Affiliations: Elyria, OH 44035

Cleveland Clinic Foundation Mission Hospitals (440) 323-0258 EB, P, R Mh Mission Hospital Languages Spoken: Prabhakaran, Radhai, MD, (F), B Cleveland Clinic Foundation Provider: Tagalog Group Name: Cleveland Clinic Mo-Fr - 8:30 AM - 4:30 PM Foundation Richter, Elana S, NP, (F) Cultural Competency: Y Provider ID: 003208599009 Group Name: University Ages: 0-18 NPI: 1558530261 Hospitals Medical Group Hospital Affiliations: 36901 American Way Provider ID: 006467999019 University Hospitals Elyria Avon, OH 44011 NPI: 1376070706 Medical Ctr

(440) 930-6250 E, EB, IB, P, R 3600 Kolbe Rd Ste 120 Uh Elyria Medical Center Cultural Competency: Y Lorain, OH 44053 Cleveland Clinic Foundation

Ages: 0-20 (440) 282-7408 EB, P, R Rainbow Babies & Childrens Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Hosp Cleveland Clinic Foundation Ages: 0-17 Areas of Expertise: E112 Hospital Affiliations: Prabhakaran, Radhai, MD, (F), B Mercy Regional Medical Center Shabab, Wadie, MD, (M), B Group Name: Cleveland Clinic Communtiy Health Partners Rgnl Group Name: Cleveland Clinic Foundation Mdcl Ctr Foundation Provider ID: 003208599011 Provider ID: 002361718015 NPI: 1558530261 Roble, Arlene G, MD, (F), B NPI: 1932163748 450 Avon Belden Rd Group Name: University Primary 36901 American Way Avon Lake, OH 44012 Care Practices Avon, OH 44011

(440) 930-6800 EB, P, R Provider ID: 002846290001 (440) 930-6250 E, EB, IB, P, R Cultural Competency: Y NPI: 1942296090 Mo-Th - 8:00 AM - 8:00 PM Ages: 0-20 3600 Kolbe Rd Ste 120 Fr - 8:00 AM - 5:00 PM Hospital Affiliations: Lorain, OH 44053 Sa - 8:30 AM - 12:00 PM

Cleveland Clinic Foundation (440) 282-7408 EB, P, R Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-20 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Trinity Medical Center Fairview Hospital

171

Ohio - Lorain Primary Care Providers Turner, Kevin L, MD, (M), B Axton, Natasha D, PA, (F) Cleveland Clinic Foundation Group Name: University Primary Group Name: Cleveland Clinic Care Practices Foundation Belmonte, Rosenda O, PA, (F) Provider ID: 002220204002 Provider ID: 005538937005 Group Name: Cleveland Clinic NPI: 1134200116 NPI: 1508251927 Foundation 319 W Lorain St 33300 Cleveland Clinic Blvd Provider ID: 006465121003 Oberlin, OH 44074 Avon, OH 44011 NPI: 1811396781

(440) 988-6009 (440) 695-5000 EB, P, R 5700 Cooper Foster Park Rd W Mo-Fr - 8:30 AM - 4:30 PM Does Not Accept New Patients Lorain, OH 44053

Cultural Competency: Y Ages: 0-99 (440) 204-7400 EB, IB, P, R, RE, T Ages: 0-17 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Fairview Hospital Ages: 0-99 Uh Cleveland Medical Center Euclid Hospital Hospital Affiliations: Rainbow Babies & Childrens Cleveland Clinic Avon Hospital Fairview Hospital Hosp Cleveland Clinic Foundation Barmasse, Leah M, PA, (F) Van Keuls, Nancy D, MD, (F), B Group Name: Cleveland Clinic Brown, Tiffany T, PA, (F) Group Name: Cleveland Clinic Foundation Group Name: Mercy Health Foundation Provider ID: 003040294004 Physicians Lorain Provider ID: 001309750011 NPI: 1982693651 Provider ID: 005135557015 NPI: 1225112451 33300 Cleveland Clinic Blvd NPI: 1972914521 36901 American Way Avon, OH 44011 1813 Nagel Rd Ste 500

Avon, OH 44011 (216) 469-4442 EB, P, R Avon, OH 44011

(440) 930-6250 E, EB, IB, P, R Cultural Competency: Y (440) 937-4600 EB, P, R, RE, T Cultural Competency: Y Does Not Accept New Patients Languages Spoken: Ages: 0-20 Ages: 0-99 Provider: Spanish Hospital Affiliations: Hospital Affiliations: Accepting Existing Patients Only Cleveland Clinic Foundation Cleveland Clinic Foundation Ages: 0-99 Fairview Hospital Hillcrest Hospital Hospital Affiliations: Cleveland Clinic Avon Hospital Metrohealth Medical Center Mercy Allen Hospital Physician Assistant Belmonte, Rosenda O, PA, (F) Mercy Regional Medical Center Akuchie, Joy U, PA , (F) Group Name: Cleveland Clinic Communtiy Health Partners Rgnl Group Name: UPCP Foundation Mdcl Ctr Provider ID: 006723440004 Provider ID: 006465121015 NPI: 1932623329 NPI: 1811396781 1480 Center Rd Ste B 303 Chestnut Commons Dr Avon, OH 44011 Elyria, OH 44035

(440) 406-5810 E, EB, G, P, R, (440) 366-9444 EB, P, R RE, S, T Does Not Accept New Patients Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Hospital Affiliations: Fairview Hospital

172

Primary Care Providers Ohio - Lorain Brown, Tiffany T, PA, (F) Brown, Tiffany T, PA, (F) Brown, Tiffany T, PA, (F) Group Name: Mercy Health Group Name: Mercy Health Group Name: Mercy Health Physicians Lorain Physicians Lorain Physicians Lorain Provider ID: 005135557022 Provider ID: 005135557021 Provider ID: 005135557016 NPI: 1972914521 NPI: 1972914521 NPI: 1972914521 1957 Cooper Foster Park Rd 224 W Lorain St Ste 100 5077 Waterford Dr Ste 305 Amherst, OH 44001 Oberlin, OH 44074 Sheffield Village, OH 44035

(440) 370-5446 E, EB, P, R, RE, (440) 775-1881 E, EB, P, R, RE, (440) 222-4592 E, EB, IB, P, R, S, T S, T RE, S, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Provider: Spanish Accepting Existing Patients Only Mo-Fr - 9:00 AM - 7:00 PM Accepting Existing Patients Only Ages: 0-99 Sa,Su - 10:00 AM - 4:00 PM Ages: 0-99 Hospital Affiliations: Accepting Existing Patients Only Hospital Affiliations: Metrohealth Medical Center Ages: 0-99 Metrohealth Medical Center Mercy Allen Hospital Hospital Affiliations: Mercy Allen Hospital Mercy Regional Medical Center Metrohealth Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Mercy Allen Hospital Communtiy Health Partners Rgnl Mdcl Ctr Mercy Regional Medical Center Mdcl Ctr Communtiy Health Partners Rgnl Brown, Tiffany T, PA, (F) Mdcl Ctr Brown, Tiffany T, PA, (F) Group Name: Mercy Health Group Name: Mercy Health Physicians Lorain Brown, Tiffany T, PA, (F) Physicians Lorain Provider ID: 005135557020 Group Name: Mercy Health Provider ID: 005135557013 NPI: 1972914521 Physicians Lorain NPI: 1972914521 200 W Lorain St Provider ID: 005135557010 5940 Oak Point Rd Oberlin, OH 44074 NPI: 1972914521 Lorain, OH 44053

(440) 213-5333 EB, IB, P, R, RE, 3600 Kolbe Rd Ste 106 (440) 988-3705 RE, T S, T Lorain, OH 44053 Languages Spoken:

Languages Spoken: (440) 960-3954 EB, P, R, RE, T Provider: Spanish Provider: Spanish Languages Spoken: Mo-Fr - 12:00 PM - 8:00 PM Accepting Existing Patients Only Provider: Spanish Sa,Su - 11:00 AM - 5:00 PM Ages: 0-99 Mo-Fr - 12:00 PM - 8:00 PM Accepting Existing Patients Only Hospital Affiliations: Sa,Su - 11:00 AM - 5:00 PM Ages: 0-99 Metrohealth Medical Center Accepting Existing Patients Only Hospital Affiliations: Mercy Allen Hospital Ages: 0-99 Metrohealth Medical Center Mercy Regional Medical Center Hospital Affiliations: Mercy Allen Hospital Communtiy Health Partners Rgnl Metrohealth Medical Center Mercy Regional Medical Center Mdcl Ctr Mercy Allen Hospital Communtiy Health Partners Rgnl Mercy Regional Medical Center Mdcl Ctr Communtiy Health Partners Rgnl Mdcl Ctr

173

Ohio - Lorain Primary Care Providers Chewning, Victoria L, PA, (F) Convery, Shannon M, PA, (F) Metrohealth Medical Center Group Name: Cleveland Clinic Group Name: UPCP Cleveland Clinic Foundation Foundation Provider ID: 005210839003 Provider ID: 006934463034 NPI: 1871803676 Cribbins, Christine T, PA, (F) NPI: 1407339559 254 Cleveland Ave Ste 101 Group Name: Cleveland Clinic 303 Chestnut Commons Dr Amherst, OH 44001 Foundation

Elyria, OH 44035 (440) 934-2650 EB, G, P, PL, R, Provider ID: 003559901025

(440) 366-9444 EB, P, R RE, S, T NPI: 1679617641 Does Not Accept New Patients Mo-Fr - 8:30 AM - 4:30 PM 303 Chestnut Commons Dr Ages: 0-99 Cultural Competency: Y Elyria, OH 44035

Hospital Affiliations: Ages: 0-99 (440) 366-9444 EB, P, R Akron General Medical Ctr Hospital Affiliations: Does Not Accept New Patients Cleveland Clinic Foundation Cleveland Clinic Foundation Ages: 0-99 Hillcrest Hospital Hospital Affiliations: South Pointe Hospital Coreno, Albert J, PA, (M) Cleveland Clinic Foundation Marymount Hospital Group Name: Cleveland Clinic Medina Hospital Foundation Cribbins, Christine T, PA, (F) Provider ID: 003661271038 Group Name: Cleveland Clinic Chewning, Victoria L, PA, (F) NPI: 1134469547 Foundation Group Name: Cleveland Clinic 303 Chestnut Commons Dr Provider ID: 003559901033 Foundation Elyria, OH 44035 NPI: 1679617641

Provider ID: 006934463038 (440) 366-9444 EB, P, R 5700 Cooper Foster Park Rd W NPI: 1407339559 Languages Spoken: Lorain, OH 44053

5700 Cooper Foster Park Rd W Provider: Spanish (440) 204-7400 EB, IB, P, R, RE, T Lorain, OH 44053 Does Not Accept New Patients Does Not Accept New Patients

(440) 204-7400 E, EB, IB, P, R Ages: 0-99 Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Metrohealth Medical Center Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Akron General Medical Ctr Crozier, Alyssa N, PA, (F) Cleveland Clinic Foundation Coreno, Albert J, PA, (M) Group Name: Cleveland Clinic Hillcrest Hospital Group Name: Cleveland Clinic Foundation South Pointe Hospital Foundation Provider ID: 005210842036 Marymount Hospital Provider ID: 003661271026 NPI: 1831598143 Medina Hospital NPI: 1134469547 303 Chestnut Commons Dr 5700 Cooper Foster Park Rd W Elyria, OH 44035

Lorain, OH 44053 (440) 366-9444 EB, P, R

(440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y Languages Spoken: Accepting Existing Patients Only Provider: Spanish Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations:

174

Primary Care Providers Ohio - Lorain Crozier, Alyssa N, PA, (F) Denbow, Rachel L, PA, (F) Dougan, Terrence M, PA, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 005210842024 Provider ID: 005623044013 Provider ID: 003471992011 NPI: 1831598143 NPI: 1417333006 NPI: 1235161167 5700 Cooper Foster Park Rd W 303 Chestnut Commons Dr 5700 Cooper Foster Park Rd W Lorain, OH 44053 Elyria, OH 44035 Lorain, OH 44053

(440) 204-7400 EB, IB, P, R, RE, T (440) 366-9444 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y Does Not Accept New Patients Accepting Existing Patients Only Accepting Existing Patients Only Ages: 0-99 Ages: 0-17 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Carolinas Healthcare System Uh Cleveland Medical Center Cleveland Clinic Foundation Union Uh Parma Medical Center Atrium Health Union University Hospitals Parma Davis, Bryan T, PA, (M) Cleveland Clinic Foundation Medical Ctr Group Name: Cleveland Clinic Stanly Regional Medical Center Univ Hospitals Ahuja Med Ctr Foundation Atrium Health Stanly Provider ID: 005007777015 Fior, Molly E, PA, (F) NPI: 1609846591 Dougan, Terrence M, PA, (M) Group Name: Mercy Health 303 Chestnut Commons Dr Group Name: Cleveland Clinic Physicians Lorain Elyria, OH 44035 Foundation Provider ID: 005521073020

(440) 366-9444 EB, P, R Provider ID: 003471992025 NPI: 1881085306 Does Not Accept New Patients NPI: 1235161167 1813 Nagel Rd Ste 500 Ages: 0-99 303 Chestnut Commons Dr Avon, OH 44011

Hospital Affiliations: Elyria, OH 44035 (440) 937-4600 EB, P, R, RE, T

Cleveland Clinic Foundation (440) 366-9444 EB, P, R Accepting Existing Patients Only Accepting Existing Patients Only Ages: 0-99 Davis, Bryan T, PA, (M) Ages: 0-17 Does Not Accept Male Patients Group Name: Cleveland Clinic Hospital Affiliations: Foundation Uh Cleveland Medical Center Fior, Molly E, PA, (F) Provider ID: 005007777023 Uh Parma Medical Center Group Name: Mercy Health NPI: 1609846591 University Hospitals Parma Physicians Lorain 5700 Cooper Foster Park Rd W Medical Ctr Provider ID: 005521073005 Lorain, OH 44053 Univ Hospitals Ahuja Med Ctr NPI: 1881085306

(440) 204-7400 EB, IB, P, R, RE, T 3600 Kolbe Rd Ste 106 Does Not Accept New Patients Lorain, OH 44053

Ages: 0-99 (440) 960-3954 EB, P, R, RE, T Hospital Affiliations: Accepting Existing Patients Only Cleveland Clinic Foundation Ages: 0-99 Does Not Accept Male Patients

175

Ohio - Lorain Primary Care Providers Fior, Molly E, PA, (F) Herman, Stacey E, PA, (F) Areas of Expertise: MAT1 Group Name: Mercy Health Group Name: Cleveland Clinic Physicians Lorain Foundation Lucak, Alexandra L, PA, (F) Provider ID: 005521073017 Provider ID: 003299525004 Group Name: Mercy Allen Rhc NPI: 1881085306 NPI: 1316901887 Lagrange 5940 Oak Point Rd 33100 Cleveland Clinic Blvd Provider ID: 005510377018 Lorain, OH 44053 Avon, OH 44011 NPI: 1023409802

(440) 988-3705 RE, T (440) 695-4000 EB, P, R 105 Opportunity Way Accepting Existing Patients Only Accepting Existing Patients Only Lagrange, OH 44050

Ages: 0-99 Ages: 0-99 (440) 222-4160 EB, P, R Does Not Accept Male Patients Hospital Affiliations: Mo-Fr - 9:00 AM - 5:00 PM Cleveland Clinic Foundation Ages: 0-99 Grant-Venable, Raquel, PA, (F) Hospital Affiliations: Group Name: Mercy Health Kulow, Kent M, PA, (M) Cleveland Clinic Foundation Physicians Lorain Group Name: Cleveland Clinic Fairview Hospital Provider ID: 003132519026 Foundation Lutheran Hospital NPI: 1790958510 Provider ID: 003577598018 Mercy Regional Medical Center 224 W Lorain St Ste 100 NPI: 1346256021 Communtiy Health Partners Rgnl Oberlin, OH 44074 303 Chestnut Commons Dr Mdcl Ctr

(440) 775-1881 E, EB, P, R, RE, Elyria, OH 44035

S, T (440) 366-9444 EB, P, R Lucak, Alexandra L, PA, (F) Mo-Fr - 9:00 AM - 7:00 PM Does Not Accept New Patients Group Name: Mercy Allen Rhc Sa,Su - 10:00 AM - 4:00 PM Ages: 18-99 Lagrange Ages: 0-99 Hospital Affiliations: Provider ID: 005510377017 Hospital Affiliations: Cleveland Clinic Foundation NPI: 1023409802 Mercy Regional Medical Center Lutheran Hospital 508 Dickson St Ste 2 Communtiy Health Partners Rgnl Southwest General Health Center Wellington, OH 44090

Mdcl Ctr Areas of Expertise: MAT1 (440) 647-2225 E, EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Grant-Venable, Raquel, PA, (F) Kulow, Kent M, PA, (M) Ages: 0-99 Group Name: Mercy Health Group Name: Cleveland Clinic Hospital Affiliations: Physicians Lorain Foundation Cleveland Clinic Foundation Provider ID: 003132519023 Provider ID: 003577598025 Fairview Hospital NPI: 1790958510 NPI: 1346256021 Lutheran Hospital 5940 Oak Point Rd 5700 Cooper Foster Park Rd W Mercy Regional Medical Center Lorain, OH 44053 Lorain, OH 44053 Communtiy Health Partners Rgnl

(440) 988-3705 RE, T (440) 204-7400 EB, IB, P, R, RE, T Mdcl Ctr Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Ages: 18-99 Mercy Regional Medical Center Hospital Affiliations: Communtiy Health Partners Rgnl Cleveland Clinic Foundation Mdcl Ctr Lutheran Hospital Southwest General Health Center

176

Primary Care Providers Ohio - Lorain Mitterling, Tina M, PA, (F) Richards, Todd B, PA, (M) Rudert, Nicole K, PA, (F) Group Name: Mercy Health Group Name: Cleveland Clinic Group Name: Cleveland Clinic Physicians Lorain Foundation Foundation Provider ID: 003019066027 Provider ID: 003256420025 Provider ID: 003231549005 NPI: 1427242239 NPI: 1790895779 NPI: 1487896197 1957 Cooper Foster Park Rd 303 Chestnut Commons Dr 5700 Cooper Foster Park Rd W Amherst, OH 44001 Elyria, OH 44035 Lorain, OH 44053

(440) 370-5446 E, EB, P, R, RE, (440) 366-9444 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T S, T Does Not Accept New Patients Does Not Accept New Patients Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Akron General Medical Ctr Mercy Allen Hospital Marymount Hospital Cleveland Clinic Foundation Alliance Community Hospital Uh Cleveland Medical Center Richards, Todd B, PA, (M) Mitterling, Tina M, PA, (F) Group Name: Cleveland Clinic Schumacher, Andrew J, PA, (M) Group Name: Mercy Health Foundation Group Name: Cleveland Clinic Physicians Lorain Provider ID: 003256420019 Foundation Provider ID: 003019066021 NPI: 1790895779 Provider ID: 003472002013 NPI: 1427242239 5700 Cooper Foster Park Rd W NPI: 1609953579 5940 Oak Point Rd Lorain, OH 44053 303 Chestnut Commons Dr

Lorain, OH 44053 (440) 204-7400 EB, IB, P, R, RE, T Elyria, OH 44035

(440) 988-3705 RE, T Does Not Accept New Patients (440) 366-9444 EB, P, R Accepting Existing Patients Only Ages: 0-99 Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Mercy Allen Hospital Marymount Hospital Cleveland Clinic Foundation Alliance Community Hospital Rudert, Nicole K, PA, (F) Schumacher, Andrew J, PA, (M) Mitterling, Tina M, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Mercy Allen Rhc Foundation Foundation Wellington Provider ID: 003231549017 Provider ID: 003472002020 Provider ID: 003019066025 NPI: 1487896197 NPI: 1609953579 NPI: 1427242239 303 Chestnut Commons Dr 5700 Cooper Foster Park Rd W 840 Patriot Dr Elyria, OH 44035 Lorain, OH 44053

Wellington, OH 44090 (440) 366-9444 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T

(440) 647-2225 EB, P, R, RE, T Does Not Accept New Patients Does Not Accept New Patients Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Cleveland Clinic Foundation Mercy Allen Hospital Cleveland Clinic Foundation Alliance Community Hospital Uh Cleveland Medical Center

177

Ohio - Lorain Primary Care Providers Slabaugh, Rachel L, PA, (F) Torsney, Anne B, PA, (F) Von Gunten, Shannon W, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003105291014 Provider ID: 006342235019 Provider ID: 005210942002 NPI: 1326290719 NPI: 1205806189 NPI: 1295076370 303 Chestnut Commons Dr 33100 Cleveland Clinic Blvd 5334 Meadow Lane Ct Elyria, OH 44035 Avon, OH 44011 Sheffield Village, OH 44035

(440) 366-9444 EB, P, R (440) 695-4600 EB, P, R (440) 934-5454 EB, P, R Does Not Accept New Patients Does Not Accept New Patients Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Childrens Hospital Med Ctr Akron Fairview Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Lutheran Hospital Cleveland Clinic Avon Hospital Yonke, Joseph E, PA, (M) Slabaugh, Rachel L, PA, (F) Group Name: University Primary Group Name: Cleveland Clinic Torsney, Anne B, PA, (F) Care Practices Foundation Group Name: Cleveland Clinic Provider ID: 003285548005 Provider ID: 003105291018 Foundation NPI: 1659559185 NPI: 1326290719 Provider ID: 006342235003 6150 Emerald St 5700 Cooper Foster Park Rd W NPI: 1205806189 North Ridgeville, OH 44039

Lorain, OH 44053 5700 Cooper Foster Park Rd W (440) 406-5800 EB, P, R

(440) 204-7400 EB, IB, P, R, RE, T Lorain, OH 44053 Mo-Fr - 8:30 AM - 4:30 PM

Does Not Accept New Patients (440) 204-7400 EB, IB, P, R, RE, T Ages: 0-99 Ages: 0-99 Does Not Accept New Patients Areas of Expertise: MAT1 Hospital Affiliations: Ages: 0-99 Childrens Hospital Med Ctr Akron Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Primary Care Clinics Lutheran Hospital Continuum Healthcare Group Torsney, Anne B, PA, (F) Cleveland Clinic Avon Hospital Provider ID: 005786282008 Group Name: Cleveland Clinic NPI: 1770951501 Foundation Von Gunten, Shannon W, PA, (F) 3650 Beavercrest Dr Provider ID: 006342235017 Group Name: Cleveland Clinic Lorain, OH 44053

NPI: 1205806189 Foundation (440) 542-9171 EB, P, R 303 Chestnut Commons Dr Provider ID: 005210942005 Ages: 0-99 Elyria, OH 44035 NPI: 1295076370 (440) 366-9444 EB, P, R 5172 Leavitt Rd Mercy Health Physicians Lorain Does Not Accept New Patients Lorain, OH 44053 Provider ID: 003125270006 Ages: 0-99 (440) 282-7420 EB, P, R NPI: 1023347192 Hospital Affiliations: Accepting Existing Patients Only 1120 E Broad St Fairview Hospital Ages: 0-99 Elyria, OH 44035

Lutheran Hospital Hospital Affiliations: (440) 365-2600 EB, P, R, RE, T Cleveland Clinic Avon Hospital Cleveland Clinic Foundation Ages: 0-99

178

Primary Care Providers Ohio - Lorain Mercy Health Physicians Lorain Mercy Health Physicians Lorain Mercy Health Physicians Lorain Provider ID: 003125270173 Provider ID: 003125270010 Provider ID: 003125270415 NPI: 1023347192 NPI: 1023347192 NPI: 1023347192 1480 Center Rd Ste A 319 W Lorain St 3600 Kolbe Rd Ste 206 Avon, OH 44011 Oberlin, OH 44074 Lorain, OH 44053

(440) 937-4600 EB, P, R (440) 775-1881 EB, P, R, RE, T (440) 282-1360 E, EB, IB, P, R, Ages: 0-99 Ages: 0-99 RE, S, T Ages: 0-99 Mercy Health Physicians Lorain Mercy Health Physicians Lorain Provider ID: 003125270389 Provider ID: 003125270305 Mercy Health Physicians Lorain NPI: 1023347192 NPI: 1023347192 Provider ID: 003125270020 1813 Nagel Rd Ste 500 3600 Kolbe Rd NPI: 1023347192 Avon, OH 44011 Lorain, OH 44053 3600 Kolbe Rd Ste 209

(440) 222-4661 EB, P, R, RE, T (440) 960-3954 EB, P, R Lorain, OH 44053

Ages: 0-99 Ages: 0-99 (440) 960-3237 E, EB, G, IB, P, PL, R, RE, S, T Mercy Health Physicians Lorain Mercy Health Physicians Lorain Ages: 0-99 Provider ID: 003125270394 Provider ID: 003125270419 NPI: 1023347192 NPI: 1023347192 Mercy Health Physicians Lorain 1813 Nagle Rd Ste 500 3600 Kolbe Rd Ste 011 Provider ID: 003125270307 Avon, OH 44011 Lorain, OH 44053 NPI: 1023347192

(440) 960-4416 EB, P, PL, R, RE, (440) 222-4803 EB, P, R 3600 Kolbe Rd Ste 210 T Ages: 0-99 Lorain, OH 44053

Ages: 0-99 (440) 960-3912 EB, P, R, RE, T Mercy Health Physicians Lorain Ages: 0-99 Mercy Health Physicians Lorain Provider ID: 003125270008 Provider ID: 003125270417 NPI: 1023347192 Mercy Health Physicians Lorain NPI: 1023347192 3600 Kolbe Rd Ste 106 Provider ID: 003125270309 1957 Cooper Foster Park Rd Lorain, OH 44053 NPI: 1023347192

Amherst, OH 44001 (440) 282-1832 EB, P, R, RE, T 3600 Kolbe Rd Ste 223

(440) 988-5234 E, EB, P, R, RE, Ages: 0-99 Lorain, OH 44053

S, T (440) 989-1800 E, EB, P, R, RE, Ages: 0-99 Mercy Health Physicians Lorain S, T Provider ID: 003125270133 Ages: 0-99 Mercy Health Physicians Lorain NPI: 1023347192 Provider ID: 003125270404 3600 Kolbe Rd Ste 109 Mercy Health Physicians Lorain NPI: 1023347192 Lorain, OH 44053 Provider ID: 003125270053

224 W Lorain St Ste 100 (440) 960-6431 EB, P, PL, R, RE, NPI: 1023347192 Oberlin, OH 44074 T 3600 Kolbe Rd Ste 227

(440) 960-3304 E, EB, P, R, RE, Ages: 0-99 Lorain, OH 44053

S, T (440) 960-3304 EB, P, R Ages: 0-99 Ages: 0-99

179

Ohio - Lorain Primary Care Providers Mercy Health Physicians Lorain Mercy Health Physicians Lorain Mercy Medical Partners Provider ID: 003125270303 Provider ID: 003125270045 Provider ID: 001364901083 NPI: 1023347192 NPI: 1023347192 NPI: 1669756532 3700 Kolbe Rd 578 N Leavitt Rd 1212 Abbe Rd S Lorain, OH 44053 Amherst, OH 44001 Elyria, OH 44035

(440) 233-1003 EB, G, IB, P, R, (440) 988-5226 E, EB, IB, P, R, (440) 934-1458 EB, P, R RE, S, T RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Does Not Accept Male Patients

Mercy Health Physicians Lorain Mercy Health Physicians Lorain Mercy Medical Partners Provider ID: 003125270145 Provider ID: 003125270366 Provider ID: 001364901065 NPI: 1023347192 NPI: 1023347192 NPI: 1669756532 41201 Schadden Rd 5940 Oak Point Rd 1212 S Abbe Rd Elyria, OH 44035 Lorain, OH 44053 Elyria, OH 44035

(440) 222-4003 EB, IB, P, R (440) 988-3705 RE, T (440) 934-1458 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Does Not Accept Male Patients Mercy Health Physicians Lorain Mercy Health Physicians Lorain Provider ID: 003125270083 Provider ID: 003125270418 Mercy Medical Partners NPI: 1023347192 NPI: 1023347192 Provider ID: 001364901075 5054 Waterford Dr 5940 Oak Point Rd # 2 NPI: 1669756532 Sheffield Village, OH 44035 Lorain, OH 44053 136 S Main St

(440) 934-8344 EB, P, R (440) 988-3705 EB, P, R, RE, T Wellington, OH 44090

Ages: 0-99 Ages: 0-99 (440) 934-1458 EB, P, R Ages: 0-99 Mercy Health Physicians Lorain Mercy Health Physicians Lorain Does Not Accept Male Patients Provider ID: 003125270423 Provider ID: 003125270181 NPI: 1023347192 NPI: 1023347192 Mercy Medical Partners 5319 Hoag Dr Ste 100 840 Patriot Dr Provider ID: 001364901109 Sheffield Village, OH 44035 Wellington, OH 44090 NPI: 1669756532

(440) 930-6015 EB, IB, P, R, RE, (440) 988-5226 EB, P, R, RE, T 1800 Livingston Ave T Ages: 0-99 Lorain, OH 44052

Ages: 0-99 (440) 233-1045 EB, P, R Mercy Medical Partners Ages: 0-99 Mercy Health Physicians Lorain Provider ID: 001364901068 Does Not Accept Male Patients Provider ID: 003125270424 NPI: 1669756532 NPI: 1023347192 1130 Tower Blvd 5319 Hoag Dr Ste 115 Lorain, OH 44052

Sheffield Village, OH 44035 (440) 934-1458 EB, P, R (440) 930-6015 Ages: 0-99 Ages: 0-99 Does Not Accept Male Patients

180

Primary Care Providers Ohio - Lorain Mercy Medical Partners Mercy Medical Partners Mercy Medical Partners Provider ID: 001364901107 Provider ID: 001364901070 Provider ID: 001364901021 NPI: 1669756532 NPI: 1669756532 NPI: 1669756532 1800 Livingston Ave Ste 2 3364 Kolbe Rd 3600 Kolbe Rd Lorain, OH 44052 Lorain, OH 44053 Lorain, OH 44053

(440) 233-1042 EB, P, R (440) 934-1458 E, EB, G, IB, P, (440) 960-3985 EB, P, R Ages: 0-99 R, RE, S, T Ages: 0-99 Does Not Accept Male Patients Ages: 0-99 Does Not Accept Male Patients Mercy Medical Partners Mercy Medical Partners Provider ID: 001364901092 Provider ID: 001364901024 Mercy Medical Partners NPI: 1669756532 NPI: 1669756532 Provider ID: 001364901084 3600 Kolbe Rd Ste 011 1800 Livingston Ave Ste 200 NPI: 1669756532 Lorain, OH 44053

Lorain, OH 44052 345 Lear Rd (440) 960-3237 EB, P, R

(440) 233-1068 P, R Avon Lake, OH 44012 Ages: 0-99

Ages: 0-99 (440) 934-1458 EB, P, R, RE, T Does Not Accept Male Patients Ages: 0-99 Mercy Medical Partners Does Not Accept Male Patients Mercy Medical Partners Provider ID: 001364901094 Provider ID: 001364901072 NPI: 1669756532 Mercy Medical Partners NPI: 1669756532 221 W 21st St Provider ID: 001364901080 3650 Beavercrest Dr Lorain, OH 44052 NPI: 1669756532 Lorain, OH 44053

(440) 244-0010 EB, P, R 35755 Detroit Rd (440) 934-1458 EB, P, R Ages: 0-99 Avon, OH 44011 Ages: 0-99

Does Not Accept Male Patients (440) 934-1458 EB, P, R Does Not Accept Male Patients Ages: 0-99 Mercy Medical Partners Does Not Accept Male Patients Mercy Medical Partners Provider ID: 001364901063 Provider ID: 001364901071 NPI: 1669756532 Mercy Medical Partners NPI: 1669756532 32900 Detroit Rd Provider ID: 001364901066 3700 Kolbe Dr Avon, OH 44011 NPI: 1669756532 Lorain, OH 44053

(440) 934-1458 EB, P, R 35990 Westminister Ave (440) 960-4000 EB, P, R Ages: 0-99 North Ridgeville, OH 44039 Ages: 0-99

Does Not Accept Male Patients (440) 934-1458 EB, P, R Does Not Accept Male Patients Ages: 0-99 Does Not Accept Male Patients Mercy Medical Partners Provider ID: 001364901018 NPI: 1669756532 3700 Kolbe Rd Lorain, OH 44053

(440) 960-4000 EB, G, IB, P, PL, R, RE, S, T Ages: 0-99

181

Ohio - Lorain Primary Care Providers Mercy Medical Partners Mercy Medical Partners Mercy Medical Partners Provider ID: 001364901082 Provider ID: 001364901091 Provider ID: 001364901022 NPI: 1669756532 NPI: 1669756532 NPI: 1669756532 383 Opportunity Way 41201 Schadden Rd 37452 Colorado Ave Lagrange, OH 44050 Elyria, OH 44035

Avon, OH 44011 (440) 934-1458 EB, P, R (440) 324-0440 EB, IB, P, R

(440) 934-1469 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Does Not Accept Male Patients Does Not Accept Male Patients

Mercy Medical Partners Mercy Medical Partners Mercy Medical Partners Provider ID: 001364901069 Provider ID: 001364901067 Provider ID: 001364901073 NPI: 1669756532 NPI: 1669756532 NPI: 1669756532 3756 W Erie Ave 38600 Center Ridge Rd 417 S Main St Lorain, OH 44053 North Ridgeville, OH 44039 Oberlin, OH 44074

(440) 934-1458 EB, P, R (440) 934-1458 EB, P, R (440) 934-1458 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Does Not Accept Male Patients Does Not Accept Male Patients Does Not Accept Male Patients

Mercy Medical Partners Mercy Medical Partners Mercy Medical Partners Provider ID: 001364901062 Provider ID: 001364901096 Provider ID: 001364901027 NPI: 1669756532 NPI: 1669756532 NPI: 1669756532 37800 French Creek Rd 39263 Center Ridge Rd 450 Avon Belden Rd Avon, OH 44011 North Ridgeville, OH 44039 Avon Lake, OH 44012

(440) 934-1458 EB, P, R (440) 327-9126 P, R (440) 933-5264 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Does Not Accept Male Patients Does Not Accept Male Patients Mercy Medical Partners Mercy Medical Partners Mercy Medical Partners Provider ID: 001364901081 Provider ID: 001364901085 Provider ID: 001364901028 NPI: 1669756532 NPI: 1669756532 NPI: 1669756532 500 Community Dr 37845 Colorado Ave 412 E River St Avon Lake, OH 44012

Avon, OH 44011 Elyria, OH 44035 (440) 934-1458 EB, P, R

(440) 934-1458 EB, P, R (440) 323-1159 EB, G, IB, P, PL, Ages: 0-99 Cultural Competency: Y R, RE, S, T Does Not Accept Male Patients Ages: 0-99 Ages: 0-99 Does Not Accept Male Patients Mercy Medical Partners Provider ID: 001364901023 NPI: 1669756532 5319 Hoag Dr Ste 260 Sheffield Village, OH 44035

(440) 930-6087 EB, P, R Ages: 0-99

182

Primary Care Providers Ohio - Medina Mercy Medical Partners Brown, Shelley M, NP, (F) Provider ID: 001364901025 Group Name: Cleveland Clinic Medina NPI: 1669756532 Foundation

578 N Leavitt Rd Provider ID: 003255028019 Amherst, OH 44001 Advanced Registered Nurse NPI: 1467624205 Practitioner (440) 988-5226 E, EB, IB, P, R, 1 Park Center Dr RE, S, T Batke Hastings, Susan, NP, (F) Wadsworth, OH 44281 Ages: 0-99 Group Name: Cleveland Clinic (330) 334-4620 E, EB, IB, P, R Foundation Does Not Accept New Patients Mercy Medical Partners Provider ID: 002714893001 Ages: 0-99 Provider ID: 001364901105 NPI: 1679675920 Hospital Affiliations: NPI: 1669756532 1 Park Center Dr Cleveland Clinic Foundation 600 Kendal Dr Wadsworth, OH 44281

Oberlin, OH 44074 (330) 334-4620 E, EB, IB, P, R Funk, Brianna B, FNP, (F) (513) 981-4495 EB, P, R Does Not Accept New Patients Group Name: Cleveland Clinic Ages: 0-99 Ages: 0-99 Foundation Does Not Accept Male Patients Hospital Affiliations: Provider ID: 005772876016 Cleveland Clinic Foundation NPI: 1912378449 Mercy Medical Partners 1 Park Center Dr

Provider ID: 001364901064 Wadsworth, OH 44281 Family Nurse Practitioner NPI: 1669756532 (330) 334-4620 E, EB, IB, P, R 807 West Ave Bouchard, Jennifer, NP, (F) Does Not Accept New Patients Elyria, OH 44035 Group Name: Cleveland Clinic Ages: 0-99 (440) 934-1458 EB, P, R Foundation Hospital Affiliations: Ages: 0-99 Provider ID: 003313224001 Akron General Medical Ctr Does Not Accept Male Patients NPI: 1881870129 Cleveland Clinic Foundation 1 Park Center Dr Northeast Ohio Grp Practice Wadsworth, OH 44281 Jenkins, Jessica M, MS, (F)

Provider ID: 001360345083 (330) 334-4620 E, EB, IB, P, R Group Name: Premium Quality NPI: 1063575462 Does Not Accept New Patients Np 630 E River Rd Ages: 0-99 Provider ID: 003632068011 Elyria, OH 44035 Hospital Affiliations: NPI: 1891132494 (440) 542-5000 EB, P, R Cleveland Clinic Foundation 1186 Hadcock Rd Ages: 0-99 Brunswick, OH 44212 (330) 225-3156 EB, G, IB, P, PL, Northeast Ohio Grp Practice R Provider ID: 001360345030 Ages: 0-99 NPI: 1063575462 Areas of Expertise: MAT1 630 E River St Elyria, OH 44035

(440) 542-5000 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99

183

Ohio - Medina Primary Care Providers Jenkins, Jessica M, MS, (F) White, Molly M, FNP, (F) Group Name: Premium Quality Stoltz, Kathryn R, FNP, (F) Group Name: Cleveland Clinic Np Group Name: Cleveland Clinic Foundation Provider ID: 003632068012 Foundation Provider ID: 002893272032 NPI: 1891132494 Provider ID: 006233170020 NPI: 1235209511 3430 Brunswick Lake Pkwy NPI: 1851767958 3574 Center Rd Brunswick, OH 44212 3574 Center Rd Brunswick, OH 44212

(330) 461-0914 P, R Brunswick, OH 44212 (330) 225-8886 EB, P, R

Ages: 0-99 (330) 225-8886 EB, P, R Does Not Accept New Patients Accepting Existing Patients Only Ages: 0-99 Jenkins, Jessica M, MS, (F) Ages: 0-17 Hospital Affiliations: Group Name: Premium Quality Hospital Affiliations: Cleveland Clinic Foundation Np Lake Health Provider ID: 003632068013 Hillcrest Hospital NPI: 1891132494 Family Practice

4355 Laurel Rd Trill, Kristin C, NP, (F) Members may self-refer to these Brunswick, OH 44212 Group Name: Lodi Family providers.

(330) 461-0914 EB, P, R Practice Clinic Ages: 0-99 Provider ID: 005263357004 Amstadt, Randi E, DO, (F), B NPI: 1659773661 Group Name: Cleveland Clinic Jenkins, Jessica M, MS, (F) 225 Elyria St Foundation Group Name: Premium Quality Lodi, OH 44254 Provider ID: 007167026002 NPI: 1568826642 Np (330) 948-5533 EB, G, IB, P, PL, Provider ID: 003632068008 R, RE, S, T 3574 Center Rd NPI: 1891132494 Cultural Competency: Y Brunswick, OH 44212 555 Springbrook Dr Ages: 0-99 (330) 225-8886 EB, P, R Medina, OH 44256 Hospital Affiliations: Does Not Accept New Patients Ages: 0-99 (330) 461-0914 EB, P, R Akron General Medical Ctr Ages: 0-99 Lodi Community Hospital Hospital Affiliations: Cleveland Clinic Foundation Stoltz, Kathryn R, FNP, (F) White, Molly M, FNP, (F) Medina Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Baker-Horn, Jordan N, DO, (F) Provider ID: 006233170017 Provider ID: 002893272031 Group Name: University Primary NPI: 1851767958 NPI: 1235209511 Care Practices 1 Park Center Dr 1 Park Center Dr Provider ID: 006261190006 Wadsworth, OH 44281 Wadsworth, OH 44281 NPI: 1194953976 4001 Carrick Dr Ste 120 (330) 334-4620 E, EB, IB, P, R (330) 334-4620 E, EB, IB, P, R Accepting Existing Patients Only Does Not Accept New Patients Medina, OH 44256 Ages: 0-17 Ages: 0-99 (330) 721-8484 EB, P, R Hospital Affiliations: Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Lake Health Cleveland Clinic Foundation Ages: 0-99 Hillcrest Hospital

184

Primary Care Providers Ohio - Medina Bigg, Margaret M, MD, (F), B Cain, Robert A, MD, (M), B Crawford, Robert S, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Summa Physicians Foundation Foundation Provider ID: 001072304009 Provider ID: 001573031013 Provider ID: 000805047001 NPI: 1225008626 NPI: 1609978667 NPI: 1801900725 621 School Dr 1000 E Washington St 3574 Center Rd Wadsworth, OH 44281

Medina, OH 44256 Brunswick, OH 44212 (330) 334-0035 E, EB, G, IB, P,

(216) 538-9022 EB, IB, P, R, RE, (330) 225-8886 EB, P, R R, RE, S, T T Accepting Existing Patients Only Mo,Tu,Fr - 8:00 AM - 4:30 PM Does Not Accept New Patients Ages: 0-99 We,Th - 8:00 AM - 12:00 PM Ages: 0-99 Hospital Affiliations: Ages: 8-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Metrohealth Medical Center Medina Hospital Wadsworth Rittman Hospital Cleveland Clinic Foundation Summa Health System South Pointe Hospital Carmichael, Katherine C, DO, (F) Marymount Hospital Group Name: University Primary Cullen, Stephen B, MD, (M), B Macneal Hospital Care Practices Group Name: Summa Physicians Provider ID: 006257393001 Provider ID: 002221784008 Blackburn, Joseph B, MD, (M) NPI: 1023351798 NPI: 1740250802 Group Name: South Court 5133 Ridge Rd Ste 1 3780 Medina Rd Ste 310 Family Physicians Wadsworth, OH 44281 Medina, OH 44256

Provider ID: 002056673001 (330) 239-4455 EB, P, R (330) 725-8441 E, EB, G, IB, P, NPI: 1730183138 Mo-Fr - 8:30 AM - 4:30 PM R, RE, S, T 1075 S Court St Ste 100 Ages: 0-99 Mo-Fr - 7:00 AM - 4:30 PM Medina, OH 44256 Sa - 8:30 AM - 11:30 AM

(330) 722-6337 P, R, RE, T Crawford, Robert S, MD, (M), B Cultural Competency: Y Mo-Tu - 7:30 AM - 6:00 PM Group Name: Summa Physicians Ages: 0-99 We - 7:30 AM - 5:30 PM Provider ID: 001072304011 Hospital Affiliations: Th,Fr - 7:30 AM - 4:00 PM NPI: 1225008626 Wadsworth Rittman Hospital Sa - 8:30 AM - 12:00 PM 3780 Medina Rd Ste 220 Medina Hospital Cultural Competency: Y Medina, OH 44256

Accepting Existing Patients Only (330) 835-5533 E, EB, G, IB, P, Cummings, Shane W, MD, (M), B Ages: 0-99 R, RE, S, T Group Name: University Primary Hospital Affiliations: Tu,We,Fr - 8:00 AM - 4:30 PM Care Practices Medina Hospital Th - 8:00 AM - 12:00 PM Provider ID: 003100980009 Ages: 8-99 NPI: 1013083286 Hospital Affiliations: 4001 Carrick Dr Ste 120 Wadsworth Rittman Hospital Medina, OH 44256

Summa Health System (330) 721-8484 EB, P, R Ages: 0-99

185

Ohio - Medina Primary Care Providers Esterle, Lisa M, DO, (F), B Frantz, Matthew J, DO, (M), B Grabenstetter, Neil F, MD, (M), B Group Name: Sam N Ghoubrial Group Name: University Group Name: Cleveland Clinic Md Hospitals Medical Group Foundation Provider ID: 001916459008 Provider ID: 000376069016 Provider ID: 000296720003 NPI: 1427029248 NPI: 1467439513 NPI: 1689674277 195 Wadsworth Rd Ste 402 805 E Washington St Ste 100 6605 Center Rd Wadsworth, OH 44281 Medina, OH 44256 Valley City, OH 44280

(330) 331-7207 P, R, RE, T (330) 721-8474 (330) 483-3135 Mo-Fr - 8:30 AM - 4:00 PM Languages Spoken: Cultural Competency: Y Cultural Competency: Y Provider: Spanish Does Not Accept New Patients Web address: www.wadsworthmedi Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 calcenter.com Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Medina Hospital Wadsworth Rittman Hospital Metrohealth Medical Center Areas of Expertise: E112, MAT1 Summa Health System Southwest General Health Center Cleveland Clinic Foundation Uh Parma Medical Center Gunning, Richard H, MD, (M), B Medina Hospital University Hospitals Parma Group Name: Sam N Ghoubrial Summa Barberton Citizens Medical Ctr Md Provider ID: 001304903001 Frantz, Martin J, MD, (M), B George, Ava J, DO, (F), B NPI: 1508856915 Group Name: University Group Name: Cleveland Clinic 195 Wadsworth Rd Ste 402 Hospitals Medical Group Foundation Wadsworth, OH 44281

Provider ID: 001394625013 Provider ID: 003748115021 (330) 331-7207 P, R, RE, T NPI: 1538146428 NPI: 1992030449 Mo-Fr - 8:30 AM - 4:00 PM 805 E Washington St Ste 100 3574 Center Rd Cultural Competency: Y Medina, OH 44256 Brunswick, OH 44212 Ages: 0-99

(330) 721-8474 EB, P, R (330) 225-8886 EB, P, R Hospital Affiliations: Languages Spoken: Ages: 0-99 Wadsworth Rittman Hospital Provider: Spanish Hospital Affiliations: Summa Barberton Citizens Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Summa Health System Cultural Competency: Y Medina Hospital Regency Hospital Of Akron Ages: 0-99 Hospital Affiliations: Metrohealth Medical Center Southwest General Health Center Uh Parma Medical Center University Hospitals Parma Medical Ctr

186

Primary Care Providers Ohio - Medina Iorio, Clark D, DO, (M) Keller, Julie C, MD, (F), B Koren, Natasha, MD, (F) Group Name: University Primary Group Name: University Primary Group Name: Summa Physicians Care Practices Care Practices Provider ID: 002672213008 Provider ID: 002048238008 Provider ID: 001941846001 NPI: 1841303971 NPI: 1326065145 NPI: 1730285214 195 Wadsworth Rd 4001 Carrick Dr Ste 120 4001 Carrick Dr Ste 120 Wadsworth, OH 44281

Medina, OH 44256 Medina, OH 44256 (330) 375-6590 E, EB, G, IB, P,

(330) 721-8484 EB, P, R (330) 721-8484 EB, P, R R, RE Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Ages: 16-99 Cultural Competency: Y Provider: French, Spanish Hospital Affiliations: Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Rose Medical Center Hospital Affiliations: Ages: 0-99 Bronson Methodist Hospital Cleveland Clinic Foundation Hospital Affiliations: Medina Hospital Uh Cleveland Medical Center Kranz, Kristin N, MD, (F) Rainbow Babies & Childrens Group Name: Metrohealth Jackson, Glenna S, MD, (F), B Hosp Professional Group Group Name: Summa Physicians Provider ID: 001355626004 Provider ID: 001070497002 Kontak, Jeffery R, MD, (M), B NPI: 1588635304 NPI: 1003887779 Group Name: Cleveland Clinic 111 W Reagan Pkwy 3780 Medina Rd Ste 310 Foundation Medina, OH 44256

Medina, OH 44256 Provider ID: 001305249010 (330) 725-6226 E, EB, IB, P, R

(330) 725-8441 E, EB, G, IB, P, NPI: 1629069133 Languages Spoken: R, RE, S, T 1 Park Center Dr Ste 304 Provider: Spanish Languages Spoken: Wadsworth, OH 44281 Staff: Spanish

Interpreter: Medical Interp (330) 334-4620 EB, P, R Cultural Competency: Y Vendor Cultural Competency: Y Accepting Existing Patients Only Mo-Fr - 7:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Sa - 8:00 AM - 12:00 PM Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Wooster Community Hospital Metrohealth Medical Center Ages: 1-99 Wadsworth Rittman Hospital Medina Hospital Hospital Affiliations: Childrens Hospital Med Ctr Akron Summa Health System Akron General Medical Ctr Krupitzer, Thomas R, MD, (M), B Medina Hospital Cleveland Clinic Foundation Group Name: Cleveland Clinic Medina Hospital Foundation Provider ID: 002472609004 NPI: 1538276472 970 E Washington St Medina, OH 44256

(330) 721-5700 EB, P, R Web address: www.oco.org Accepting Existing Patients Only Ages: 0-99 Hospital Affiliations:

187

Ohio - Medina Primary Care Providers Oswego Hospital Wadsworth Rittman Hospital Medina Hospital Cleveland Clinic Foundation Summa Health System Medina Hospital Mosca, Crystal L, MD, (F), B Mancini, Gabriel B, DO, (M) Group Name: University Primary Lassaletta, Margarita, MD, (F), B Group Name: Cleveland Clinic Care Practices Group Name: La Salette Personal Foundation Provider ID: 002935264003 Primary Health Care Provider ID: 007469639001 NPI: 1508956343 Provider ID: 001789853001 NPI: 1265967004 5133 Ridge Rd NPI: 1063518371 3574 Center Rd Wadsworth, OH 44281

185 Wadsworth Rd Ste 2e Brunswick, OH 44212 (330) 239-4455 EB, P, R

Wadsworth, OH 44281 (330) 225-8886 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM

(330) 336-5046 EB, IB, P, R, RE, Ages: 0-99 Cultural Competency: Y T Hospital Affiliations: Ages: 0-99 Languages Spoken: Cleveland Clinic Foundation Hospital Affiliations: Provider: French, Spanish Medina Hospital Medina Hospital Staff: French, German, Spanish Southwest General Health Center Mo - 3:00 PM - 5:00 PM Mesko, Stephanie, DO, (F), B Tu - 12:00 PM - 8:00 PM Group Name: University Primary Murray, Brinkman A, DO, (M) We,Th - 9:00 AM - 5:00 PM Care Practices Group Name: Pioneer Physicians Fr - 9:00 AM - 12:00 PM Provider ID: 006083586005 Network Cultural Competency: Y NPI: 1780926881 Provider ID: 006089002002 Ages: 0-99 5133 Ridge Rd Ste 1 NPI: 1407198161 Hospital Affiliations: Wadsworth, OH 44281 251 Leatherman Rd

Wadsworth Rittman Hospital (330) 239-4455 EB, P, R Wadsworth, OH 44281

Akron General Medical Ctr Ages: 0-99 (330) 334-6229 EB, P, R Summa Barberton Citizens Hospital Affiliations: Mo-Fr - 7:00 AM - 4:00 PM Summa Health System Fairfield Medical Center Web address: www.pioneerphysicia Western Reserve Hospital ns.com Mone, Tyra L, MD, (F), B Accepting Existing Patients Only Lishneveski, Diana, MD, (F) Group Name: Sharon Family Ages: 0-99 Group Name: Summa Physicians Physicians Hospital Affiliations: Provider ID: 002956062003 Provider ID: 001385631002 Summa Health System NPI: 1306068119 NPI: 1356343974 195 Wadsworth Rd 5133 Ridge Rd Wadsworth, OH 44281 Sharon Center, OH 44274

(330) 336-3631 E, EB, G, IB, P, (330) 239-4455 EB, P, R R, RE Mo,We,Th,Fr - 8:00 AM - 5:00 PM Languages Spoken: Tu - 8:00 AM - 7:00 PM Provider: Italian Sa - 8:00 AM - 12:00 PM Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Summa Health System

188

Primary Care Providers Ohio - Medina Neilsen, Susan A, MD, (F), B Hospital Affiliations: Sheets, Kimberly C, DO, (F), B Group Name: University Primary Cleveland Clinic Foundation Group Name: Lodi Family Care Practices Medina Hospital Practice Clinic Provider ID: 001263188009 Provider ID: 002454975008 NPI: 1447336946 Raines, Joshua D, DO, (M) NPI: 1790765386 4001 Carrick Dr Ste 120 Group Name: Pioneer Physicians 225 Elyria St Medina, OH 44256 Network Lodi, OH 44254

(330) 721-8484 EB, P, R Provider ID: 003630722003 (330) 948-5533 EB, G, IB, P, PL, Mo-Fr - 8:30 AM - 4:30 PM NPI: 1255642955 R, RE, S, T Cultural Competency: Y 251 Leatherman Rd Mo-Th - 8:00 AM - 5:00 PM Ages: 0-99 Wadsworth, OH 44281 Fr - 8:00 AM - 4:00 PM

Hospital Affiliations: (330) 334-6229 EB, P, R Cultural Competency: Y Metrohealth Medical Center Mo-Fr - 7:00 AM - 4:00 PM Ages: 0-99 Southwest General Health Center Web address: pioneerphysicians.co Hospital Affiliations: Peacehealth Sw Med Ctr m Akron General Medical Ctr Ages: 18-99 Lodi Community Hospital Pestak, Regina M, DO, (F) Hospital Affiliations: Group Name: Cleveland Clinic Summa Health System Smarsch, Robert D, DO, (M), B Foundation Group Name: Cleveland Clinic Provider ID: 006489291004 Schmeiser, Thomas J, DO, (M) Foundation NPI: 1336564509 Group Name: University Primary Provider ID: 002578925013 1000 E Washington St Care Practices NPI: 1518913649 Medina, OH 44256 Provider ID: 002455005008 1000 E Washington St

(216) 538-9022 EB, IB, P, R, RE, NPI: 1275549701 Medina, OH 44256

T 4001 Carrick Dr Ste 120 (330) 721-5150 EB, IB, P, R, RE, Does Not Accept New Patients Medina, OH 44256 T

Ages: 0-99 (330) 721-8484 EB, P, R Does Not Accept New Patients Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cleveland Clinic Foundation Cultural Competency: Y Hospital Affiliations: Fairview Hospital Ages: 0-99 Cleveland Clinic Foundation Medina Hospital Hospital Affiliations: Marymount Hospital Cleveland Clinic Avon Hospital Summa Health System Uh Cleveland Medical Center Akron General Medical Ctr University Hospitals Hlth System Poptic, Jennifer, MD, (F), B Western Reserve Hospital Areas of Expertise: MAT1 Group Name: Cleveland Clinic Kaleida Health Foundation Provider ID: 002965172001 NPI: 1679792618 3574 Center Rd Brunswick, OH 44212

(330) 225-8886 EB, P, R Accepting Existing Patients Only Ages: 0-99

189

Ohio - Medina Primary Care Providers Smarsch, Robert D, DO, (M), B Stuart, Ann Marie, MD, (F) Van Nostran, Sharon E, DO, (F), Group Name: Cleveland Clinic Group Name: University Primary B Foundation Care Practices Group Name: UPCP Provider ID: 002578925015 Provider ID: 002216982001 Provider ID: 002490709003 NPI: 1518913649 NPI: 1063497964 NPI: 1124035340 3574 Center Rd 4001 Carrick Dr Ste 150 5133 Ridge Rd Ste 1 Brunswick, OH 44212 Medina, OH 44256 Wadsworth, OH 44281

(330) 741-7100 EB, P, R (330) 721-8500 E, EB, G, IB, P, (330) 239-4455 EB, P, R Does Not Accept New Patients PL, R, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Cleveland Clinic Foundation Web address: www.lisa,bergeron@u Hospital Affiliations: Marymount Hospital hospitals.org Summa Health System Uh Cleveland Medical Center Ages: 0-99 Childrens Hospital Med Ctr Akron University Hospitals Hlth System Hospital Affiliations: Akron City Hospital Areas of Expertise: MAT1 Medina Hospital Williams, Marc S, MD, (M), B Stagliano, Vanessa J, MD, (F), B Surso, John M, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Metrohealth Foundation Foundation Professional Group Provider ID: 000009259006 Provider ID: 006863609008 Provider ID: 001070770007 NPI: 1891887105 NPI: 1477931319 NPI: 1003887902 3574 Center Rd 1000 E Washington St 111 W Reagan Pkwy Brunswick, OH 44212

Medina, OH 44256 Medina, OH 44256 (330) 225-8886 EB, P, R

(330) 725-1000 EB, IB, P, R, RE, (330) 725-6226 E, EB, IB, P, R Accepting Existing Patients Only T Languages Spoken: Ages: 0-99 Does Not Accept New Patients Provider: Spanish Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Medina Hospital Cleveland Clinic Foundation Hospital Affiliations: Summa Health System Williams, Marc S, MD, (M), B Medina Hospital Group Name: Cleveland Clinic Foundation Provider ID: 000009259008 NPI: 1891887105 970 E Washington St Medina, OH 44256

(330) 721-5700 EB, P, R Accepting Existing Patients Only Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Medina Hospital

190

Primary Care Providers Ohio - Medina

Zangmeister, John M, MD, (M), B Federally Qualified Health Care General Practice Group Name: Cleveland Clinic Agency Members may self-refer to these Foundation You are entitled to access the providers. Provider ID: 000451305007 services of any federally qualified NPI: 1447208343 Stuart, Ann Marie, MD, (F), B health center (FQHC) or rural Group Name: University Primary 1000 E Washington St health center (RHC) providers. The Medina, OH 44256 Care Practices following is a listing of the FQHC Provider ID: 002216982001 (216) 538-9022 EB, IB, P, R, RE, and RHC providers in your county. NPI: 1063497964 T Those providers listed with an Cultural Competency: Y 4001 Carrick Dr Ste 150 asterisk (*) are contracted Medina, OH 44256 Accepting Existing Patients Only providers with UnitedHealthcare (330) 721-8500 E, EB, G, IB, P, Ages: 0-99 Community Plan. You might also Hospital Affiliations: PL, R, RE, S, T see providers from these facilities Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation listed individually in other parts of Fairview Hospital Cultural Competency: Y this provider directory. Web address: www.lisa,bergeron@u St John Medical Center Cleveland Clinic Avon Hospital *The Free Medical Clinic Of hospitals.org Greater Cleve Ages: 0-99 Zeiger, Todd M, MD, (M), B Group Name: Free Medical Clinic Hospital Affiliations: Group Name: University Primary Of Greater Cleveland Medina Hospital Care Practices Provider ID: 003651345005 Provider ID: 001385814003 NPI: 1508261959 3780 Medina Rd Ste 310 Geriatrics NPI: 1144222621 5133 Ridge Rd Medina, OH 44256 Members may self-refer to these Wadsworth, OH 44281 (330) 725-8441 E, EB, G, IB, P, providers.

R, RE, S, T (330) 239-4455 EB, P, R Languages Spoken: Drost, Jennifer C, DO, (F), B Ages: 0-99 Group Name: Summa Physicians Hospital Affiliations: Interpreter: Medical Interp Vendor Provider ID: 005282351002 Summa Health System NPI: 1366670531 Medina Hospital Ages: 0-99 195 Wadsworth Rd Wadsworth, OH 44281

(330) 375-4100 E, EB, G, IB, P, PL, R, RE, S, T Ages: 65-99 Hospital Affiliations: Summa Health System

191

Ohio - Medina Primary Care Providers Kayani, Natalie, MD, (F), B Southwest General Health Center Alahmad, Jalaa, MD, (M), B Group Name: Summa Physicians Group Name: Cleveland Clinic Provider ID: 002261367010 Krebs, Audra E, MD, (F) Foundation NPI: 1700865979 Group Name: Summa Physicians Provider ID: 003510119005 195 Wadsworth Rd Provider ID: 006899215002 NPI: 1265762512 Wadsworth, OH 44281 NPI: 1508286592 1000 E Washington St (330) 375-4100 195 Wadsworth Rd Medina, OH 44256

Cultural Competency: Y Wadsworth, OH 44281 (216) 444-0933 EB, IB, P, R, RE,

Ages: 65-99 (330) 375-4100 E, EB, G, IB, P, T Hospital Affiliations: R, RE Does Not Accept New Patients Summa Health System Ages: 18-99 Ages: 18-99 Akron General Medical Ctr Hospital Affiliations: Cleveland Clinic Foundation Kayani, Natalie, MD, (F), B Internal Medicine Fairview Hospital

Group Name: Summa Physicians Prior authorization is required to Medina Hospital Provider ID: 002261367012 obtain some covered services from NPI: 1700865979 these providers. You will not be Alkhouri Saad, Natali, MD, (F), B 3780 Medina Rd Ste 105 covered for those services without Group Name: Cleveland Clinic Medina, OH 44256 such approval by UnitedHealthcare Foundation (330) 375-4100 E, EB, G, IB, P, Community Plan. Please see your Provider ID: 005721658009 R, RE, S, T member handbook, or call Member NPI: 1245586148 Cultural Competency: Y Services for details. 1000 E Washington St

Ages: 65-99 Medina, OH 44256 Al-Khadra, Yasser, MD, (M), B Hospital Affiliations: (216) 445-8383 EB, IB, P, R, RE, Summa Health System Group Name: Cleveland Clinic T Akron General Medical Ctr Foundation Cultural Competency: Y Provider ID: 006482704005 Does Not Accept New Patients Khandelwal, Shobha, MD, (F), B NPI: 1891104915 Ages: 0-99 Group Name: A & S Khandelwal 1000 E Washington St Hospital Affiliations: Md Medina, OH 44256 Cleveland Clinic Foundation Provider ID: 000881254001 (216) 538-9022 EB, IB, P, R, RE, Fairview Hospital NPI: 1083609622 T Cleveland Clinic Avon Hospital 970 E Washington St Ste 2f Does Not Accept New Patients Medina, OH 44256 Ages: 18-99 Hospital Affiliations: (330) 723-7999 E, EB, G, IB, P, R, RE, S, T Fairview Hospital Mo,Fr - 8:00 AM - 5:00 PM Cleveland Clinic Foundation Tu - 9:30 AM - 6:00 PM Cleveland Clinic Avon Hospital We,Th - 9:00 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Medina Hospital

192

Primary Care Providers Ohio - Medina Anumandla, Anil Kumar Redd, Ayers, Katherine E, MD, (F), B Hillcrest Hospital MD, (M), B Group Name: University Primary Medina Hospital Group Name: Cleveland Clinic Care Practices Foundation Provider ID: 003059393001 Chukwuani, Vivian, MD, (F), B Provider ID: 003621219004 NPI: 1962687871 Group Name: Cleveland Clinic NPI: 1144475583 4065 Center Rd Ste 210 Foundation 1000 E Washington St Brunswick, OH 44212 Provider ID: 003249233004

Medina, OH 44256 (330) 220-8411 EB, P, R NPI: 1013109081

(216) 444-0933 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM 1000 E Washington St T Cultural Competency: Y Medina, OH 44256

Does Not Accept New Patients Ages: 18-99 (216) 538-9022 EB, IB, P, R, RE, Ages: 18-99 Hospital Affiliations: T Hospital Affiliations: Southwest General Hospital Does Not Accept New Patients Cleveland Clinic Foundation Texas Vista Medical Center Ages: 0-99 Hillcrest Hospital Hospital Affiliations: Fairview Hospital Baidoun, Firas, MD, (M), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Medina Hospital Arobelidze, Salome, MD, (F), B Foundation Group Name: Cleveland Clinic Provider ID: 006482566008 Denton, Alice M, MD, (F), B Foundation NPI: 1881012607 Group Name: University Primary Provider ID: 006121422005 1000 E Washington St Care Practices NPI: 1710322813 Medina, OH 44256 Provider ID: 001760543001

1000 E Washington St (216) 538-9022 EB, IB, P, R, RE, NPI: 1972613180 Medina, OH 44256 T 4001 Carrick Dr Ste 210

(216) 538-9022 EB, IB, P, R, RE, Does Not Accept New Patients Medina, OH 44256

T Ages: 18-99 (330) 725-3009 EB, P, R Does Not Accept New Patients Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Ages: 18-99 Cleveland Clinic Foundation Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Avon Hospital Accepting Existing Patients Only Cleveland Clinic Foundation Ages: 0-99 Fairview Hospital Celestin, Jackie, MD, (F), B Hospital Affiliations: Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Medina Hospital Foundation Provider ID: 003269602004 NPI: 1487838587 1000 E Washington St Medina, OH 44256

(216) 444-0933 EB, IB, P, R, RE, T Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

193

Ohio - Medina Primary Care Providers Dergham, Lena, MD, (F), B Hospital Affiliations: Cleveland Clinic Foundation Group Name: Cleveland Clinic Cleveland Clinic Foundation Fairview Hospital Foundation Lakewood Hospital Provider ID: 002851111008 Findlay, Alycia G, MD, (F) Cleveland Clinic Lakewood NPI: 1902999246 Group Name: Lodi Family Medina Hospital 1000 E Washington St Practice Clinic Cleveland Clinic Avon Hospital Medina, OH 44256 Provider ID: 006101482005

(216) 538-9022 EB, IB, P, R, RE, NPI: 1720420052 Ghoubrial, Sam N, MD, (M), B T 225 Elyria St Group Name: Sam N Ghoubrial Does Not Accept New Patients Lodi, OH 44254 Md

Ages: 0-99 (330) 948-5533 EB, G, IB, P, PL, Provider ID: 001456781004 Hospital Affiliations: R, RE, S, T NPI: 1003892217 Cleveland Clinic Foundation Ages: 18-99 195 Wadsworth 401 Ste 402 Fairview Hospital Hospital Affiliations: Wadsworth, OH 44281

Lutheran Hospital Lodi Community Hospital (330) 331-7207 P, R, RE, T Mo-Fr - 8:00 AM - 4:00 PM Enders, Nathaniel A, MD, (M), B Finizia, Anthony J, MD, (M), B Cultural Competency: Y Group Name: Cleveland Clinic Group Name: Metrohealth Ages: 12-99 Foundation Professional Group Hospital Affiliations: Provider ID: 005453372005 Provider ID: 002435060004 Wadsworth Rittman Hospital NPI: 1669748240 NPI: 1740217009 Summa Barberton Citizens 970 E Washington St Ste 1c 1299 Industrial Pkwy N Fl 2 Summa Health System Medina, OH 44256 Brunswick, OH 44212 Select Specialty Hosp Columbus

(330) 721-5700 EB, P, R (216) 957-9700 EB, P, R Regency Hospital Of Akron Cultural Competency: Y Languages Spoken: Ages: 18-99 Provider: Spanish Goyal, Yatish, MD, (M), B Hospital Affiliations: Ages: 0-99 Group Name: Premium Quality Cleveland Clinic Foundation Hospital Affiliations: Np Fisher-titus Medical Center Metrohealth Medical Center Provider ID: 001882466005 Medina Hospital NPI: 1023297587 Gerges, Meana R, MD, (M), B 1186 Hadcock Rd Ferenczy, Stephen J, MD, (M), B Group Name: Cleveland Clinic Brunswick, OH 44212

Group Name: Cleveland Clinic Foundation (330) 225-3156 EB, G, IB, P, PL, Foundation Provider ID: 003668368004 R Provider ID: 001842029010 NPI: 1255651345 Languages Spoken: NPI: 1033175229 1000 E Washington St Provider: Hindi, Panjabi 1000 E Washington St Medina, OH 44256 Cultural Competency: Y

Medina, OH 44256 (216) 444-0933 EB, IB, P, R, RE, Ages: 0-99

(330) 725-1000 EB, IB, P, R, RE, T Hospital Affiliations: T Cultural Competency: Y Medina Hospital Cultural Competency: Y Does Not Accept New Patients Southwest General Health Center Does Not Accept New Patients Ages: 0-99 Ages: 18-99 Hospital Affiliations:

194

Primary Care Providers Ohio - Medina Goyal, Yatish, MD, (M), B Goyal, Yatish, MD, (M), B Gulling-Leftwich, Tracy L, DO, Group Name: Premium Quality Group Name: Premium Quality (F), B Np Np Group Name: Cleveland Clinic Provider ID: 001882466007 Provider ID: 001882466006 Foundation NPI: 1023297587 NPI: 1023297587 Provider ID: 003236337006 3430 Brunswick Lake Pkwy 555 Springbrook Dr NPI: 1578763330 Brunswick, OH 44212 Medina, OH 44256 1000 E Washington St

(330) 460-4244 P, R (330) 461-0914 EB, P, R Medina, OH 44256

Languages Spoken: Languages Spoken: (216) 444-0933 EB, IB, P, R, RE, Provider: Hindi, Panjabi Provider: Hindi, Panjabi T Cultural Competency: Y Cultural Competency: Y Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Medina Hospital Medina Hospital Cleveland Clinic Foundation Southwest General Health Center Southwest General Health Center Hillcrest Hospital Fairview Hospital Goyal, Yatish, MD, (M), B Goyal, Yatish, MD, (M), B Hartford Hospital Group Name: Premium Quality Group Name: Yatish Goyal Md Medina Hospital Np Provider ID: 001882466002 Cleveland Clinic Avon Hospital Provider ID: 001882466008 NPI: 1023297587 NPI: 1023297587 970 E Washington St Ste 4d Gupta, Mohit, MD, (M), B 4355 Laurel Rd Medina, OH 44256 Group Name: Cleveland Clinic

Brunswick, OH 44212 (330) 725-7277 EB, G, IB, P, R, Foundation

(330) 741-8000 EB, P, R RE, S, T Provider ID: 003608159004 Languages Spoken: Languages Spoken: NPI: 1720243181 Provider: Hindi, Panjabi Provider: Hindi, Panjabi 1000 E Washington St Cultural Competency: Y Mo,Tu,Th,Fr - 8:30 AM - 5:00 PM Medina, OH 44256

Ages: 0-99 We - 8:30 AM - 2:00 PM (216) 444-0933 EB, IB, P, R, RE, Hospital Affiliations: Cultural Competency: Y T Medina Hospital Ages: 18-99 Does Not Accept New Patients Southwest General Health Center Hospital Affiliations: Ages: 0-99 Medina Hospital Hospital Affiliations: Southwest General Health Center Cleveland Clinic Foundation Euclid Hospital Cleveland Clinic Avon Hospital

195

Ohio - Medina Primary Care Providers Gupta, Shalini, MD, (F), B Cleveland Clinic Foundation Jain, Prantesh, MD, (M), B Group Name: Cleveland Clinic Fairview Hospital Group Name: Cleveland Clinic Foundation Medina Hospital Foundation Provider ID: 006487288004 Cleveland Clinic Avon Hospital Provider ID: 003673873004 NPI: 1841601879 NPI: 1710295019 1000 E Washington St Hummel, Karen M, MD, (F), B 1000 E Washington St Medina, OH 44256 Group Name: University Primary Medina, OH 44256

(216) 538-9022 EB, IB, P, R, RE, Care Practices (216) 444-0933 EB, IB, P, R, RE, T Provider ID: 001901189001 T Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM NPI: 1962508374 Does Not Accept New Patients Does Not Accept New Patients 4001 Carrick Dr Ste 150 Ages: 0-99 Ages: 18-99 Medina, OH 44256 Hospital Affiliations:

Hospital Affiliations: (330) 721-8500 E, EB, G, IB, P, Cleveland Clinic Foundation Cleveland Clinic Foundation PL, R, RE, S, T Medina Hospital Fairview Hospital Languages Spoken: Interpreter: Medical Interp Jain, Sushil K, MD, (M) Hafez, Mhd Nazem, MD, (M), B Vendor Group Name: Sushil K Jain Md Group Name: Cleveland Clinic Mo-Fr - 8:30 AM - 5:00 PM Provider ID: 001286888001 Foundation Cultural Competency: Y NPI: 1538147152 Provider ID: 005779174009 Web address: www.uhhospitals.org 5041 Victor Dr Unit C NPI: 1861761538 Ages: 0-99 Medina, OH 44256

1000 E Washington St Hospital Affiliations: (330) 723-3338 EB, IB, P, R, RE, Medina, OH 44256 Metrohealth Medical Center T

(216) 538-9022 EB, IB, P, R, RE, Uh Cleveland Medical Center Languages Spoken: T Provider: Hindi Does Not Accept New Patients Jadhao, Yogesh, MD, (M), B Mo-Th - 9:00 AM - 5:00 PM Ages: 18-99 Group Name: Cleveland Clinic Fr - 9:00 AM - 4:00 PM Hospital Affiliations: Foundation Cultural Competency: Y Cleveland Clinic Foundation Provider ID: 006489152004 Ages: 0-99 NPI: 1083024459 Hospital Affiliations: Hazzi, Rami, MD, (M), B 1000 E Washington St Medina Hospital Group Name: Cleveland Clinic Medina, OH 44256 Lodi Community Hospital

Foundation (216) 538-9022 EB, IB, P, R, RE, Provider ID: 003673227005 T Kakumanu, Vijay, MD, (M), B NPI: 1255644217 Ages: 0-99 Group Name: Vijay Kakumanu 1000 E Washington St Hospital Affiliations: Md Medina, OH 44256 Cleveland Clinic Foundation Provider ID: 003277706022

(216) 444-0933 EB, IB, P, R, RE, Fairview Hospital NPI: 1225225816 T Cleveland Clinic Avon Hospital 4036 Center Rd Cultural Competency: Y Brunswick, OH 44212

Does Not Accept New Patients (330) 225-7733 EB, P, R Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99

196

Primary Care Providers Ohio - Medina Hospital Affiliations: Khoudari, George, MD, (M), B Cleveland Clinic Foundation Khandelwal, Shobha, MD, (F), B Group Name: Cleveland Clinic Lakewood Hospital Group Name: A & S Khandelwal Foundation Cleveland Clinic Lakewood Md Provider ID: 006514437005 Southwest General Health Center Provider ID: 000881254001 NPI: 1578978995 NPI: 1083609622 1000 E Washington St Khan, Nauman A, MD, (M), B 970 E Washington St Ste 2f Medina, OH 44256

Group Name: Cleveland Clinic Medina, OH 44256 (216) 538-9022 EB, IB, P, R, RE,

Foundation (330) 723-7999 E, EB, G, IB, P, T Provider ID: 006129071004 R, RE, S, T Does Not Accept New Patients NPI: 1184050312 Mo,Fr - 8:00 AM - 5:00 PM Ages: 0-99 1000 E Washington St Tu - 9:30 AM - 6:00 PM Hospital Affiliations: Medina, OH 44256 We,Th - 9:00 AM - 5:00 PM Cleveland Clinic Foundation

(216) 538-9022 EB, IB, P, R, RE, Cultural Competency: Y Fairview Hospital T Ages: 0-99 Medina Hospital Does Not Accept New Patients Hospital Affiliations: Cleveland Clinic Avon Hospital Ages: 18-99 Medina Hospital Hospital Affiliations: Southwest General Health Center Khubber, Shameer, MD, (M), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Marymount Hospital Khandelwal, Vivek J, MD, (M) Foundation Uh Parma Medical Center Group Name: A & S Khandelwal Provider ID: 006482552004 University Hospitals Parma Md NPI: 1710394010 Medical Ctr Provider ID: 002719462001 1000 E Washington St NPI: 1699734038 Medina, OH 44256

Khandelwal, Anand V, MD, (M), 970 E Washington St Ste 2f (216) 538-9022 EB, IB, P, R, RE, B Medina, OH 44256 T

Group Name: A & S Khandelwal (330) 723-7999 E, EB, G, IB, P, Does Not Accept New Patients Md R, RE, S, T Ages: 0-99 Provider ID: 000008093001 Languages Spoken: Hospital Affiliations: NPI: 1285629824 Provider: Hindi, Malayalam Cleveland Clinic Foundation 970 E Washington St Ste 2f Mo-Fr - 9:00 AM - 5:00 PM Fairview Hospital Medina, OH 44256 Cultural Competency: Y Medina Hospital

(330) 723-7999 E, EB, G, IB, P, Ages: 18-99 Cleveland Clinic Avon Hospital R, RE, S, T Hospital Affiliations: Languages Spoken: Medina Hospital Provider: Hindi Southwest General Health Center Mo,We,Th,Fr - 9:00 AM - 5:00 PM Tu - 9:00 AM - 6:00 PM Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Medina Hospital Southwest General Health Center

197

Ohio - Medina Primary Care Providers Komuravelly, Arpitha, MD, (F), B Mahlay, Taras N, MD, (M), B Group Name: Metrohealth Liang, Jake R, MD, (M), B Group Name: University Primary Professional Group Group Name: Cleveland Clinic Care Practices Provider ID: 006920880002 Foundation Provider ID: 001071031002 NPI: 1548689151 Provider ID: 006490757004 NPI: 1285727164 1299 Industrial Pkwy N Fl 2 NPI: 1508270521 4065 Center Rd Ste 210 Brunswick, OH 44212 1000 E Washington St Brunswick, OH 44212

(216) 957-1450 EB, P, R Medina, OH 44256 (330) 220-8411 EB, P, R

Languages Spoken: (216) 538-9022 EB, IB, P, R, RE, Languages Spoken: Provider: Spanish T Provider: Ukrainian Ages: 0-99 Does Not Accept New Patients Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Metrohealth Medical Center Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Krebs, Audra E, MD, (F) Fairview Hospital Southwest General Health Center Group Name: Summa Physicians South Pointe Hospital Uh Cleveland Medical Center Provider ID: 006899215002 Marymount Hospital NPI: 1508286592 Cleveland Clinic Avon Hospital Martin, Danielle S, DO, (F) 195 Wadsworth Rd Group Name: Cleveland Clinic Wadsworth, OH 44281 Lim, Kathleen Jade D, MD, (F), B Foundation

(330) 375-4100 E, EB, G, IB, P, Group Name: Cleveland Clinic Provider ID: 003390621009 R, RE Foundation NPI: 1033398409 Ages: 18-99 Provider ID: 003204977004 1000 E Washington St NPI: 1194999573 Medina, OH 44256

Krishna, Samavedam A, MD, 1000 E Washington St (216) 538-9022 EB, IB, P, R, RE, (M), B Medina, OH 44256 T

Group Name: Cleveland Clinic (216) 444-0933 EB, IB, P, R, RE, Does Not Accept New Patients Foundation T Ages: 0-99 Provider ID: 001778089011 Does Not Accept New Patients Hospital Affiliations: NPI: 1659434355 Ages: 0-99 Fairview Hospital 1000 E Washington St Hospital Affiliations: Uh Parma Medical Center Medina, OH 44256 Cleveland Clinic Foundation University Hospitals Parma

(216) 636-7563 EB, IB, P, R, RE, Hillcrest Hospital Medical Ctr T Cleveland Clinic Avon Hospital Languages Spoken: Provider: Hindi, Tamil Ages: 0-99 Hospital Affiliations: Knox Community Hospital Cleveland Clinic Foundation Holzer Hillcrest Hospital Medina Hospital

198

Primary Care Providers Ohio - Medina Mauer, Yael, MD, (F), B Mohammad, Haneen A, MD, (F), Cleveland Clinic Foundation Group Name: Cleveland Clinic B Fairview Hospital Foundation Group Name: Cleveland Clinic Medina Hospital Provider ID: 006739917006 Foundation Southwest General Health Center NPI: 1235557992 Provider ID: 006161704004 St John Medical Center 1000 E Washington St NPI: 1104251040 Medina, OH 44256 1000 E Washington St Munzar, Saad, MD, (M), B

(330) 725-1000 EB, IB, P, R, RE, Medina, OH 44256 Group Name: Cleveland Clinic

T (216) 538-9022 EB, IB, P, R, RE, Foundation Does Not Accept New Patients T Provider ID: 006842122007 Ages: 0-99 Does Not Accept New Patients NPI: 1699157453 Hospital Affiliations: Ages: 18-99 1000 E Washington St Akron General Medical Ctr Hospital Affiliations: Medina, OH 44256

Cleveland Clinic Foundation Cleveland Clinic Foundation (330) 725-1000 EB, IB, P, R, RE, Hillcrest Hospital T Fairview Hospital Monheim, Karen M, MD, (F), B Does Not Accept New Patients Marymount Hospital Group Name: UPCP Ages: 0-99 Lutheran Hospital Provider ID: 000760062001 Hospital Affiliations: Medina Hospital NPI: 1194835306 Cleveland Clinic Foundation 4001 Carrick Dr Ste 210 Areas of Expertise: MAT1 Mendelson, Jessica I, DO, (F), B Medina, OH 44256

Group Name: Cleveland Clinic (330) 725-3009 EB, P, R Muscutar, Alina, MD, (F), B Foundation Mo-Fr - 8:30 AM - 4:30 PM Group Name: Cleveland Clinic Provider ID: 006121430006 Cultural Competency: Y Foundation NPI: 1760827109 Ages: 0-99 Provider ID: 003710714003 1000 E Washington St Hospital Affiliations: NPI: 1831402668 Medina, OH 44256 Akron General Medical Ctr 1000 E Washington St

(216) 538-9022 EB, IB, P, R, RE, Medina Hospital Medina, OH 44256

T (216) 444-0933 EB, IB, P, R, RE, Does Not Accept New Patients Morra, Nariman K, MD, (F), B T Ages: 18-99 Group Name: Cleveland Clinic Cultural Competency: Y Hospital Affiliations: Foundation Does Not Accept New Patients Cleveland Clinic Foundation Provider ID: 002927792005 Ages: 0-99 Fairview Hospital NPI: 1902060783 Hospital Affiliations: Medina Hospital 1000 E Washington St Cleveland Clinic Foundation Medina, OH 44256 Hillcrest Hospital

(216) 445-8383 EB, IB, P, R, RE, Fairview Hospital T Languages Spoken: Provider: Arabic Does Not Accept New Patients Ages: 0-99 Hospital Affiliations:

199

Ohio - Medina Primary Care Providers Nagrant, Erin C, MD, (F), B Peerzada, Maajid M, MD, (M), B Ronyak, Julie A, DO, (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: University Primary Foundation Foundation Care Practices Provider ID: 003106663008 Provider ID: 003380239005 Provider ID: 002705527001 NPI: 1184825739 NPI: 1073769725 NPI: 1801906003 1000 E Washington St 1000 E Washington St 4001 Carrick Dr Ste 210 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(216) 444-0933 EB, IB, P, R, RE, (216) 444-0933 EB, IB, P, R, RE, (330) 725-3009 EB, P, R T T Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Does Not Accept New Patients Cultural Competency: Y Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Brooks Memorial Hospital Medina Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Hillcrest Hospital Salay, Elizabeth R, MD, (F), B South Pointe Hospital Group Name: Cleveland Clinic Olasokan, Olapeju F, MD, (F), B Marymount Hospital Foundation Group Name: Cleveland Clinic Medina Hospital Provider ID: 002958004002 Foundation NPI: 1659477933 Provider ID: 006481945006 Peters, Christina M, DO, (F), B 3574 Center Rd NPI: 1083024269 Group Name: Summa Physicians Brunswick, OH 44212

1000 E Washington St Provider ID: 003217770005 (330) 225-8886 EB, P, R Medina, OH 44256 NPI: 1235312158 Ages: 0-99

(216) 538-9022 EB, IB, P, R, RE, 195 Wadsworth Rd Hospital Affiliations: T Wadsworth, OH 44281 Cleveland Clinic Foundation

Does Not Accept New Patients (330) 336-3631 E, EB, G, IB, P, Medina Hospital Ages: 0-99 R, RE Hospital Affiliations: Cultural Competency: Y Shah, Tushar, MD, (M), B Cleveland Clinic Foundation Ages: 18-99 Group Name: University Primary Hillcrest Hospital Hospital Affiliations: Care Practices South Pointe Hospital Wadsworth Rittman Hospital Provider ID: 003616835012 Marymount Hospital Summa Health System NPI: 1649286360 Medina Hospital 1186 Hadcock Rd Cleveland Clinic Avon Hospital Brunswick, OH 44212

(330) 225-3156 Languages Spoken: Provider: Gujarati, Hindi, Marathi Mo-Fr - 8:30 AM - 4:30 PM Ages: 18-99 Hospital Affiliations: Lake Health

200

Primary Care Providers Ohio - Medina Sharma-Sahni, Priyanka, MD, Areas of Expertise: CIL, HIMP, Hospital Affiliations: (F), B PDB Cleveland Clinic Foundation Group Name: Yatish Goyal Md Fairview Hospital Provider ID: 002671791007 Stern, Denise I, MD, (F), B Marymount Hospital NPI: 1992742159 Group Name: University Primary 1000 Washington St Care Practices Tcaciuc, Daniela, MD, (F), B Medina, OH 44256 Provider ID: 002223480003 Group Name: Cleveland Clinic

(330) 725-7277 EB, P, R NPI: 1659460483 Foundation Ages: 18-99 3812 Center Rd Ste 106 Provider ID: 002221801007 Hospital Affiliations: Brunswick, OH 44212 NPI: 1003846320

Cleveland Clinic Foundation (330) 220-8411 EB, P, R 3574 Center Rd Medina Hospital Mo-Fr - 8:30 AM - 5:00 PM Brunswick, OH 44212

Areas of Expertise: CIL, HIMP, Cultural Competency: Y (330) 225-8886 EB, P, R PDB Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Does Not Accept New Patients Sharma-Sahni, Priyanka, MD, St John Medical Center Ages: 0-99 (F), B Uh Cleveland Medical Center Hospital Affiliations: Group Name: Yatish Goyal Md Cleveland Clinic Foundation Provider ID: 002671791003 Sutton, Jazmine M, MD, (F), B Medina Hospital NPI: 1992742159 Group Name: Cleveland Clinic St Vincent Charity Medical Center 970 E Washington St Ste 202 Foundation Medina, OH 44256 Provider ID: 005554427007 Tchelidze, Tea A, MD, (F), B

(330) 725-7277 EB, P, R NPI: 1114288008 Group Name: Cleveland Clinic Ages: 18-99 1000 E Washington St Foundation Hospital Affiliations: Medina, OH 44256 Provider ID: 002570580010

Cleveland Clinic Foundation (216) 538-9022 EB, IB, P, R, RE, NPI: 1508959693 Medina Hospital T 1000 E Washington St Does Not Accept New Patients Medina, OH 44256

Sharma-Sahni, Priyanka, MD, Ages: 0-99 (330) 725-1000 EB, IB, P, R, RE, (F), B Hospital Affiliations: T Group Name: Yatish Goyal Md Cleveland Clinic Foundation Languages Spoken: Provider ID: 002671791006 Provider: Georgian, Russian NPI: 1992742159 Tak, James I, MD, (M), B Cultural Competency: Y 970 E Washington St Ste 4d Group Name: Cleveland Clinic Ages: 18-99 Medina, OH 44256 Foundation Hospital Affiliations:

(330) 725-7277 EB, G, IB, P, R, Provider ID: 006519233004 Cleveland Clinic Foundation RE, S, T NPI: 1265850689 Hillcrest Hospital Mo,Tu,Th,Fr - 8:30 AM - 5:00 PM 1000 E Washington St Uh Geneva Medical Center We - 8:30 AM - 2:00 PM Medina, OH 44256 Uh Cleveland Medical Center

Ages: 18-99 (216) 538-9022 EB, IB, P, R, RE, Univ Hospitals Ahuja Med Ctr Hospital Affiliations: T Cleveland Clinic Foundation Does Not Accept New Patients Medina Hospital Ages: 0-99

201

Ohio - Medina Primary Care Providers Thet, Phyo K, MD, (M), B Zaw, Tin Z, MD, (F) Adkins, Nicole M, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 006397389004 Provider ID: 006484502004 Provider ID: 006223596040 NPI: 1578988960 NPI: 1336555382 NPI: 1770967788 1000 E Washington St 1000 E Washington St 3574 Center Rd Medina, OH 44256 Medina, OH 44256 Brunswick, OH 44212

(216) 538-9022 EB, IB, P, R, RE, (216) 538-9022 EB, IB, P, R, RE, (330) 225-8886 EB, P, R T T Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital Fairview Hospital South Pointe Hospital Fairview Hospital Cleveland Clinic Avon Hospital Euclid Hospital Medina Hospital Marymount Hospital Cleveland Clinic Avon Hospital Medina Hospital Nurse Practitioner

Waraich, Kanwaljit K, MD, (F) Members may self-refer to these Batke Hastings, Susan, NP, (F) Group Name: Cleveland Clinic providers. Group Name: Cleveland Clinic

Foundation Foundation Provider ID: 002926180008 Adkins, Nicole M, NP, (F) Provider ID: 002714893001 NPI: 1992972483 Group Name: Cleveland Clinic NPI: 1679675920 1000 E Washington St Foundation 1 Park Center Dr Medina, OH 44256 Provider ID: 006223596038 Wadsworth, OH 44281 NPI: 1770967788 (216) 445-8383 EB, IB, P, R, RE, (330) 334-4620 E, EB, IB, P, R T 1 Park Center Dr Does Not Accept New Patients Cultural Competency: Y Wadsworth, OH 44281 Ages: 0-99 Does Not Accept New Patients (330) 334-4620 E, EB, IB, P, R Hospital Affiliations: Ages: 0-99 Does Not Accept New Patients Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Berger, Andrew M, NP, (M) Northside Medical Center Akron General Medical Ctr Group Name: Cleveland Clinic Steward Northside Medical Center Cleveland Clinic Foundation Foundation South Pointe Hospital Provider ID: 003519027018 Euclid Hospital NPI: 1942593967 Marymount Hospital 1 Park Center Dr Medina Hospital Wadsworth, OH 44281

(330) 334-4620 E, EB, IB, P, R Web address: www.northcountryhea lthcare.org Does Not Accept New Patients Ages: 0-99

202

Primary Care Providers Ohio - Medina Hospital Affiliations: Brothers, Debra J, NP, (F) Brown, Shelley M, NP, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Berger, Andrew M, NP, (M) Provider ID: 002622868018 Provider ID: 003255028019 Group Name: Cleveland Clinic NPI: 1013016963 NPI: 1467624205 Foundation 1 Park Center Dr 1 Park Center Dr Provider ID: 003519027020 Wadsworth, OH 44281 Wadsworth, OH 44281

NPI: 1942593967 (330) 334-4620 E, EB, IB, P, R (330) 334-4620 E, EB, IB, P, R 3574 Center Rd Languages Spoken: Does Not Accept New Patients Brunswick, OH 44212 Provider: Chinese, Croatian, Ages: 0-99

(330) 225-8886 EB, P, R Tagalog Hospital Affiliations: Web address: www.northcountryhea Web address: www.clevelandclinic. Cleveland Clinic Foundation lthcare.org org Does Not Accept New Patients Ages: 0-99 Brugger, Virginia B, NP, (F) Ages: 0-99 Hospital Affiliations: Group Name: Cleveland Clinic Hospital Affiliations: Cleveland Clinic Foundation Foundation Cleveland Clinic Foundation Provider ID: 003194195019 Brown, Richelle R, NP, (F) NPI: 1457671091 Black, Andrew, NP, (M) Group Name: Cleveland Clinic 1 Park Center Dr Group Name: Sushil K Jain Md Foundation Wadsworth, OH 44281

Provider ID: 006877497001 Provider ID: 003522286014 (330) 334-4620 E, EB, IB, P, R NPI: 1346726999 NPI: 1144589318 Does Not Accept New Patients 5041 Victor Dr Unit C 1 Park Center Dr Ages: 0-99 Medina, OH 44256 Wadsworth, OH 44281 Hospital Affiliations:

(330) 723-3338 EB, IB, P, R, RE, (330) 334-4620 E, EB, IB, P, R Cleveland Clinic Foundation T Does Not Accept New Patients Areas of Expertise: MAT1 Mo-Th - 8:00 AM - 5:00 PM Ages: 0-99 Fr - 8:00 AM - 4:00 PM Hospital Affiliations: Brugger, Virginia B, NP, (F) Ages: 0-99 Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Blacksmith, Alicia P, NP, (F) Brown, Richelle R, NP, (F) Provider ID: 003194195021 Group Name: Southwest General Group Name: Cleveland Clinic NPI: 1457671091 Medical Group Foundation 3574 Center Rd Provider ID: 005790076002 Provider ID: 003522286016 Brunswick, OH 44212

NPI: 1952776817 NPI: 1144589318 (330) 225-8886 EB, P, R 4065 Center Rd Ste 220 3574 Center Rd Does Not Accept New Patients Brunswick, OH 44212 Brunswick, OH 44212 Ages: 0-99

(330) 558-0070 EB, IB, P, R, RE, (330) 225-8886 EB, P, R Hospital Affiliations: T Does Not Accept New Patients Cleveland Clinic Foundation Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1 Hospital Affiliations: Cleveland Clinic Foundation

203

Ohio - Medina Primary Care Providers Chatal, Eric, NP, (M) Coleman, Colleen T, NP, (F) Creager, Katie A, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 006979465014 Provider ID: 002835879020 Provider ID: 003563030032 NPI: 1174015085 NPI: 1033308846 NPI: 1629352760 1 Park Center Dr 3574 Center Rd 970 E Washington St Ste 303 Wadsworth, OH 44281 Brunswick, OH 44212 Medina, OH 44256

(330) 334-4620 E, EB, IB, P, R (330) 225-8886 EB, P, R (330) 721-5700 EB, P, R Does Not Accept New Patients Does Not Accept New Patients Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Cleveland Clinic Foundation Cleveland Clinic Foundation

Chatal, Eric, NP, (M) Corniello, Amanda L, NP, (F) Crites, Cheryl L, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 006979465018 Provider ID: 003314071041 Provider ID: 004078504013 NPI: 1174015085 NPI: 1396188629 NPI: 1760819528 3574 Center Rd 1 Park Center Dr 1 Park Center Dr Brunswick, OH 44212 Wadsworth, OH 44281 Wadsworth, OH 44281

(330) 225-8886 EB, P, R (330) 334-4620 E, EB, IB, P, R (330) 334-4620 E, EB, IB, P, R Does Not Accept New Patients Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Metrohealth Medical Center Cleveland Clinic Foundation Cleveland Clinic Foundation Coleman, Colleen T, NP, (F) Crites, Cheryl L, NP, (F) Group Name: Cleveland Clinic Creager, Katie A, NP, (F) Group Name: Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Provider ID: 002835879033 Foundation Provider ID: 004078504015 NPI: 1033308846 Provider ID: 003563030029 NPI: 1760819528 1 Park Center Dr NPI: 1629352760 3574 Center Rd Wadsworth, OH 44281 3574 Center Rd Brunswick, OH 44212

(330) 334-4620 E, EB, IB, P, R Brunswick, OH 44212 (330) 225-8886 EB, P, R

Does Not Accept New Patients (330) 225-8886 EB, P, R Does Not Accept New Patients Ages: 0-99 Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation

204

Primary Care Providers Ohio - Medina Duber, Carol A, NP, (F) Folger, Allison R, NP, (F) Gombaski, Jeannie, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Summa Physicians Foundation Foundation Provider ID: 006926207005 Provider ID: 003435575001 Provider ID: 004159611014 NPI: 1790251742 NPI: 1114290459 NPI: 1164849766 3780 Medina Rd Ste 310 1 Park Center Dr 1 Park Center Dr Medina, OH 44256

Wadsworth, OH 44281 Wadsworth, OH 44281 (330) 725-8441 E, EB, G, IB, P,

(330) 334-4620 E, EB, IB, P, R (330) 334-4620 E, EB, IB, P, R R, RE, S, T Ages: 0-99 Accepting Existing Patients Only Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Summa Health System Cleveland Clinic Foundation Dwyer, Meggan E, NP, (F) Gunselman, Beth A, NP, (F) Group Name: Cleveland Clinic Folger, Allison R, NP, (F) Group Name: Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Provider ID: 003307482030 Foundation Provider ID: 002510399016 NPI: 1609175207 Provider ID: 004159611016 NPI: 1437143286 1 Park Center Dr NPI: 1164849766 1 Park Center Dr Wadsworth, OH 44281 3574 Center Rd Wadsworth, OH 44281

(330) 334-4620 E, EB, IB, P, R Brunswick, OH 44212 (330) 334-4620 E, EB, IB, P, R

Ages: 0-99 (330) 225-8886 EB, P, R Ages: 0-99 Hospital Affiliations: Accepting Existing Patients Only Hospital Affiliations: Metrohealth Medical Center Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Gunselman, Beth A, NP, (F) Dwyer, Meggan E, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Gedeon, Sarah E, NP, (F) Foundation Foundation Group Name: Summa Physicians Provider ID: 002510399019 Provider ID: 003307482032 Provider ID: 002452181002 NPI: 1437143286 NPI: 1609175207 NPI: 1154398428 3574 Center Rd 3574 Center Rd 195 Wadsworth Rd Brunswick, OH 44212

Brunswick, OH 44212 Wadsworth, OH 44281 (330) 225-8886 EB, P, R

(330) 225-8886 EB, P, R (330) 375-4100 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 PL, R, RE, S, T Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Metrohealth Medical Center Ages: 65-99 Cleveland Clinic Foundation Hospital Affiliations: Summa Health System

205

Ohio - Medina Primary Care Providers Hannan, Michele M, NP, (F) Harvan, Alexandra M, NP, (F) Higgins, Svetlana M, NP, (F) Group Name: Spi Northeast Ohio Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cardiovascular Foundation Foundation Provider ID: 003267848002 Provider ID: 006158074001 Provider ID: 006977077017 NPI: 1073822177 NPI: 1033662879 NPI: 1730664707 195 Wadsworth Rd 3574 Center Rd 1 Park Center Dr Wadsworth, OH 44281 Brunswick, OH 44212 Wadsworth, OH 44281

(330) 723-6060 E, EB, G, IB, P, (330) 225-8886 EB, P, R (330) 334-4620 E, EB, IB, P, R PL, R, RE, S, T Ages: 0-99 Accepting Existing Patients Only Cultural Competency: Y Hospital Affiliations: Ages: 0-17 Ages: 16-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Summa Health System Harvan, Amanda J, NP, (F) Hillcrest Hospital Group Name: Summa Physicians Lutheran Hospital Hannan, Michele M, NP, (F) Provider ID: 003433255002 Group Name: Spi Northeast Ohio NPI: 1619166279 Higgins, Svetlana M, NP, (F) Cardiovascular 195 Wadsworth Rd Group Name: Cleveland Clinic Provider ID: 003267848002 Wadsworth, OH 44281 Foundation

NPI: 1073822177 (330) 375-4100 E, EB, G, IB, P, Provider ID: 006977077020 195 Wadsworth Rd Ste 305 PL, R, RE, S, T NPI: 1730664707 Wadsworth, OH 44281 Ages: 0-99 3574 Center Rd

(330) 334-7700 E, EB, G, P, R, Hospital Affiliations: Brunswick, OH 44212

RE, S, T Summa Health System (330) 225-8886 EB, P, R Cultural Competency: Y Accepting Existing Patients Only Ages: 16-99 Heintz-Martin, Stephanie L, NP, Ages: 0-17 Hospital Affiliations: (F) Hospital Affiliations: Summa Health System Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Hillcrest Hospital Hannan, Michele M, NP, (F) Provider ID: 005881236002 Lutheran Hospital Group Name: Spi Northeast Ohio NPI: 1598120149 Cardiovascular 970 E Washington St Hochendoner, Noah J, NP, (M) Provider ID: 003267848002 Medina, OH 44256 Group Name: Premium Quality

NPI: 1073822177 (330) 721-5346 EB, P, R Np 3780 Medina Rd Ste 240 Ages: 0-99 Provider ID: 007518358006 Medina, OH 44256 Hospital Affiliations: NPI: 1932723848

(330) 376-7000 EB, P, R Cleveland Clinic Foundation 555 Springbrook Dr Cultural Competency: Y Medina, OH 44256

Ages: 16-99 (330) 461-0914 EB, P, R Hospital Affiliations: Ages: 0-99 Summa Health System

206

Primary Care Providers Ohio - Medina Hovest, Jennifer F, NP, (F) Kreuer, Carrie E, NP, (F) Larouere, Aimee C, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003811808009 Provider ID: 002964546002 Provider ID: 003553596005 NPI: 1184068108 NPI: 1275748865 NPI: 1861744658 1 Park Center Dr 3574 Center Rd 1 Park Center Dr Wadsworth, OH 44281 Brunswick, OH 44212 Wadsworth, OH 44281

(330) 334-4620 E, EB, IB, P, R (330) 225-8886 EB, P, R (330) 334-4620 E, EB, IB, P, R Ages: 0-17 Mo-Fr - 8:00 AM - 4:00 PM Does Not Accept New Patients Hospital Affiliations: Does Not Accept New Patients Ages: 0-99 Cleveland Clinic Foundation Ages: 0-17 Hospital Affiliations: Hospital Affiliations: Wooster Community Hospital Johnston, Michelle L, NP, (F) Wooster Community Hospital Cleveland Clinic Foundation Group Name: Cleveland Clinic Cleveland Clinic Foundation Marymount Hospital Foundation Fairview Hospital Medina Hospital Provider ID: 005187358005 NPI: 1447669601 Lalley, Kristina A, NP, (F) Larouere, Aimee C, NP, (F) 1 Park Center Dr Group Name: Summa Physicians Group Name: Cleveland Clinic Wadsworth, OH 44281 Provider ID: 006389070001 Foundation

(330) 334-4620 E, EB, IB, P, R NPI: 1689115016 Provider ID: 003553596006 Ages: 0-99 3780 Medina Rd Ste 310 NPI: 1861744658 Hospital Affiliations: Medina, OH 44256 3574 Center Rd

Cleveland Clinic Foundation (330) 725-8441 E, EB, G, IB, P, Brunswick, OH 44212

R, RE, S, T (330) 225-8886 EB, P, R Kolasky, Maureen A, NP, (F) Ages: 0-99 Does Not Accept New Patients Group Name: Cleveland Clinic Ages: 0-99 Foundation Lally, Maureen M, NP, (F) Hospital Affiliations: Provider ID: 002899272012 Group Name: Cleveland Clinic Wooster Community Hospital NPI: 1588830210 Foundation Cleveland Clinic Foundation 1 Park Center Dr Provider ID: 003511459016 Marymount Hospital Wadsworth, OH 44281 NPI: 1356697692 Medina Hospital

(330) 334-4620 E, EB, IB, P, R 1 Park Center Dr Cultural Competency: Y Wadsworth, OH 44281 Lawrence, Lisa M, NP, (F)

Accepting Existing Patients Only (330) 334-4620 E, EB, IB, P, R Group Name: Cleveland Clinic Ages: 0-99 Cultural Competency: Y Foundation Hospital Affiliations: Ages: 0-99 Provider ID: 003054185031 Cleveland Clinic Foundation Hospital Affiliations: NPI: 1306856679 Metrohealth Medical Center 1 Park Center Dr Cleveland Clinic Foundation Wadsworth, OH 44281

Fairview Hospital (330) 334-4620 E, EB, IB, P, R Cultural Competency: Y Does Not Accept New Patients Ages: 0-99

207

Ohio - Medina Primary Care Providers Hospital Affiliations: Mcmillin, Jennifer L, NP, (F) Michel, Michelle L, NP, (F) Wooster Community Hospital Group Name: Cleveland Clinic Group Name: Summa Physicians Metrohealth Medical Center Foundation Provider ID: 003294180001 Cleveland Clinic Foundation Provider ID: 003376557020 NPI: 1770589830 Lutheran Hospital NPI: 1215215256 3780 Medina Rd Ste 240 Uh Cleveland Medical Center 1 Park Center Dr Medina, OH 44256

Wadsworth, OH 44281 (330) 376-7000 EB, P, R

Luppa, Viktoria F, NP, (F) (330) 334-4620 E, EB, IB, P, R Ages: 16-99 Group Name: Cleveland Clinic Mo-Fr - 8:00 AM - 4:00 PM Hospital Affiliations: Foundation Cultural Competency: Y Summa Health System Provider ID: 002625382002 Does Not Accept New Patients Regency Hospital Of Akron NPI: 1669436267 Ages: 18-99 1 Park Center Dr Hospital Affiliations: Miller, Heather M, NP, (F) Wadsworth, OH 44281 Cleveland Clinic Foundation Group Name: Np Medical

(330) 334-4620 E, EB, IB, P, R Solutions Cultural Competency: Y Michel, Michelle L, NP, (F) Provider ID: 003034826009 Does Not Accept New Patients Group Name: Summa Physicians NPI: 1710958426 Ages: 0-99 Provider ID: 003294180001 3780 Medina Rd Ste 310 Hospital Affiliations: NPI: 1770589830 Medina, OH 44256

Cleveland Clinic Foundation 195 Wadsworth Rd (330) 952-1382 E, EB, G, IB, P, Wadsworth, OH 44281 R, RE, S, T

Marin, Patricia A, NP, (F) (800) 890-6357 E, EB, G, IB, P, Cultural Competency: Y Group Name: Cleveland Clinic PL, R, RE, S, T Ages: 0-99 Foundation Ages: 16-99 Provider ID: 002389137008 Hospital Affiliations: Mosneag, Katalin E, NP, (F) NPI: 1881794931 Summa Health System Group Name: Cleveland Clinic 1 Park Center Dr Regency Hospital Of Akron Foundation Wadsworth, OH 44281 Provider ID: 006034742016

(330) 334-4620 E, EB, IB, P, R Michel, Michelle L, NP, (F) NPI: 1982066213 Ages: 0-99 Group Name: Summa Physicians 1 Park Center Dr Hospital Affiliations: Provider ID: 003294180001 Wadsworth, OH 44281

Cleveland Clinic Foundation NPI: 1770589830 (330) 334-4620 E, EB, IB, P, R 195 Wadsworth Rd Ste 305 Cultural Competency: Y Mathias, Jennifer, FNP, (F) Wadsworth, OH 44281 Does Not Accept New Patients

Group Name: Summa Physicians (330) 334-7700 E, EB, G, P, R, Ages: 0-99 Provider ID: 007141148002 RE, S, T Hospital Affiliations: NPI: 1255993085 Ages: 16-99 Akron General Medical Ctr 3780 Medina Rd Ste 310 Hospital Affiliations: Cleveland Clinic Foundation Medina, OH 44256 Summa Health System

(330) 725-8441 E, EB, G, IB, P, Regency Hospital Of Akron R, RE, S, T Ages: 0-99

208

Primary Care Providers Ohio - Medina Mosneag, Katalin E, NP, (F) Nagel, Charlene M, NP, (F) Older, Naz M, NP, (F) Group Name: Cleveland Clinic Group Name: Lodi Family Group Name: Cleveland Clinic Foundation Practice Clinic Foundation Provider ID: 006034742019 Provider ID: 003679719005 Provider ID: 005214223006 NPI: 1982066213 NPI: 1194157768 NPI: 1962811943 3574 Center Rd 225 Elyria St 1 Park Center Dr Brunswick, OH 44212 Lodi, OH 44254 Wadsworth, OH 44281

(330) 225-8886 EB, P, R (330) 948-5533 EB, G, IB, P, PL, (330) 334-4620 E, EB, IB, P, R Cultural Competency: Y R, RE, S, T Mo-Sa - 8:00 AM - 5:00 PM Does Not Accept New Patients Mo-Fr - 7:30 AM - 4:00 PM Ages: 0-99 Ages: 0-99 Sa - 8:00 AM - 12:00 PM Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Metrohealth Medical Center Akron General Medical Ctr Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Akron General Medical Ctr Page, Denise L, NP, (F) Mueller, Margaret H, NP, (F) Lodi Community Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Nicholas, Michele, NP, (F) Provider ID: 005177183017 Provider ID: 003646056003 Group Name: Premium Quality NPI: 1003215427 NPI: 1083969489 Np 1 Park Center Dr 1 Park Center Dr Provider ID: 006826901004 Wadsworth, OH 44281

Wadsworth, OH 44281 NPI: 1497241665 (330) 334-4620 E, EB, IB, P, R

(330) 334-4620 E, EB, IB, P, R 555 Springbrook Dr Does Not Accept New Patients Cultural Competency: Y Medina, OH 44256 Ages: 0-99

Does Not Accept New Patients (330) 461-0914 EB, P, R Hospital Affiliations: Ages: 0-99 Ages: 0-99 Akron General Medical Ctr Hospital Affiliations: Cleveland Clinic Foundation Metrohealth Medical Center O'brien-Black, Penny R, NP, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Page, Denise L, NP, (F) Foundation Group Name: Cleveland Clinic Myers, Leanne D, NP, (F) Provider ID: 003189482007 Foundation Group Name: Cleveland Clinic NPI: 1114164324 Provider ID: 005177183019 Foundation 1000 E Washington St NPI: 1003215427 Provider ID: 005747075015 Medina, OH 44256 3574 Center Rd

NPI: 1730433996 (216) 538-9022 EB, IB, P, R, RE, Brunswick, OH 44212

1 Park Center Dr T (330) 225-8886 EB, P, R Wadsworth, OH 44281 Ages: 18-99 Does Not Accept New Patients

(330) 334-4620 E, EB, IB, P, R Hospital Affiliations: Ages: 0-99 Does Not Accept New Patients Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Hillcrest Hospital Akron General Medical Ctr Hospital Affiliations: Marymount Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation

209

Ohio - Medina Primary Care Providers Popp, Jeremy, NP, (M) Praisler, Kathy J, NP, (F) Puljic, Rachael E, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 006006325021 Provider ID: 006252508018 Provider ID: 006233028029 NPI: 1659733210 NPI: 1366894214 NPI: 1679930622 1 Park Center Dr 3574 Center Rd 1000 E Washington St Wadsworth, OH 44281 Brunswick, OH 44212 Medina, OH 44256

(330) 334-4620 E, EB, IB, P, R (330) 225-8886 EB, P, R (330) 725-1000 EB, IB, P, R, RE, Accepting Existing Patients Only Does Not Accept New Patients T Ages: 0-99 Ages: 0-99 Web address: www.alleghenymedic Hospital Affiliations: Hospital Affiliations: al.com Cleveland Clinic Foundation Cleveland Clinic Foundation Accepting Existing Patients Only Marymount Hospital Ages: 0-99 Popp, Jeremy, NP, (M) Medina Hospital Hospital Affiliations: Group Name: Cleveland Clinic Uniontown Hospital Foundation Puljic, Rachael E, NP, (F) Cleveland Clinic Foundation Provider ID: 006006325023 Group Name: Cleveland Clinic NPI: 1659733210 Foundation Puljic, Rachael E, NP, (F) 3574 Center Rd Provider ID: 006233028032 Group Name: Cleveland Clinic Brunswick, OH 44212 NPI: 1679930622 Foundation

(330) 225-8886 EB, P, R 1 Park Center Dr Provider ID: 006233028028 Accepting Existing Patients Only Wadsworth, OH 44281 NPI: 1679930622

Ages: 0-99 (330) 334-4620 E, EB, IB, P, R 225 Elyria St Hospital Affiliations: Web address: www.alleghenymedic Lodi, OH 44254

Cleveland Clinic Foundation al.com (330) 948-5531 EB, G, IB, P, PL, Accepting Existing Patients Only R, RE, S, T Praisler, Kathy J, NP, (F) Ages: 0-99 Web address: www.alleghenymedic Group Name: Cleveland Clinic Hospital Affiliations: al.com Foundation Uniontown Hospital Accepting Existing Patients Only Provider ID: 006252508016 Cleveland Clinic Foundation Ages: 0-99 NPI: 1366894214 Hospital Affiliations: 1 Park Center Dr Uniontown Hospital Wadsworth, OH 44281 Cleveland Clinic Foundation

(330) 334-4620 E, EB, IB, P, R Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Marymount Hospital Medina Hospital

210

Primary Care Providers Ohio - Medina Puljic, Rachael E, NP, (F) Rice, Shaneeka J, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Saffell, Stacy L, NP, (F) Foundation Foundation Group Name: Summa Physicians Provider ID: 006233028043 Provider ID: 006294705016 Provider ID: 006638838003 NPI: 1679930622 NPI: 1174073258 NPI: 1861676611 3574 Center Rd 1 Park Center Dr 195 Wadsworth Rd Brunswick, OH 44212 Wadsworth, OH 44281 Wadsworth, OH 44281

(330) 225-8886 EB, P, R (330) 334-4620 E, EB, IB, P, R (330) 745-4748 E, EB, G, IB, P, Web address: www.alleghenymedic Languages Spoken: R, RE al.com Provider: Spanish Ages: 0-99 Accepting Existing Patients Only Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Scarbrough, Ann L, NP, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Cleveland Clinic Uniontown Hospital Cleveland Clinic Foundation Foundation Cleveland Clinic Foundation Provider ID: 003620067013 Rice, Shaneeka J, NP, (F) NPI: 1124303946 Range, Samantha S, NP, (F) Group Name: Cleveland Clinic 1 Park Center Dr Group Name: Cleveland Clinic Foundation Wadsworth, OH 44281

Foundation Provider ID: 006294705014 (330) 334-4620 E, EB, IB, P, R Provider ID: 006504676018 NPI: 1174073258 Does Not Accept New Patients NPI: 1982136487 3574 Center Rd Ages: 0-99 1 Park Center Dr Brunswick, OH 44212 Hospital Affiliations:

Wadsworth, OH 44281 (330) 225-8886 EB, P, R Cleveland Clinic Foundation

(330) 334-4620 E, EB, IB, P, R Languages Spoken: Accepting Existing Patients Only Provider: Spanish Schreiner, Stacie D, NP, (F) Ages: 0-17 Does Not Accept New Patients Group Name: Summa Physicians Hospital Affiliations: Ages: 0-99 Provider ID: 003237763002 Cleveland Clinic Foundation Hospital Affiliations: NPI: 1134438559 Cleveland Clinic Foundation 195 Wadsworth Rd Range, Samantha S, NP, (F) Wadsworth, OH 44281

Group Name: Cleveland Clinic Richards, Alicia R, NP, (F) (330) 375-4100 E, EB, G, IB, P, Foundation Group Name: Cleveland Clinic PL, R, RE, S, T Provider ID: 006504676021 Foundation Ages: 65-99 NPI: 1982136487 Provider ID: 005694196003 Hospital Affiliations: 3574 Center Rd NPI: 1497148340 Summa Health System Brunswick, OH 44212 970 E Washington St Ste 203

(330) 225-8886 EB, P, R Medina, OH 44256

Accepting Existing Patients Only (330) 721-4955 EB, P, R Ages: 0-17 Mo-Fr - 7:30 AM - 4:00 PM Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Medina Hospital

211

Ohio - Medina Primary Care Providers Schuller, Mindy C, NP, (F) Singer, Amanda L, NP, (F) Steiner, Barbara J, NP, (F) Group Name: Metrohealth Group Name: Cleveland Clinic Group Name: University Primary Professional Group Foundation Care Practices Provider ID: 005521401014 Provider ID: 002858456026 Provider ID: 002539220001 NPI: 1497985816 NPI: 1508063538 NPI: 1821147349 1299 Industrial Pkwy N Fl 2 3574 Center Rd 4001 Carrick Dr Ste 160 Brunswick, OH 44212 Brunswick, OH 44212 Medina, OH 44256

(216) 957-1450 EB, P, R (330) 225-8886 EB, P, R (330) 723-7005 E, RE, S, T Languages Spoken: Does Not Accept New Patients Mo-Fr - 8:30 AM - 4:30 PM Provider: Spanish Ages: 0-99 Cultural Competency: Y Staff: Spanish Hospital Affiliations: Ages: 0-17 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Uh Cleveland Medical Center Metrohealth Medical Center Western Reserve Hospital Areas of Expertise: MAT1 Szarka, Lindsey A, NP, (F) Smyth, Jennifer J, NP, (F) Group Name: Cleveland Clinic Shingleton, Anne M, NP, (F) Group Name: Cleveland Clinic Foundation Group Name: N P House Calls Foundation Provider ID: 003670971020 Provider ID: 002649601003 Provider ID: 006396258031 NPI: 1710210539 NPI: 1831125707 NPI: 1316485808 1 Park Center Dr 540 Great Oaks Trl 1 Park Center Dr Wadsworth, OH 44281

Wadsworth, OH 44281 Wadsworth, OH 44281 (330) 334-4620 E, EB, IB, P, R

(330) 336-1141 EB, P, R, RE, T (330) 334-4620 E, EB, IB, P, R Ages: 0-99 Tu - 11:00 AM - 1:00 PM Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Singer, Amanda L, NP, (F) Cleveland Clinic Foundation Trill, Kristin C, NP, (F) Group Name: Cleveland Clinic Group Name: Lodi Family Foundation Smyth, Jennifer J, NP, (F) Practice Clinic Provider ID: 002858456033 Group Name: Cleveland Clinic Provider ID: 005263357004 NPI: 1508063538 Foundation NPI: 1659773661 1 Park Center Dr Provider ID: 006396258018 225 Elyria St Wadsworth, OH 44281 NPI: 1316485808 Lodi, OH 44254

(330) 334-4620 E, EB, IB, P, R 3574 Center Rd (330) 948-5533 EB, G, IB, P, PL, Does Not Accept New Patients Brunswick, OH 44212 R, RE, S, T

Ages: 0-99 (330) 225-8886 EB, P, R Cultural Competency: Y Hospital Affiliations: Does Not Accept New Patients Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center Hospital Affiliations: Akron General Medical Ctr Western Reserve Hospital Cleveland Clinic Foundation Lodi Community Hospital

212

Primary Care Providers Ohio - Medina Tyneski, Kristen, NP, (F) Whitehouse, Lauren M, NP, (F) University Hospitals Elyria Group Name: University Primary Group Name: Cleveland Clinic Medical Ctr Care Practices Foundation Uh Elyria Medical Center Provider ID: 006308606002 Provider ID: 005996135022 Cleveland Clinic Foundation NPI: 1932569159 NPI: 1952764441 4065 Center Rd Ste 210 1 Park Center Dr Workman, Nathan A, NP, (M) Brunswick, OH 44212 Wadsworth, OH 44281 Group Name: Cleveland Clinic

(330) 220-8411 EB, P, R (330) 334-4620 E, EB, IB, P, R Foundation Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Provider ID: 006824410015 Ages: 18-99 Does Not Accept New Patients NPI: 1184114787 Hospital Affiliations: Ages: 0-99 1 Park Center Dr Aultman Hospital Hospital Affiliations: Wadsworth, OH 44281

Cleveland Clinic Foundation (330) 334-4620 E, EB, IB, P, R Webster, Pamela J, NP, (F) Does Not Accept New Patients Group Name: Cleveland Clinic Willis, Jeanine R, NP, (F) Ages: 0-17 Foundation Group Name: Cleveland Clinic Hospital Affiliations: Provider ID: 004925845013 Foundation Metrohealth Medical Center NPI: 1326365370 Provider ID: 004331324015 Cleveland Clinic Foundation 1 Park Center Dr NPI: 1356776975 Wadsworth, OH 44281 1 Park Center Dr Workman, Nathan A, NP, (M)

(330) 334-4620 E, EB, IB, P, R Wadsworth, OH 44281 Group Name: Cleveland Clinic

Does Not Accept New Patients (330) 334-4620 E, EB, IB, P, R Foundation Ages: 0-99 Cultural Competency: Y Provider ID: 006824410019 Hospital Affiliations: Does Not Accept New Patients NPI: 1184114787 Cleveland Clinic Foundation Ages: 0-99 3574 Center Rd Hospital Affiliations: Brunswick, OH 44212

Webster, Pamela J, NP, (F) University Hospitals Elyria (330) 225-8886 EB, P, R Group Name: Cleveland Clinic Medical Ctr Does Not Accept New Patients Foundation Uh Elyria Medical Center Ages: 0-17 Provider ID: 004925845036 Cleveland Clinic Foundation Hospital Affiliations: NPI: 1326365370 Metrohealth Medical Center 3574 Center Rd Willis, Jeanine R, NP, (F) Cleveland Clinic Foundation Brunswick, OH 44212 Group Name: Cleveland Clinic

(330) 225-8886 EB, P, R Foundation Does Not Accept New Patients Provider ID: 004331324010 Ages: 0-99 NPI: 1356776975 Hospital Affiliations: 3574 Center Rd Cleveland Clinic Foundation Brunswick, OH 44212

(330) 225-8886 EB, P, R Cultural Competency: Y Does Not Accept New Patients Ages: 0-99 Hospital Affiliations:

213

Ohio - Medina Primary Care Providers Ziol, Janet E, NP, (F) Brewer, Joann L, MD, (F), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: University Primary Medina Hospital Foundation Care Practices Provider ID: 002386845004 Provider ID: 001278578003 Burke, David A, DO, (M), B NPI: 1780644989 NPI: 1225132780 Group Name: Cleveland Clinic 6605 Center Rd 4065 Center Rd Ste 212 Foundation Valley City, OH 44280 Brunswick, OH 44212 Provider ID: 002050223003

(330) 483-3135 (330) 225-6374 EB, P, R NPI: 1720042955 Mo-Tu - 8:00 AM - 7:00 PM Mo-Fr - 8:30 AM - 4:30 PM 970 E Washington St Ste 303 We,Fr - 8:00 AM - 5:00 PM Cultural Competency: Y Medina, OH 44256

Th - 8:00 AM - 6:00 PM Ages: 0-20 (330) 721-5700 EB, P, R Cultural Competency: Y Hospital Affiliations: Ages: 0-17 Ages: 0-99 Southwest General Health Center Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Wooster Community Hospital Cleveland Clinic Foundation Rainbow Babies & Childrens Cleveland Clinic Foundation Medina Hospital Hosp Medina Hospital

Burke, David A, DO, (M), B Carruozzo, Michele, MD, (F), B Pediatrics Group Name: Cleveland Clinic Group Name: University Primary

Members may self-refer to these Foundation Care Practices providers. Provider ID: 002050223006 Provider ID: 000818191003

NPI: 1720042955 NPI: 1477657096 Ahmann, Maureen E, DO, (F), B 1000 E Washington St 4065 Center Rd Ste 212 Group Name: Cleveland Clinic Medina, OH 44256 Brunswick, OH 44212 Foundation (330) 725-1000 EB, IB, P, R, RE, (330) 225-6374 EB, P, R Provider ID: 002170436002 T Mo-Fr - 8:30 AM - 4:30 PM NPI: 1154499960 Ages: 0-17 Cultural Competency: Y 3574 Center Rd Hospital Affiliations: Ages: 0-20 Brunswick, OH 44212 Wooster Community Hospital Hospital Affiliations: (330) 225-8886 EB, P, R Cleveland Clinic Foundation Southwest General Health Center Mo-Fr - 8:00 AM - 8:00 PM Medina Hospital Uh Cleveland Medical Center Ages: 0-17 Uh Parma Medical Center Hospital Affiliations: Burke, David A, DO, (M), B University Hospitals Parma Ssm Health Depaul Hospital Group Name: Cleveland Clinic Medical Ctr Childrens Hospital Med Ctr Akron Foundation Rainbow Babies & Childrens Akron General Medical Ctr Provider ID: 002050223004 Hosp Cleveland Clinic Foundation NPI: 1720042955 Medina Hospital 3574 Center Rd Areas of Expertise: MAT1 Brunswick, OH 44212

(330) 225-8886 EB, P, R Ages: 0-17 Hospital Affiliations: Wooster Community Hospital

214

Primary Care Providers Ohio - Medina Depaolo Carlin, Kristina L, DO, Uh Cleveland Medical Center Libecco, Julia A, MD, (F), B (F), B Rainbow Babies & Childrens Group Name: University Primary Group Name: University Primary Hosp Care Practices Care Practices Provider ID: 002384721001 Provider ID: 003617197003 Flask, Vaishali, MD, (F), B NPI: 1689770513 NPI: 1114149275 Group Name: Cleveland Clinic 4065 Center Rd Ste 212 4065 Center Rd Ste 212 Foundation Brunswick, OH 44212

Brunswick, OH 44212 Provider ID: 001976546013 (330) 225-6374 EB, P, R

(330) 225-6374 EB, P, R NPI: 1609833912 Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM 1000 E Washington St Provider: Russian Cultural Competency: Y Medina, OH 44256 Mo-Fr - 8:30 AM - 4:30 PM

Ages: 0-18 (330) 725-1000 EB, IB, P, R, RE, Cultural Competency: Y Hospital Affiliations: T Ages: 0-99 Uh Parma Medical Center Ages: 0-20 Hospital Affiliations: University Hospitals Parma Hospital Affiliations: Southwest General Health Center Medical Ctr Cleveland Clinic Foundation Uh Cleveland Medical Center Uh Parma Medical Center Falconi, Genevive R, MD, (F), B Hummel, Karen M, MD, (F), B University Hospitals Parma Group Name: Cleveland Clinic Group Name: University Primary Medical Ctr Foundation Care Practices Provider ID: 002100681002 Provider ID: 001901189001 Makowski, Kristen N, MD, (F), B NPI: 1427143080 NPI: 1962508374 Group Name: Cleveland Clinic 3574 Center Rd 4001 Carrick Dr Ste 150 Foundation Brunswick, OH 44212 Medina, OH 44256 Provider ID: 007469554002

(330) 225-8886 EB, P, R (330) 721-8500 E, EB, G, IB, P, NPI: 1639603178 Ages: 0-20 PL, R, RE, S, T 970 E Washington St Hospital Affiliations: Languages Spoken: Medina, OH 44256

Cleveland Clinic Foundation Interpreter: Medical Interp (330) 721-5700 EB, P, R Medina Hospital Vendor Mo-Fr - 8:00 AM - 8:00 PM Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-17 Fall, Douglas L, MD, (M), B Cultural Competency: Y Hospital Affiliations: Group Name: University Primary Web address: www.uhhospitals.org Cleveland Clinic Foundation Care Practices Ages: 0-99 Medina Hospital Provider ID: 001873300001 Hospital Affiliations: NPI: 1205883899 Metrohealth Medical Center 4001 Carrick Dr Ste 160 Uh Cleveland Medical Center Medina, OH 44256

(330) 723-7005 E, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-20 Hospital Affiliations: Southwest General Health Center

215

Ohio - Medina Primary Care Providers Memberg, Stacey J, MD, (F), B Hospital Affiliations: Roach-Armao, Laurel E, MD, (F), Group Name: University Primary Childrens Hospital Med Ctr Akron B Care Practices Uh Regional Hospital - Bedford Group Name: University Primary Provider ID: 001975369001 Campus Care Practices NPI: 1235235003 Uh Regional Hospitals Provider ID: 001071039001 4001 Carrick Dr Ste 160 Medina Hospital NPI: 1073619714 Medina, OH 44256 Uh Cleveland Medical Center 4001 Carrick Dr Ste 160

(330) 723-7005 E, RE, S, T Medina, OH 44256

Mo-Fr - 8:30 AM - 4:30 PM Nagrant, Erin C, MD, (F), B (330) 723-7005 E, RE, S, T Cultural Competency: Y Group Name: Cleveland Clinic Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-20 Foundation Cultural Competency: Y Hospital Affiliations: Provider ID: 003106663008 Ages: 0-20 Childrens Hospital Med Ctr Akron NPI: 1184825739 Hospital Affiliations: Medina Hospital 1000 E Washington St Childrens Hospital Med Ctr Akron Uh Cleveland Medical Center Medina, OH 44256 Akron General Medical Ctr

Areas of Expertise: E112, E160 (216) 444-0933 EB, IB, P, R, RE, Medina Hospital T Uh Cleveland Medical Center Messner, Caitlin A, MD, (F), B Cultural Competency: Y Rainbow Babies & Childrens Group Name: Metrohealth Does Not Accept New Patients Hosp Professional Group Ages: 0-99 Provider ID: 005354101002 Hospital Affiliations: Senokozlieff, Heidi, DO, (F), B NPI: 1912225467 Cleveland Clinic Foundation Group Name: Cleveland Clinic 1299 Industrial Pkwy N Fl 2 Fairview Hospital Foundation Brunswick, OH 44212 Provider ID: 002492032004

(216) 957-1450 EB, P, R Prabhakaran, Radhai, MD, (F), B NPI: 1073614707 Languages Spoken: Group Name: Cleveland Clinic 1000 E Washington St Provider: Spanish Foundation Medina, OH 44256

Staff: Spanish Provider ID: 003208599013 (330) 725-1000 EB, IB, P, R, RE, Ages: 0-21 NPI: 1558530261 T Hospital Affiliations: 3574 Center Rd Ages: 0-17 Metrohealth Medical Center Brunswick, OH 44212 Hospital Affiliations:

(330) 741-7169 Cleveland Clinic Foundation Myers, Martha L, MD, (F), B Cultural Competency: Y Medina Hospital Group Name: University Primary Ages: 0-20 Uh Cleveland Medical Center Care Practices Hospital Affiliations: Provider ID: 001071094001 Cleveland Clinic Foundation NPI: 1346346194 4001 Carrick Dr Ste 160 Medina, OH 44256

(330) 723-7005 E, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-20

216

Primary Care Providers Ohio - Medina Senokozlieff, Heidi, DO, (F), B Hospital Affiliations: Belmonte, Rosenda O, PA, (F) Group Name: Cleveland Clinic Fairview Hospital Group Name: Cleveland Clinic Foundation Southwest General Health Center Foundation Provider ID: 002492032003 Uh Cleveland Medical Center Provider ID: 006465121016 NPI: 1073614707 Uh Parma Medical Center NPI: 1811396781 970 E Washington St Ste 303 University Hospitals Parma 3574 Center Rd Medina, OH 44256 Medical Ctr Brunswick, OH 44212

(330) 721-5700 EB, P, R Rainbow Babies & Childrens (330) 225-8886 EB, P, R Ages: 0-17 Hosp Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Wimpie, Nina F, MD, (F), B Hospital Affiliations: Medina Hospital Group Name: Metrohealth Fairview Hospital Uh Cleveland Medical Center Professional Group Cleveland Clinic Foundation Provider ID: 000598490003 Snair, Trisha L, DO, (F) NPI: 1922041292 Buck, Leah, PA, (F) Group Name: University Primary 1299 Industrial Pkwy N Fl 2 Group Name: University Primary Care Practices Brunswick, OH 44212 Care Practices

Provider ID: 003506374002 (216) 957-1450 EB, P, R Provider ID: 006969341004 NPI: 1952539264 Ages: 0-17 NPI: 1982186573 4065 Center Rd Ste 212 Hospital Affiliations: 4001 Carrick Dr Ste 120 Brunswick, OH 44212 Metrohealth Medical Center Medina, OH 44256

(330) 225-6374 EB, P, R Fairview Hospital (330) 721-8484 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Southwest General Health Center Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Ages: 0-18 Hospital Affiliations: Physician Assistant Chewning, Victoria L, PA, (F) Uh Cleveland Medical Center Belmonte, Rosenda O, PA, (F) Group Name: Cleveland Clinic Southwest General Hospital Group Name: Cleveland Clinic Foundation Texas Vista Medical Center Foundation Provider ID: 006934463031 Rainbow Babies & Childrens Provider ID: 006465121014 NPI: 1407339559 Hosp NPI: 1811396781 1 Park Center Dr 1 Park Center Dr Wadsworth, OH 44281 Vogelgesang, Ryan J, MD, (M), B Wadsworth, OH 44281 (330) 334-4620 E, EB, IB, P, R

Group Name: University Primary (330) 334-4620 E, EB, IB, P, R Does Not Accept New Patients Care Practices Does Not Accept New Patients Ages: 0-99 Provider ID: 001878057002 Ages: 0-99 Hospital Affiliations: NPI: 1922092386 Hospital Affiliations: Akron General Medical Ctr 4065 Center Rd Ste 212 Fairview Hospital Cleveland Clinic Foundation Brunswick, OH 44212 Cleveland Clinic Foundation Hillcrest Hospital (330) 225-6374 EB, P, R South Pointe Hospital Mo-Fr - 8:30 AM - 4:30 PM Marymount Hospital Cultural Competency: Y Medina Hospital Ages: 0-20

217

Ohio - Medina Primary Care Providers Coreno, Albert J, PA, (M) Cleveland Clinic Foundation Davis, Bryan T, PA, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Cribbins, Christine T, PA, (F) Foundation Provider ID: 003661271037 Group Name: Cleveland Clinic Provider ID: 005007777014 NPI: 1134469547 Foundation NPI: 1609846591 1 Park Center Dr Provider ID: 003559901026 1 Park Center Dr Wadsworth, OH 44281 NPI: 1679617641 Wadsworth, OH 44281

(330) 334-4620 E, EB, IB, P, R 3574 Center Rd (330) 334-4620 E, EB, IB, P, R Languages Spoken: Brunswick, OH 44212 Does Not Accept New Patients

Provider: Spanish (330) 225-8886 EB, P, R Ages: 0-99 Does Not Accept New Patients Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Cleveland Clinic Foundation Davis, Bryan T, PA, (M) Cleveland Clinic Foundation Group Name: Cleveland Clinic Crozier, Alyssa N, PA, (F) Foundation Coreno, Albert J, PA, (M) Group Name: Cleveland Clinic Provider ID: 005007777016 Group Name: Cleveland Clinic Foundation NPI: 1609846591 Foundation Provider ID: 005210842034 3574 Center Rd Provider ID: 003661271039 NPI: 1831598143 Brunswick, OH 44212

NPI: 1134469547 1 Park Center Dr (330) 225-8886 EB, P, R 3574 Center Rd Wadsworth, OH 44281 Does Not Accept New Patients

Brunswick, OH 44212 (330) 334-4620 E, EB, IB, P, R Ages: 0-99

(330) 225-8886 EB, P, R Cultural Competency: Y Hospital Affiliations: Languages Spoken: Accepting Existing Patients Only Cleveland Clinic Foundation Provider: Spanish Ages: 0-99 Does Not Accept New Patients Hospital Affiliations: Denbow, Rachel L, PA, (F) Ages: 0-99 Cleveland Clinic Foundation Group Name: Cleveland Clinic Hospital Affiliations: Foundation Metrohealth Medical Center Crozier, Alyssa N, PA, (F) Provider ID: 005623044011 Cleveland Clinic Foundation Group Name: Cleveland Clinic NPI: 1417333006 Foundation 1 Park Center Dr Cribbins, Christine T, PA, (F) Provider ID: 005210842037 Wadsworth, OH 44281

Group Name: Cleveland Clinic NPI: 1831598143 (330) 334-4620 E, EB, IB, P, R Foundation 3574 Center Rd Does Not Accept New Patients Provider ID: 003559901024 Brunswick, OH 44212 Ages: 0-99

NPI: 1679617641 (330) 225-8886 EB, P, R Hospital Affiliations: 1 Park Center Dr Cultural Competency: Y Carolinas Healthcare System Wadsworth, OH 44281 Accepting Existing Patients Only Union

(330) 334-4620 E, EB, IB, P, R Ages: 0-99 Atrium Health Union Does Not Accept New Patients Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Stanly Regional Medical Center Hospital Affiliations: Atrium Health Stanly

218

Primary Care Providers Ohio - Medina University Hospitals Parma Gersman, Emily A, PA, (F) Denbow, Rachel L, PA, (F) Medical Ctr Group Name: University Primary Group Name: Cleveland Clinic Univ Hospitals Ahuja Med Ctr Care Practices Foundation Provider ID: 006370245005 Provider ID: 005623044014 Dougan, Terrence M, PA, (M) NPI: 1861930844 NPI: 1417333006 Group Name: Cleveland Clinic 4001 Carrick Dr Ste 120 3574 Center Rd Foundation Medina, OH 44256

Brunswick, OH 44212 Provider ID: 003471992026 (330) 721-8484 EB, P, R

(330) 225-8886 EB, P, R NPI: 1235161167 Mo-Fr - 8:30 AM - 4:30 PM Does Not Accept New Patients 3574 Center Rd Ages: 0-99 Ages: 0-99 Brunswick, OH 44212 Hospital Affiliations:

Hospital Affiliations: (330) 225-8886 EB, P, R Cleveland Clinic Foundation Carolinas Healthcare System Accepting Existing Patients Only Hillcrest Hospital Union Ages: 0-17 Fairview Hospital Atrium Health Union Hospital Affiliations: South Pointe Hospital Cleveland Clinic Foundation Uh Cleveland Medical Center Euclid Hospital Stanly Regional Medical Center Uh Parma Medical Center Marymount Hospital Atrium Health Stanly University Hospitals Parma Lutheran Hospital Medical Ctr Cleveland Clinic Avon Hospital Dixon, Gretchen E, PA, (F) Univ Hospitals Ahuja Med Ctr Group Name: Summa Physicians Heinrich, Christopher R, PA, (M) Provider ID: 006615003003 Forte, Annie C, PA, (F) Group Name: Cleveland Clinic NPI: 1588174965 Group Name: Cleveland Clinic Foundation 3780 Medina Rd Ste 310 Foundation Provider ID: 005970066004 Medina, OH 44256 Provider ID: 004732854029 NPI: 1013371897

(330) 725-8441 E, EB, G, IB, P, NPI: 1215353719 1000 E Washington St R, RE, S, T 1 Park Center Dr Medina, OH 44256

Sa - 8:00 AM - 11:30 AM Wadsworth, OH 44281 (216) 538-9022 EB, IB, P, R, RE,

Ages: 0-99 (330) 334-4620 E, EB, IB, P, R T Ages: 18-99 Does Not Accept New Patients Dougan, Terrence M, PA, (M) Hospital Affiliations: Ages: 0-99 Group Name: Cleveland Clinic Metrohealth Medical Center Hospital Affiliations: Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 003471992023 South Pointe Hospital NPI: 1235161167 Marymount Hospital 1 Park Center Dr Wadsworth, OH 44281

(330) 334-4620 E, EB, IB, P, R Accepting Existing Patients Only Ages: 0-17 Hospital Affiliations: Uh Cleveland Medical Center Uh Parma Medical Center

219

Ohio - Medina Primary Care Providers Homoki, Kristin R, PA, (F) Richards, Todd B, PA, (M) Group Name: Cleveland Clinic Perozeni, Pamela A, PA, (F) Group Name: Cleveland Clinic Foundation Group Name: University Primary Foundation Provider ID: 003260264007 Care Practices Provider ID: 003256420026 NPI: 1467664391 Provider ID: 003566981011 NPI: 1790895779 1 Park Center Dr NPI: 1306948039 3574 Center Rd Wadsworth, OH 44281 4001 Carrick Dr Ste 120 Brunswick, OH 44212

(330) 334-4620 E, EB, IB, P, R Medina, OH 44256 (330) 225-8886 EB, P, R

Does Not Accept New Patients (330) 721-8484 EB, P, R Does Not Accept New Patients Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Hillcrest Hospital Hospital Affiliations: Marymount Hospital Metrohealth Medical Center Homoki, Kristin R, PA, (F) Cleveland Clinic Foundation Rudert, Nicole K, PA, (F) Group Name: Cleveland Clinic Euclid Hospital Group Name: Cleveland Clinic Foundation Marymount Hospital Foundation Provider ID: 003260264027 Medina Hospital Provider ID: 003231549016 NPI: 1467664391 Southwest General Health Center NPI: 1487896197 3574 Center Rd Uh Parma Medical Center 1 Park Center Dr Brunswick, OH 44212 University Hospitals Parma Wadsworth, OH 44281

(330) 225-8886 EB, P, R Medical Ctr (330) 334-4620 E, EB, IB, P, R Does Not Accept New Patients Does Not Accept New Patients Ages: 0-99 Richards, Todd B, PA, (M) Ages: 0-99 Hospital Affiliations: Group Name: Cleveland Clinic Hospital Affiliations: Cleveland Clinic Foundation Foundation Akron General Medical Ctr Hillcrest Hospital Provider ID: 003256420022 Cleveland Clinic Foundation NPI: 1790895779 Uh Cleveland Medical Center Kulow, Kent M, PA, (M) 1 Park Center Dr Group Name: Cleveland Clinic Wadsworth, OH 44281 Rudert, Nicole K, PA, (F)

Foundation (330) 334-4620 E, EB, IB, P, R Group Name: Cleveland Clinic Provider ID: 003577598009 Does Not Accept New Patients Foundation NPI: 1346256021 Ages: 0-99 Provider ID: 003231549002 3574 Center Rd Hospital Affiliations: NPI: 1487896197 Brunswick, OH 44212 Cleveland Clinic Foundation 3574 Center Rd

(330) 225-8886 EB, P, R Marymount Hospital Brunswick, OH 44212

Does Not Accept New Patients (330) 225-8886 EB, P, R Ages: 18-99 Does Not Accept New Patients Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Lutheran Hospital Akron General Medical Ctr Southwest General Health Center Cleveland Clinic Foundation Areas of Expertise: MAT1 Uh Cleveland Medical Center

220

Primary Care Providers Ohio - Medina Schumacher, Andrew J, PA, (M) Slabaugh, Rachel L, PA, (F) Salameh, Nour I, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: University Primary Foundation Foundation Care Practices Provider ID: 003472002014 Provider ID: 003105291015 Provider ID: 005760891007 NPI: 1609953579 NPI: 1326290719 NPI: 1760861264 3574 Center Rd 3574 Center Rd 4001 Carrick Dr Ste 120 Brunswick, OH 44212 Brunswick, OH 44212

Medina, OH 44256 (330) 225-8886 EB, P, R (330) 225-8886 EB, P, R

(330) 721-8484 EB, P, R Does Not Accept New Patients Does Not Accept New Patients Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Arabic Hospital Affiliations: Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Childrens Hospital Med Ctr Akron Ages: 0-99 Cleveland Clinic Foundation Singh, Paramjit, PA, (M) Schultz, Howard A, PA, (M) Group Name: Cleveland Clinic Spiros, Judith A, PA, (F) Group Name: Cleveland Clinic Foundation Group Name: Summa Physicians Foundation Provider ID: 003507777028 Provider ID: 003206640009 Provider ID: 003040283002 NPI: 1548354368 NPI: 1396929410 NPI: 1003031188 1 Park Center Dr 195 Wadsworth Rd 1 Park Center Dr Wadsworth, OH 44281 Wadsworth, OH 44281

Wadsworth, OH 44281 (330) 334-4620 E, EB, IB, P, R (330) 334-7700 E, EB, G, IB, P,

(330) 334-4620 E, EB, IB, P, R Does Not Accept New Patients PL, R, RE, S, T Does Not Accept New Patients Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Metrohealth Medical Center Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Wadsworth Rittman Hospital Schumacher, Andrew J, PA, (M) Slabaugh, Rachel L, PA, (F) Summa Health System Group Name: Cleveland Clinic Group Name: Cleveland Clinic Summa Barberton Citizens Foundation Foundation Provider ID: 003472002012 Provider ID: 003105291013 Spiros, Judith A, PA, (F) NPI: 1609953579 NPI: 1326290719 Group Name: Summa Physicians 1 Park Center Dr 1 Park Center Dr Provider ID: 003206640017 Wadsworth, OH 44281 Wadsworth, OH 44281 NPI: 1396929410

(330) 334-4620 E, EB, IB, P, R (330) 334-4620 E, EB, IB, P, R 195 Wadsworth Rd Ste 305 Does Not Accept New Patients Does Not Accept New Patients Wadsworth, OH 44281

Ages: 0-99 Ages: 0-99 (330) 334-7700 E, EB, G, P, R, Hospital Affiliations: Hospital Affiliations: RE, S, T Cleveland Clinic Foundation Childrens Hospital Med Ctr Akron Mo-Fr - 9:00 AM - 5:00 PM Cleveland Clinic Foundation Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Wadsworth Rittman Hospital

221

Ohio - Medina Primary Care Providers Summa Health System Szalkowski, Diane R, PA, (F) Cleveland Clinic Avon Hospital Summa Barberton Citizens Group Name: Summa Physicians Provider ID: 003559296006 Wells, Skye W, PA, (F) Spiros, Judith A, PA, (F) NPI: 1881653491 Group Name: Cleveland Clinic Group Name: Summa Physicians 3780 Medina Rd Ste 310 Foundation Provider ID: 003206640019 Medina, OH 44256 Provider ID: 006936460003

NPI: 1396929410 (330) 725-8441 E, EB, G, IB, P, NPI: 1316420458 3780 Medina Rd Ste 240 R, RE, S, T 1000 E Washington St Medina, OH 44256 Sa - 8:30 AM - 11:30 AM Medina, OH 44256

(330) 376-7000 EB, P, R Cultural Competency: Y (216) 538-9022 EB, IB, P, R, RE, Cultural Competency: Y Ages: 18-99 T Ages: 0-99 Hospital Affiliations: Does Not Accept New Patients Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Wadsworth Rittman Hospital Medina Hospital Hospital Affiliations: Summa Health System Cleveland Clinic Foundation Summa Barberton Citizens Torsney, Anne B, PA, (F) Hillcrest Hospital Group Name: Cleveland Clinic Medina Hospital Stebbins, Mark C, PA, (M) Foundation Group Name: Cleveland Clinic Provider ID: 006342235016 Foundation NPI: 1205806189 Primary Care Clinics Provider ID: 003229972017 1 Park Center Dr A & S Khandelwal Md NPI: 1801102710 Wadsworth, OH 44281 Provider ID: 000984479001 1 Park Center Dr (330) 334-4620 E, EB, IB, P, R NPI: 1487702718 Wadsworth, OH 44281 Does Not Accept New Patients 970 E Washington St Ste 2f (330) 334-4620 E, EB, IB, P, R Ages: 0-99 Medina, OH 44256

Does Not Accept New Patients Hospital Affiliations: (330) 723-7999 E, EB, G, IB, P, Ages: 0-99 Fairview Hospital R, RE, S, T Hospital Affiliations: Lutheran Hospital Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Fairview Hospital Comprehensive Family Practice Lakewood Hospital Torsney, Anne B, PA, (F) Provider ID: 003497720003 Cleveland Clinic Lakewood Group Name: Cleveland Clinic NPI: 1619417284 Foundation 955 N Court St Provider ID: 006342235018 Medina, OH 44256

NPI: 1205806189 (330) 616-3900 EB, G, P, PL, R, 3574 Center Rd RE, S, T Brunswick, OH 44212 Ages: 0-99 (330) 225-8886 EB, P, R Does Not Accept New Patients Ages: 0-99 Hospital Affiliations: Fairview Hospital Lutheran Hospital

222

Primary Care Providers Ohio - Medina Lodi Community Care Center Lodi Family Practice Clinic Metro Pro Group Midlevel Provider ID: 003567559002 Provider ID: 002288324005 Providers NPI: 1003849910 NPI: 1801052204 Provider ID: 002386086108 221 Elyria St 221 Elyria St NPI: 1053353896 Lodi, OH 44254 Lodi, OH 44254 111 W Reagan Pkwy

(330) 948-5533 EB, P, R (330) 948-5533 EB, P, R Medina, OH 44256

Ages: 0-99 Ages: 0-99 (330) 725-6226 E, EB, IB, P, R Ages: 0-99 Lodi Community Care Center Lodi Family Practice Clinic Provider ID: 003567559003 Provider ID: 002288324001 Metro Pro Group Midlevel NPI: 1003849910 NPI: 1801052204 Providers 221 Elyria St Ste 102 221 Elyria St Ste 102 Provider ID: 002386086059 Lodi, OH 44254 Lodi, OH 44254 NPI: 1053353896

(330) 948-5533 EB, P, R (330) 948-9939 EB, P, R 1299 Industrial Pkwy N Ages: 0-99 Ages: 0-99 Brunswick, OH 44212

(216) 957-1450 EB, P, R Lodi Community Care Center Lodi Family Practice Clinic Ages: 0-99 Provider ID: 003567559007 Provider ID: 002288324008 NPI: 1003849910 NPI: 1801052204 Metro Pro Group Midlevel 225 Elyria St 225 Elyria St Providers Lodi, OH 44254 Lodi, OH 44254 Provider ID: 002386086098

(330) 948-9939 EB, G, IB, P, PL, (330) 948-5533 EB, G, IB, P, PL, NPI: 1053353896 R, RE, S, T R, RE, S, T 1299 Industrial Pkwy N Fl 2 Ages: 0-99 Ages: 0-99 Brunswick, OH 44212

(216) 957-1450 EB, P, R Lodi Community Care Center Lodi Family Practice Clinic Ages: 0-99 Provider ID: 003567559004 Provider ID: 002288324006 NPI: 1003849910 NPI: 1801052204 Sam N Ghoubrial Md 225 Elyria St Ste 102 225 Elyria St Ste 102 Provider ID: 003329251011 Lodi, OH 44254 Lodi, OH 44254 NPI: 1821170911

(330) 948-5533 EB, P, R, RE, T (330) 948-5533 EB, P, R, RE, T 147 Garfield St Ages: 0-99 Ages: 0-99 Wadsworth, OH 44281

(330) 335-2555 EB, IB, P, R Lodi Community Care Center Lodi Family Practice Clinic Ages: 0-99 Provider ID: 003567559005 Provider ID: 002288324002 NPI: 1003849910 NPI: 1801052204 Sam N Ghoubrial Md 402 Highland Dr 402 Highland Dr Provider ID: 003329251004 Lodi, OH 44254 Lodi, OH 44254 NPI: 1821170911

(330) 948-3648 EB, P, R (330) 948-9939 EB, P, R 195 Wadsworth 401 Ste 402 Ages: 0-99 Ages: 0-99 Wadsworth, OH 44281

(330) 331-7207 P, R, RE, T Ages: 0-99

223

Ohio - Medina Primary Care Providers Sam N Ghoubrial Md Summa Physicians Summa Physicians Provider ID: 003329251008 Provider ID: 001229599064 Provider ID: 001229599795 NPI: 1821170911 NPI: 1073911145 NPI: 1073911145 195 Wadsworth Rd Ste 402 185 Wadsworth Rd Ste D 195 Wadsworth Road Wadsworth, OH 44281 Wadsworth, OH 44281 Wadsworth, OH 44281

(330) 331-7207 P, R, RE, T (330) 336-7677 EB, P, R (330) 375-6590 E, EB, G, IB, P, Ages: 0-99 Mo-Fr - 7:30 AM - 5:00 PM R, RE, S, T Ages: 0-99 Ages: 0-99 Summa Physicians Areas of Expertise: E112 Areas of Expertise: E112 Provider ID: 001229599135 NPI: 1073911145 Summa Physicians Summa Physicians 1 Park Center Dr Ste 304 Provider ID: 001229599063 Provider ID: 001229599062 Wadsworth, OH 44281 NPI: 1073911145 NPI: 1073911145

(330) 336-3631 EB, P, R 195 Wadsworth Rd 251 Leatherman Rd Ages: 0-99 Wadsworth, OH 44281 Wadsworth, OH 44281

Areas of Expertise: E112 (800) 890-6357 E, EB, G, IB, P, (330) 335-1551 EB, P, R PL, R, RE, S, T Ages: 0-99 Summa Physicians Ages: 0-99 Areas of Expertise: E112 Provider ID: 001229599582 Areas of Expertise: E112 NPI: 1073911145 Summa Physicians 1000 E Washington St Summa Physicians Provider ID: 001229599171 Medina, OH 44256 Provider ID: 001229599144 NPI: 1073911145

(330) 722-3083 EB, IB, P, R, RE, NPI: 1073911145 267 Center St T 195 Wadsworth Rd Ste 301 Seville, OH 44273

Ages: 0-99 Wadsworth, OH 44281 (330) 769-2941 EB, P, R

Areas of Expertise: E112 (330) 723-6060 E, EB, G, IB, P, Ages: 0-99 R, RE, S, T Areas of Expertise: E112 Summa Physicians Ages: 0-99 Provider ID: 001229599595 Areas of Expertise: E112 Summa Physicians NPI: 1073911145 Provider ID: 001229599057 147 Garfield St Summa Physicians NPI: 1073911145 Wadsworth, OH 44281 Provider ID: 001229599173 3637 Medina Rd Ste 70

(330) 996-8603 EB, IB, P, R NPI: 1073911145 Medina, OH 44256

Ages: 0-99 195 Wadsworth Rd Ste 305 (330) 764-7378 EB, P, R Areas of Expertise: E112 Wadsworth, OH 44281 Ages: 0-99

(330) 334-7700 E, EB, G, P, R, Areas of Expertise: E112 RE, S, T Ages: 0-99 Areas of Expertise: E112

224

Primary Care Providers Ohio - Medina Summa Physicians Summa Physicians Summa Physicians Provider ID: 001229599572 Provider ID: 001229599529 Provider ID: 001229599823 NPI: 1073911145 NPI: 1073911145 NPI: 1073911145 3724 Center Rd Ste 103 3780 Medina Rd Ste 150 3780 Medina Rd Ste 240 Brunswick, OH 44212 Medina, OH 44256 Medina, OH 44256

(330) 273-4443 EB, P, R (330) 721-6825 E, EB, G, IB, P, (330) 379-5051 EB, P, R Mo - 9:00 AM - 5:00 PM R, RE, S, T Ages: 0-99 Th - 7:30 AM - 3:30 PM Ages: 0-99 Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E112 Summa Physicians Summa Physicians Provider ID: 001229599393 Summa Physicians Provider ID: 001229599826 NPI: 1073911145 Provider ID: 001229599796 NPI: 1073911145 3780 Medina Rd Ste 250 NPI: 1073911145 3780 Medina Rd Ste 200 Medina, OH 44256

3780 Medina Rd Medina, OH 44256 (330) 723-3256 E, EB, G, IB, P,

Medina, OH 44256 (330) 722-3083 E, EB, G, IB, P, PL, R, S, T

(330) 375-6590 E, EB, G, IB, P, R, RE, S, T Ages: 0-99 R, RE, S, T Ages: 0-99 Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E112 Summa Physicians Summa Physicians Provider ID: 001229599457 Summa Physicians Provider ID: 001229599168 NPI: 1073911145 Provider ID: 001229599411 NPI: 1073911145 3780 Medina Rd Ste 310 NPI: 1073911145 3780 Medina Rd Ste 210 Medina, OH 44256

3780 Medina Rd 1st Fl Medina, OH 44256 (330) 725-8441 E, EB, G, IB, P,

Medina, OH 44256 (330) 722-4578 E, EB, G, IB, P, R, RE, S, T

(330) 721-6825 EB, P, R R, RE, S, T Ages: 0-99 Ages: 0-99 Mo-Fr - 7:30 AM - 5:00 PM Areas of Expertise: E112 Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112 Summa Physicians Summa Physicians Provider ID: 001229599816 Provider ID: 001229599169 Summa Physicians NPI: 1073911145 NPI: 1073911145 Provider ID: 001229599807 621 School Dr 3780 Medina Rd Fl 1 NPI: 1073911145 Wadsworth, OH 44281

Medina, OH 44256 3780 Medina Rd Ste 220 (330) 334-0035 E, EB, G, IB, P,

(330) 723-0597 EB, P, R Medina, OH 44256 R, RE, S, T

Ages: 0-99 (330) 375-6590 E, EB, G, IB, P, Ages: 0-99 Areas of Expertise: E112 R, RE, S, T Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112

225

Ohio - Medina Primary Care Providers Summa Physicians Areas of Expertise: E112 Summa Physicians Provider ID: 001229599060 Provider ID: 001229599053 NPI: 1073911145 Summa Physicians NPI: 1073911145 76 High St Provider ID: 001229599054 970 E Washington St Ste 6c Seville, OH 44273 NPI: 1073911145 Medina, OH 44256

(330) 925-4911 EB, P, R 970 E Washington St Ste 301 (330) 722-3083 EB, P, R Ages: 0-99 Medina, OH 44256 Ages: 0-99

Areas of Expertise: E112 (330) 725-8441 EB, P, R Areas of Expertise: E112 Ages: 0-99 Summa Physicians Areas of Expertise: E112 Unity Health Network Provider ID: 001229599056 Provider ID: 003118114079 NPI: 1073911145 Summa Physicians NPI: 1306118690 807 E Washington St Ste 150 Provider ID: 001229599055 185 Wadsworth Rd Medina, OH 44256 NPI: 1073911145 Wadsworth, OH 44281

(330) 725-4777 EB, P, R 970 E Washington St Ste 4b (330) 331-4466 E, EB, G, IB, P, Ages: 0-99 Medina, OH 44256 PL, R, RE, S, T

Areas of Expertise: E112 (330) 723-3256 EB, P, R Ages: 0-99 Sa - 8:00 AM - 12:00 PM Summa Physicians Ages: 0-99 Unity Health Network Provider ID: 001229599177 Areas of Expertise: E112 Provider ID: 003118114005 NPI: 1073911145 NPI: 1306118690 825 Ambassador Dr Summa Physicians 195 Wadsworth Rd Wadsworth, OH 44281 Provider ID: 001229599187 Wadsworth, OH 44281

(330) 336-5457 EB, P, R NPI: 1073911145 (330) 929-2694 E, EB, G, IB, P, Ages: 0-99 970 E Washington St Ste 68 PL, R, RE, S, T Areas of Expertise: E112 Medina, OH 44256 Ages: 0-99

(330) 723-6060 EB, P, R Summa Physicians Ages: 0-99 Unity Health Network Provider ID: 001229599138 Areas of Expertise: E112 Provider ID: 003118114121 NPI: 1073911145 NPI: 1306118690 9044 Center St Summa Physicians 195 Wadsworth Rd Ste 402 Seville, OH 44273 Provider ID: 001229599052 Wadsworth, OH 44281

(330) 478-3700 EB, P, R NPI: 1073911145 (330) 331-4466 P, R, RE, T Ages: 0-99 970 E Washington St Ste 6b Ages: 0-99 Areas of Expertise: E112 Medina, OH 44256

(330) 864-1916 EB, P, R Unity Health Network Summa Physicians Ages: 0-99 Provider ID: 003118114087 Provider ID: 001229599583 Areas of Expertise: E112 NPI: 1306118690 NPI: 1073911145 195 Wadsworth Rd Ste A 970 E Washington St Ste 203 Wadsworth, OH 44281

Medina, OH 44256 (330) 331-4466 EB, P, R

(330) 475-1674 EB, P, R Ages: 0-99 Ages: 0-99

226

Primary Care Providers Ohio - Medina Unity Health Network Unity Health Network Provider ID: 003118114024 Unity Health Network Provider ID: 003118114124 NPI: 1306118690 Provider ID: 003118114085 NPI: 1306118690 195 Wadsworth Rd Ste G NPI: 1306118690 970 E Washington St Ste 4d Wadsworth, OH 44281 3780 Medina Rd Ste 230 Medina, OH 44256

(330) 923-5899 EB, P, R Medina, OH 44256 (330) 253-9727 EB, G, IB, P, R,

Ages: 0-99 (330) 253-1411 EB, P, R RE, S, T Ages: 0-99 Ages: 0-99 Unity Health Network Provider ID: 003118114120 Unity Health Network Vijay Kakumanu Md NPI: 1306118690 Provider ID: 003118114030 Provider ID: 007272346001 3780 Medina Rd NPI: 1306118690 NPI: 1780229435 Medina, OH 44256 3780 Medina Rd Ste 240 4036 Center Rd

(330) 753-6643 E, EB, G, IB, P, Medina, OH 44256 Brunswick, OH 44212

R, RE, S, T (330) 253-1411 EB, P, R (330) 225-7733 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 18-99

Unity Health Network Unity Health Network Wrh Physicians Provider ID: 003118114031 Provider ID: 003118114042 Provider ID: 003004121031 NPI: 1306118690 NPI: 1306118690 NPI: 1295067940 3780 Medina Rd Ste 105 3985 Medina Rd Ste 200 3780 Medina Rd Ste 110 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 253-1411 E, EB, G, IB, P, (330) 723-2700 E, EB, IB, P, R, (330) 753-6643 E, EB, G, IB, P, R, RE, S, T RE, S, T R, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99

Unity Health Network Unity Health Network Wrh Physicians Provider ID: 003118114086 Provider ID: 003118114084 Provider ID: 003004121032 NPI: 1306118690 NPI: 1306118690 NPI: 1295067940 3780 Medina Rd Ste 110 4001 Carrick Dr Ste 120 3780 Medina Rd Ste 120 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 753-6643 E, EB, G, IB, P, (330) 721-8484 EB, P, R (330) 753-6643 E, EB, G, IB, P, R, S, T Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Unity Health Network Unity Health Network Provider ID: 003118114060 Wrh Physicians Provider ID: 003118114109 NPI: 1306118690 Provider ID: 003004121030 NPI: 1306118690 970 E Washington St Ste 204 NPI: 1295067940 3780 Medina Rd Ste 120 Medina, OH 44256 3780 Medina Ste 210

Medina, OH 44256 (330) 253-9727 EB, P, R, RE, T Medina, OH 44256

(330) 753-6643 EB, G, IB, P, R, Ages: 0-99 (330) 753-6643 EB, P, R RE, S, T Ages: 0-99 Ages: 0-99

227

Ohio - Medina Primary Care Providers Wrh Physicians Provider ID: 003004121053 NPI: 1295067940 970 E Washington St Ste 204 Medina, OH 44256

(330) 926-3322 EB, P, R, RE, T Ages: 18-99

Yatish Goyal Md Provider ID: 003467394004 NPI: 1437145281 1000 Washington St Medina, OH 44256

(330) 725-7277 EB, P, R Ages: 0-99

Yatish Goyal Md Provider ID: 003467394002 NPI: 1437145281 555 Springbrook Dr Medina, OH 44256

(330) 725-7277 EB, P, R Ages: 0-99

Yatish Goyal Md Provider ID: 003467394001 NPI: 1437145281 970 E Washington St Ste 202 Medina, OH 44256

(330) 725-7277 EB, P, R Ages: 0-99

Yatish Goyal Md Provider ID: 003467394003 NPI: 1437145281 970 E Washington St Ste 4d Medina, OH 44256

(330) 725-7277 EB, G, IB, P, R, RE, S, T Ages: 0-99

228

Specialists Ohio - Geauga

Specialists

Ohio Audiology Cardiology

Prior authorization is required to Members may self-refer to these Geauga obtain some covered services from providers.

these providers. You will not be Bruening, Laurie C, NP, (F) Allergy & Immunology covered for those services without Group Name: University Members may self-refer to these such approval by UnitedHealthcare Hospitals Medical Group providers. Community Plan. Please see your Provider ID: 007350217002

member handbook, or call Member Lavi, Richard F, MD, (M), B NPI: 1457996043 Services for details. 13207 Ravenna Rd Group Name: Allergy Asthma & Sinus Relief Cntr Johnson, Holly A, AUD, (F) Chardon, OH 44024 Provider ID: 002666416001 Group Name: Holly's Hearing (216) 844-3800 E, EB, G, IB, P, NPI: 1104857895 Aid Center PL, R, RE, S, T 510 5th Ave Provider ID: 003386401001 Mo-Fr - 8:30 AM - 4:30 PM Chardon, OH 44024 NPI: 1508152489 Ages: 18-99

(330) 423-4444 EB, IB, P, R, RE, 151 Main St Hospital Affiliations: T Chardon, OH 44024 Uh Geauga Medical Center Languages Spoken: (440) 285-1700 EB, P, R University Hospitals Geauga Provider: Spanish Languages Spoken: Medical Ctr Staff: Spanish Provider: Spanish Fr - 1:00 PM - 5:00 PM Mo-Th - 9:00 AM - 5:00 PM Cakulev, Ivan T, MD, (M), B Cultural Competency: Y Ages: 0-99 Group Name: University Ages: 0-99 Hospitals Medical Group Hospital Affiliations: Mills, Ryan J, AUD, (M) Provider ID: 002510139002 Lake Health Group Name: Holly's Hearing NPI: 1083639546 Summa Health System Aid Center 100 7th Ave Hillcrest Hospital Provider ID: 003575057002 Chardon, OH 44024 Fairview Hospital NPI: 1144291188 (216) 844-3800 EB, P, R Uh Regional Hospitals 151 Main St Languages Spoken: Uh Parma Medical Center Chardon, OH 44024 Provider: Bulgarian, Serbian, University Hospitals Parma (440) 285-1700 EB, P, R Macedonian Medical Ctr Mo-Th - 9:00 AM - 5:00 PM Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

229

Ohio - Geauga Specialists Cakulev, Ivan T, MD, (M), B Francis Uh Portage Medical Center Group Name: University Uh Cleveland Medical Center Hospitals Medical Group Gupta, Anjan, MD, (M), B Univ Hospitals Ahuja Med Ctr Provider ID: 002510139002 Group Name: UPCP NPI: 1083639546 Provider ID: 001401666012 Simon, Daniel I, MD, (M), B 13207 Ravenna Rd NPI: 1780653154 Group Name: University Chardon, OH 44024 13207 Revenna Rd Hospitals Medical Group

(216) 844-3800 EB, P, R Chardon, OH 44024 Provider ID: 001152176002

Languages Spoken: (330) 297-6110 EB, P, R NPI: 1538125935 Provider: Bulgarian, Serbian, Cultural Competency: Y 13207 Ravenna Rd Macedonian Web address: anjan.gupta@uhhospit Chardon, OH 44024

Cultural Competency: Y als.org (216) 844-3800 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Uh Geauga Medical Center Columbia St Mary's Hospital Hospital Affiliations: University Hospitals Geauga St Lukes Medical Center Uh Geauga Medical Center Medical Ctr Columbia-st Mary's Hospital University Hospitals Geauga Uh Cleveland Medical Center Ozaukee Medical Ctr Univ Hospitals Ahuja Med Ctr Ascension Se Wisconsin Hospital Brigham & Womens Hospital Prohealth Waukesha Memorial Uh Cleveland Medical Center Gupta, Anjan, MD, (M), B Hospital Group Name: UPCP Aurora West Allis Medical Center Sotolongo, Antonio J, MD, (M), B Provider ID: 001401666012 Ascension St Francis Hospital Group Name: University Primary NPI: 1780653154 Wheaton Franciscan Hlthcr St Care Practices Inc 13207 Ravenna Rd Francis Provider ID: 007183551002 Chardon, OH 44024 NPI: 1255618302

(330) 297-6110 EB, P, R Mahmoud, Ahmed, MD, (M), B 13207 Ravenna Rd Mo-Fr - 8:30 AM - 4:30 PM Group Name: UPCP Chardon, OH 44024

Cultural Competency: Y Provider ID: 007483592001 (440) 214-8110 E, EB, G, IB, P, Web address: anjan.gupta@uhhospit NPI: 1942649694 PL, R, RE, S, T als.org 13207 Ravenna Rd Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Chardon, OH 44024 Ages: 18-99

Hospital Affiliations: (440) 285-6000 E, EB, G, IB, P, Hospital Affiliations: Columbia St Mary's Hospital PL, R, RE, S, T Uh Geauga Medical Center St Lukes Medical Center Languages Spoken: University Hospitals Geauga Columbia-st Mary's Hospital Provider: Arabic Medical Ctr Ozaukee Mo-Fr - 8:30 AM - 4:30 PM Robinson Memorial Hospital Ascension Se Wisconsin Hospital Ages: 18-99 Uh Portage Medical Center Prohealth Waukesha Memorial Hospital Affiliations: Uh Regional Hospitals Hospital Uh Geauga Medical Center Uh Cleveland Medical Center Aurora West Allis Medical Center University Hospitals Geauga Univ Hospitals Ahuja Med Ctr Ascension St Francis Hospital Medical Ctr Wheaton Franciscan Hlthcr St Robinson Memorial Hospital

230

Specialists Ohio - Geauga

Gupta, Anjan, MD, (M), B Hospital Cardiovascular Disease Group Name: UPCP Aurora West Allis Medical Center Desai, Milind Y, MD , (M), B Provider ID: 001401666012 Ascension St Francis Hospital Group Name: Cleveland Clinic NPI: 1780653154 Wheaton Franciscan Hlthcr St Foundation 13207 Ravenna Rd Francis Provider ID: 002018313001 Chardon, OH 44024 NPI: 1669572152 (330) 297-6110 EB, P, R Joshi, Deepak, MD, (M), B 17747 Chillicothe Rd Ste 100 Mo-Fr - 8:30 AM - 4:30 PM Group Name: Community Chagrin Falls, OH 44023 Cultural Competency: Y Hospitalists

(440) 543-8855 EB, P, R Web address: anjan.gupta@uhhospit Provider ID: 003374875003 Cultural Competency: Y als.org NPI: 1154506582 Ages: 0-99 Ages: 0-99 12340 Bass Lake Rd Hospital Affiliations: Hospital Affiliations: Chardon, OH 44024 Wooster Community Hospital Columbia St Mary's Hospital (440) 542-5000 EB, P, R Cleveland Clinic Foundation St Lukes Medical Center Ages: 0-99 Fairview Hospital Columbia-st Mary's Hospital Hospital Affiliations: South Pointe Hospital Ozaukee Gaffney Medical Center Euclid Hospital Ascension Se Wisconsin Hospital Cherokee Medical Center Marymount Hospital Prohealth Waukesha Memorial Spartanburg Medical Ctr-mary Lutheran Hospital Hospital Black Cmps Brigham & Womens Hospital Aurora West Allis Medical Center Spartanburg Medical Center Ascension St Francis Hospital Union Medical Center Evans, Natalie S, MD, (F), B Wheaton Franciscan Hlthcr St Pelham Medical Center Group Name: University Primary Francis Care Practices Joshi, Deepak, MD, (M), B Provider ID: 003365235003 Gupta, Anjan, MD, (M), B Group Name: Community NPI: 1487830527 Group Name: UPCP Hospitalists 13207 Ravenna Rd Provider ID: 001401666012 Provider ID: 003374875003 Chardon, OH 44024 NPI: 1780653154 NPI: 1154506582

(440) 214-8230 E, EB, G, IB, P, 13207 Revenna Rd 13207 Ravenna Rd PL, R, RE, S, T Chardon, OH 44024 Chardon, OH 44024 Mo-Fr - 8:30 AM - 4:30 PM (330) 297-6110 EB, P, R (440) 542-5000 EB, P, R Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 18-99 Web address: anjan.gupta@uhhospit Hospital Affiliations: Hospital Affiliations: als.org Gaffney Medical Center Uh Geauga Medical Center Ages: 0-99 Cherokee Medical Center University Hospitals Geauga Hospital Affiliations: Spartanburg Medical Ctr-mary Medical Ctr Columbia St Mary's Hospital Black Cmps Cleveland Clinic Foundation St Lukes Medical Center Spartanburg Medical Center Uh Cleveland Medical Center Columbia-st Mary's Hospital Union Medical Center Ozaukee Pelham Medical Center Ascension Se Wisconsin Hospital Prohealth Waukesha Memorial

231

Ohio - Geauga Specialists Schoenhagen, Paul, MD, (M), B Cleveland Clinic Foundation Kotheimer, Barry J, DC, (M) Group Name: Cleveland Clinic Hillcrest Hospital Group Name: Chardon Family Foundation St John Medical Center Chiropractic Clinic Provider ID: 002305957001 Uh Cleveland Medical Center Provider ID: 002054405001 NPI: 1235194051 Univ Hospitals Ahuja Med Ctr NPI: 1376615955 17747 Chillicothe Rd Ste 100 102 E Park St Ste 3 Chagrin Falls, OH 44023 Chardon, OH 44024 Chiropractor (440) 543-8855 EB, P, R (440) 286-2225 EB, P, R, RE, T

Accepting Existing Patients Only Prior authorization is required to Mo,We - 10:00 AM - 7:00 PM Ages: 0-99 obtain some covered services from Tu - 8:00 AM - 11:00 AM Hospital Affiliations: these providers. You will not be Th - 3:00 PM - 7:00 PM Wooster Community Hospital covered for those services without Fr - 9:00 AM - 11:00 AM Cleveland Clinic Foundation such approval by UnitedHealthcare Sa - 8:00 AM - 12:00 PM Community Plan. Please see your Ages: 0-99 Sparano, Dina M, MD, (F), B member handbook, or call Member Group Name: University Primary Services for details. Lenhart, Leonard J, DC, (M)

Care Practices Group Name: Lenhart Provider ID: 005229552001 Berman, David A, DC, (M) Chiropractic Clinic NPI: 1073769709 Group Name: Advanced Chardon Provider ID: 000407615001 13207 Ravenna Rd Chiropractic NPI: 1366473795 Chardon, OH 44024 Provider ID: 002197693001 16020 E High St NPI: 1922174762 (440) 285-6725 EB, P, R Middlefield, OH 44062 102 E Park St Cultural Competency: Y (440) 632-1112 EB, P, R Ages: 0-99 Chardon, OH 44024 Cultural Competency: Y Hospital Affiliations: (440) 286-2225 EB, IB, P, R, RE Ages: 0-99 Cleveland Clinic Foundation Mo,We - 7:00 AM - 6:00 PM Hillcrest Hospital Tu,Fr - 11:00 AM - 7:00 PM Lenhart, Leonard J, DC, (M) St John Medical Center Th,Sa - 8:00 AM - 12:00 PM Group Name: Lenhart Uh Cleveland Medical Center Ages: 0-99 Chiropractic Clinic Univ Hospitals Ahuja Med Ctr Provider ID: 000407615001 Kotheimer, Barry J, DC, (M) NPI: 1366473795 Sparano, Dina M, MD, (F), B Group Name: Chardon Family 16030 E High St Unit 6 Group Name: University Primary Chiropractic Clinic Middlefield, OH 44062 Provider ID: 002054405001 Care Practices (440) 632-1112 EB, P, R Provider ID: 005229552001 NPI: 1376615955 Cultural Competency: Y NPI: 1073769709 102 E Park St Web address: lenhartchiropracticcli 13221 Ravenna Rd Ste 12 Chardon, OH 44024 nic.com Chardon, OH 44024 (440) 286-2225 EB, IB, P, R, RE Ages: 0-99 Ages: 0-99 (440) 358-5480 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations:

232

Specialists Ohio - Geauga

Nassif, Ivan A, DC, (M) Cammock, Leona M, MD, (F), B Group Name: Chagrin Valley Endocrinology Group Name: University

Chiropractic & Acupunctur Members may self-refer to these Hospitals Medical Group Provider ID: 002627048002 providers. Provider ID: 002578418005

NPI: 1407831423 NPI: 1346238326 7170 Chagrin Rd Burgun, Stephen J, MD, (M), B 13207 Ravenna Rd Chagrin Falls, OH 44023 Group Name: University Primary Chardon, OH 44024 Care Practices (440) 247-5383 EB, IB, P, R, RE, (440) 285-6000 E, EB, G, IB, P, S, T Provider ID: 002053483001 PL, R, RE, S, T Mo,We - 9:00 AM - 6:00 PM NPI: 1396831798 Mo-Fr - 8:30 AM - 4:30 PM Tu,Th - 2:00 PM - 7:00 PM 13221 Ravenna Rd Ste 1 Ages: 0-99 Fr - 9:00 AM - 3:00 PM Chardon, OH 44024 Hospital Affiliations: Web address: www.chagrinvalleych (440) 285-3621 EB, P, R Uh Geauga Medical Center iropractic.com Cultural Competency: Y University Hospitals Geauga Ages: 0-99 Ages: 0-99 Medical Ctr Hospital Affiliations: Avera Sacred Heart Hospital Uh Geauga Medical Center Northside Medical Center Dermatology University Hospitals Geauga Steward Northside Medical Center Medical Ctr Members may self-refer to these St Elizabeth Youngstown Hospital Ohio State University Hospital St Elizabeth Boardman Hospital providers. Nw Ar Hosp Nw Med Ctr Areas of Expertise: MAT1 Woodhouse, Justin G, MD, (M), B Uh Cleveland Medical Center Group Name: Allied Dermatology James Cancer Hospital Hileman, Craig M, MD, (M), B & Skin Surg Oro Valley Hospital Group Name: University Primary Provider ID: 002537547002 Univ Hospitals Ahuja Med Ctr Care Practices NPI: 1225128556 Provider ID: 002737898001 17747 Chillicothe Rd Ste 203 NPI: 1184738619 Chagrin Falls, OH 44023 Family Practice 8955 Mayfield Rd Ste 107 (440) 429-9758 EB, P, R Members may self-refer to these Chesterland, OH 44026 Cultural Competency: Y providers. (440) 729-3644 EB, P, R

Ages: 0-99 Amarnath, Malathi, DO, (F) Languages Spoken: Hospital Affiliations: Provider: Spanish Lake Health Group Name: University Hospitals Medical Group Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Cultural Competency: Y Marymount Hospital Provider ID: 007289370001 NPI: 1225585748 Ages: 0-99 Ssm Health St Mary's Hospital - Hospital Affiliations: Audrain 13207 Ravenna Rd Chardon, OH 44024 Uh Geauga Medical Center Uh Parma Medical Center University Hospitals Geauga University Hospitals Parma (440) 285-6000 E, EB, G, IB, P, PL, R, RE, S, T Medical Ctr Medical Ctr Metrohealth Medical Center Mo-Fr - 8:30 AM - 4:30 PM Accepting Existing Patients Only San Francisco General Hospital Ages: 0-99 Uh Cleveland Medical Center

233

Ohio - Geauga Specialists Iqbal, Sabahat K, MD, (F) Uh Parma Medical Center Skef, Suzan, MD, (F), B Group Name: Community University Hospitals Parma Group Name: Community Hospitalists Medical Ctr Hospitalists Provider ID: 002946590002 Univ Hospitals Ahuja Med Ctr Provider ID: 006208235001 NPI: 1508814021 NPI: 1427312107 12340 Bass Lake Rd Kellis, Michael J, DO, (M), B 13207 Ravenna Rd Chardon, OH 44024 Group Name: Precision Chardon, OH 44024

(440) 542-5000 EB, P, R Orthopaedic Spec (440) 542-5023 EB, P, R Languages Spoken: Provider ID: 000090812002 Languages Spoken: Provider: Punjabi, Urdu NPI: 1831190313 Provider: Arabic, Spanish Cultural Competency: Y 150 7th Ave Ste 200 Ages: 0-99 Ages: 0-99 Chardon, OH 44024 Hospital Affiliations:

Hospital Affiliations: (440) 285-4999 EB, P, R, RE, T Magee Womens Hospital Of Uh Geauga Medical Center Languages Spoken: Upmc University Hospitals Geauga Provider: Greek Upmc St Margaret Hsp Medical Ctr Sa - 8:00 AM - 12:00 PM Areas of Expertise: CIL Uh Regional Hospitals Ages: 0-99 St John Medical Center Hospital Affiliations: Uh Cleveland Medical Center Uh Geauga Medical Center Gastroenterology

Uh Parma Medical Center University Hospitals Geauga Members may self-refer to these University Hospitals Parma Medical Ctr providers.

Medical Ctr Lake Health Univ Hospitals Ahuja Med Ctr Abbass, Rami, MD, (M), B Skef, Suzan, MD, (F), B Group Name: University Primary Iqbal, Sabahat K, MD, (F) Group Name: Community Care Practices Group Name: Community Hospitalists Provider ID: 003051144001 Hospitalists Provider ID: 006208235001 NPI: 1659523405 Provider ID: 002946590002 NPI: 1427312107 8055 Mayfield Rd Ste 107 NPI: 1508814021 12340 Bass Lake Rd Chesterland, OH 44026 13207 Ravenna Rd Chardon, OH 44024 (440) 708-1555 EB, P, R Languages Spoken: Chardon, OH 44024 (440) 542-5000 EB, P, R Provider: Arabic, French (440) 542-5000 EB, P, R Languages Spoken: Languages Spoken: Provider: Arabic, Spanish Cultural Competency: Y Provider: Punjabi, Urdu Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Magee Womens Hospital Of Uh Geauga Medical Center Hospital Affiliations: Upmc University Hospitals Geauga Uh Geauga Medical Center Upmc St Margaret Hsp Medical Ctr University Hospitals Geauga Areas of Expertise: CIL Uh Regional Hospital - Bedford Medical Ctr Campus Uh Regional Hospitals Uh Regional Hospitals St John Medical Center Uh Cleveland Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

234

Specialists Ohio - Geauga Abbass, Rami, MD, (M), B Confer, Bradley D, DO, (M), B Group Name: University Primary Abdallah, Jason, MD, (M) Group Name: Community Care Practices Group Name: UPCP Hospitalists Provider ID: 003051144001 Provider ID: 006250663004 Provider ID: 003355494004 NPI: 1659523405 NPI: 1093071565 NPI: 1518132612 8185 E Washington St 13207 Ravenna Rd 13207 Ravenna Rd Chagrin Falls, OH 44023 Chardon, OH 44024 Chardon, OH 44024

(440) 708-1555 EB, P, R (440) 285-2956 E, EB, G, IB, P, (440) 542-5000 EB, P, R Languages Spoken: PL, R, RE, S, T Ages: 0-99 Provider: Arabic, French Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Geisinger Lewistown Hospital Ages: 0-99 Hospital Affiliations: Geisinger Medical Center Hospital Affiliations: Akron General Medical Ctr Jersey Shore Hospital Uh Geauga Medical Center Uh Geneva Medical Center Medina Hospital University Hospitals Geauga Uh Cleveland Medical Center Geisinger - Holy Spirit Hospital Medical Ctr Penn State Health Holy Spirit Uh Regional Hospital - Bedford Confer, Bradley D, DO, (M), B Medical Ce Campus Group Name: Community Geisinger Wyoming Valley Med Uh Regional Hospitals Hospitalists Ctr Uh Cleveland Medical Center Provider ID: 003355494004 Geisinger Community Medical Univ Hospitals Ahuja Med Ctr NPI: 1518132612 Center 12340 Bass Lake Rd Abbass, Rami, MD, (M), B Chardon, OH 44024 De Roulet, Jason P, MD, (M)

Group Name: University Primary (440) 542-5000 EB, P, R Group Name: University Primary Care Practices Ages: 0-99 Care Practices Provider ID: 003051144001 Hospital Affiliations: Provider ID: 005719392001 NPI: 1659523405 Geisinger Lewistown Hospital NPI: 1255575825 8185 E Washington St Ste 2 Geisinger Medical Center 8185 E Washington St Ste 2 Chagrin Falls, OH 44023 Jersey Shore Hospital Chagrin Falls, OH 44023

(440) 708-1555 EB, P, R Medina Hospital (440) 708-1555 EB, P, R Languages Spoken: Geisinger - Holy Spirit Hospital Mo-Fr - 8:30 AM - 4:30 PM Provider: Arabic, French Penn State Health Holy Spirit Cultural Competency: Y Cultural Competency: Y Medical Ce Ages: 0-99 Ages: 0-99 Geisinger Wyoming Valley Med Hospital Affiliations: Hospital Affiliations: Ctr Uh Regional Hospital - Bedford Uh Geauga Medical Center Geisinger Community Medical Campus University Hospitals Geauga Center Uh Regional Hospitals Medical Ctr Uh Cleveland Medical Center Uh Regional Hospital - Bedford Univ Hospitals Ahuja Med Ctr Campus Uh Regional Hospitals Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

235

Ohio - Geauga Specialists Koehler, Michael K, MD, (M), B Rozman, Raymond W, MD, (M), Shapiro, Eric J, MD, (M), B Group Name: University Primary B Group Name: University Primary Care Practices Group Name: University Primary Care Practices Provider ID: 002004096001 Care Practices Provider ID: 000852786001 NPI: 1962419234 Provider ID: 001262328001 NPI: 1104825629 13207 Ravenna Rd NPI: 1265445530 8185 Washington St Ste 2 Chardon, OH 44024 8185 E Washington St Ste 2 Chagrin Falls, OH 44023

(440) 708-1555 EB, P, R Chagrin Falls, OH 44023 (440) 708-1555

Mo-Fr - 8:30 AM - 4:30 PM (440) 708-1555 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Uh Regional Hospital - Bedford Hospital Affiliations: Uh Geauga Medical Center Campus Uh Geauga Medical Center University Hospitals Geauga Uh Regional Hospitals University Hospitals Geauga Medical Ctr Uh Cleveland Medical Center Medical Ctr Uh Cleveland Medical Center Uh Regional Hospital - Bedford Koehler, Michael K, MD, (M), B Campus Sullivan, John F, MD, (M) Group Name: University Primary Uh Regional Hospitals Group Name: University Primary Care Practices Uh Cleveland Medical Center Care Practices Provider ID: 002004096001 Univ Hospitals Ahuja Med Ctr Provider ID: 006921198001 NPI: 1962419234 NPI: 1801153614 8185 E Washington St Ste 2 Shapiro, Eric J, MD, (M), B 8185 E Washington St Ste 2 Chagrin Falls, OH 44023 Group Name: University Primary Chagrin Falls, OH 44023

(440) 708-1555 EB, P, R Care Practices (440) 708-1555 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 000852786001 Ages: 0-99 Cultural Competency: Y NPI: 1104825629 Ages: 0-99 8185 E Washington St Ste 160 Hospital Affiliations: Chagrin Falls, OH 44023

Uh Regional Hospital - Bedford (440) 708-1555 EB, P, R Campus Mo-Fr - 8:30 AM - 4:30 PM Uh Regional Hospitals Cultural Competency: Y Uh Cleveland Medical Center Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Uh Cleveland Medical Center

236

Specialists Ohio - Geauga

Bohac, Christopher J, MD, (M) Harth, Karem C, MD, (F), B General Surgery Group Name: University Primary Group Name: University

Members may self-refer to these Care Practices Hospitals Medical Group providers. Provider ID: 006214019001 Provider ID: 005814709001

NPI: 1952690638 NPI: 1982806873 Bobanga, Iuliana D, MD, (F), B 13207 Ravenna Rd 13207 Ravenna Rd Group Name: Cleveland Clinic Chardon, OH 44024 Chardon, OH 44024 Foundation (440) 214-3111 EB, P, R (216) 844-3800 EB, P, R Provider ID: 006489799001 Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: NPI: 1013232214 Ages: 0-99 Provider: Spanish 13207 Revenna Rd Hospital Affiliations: Cultural Competency: Y Chardon, OH 44024 Uh Geauga Medical Center Ages: 0-99 (330) 235-7430 EB, P, R University Hospitals Geauga Hospital Affiliations: Languages Spoken: Medical Ctr Uh Geauga Medical Center Provider: Romanian, Spanish University Hospitals Geauga Mo-Fr - 8:30 AM - 4:30 PM Diblasio, Joseph A, MD, (M), B Medical Ctr Web address: iuliana.bobanga@uhh Group Name: Geauga Surgical University Hospitals Elyria ospitals.org Associates Medical Ctr Accepting Existing Patients Only Provider ID: 000091786001 Uh Elyria Medical Center Ages: 0-99 NPI: 1972670107 Uh Regional Hospitals Hospital Affiliations: 13170 Ravenna Rd Ste 202 University Hospitals Conneaut Cleveland Clinic Foundation Chardon, OH 44024 Medical Ce Marymount Hospital (440) 286-2121 P, R Uh Conneaut Medical Center Languages Spoken: Uh Cleveland Medical Center Bodzin, Gordon A, MD, (M), B Provider: Italian Group Name: Lake Health Allied Mo-Tu - 9:00 AM - 4:00 PM Khaitan, Leena, MD, (F), B Health Professionals We - 12:00 PM - 6:00 PM Group Name: University Provider ID: 002522372002 Th - 9:00 AM - 1:00 PM Hospitals Medical Group NPI: 1053388637 Fr - 9:00 AM - 3:00 PM Provider ID: 001977496001 510 5th Ave Cultural Competency: Y NPI: 1255358115 Chardon, OH 44024 Ages: 0-99 13207 Ravenna Rd (440) 354-0377 EB, IB, P, R, RE, Hospital Affiliations: Chardon, OH 44024 T Uh Geauga Medical Center (216) 844-7874 EB, P, R Cultural Competency: Y University Hospitals Geauga Languages Spoken: Ages: 0-99 Medical Ctr Provider: Hindi Hospital Affiliations: Lake Health Mo-Fr - 8:30 AM - 4:30 PM Lake Health Cultural Competency: Y Chandler Regional Medical Center Ages: 0-99 Mercy Gilbert Medical Center Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Emory University Hospital

237

Ohio - Geauga Specialists Uh Cleveland Medical Center Marks, Jeffrey M, MD, (M), B Otoole, John, MD, (M) Vanderbilt University Med Ctr Group Name: University Group Name: Community Vanderbilt University Medical Hospitals Medical Group Hospitalists Center Provider ID: 001170709002 Provider ID: 001571177003 NPI: 1881614501 NPI: 1922048057 Madden, Maria T, MD, (F), B 13207 Ravenna Rd 13207 Ravenna Rd Group Name: Northeast Surg Chardon, OH 44024 Chardon, OH 44024

Assoc Of Ohio (216) 844-7874 EB, P, R (440) 542-5000 EB, P, R Provider ID: 001403294003 Cultural Competency: Y Ages: 0-99 NPI: 1093715344 Ages: 0-99 13170 Ravenna Rd Ste 118 Hospital Affiliations: Petrosky, Jacob, MD, (M), B Chardon, OH 44024 Hillcrest Hospital Group Name: UPCP

(440) 285-7874 E, EB, G, IB, P, Uh Cleveland Medical Center Provider ID: 006329547002 PL, R, RE, S, T Rainbow Babies & Childrens NPI: 1881959013 Mo-Fr - 9:00 AM - 5:00 PM Hosp 13207 Ravenna Rd Cultural Competency: Y Univ Hospitals Ahuja Med Ctr Chardon, OH 44024

Ages: 0-99 (440) 214-3111 EB, P, R Hospital Affiliations: Nicholson, Bryson A, MD, (M), B Ages: 0-99 Uh Geauga Medical Center Group Name: Lake Health Hospital Affiliations: University Hospitals Geauga Provider ID: 005679933002 Geisinger Lewistown Hospital Medical Ctr NPI: 1356661839 Geisinger Medical Center Lake Health 510 5th Ave Geisinger Bloomsburg Hospital Chardon, OH 44024 Geisinger Wyoming Valley Med

Madden, Maria T, MD, (F), B (440) 279-1500 EB, P, R, RE Ctr Group Name: UPCP Mo-Fr - 8:30 AM - 4:30 PM Geisinger Community Medical Provider ID: 001403294009 Ages: 0-99 Center NPI: 1093715344 Hospital Affiliations: 13221 Ravenna Rd Ste 12 Williamsport Hospital & Med Ct Reynolds, Harry L, MD, (M), B Chardon, OH 44024 Upmc Williamsport Group Name: University

(440) 285-7874 EB, P, R Lake Health Hospitals Medical Group Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 001762355001 Cultural Competency: Y Otoole, John, MD, (M) NPI: 1548280241 Ages: 18-99 Group Name: Community 8185 E Washington St Hospital Affiliations: Hospitalists Chagrin Falls, OH 44023

Uh Geauga Medical Center Provider ID: 001571177003 (216) 844-7874 EB, P, R University Hospitals Geauga NPI: 1922048057 Mo-Fr - 8:30 AM - 4:30 PM Medical Ctr 12340 Bass Lake Rd Ages: 0-99 Lake Health Chardon, OH 44024 Hospital Affiliations:

(440) 542-5000 EB, P, R Cleveland Clinic Foundation Ages: 0-99 Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

238

Specialists Ohio - Geauga

Yu, Liming, MD, (M), B Uh Conneaut Medical Center Group Name: University Primary Adventhealth Shawnee Mission Hearing Instrument Specialist Care Practices Shawnee Mission Medical Ctr Johnson, Holly A, AUD, (F) Provider ID: 004834301002 Uh Cleveland Medical Center Group Name: Holly's Hearing NPI: 1356453229 Aid Center 13207 Ravenna Rd Provider ID: 003386401001 Chardon, OH 44024 Hand Surgery NPI: 1508152489

(440) 214-3111 E, EB, G, IB, P, Members may self-refer to these 151 Main St PL, R, RE, S, T providers. Chardon, OH 44024

Languages Spoken: (440) 285-1700 EB, P, R Provider: Chinese Childs, Dylan, MD, (M) Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Group Name: Community Provider: Spanish Ages: 0-99 Hospitalists Mo-Th - 9:00 AM - 5:00 PM Hospital Affiliations: Provider ID: 006250847002 Ages: 0-99 Uh Geauga Medical Center NPI: 1083925705 University Hospitals Geauga 12340 Bass Lake Rd Medical Ctr Chardon, OH 44024 Hematology/Oncology

(440) 542-5000 EB, P, R Howard Young Medical Center Prior authorization is required to University Hospitals Conneaut Ages: 0-99 Hospital Affiliations: obtain some covered services from Medical Ce these providers. You will not be Uh Conneaut Medical Center Southwest General Health Center Regency Hospital Of Cleveland covered for those services without Adventhealth Shawnee Mission such approval by UnitedHealthcare Shawnee Mission Medical Ctr West Community Plan. Please see your Uh Cleveland Medical Center member handbook, or call Member Childs, Dylan, MD, (M) Group Name: Community Services for details. Yu, Liming, MD, (M), B Group Name: University Primary Hospitalists Friedman, Judah D, MD, (M), B Care Practices Provider ID: 006250847002 Group Name: University Primary Provider ID: 004834301002 NPI: 1083925705 Care Practices NPI: 1356453229 13207 Ravenna Rd Provider ID: 002798364001 13221 Ravenna Rd Ste 9 Chardon, OH 44024 NPI: 1134241284 Chardon, OH 44024 (440) 542-5000 EB, P, R 13207 Ravenna Rd Ages: 0-99 Chardon, OH 44024 (440) 214-3150 EB, P, R Languages Spoken: Hospital Affiliations: (440) 286-5050 EB, P, R Provider: Chinese Southwest General Health Center Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Regency Hospital Of Cleveland Cultural Competency: Y Hospital Affiliations: West Ages: 0-99 Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga Uh Geauga Medical Center Medical Ctr University Hospitals Geauga Howard Young Medical Center Medical Ctr University Hospitals Conneaut Uh Regional Hospitals Medical Ce Uh Cleveland Medical Center

239

Ohio - Geauga Specialists

Metheny, Leland L, MD, (M), B Center Group Name: Community Internal Medicine Cleveland Clinic Foundation

Hospitalists Prior authorization is required to Mayo Regional Hospital Provider ID: 005726627002 obtain some covered services from Northern Light Mayo Hospital NPI: 1336303817 these providers. You will not be Uh Regional Hospitals 12340 Bass Lake Rd covered for those services without Uh Cleveland Medical Center Chardon, OH 44024 such approval by UnitedHealthcare (440) 542-5000 EB, P, R Community Plan. Please see your Biggs, Ariel J, MD, (F), B Cultural Competency: Y member handbook, or call Member Group Name: Community Ages: 0-99 Services for details. Hospitalists

Hospital Affiliations: Provider ID: 005392312003 Uh Cleveland Medical Center Ballin, Mitchell I, MD, (M), B NPI: 1316239916 Univ Hospitals Ahuja Med Ctr Group Name: Community 12340 Bass Lake Rd Hospitalists Chardon, OH 44024 Provider ID: 002475804003 Metheny, Leland L, MD, (M), B (440) 542-5000 EB, P, R Group Name: Community NPI: 1104866565 Ages: 0-99 Hospitalists 12340 Bass Lake Rd Hospital Affiliations: Provider ID: 005726627002 Chardon, OH 44024 Doctors Hospital NPI: 1336303817 (440) 542-5000 EB, P, R 13207 Ravenna Rd Ages: 0-99 Biggs, Ariel J, MD, (F), B Chardon, OH 44024 Hospital Affiliations: Group Name: Community St Ritas Medical Center (440) 542-5000 EB, P, R Hospitalists Cultural Competency: Y Lake Health Provider ID: 005392312003 Ages: 0-99 University Of Toledo Medical NPI: 1316239916 Hospital Affiliations: Center 13207 Ravenna Rd Uh Cleveland Medical Center Cleveland Clinic Foundation Chardon, OH 44024 Mayo Regional Hospital Univ Hospitals Ahuja Med Ctr (440) 542-5000 EB, P, R Northern Light Mayo Hospital Ages: 0-99 Uh Regional Hospitals Hospital Affiliations: Uh Cleveland Medical Center Doctors Hospital

Ballin, Mitchell I, MD, (M), B Group Name: Community Hospitalists Provider ID: 002475804003 NPI: 1104866565 13207 Ravenna Rd Chardon, OH 44024

(440) 542-5000 EB, P, R Ages: 0-99 Hospital Affiliations: St Ritas Medical Center Lake Health University Of Toledo Medical

240

Specialists Ohio - Geauga Bowe, David A, MD, (M), B Chacko, Paul, MD, (M), B Group Name: Lake Health Allied Group Name: Community Chan, Amanda M, MD, (F), B Health Professionals Hospitalists Group Name: Community Provider ID: 000192581006 Provider ID: 002772223001 Hospitalists NPI: 1164482675 NPI: 1932253200 Provider ID: 006250814002 510 5th Ave 12340 Bass Lake Rd NPI: 1669746939 Chardon, OH 44024 Chardon, OH 44024 13207 Ravenna Rd

(440) 286-8908 EB, IB, P, R, RE, (440) 542-5000 EB, P, R Chardon, OH 44024

T Ages: 0-99 (440) 542-5000 EB, P, R Mo-Fr - 8:00 AM - 8:00 PM Hospital Affiliations: Ages: 0-99 Sa,Su - 9:00 AM - 5:00 PM University Medical Center-mesabi Cultural Competency: Y University Of Toledo Medical Chand, Prakash, MD, (M), B Ages: 0-99 Center Group Name: Community Hospital Affiliations: Borgess Medical Center Hospitalists Lake Health Ascension Borgess Hospital Provider ID: 004047807005 Hillcrest Hospital St Lukes Hospital NPI: 1275812497 Uh Cleveland Medical Center 12340 Bass Lake Rd Chacko, Paul, MD, (M), B Chardon, OH 44024

Brown, Aaron L, DO, (F), B Group Name: Community (440) 542-5000 EB, P, R Group Name: University Hospitalists Cultural Competency: Y Hospitals Medical Group Provider ID: 002772223001 Ages: 0-99 Provider ID: 002899476003 NPI: 1932253200 Hospital Affiliations: NPI: 1689865651 13207 Ravenna Rd Wooster Community Hospital 13207 Ravenna Rd Chardon, OH 44024 University Hospitals Elyria

Chardon, OH 44024 (440) 542-5000 EB, P, R Medical Ctr

(440) 285-6000 E, EB, G, IB, P, Ages: 0-99 Uh Elyria Medical Center PL, R, RE, S, T Hospital Affiliations: Knox Community Hospital Mo-Fr - 8:30 AM - 4:30 PM University Medical Center-mesabi South Pointe Hospital Cultural Competency: Y University Of Toledo Medical Fisher-titus Medical Center Ages: 0-99 Center Hospital Affiliations: Borgess Medical Center Chand, Prakash, MD, (M), B Uh Geauga Medical Center Ascension Borgess Hospital Group Name: Community University Hospitals Geauga St Lukes Hospital Hospitalists Medical Ctr Provider ID: 004047807005 Cleveland Clinic Foundation Chan, Amanda M, MD, (F), B NPI: 1275812497 J Arthur Dosher Memorial Group Name: Community 13207 Ravenna Rd Hospital Hospitalists Chardon, OH 44024

Uh Cleveland Medical Center Provider ID: 006250814002 (440) 542-5000 EB, P, R NPI: 1669746939 Cultural Competency: Y 12340 Bass Lake Rd Ages: 0-99 Chardon, OH 44024 Hospital Affiliations:

(440) 542-5000 EB, P, R Wooster Community Hospital Ages: 0-99 University Hospitals Elyria

241

Ohio - Geauga Specialists Medical Ctr Uh Parma Medical Center Uh Parma Medical Center Uh Elyria Medical Center University Hospitals Parma University Hospitals Parma Knox Community Hospital Medical Ctr Medical Ctr South Pointe Hospital Areas of Expertise: E112 Univ Hospitals Ahuja Med Ctr Fisher-titus Medical Center Chiang, Ambrose A, MD, (M), B Donca, Ionel Z, MD, (M) Cheres, Christ-Roi, MD, (M), B Group Name: University Group Name: Great Lakes Care Group Name: Community Hospitals Medical Group Provider ID: 003080364005 Hospitalists Provider ID: 001335361001 NPI: 1841433265 Provider ID: 003475706004 NPI: 1447329172 775 South St NPI: 1356502074 13221 Ravenna Rd Ste 12 Chardon, OH 44024

12340 Bass Lake Rd Chardon, OH 44024 (216) 255-5229 E, EB, G, IB, P,

Chardon, OH 44024 (216) 214-3117 EB, P, R PL, R, RE, T

(440) 542-5000 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Romanian Provider: French, Spanish, Hospital Affiliations: Ages: 18-99 Haitian; Haitian Creole Dlp Maria Parham Medical Center Hospital Affiliations: Ages: 0-99 Uh Regional Hospital - Bedford Lake Health Hospital Affiliations: Campus South Pointe Hospital Uh Geauga Medical Center Duke Regional Hospital Uh Regional Hospitals University Hospitals Geauga Uh Regional Hospitals Medical Ctr Rex Healthcare Esho, Adetokunbo O, MD, (M), B Uh Parma Medical Center Uh Cleveland Medical Center Group Name: Community University Hospitals Parma Duke Raleigh Hospital Hospitalists Medical Ctr Duke University Hospital Provider ID: 002360374001 Areas of Expertise: E112 NPI: 1730139338 Crivelli, Justin J, DO, (M), B 12340 Bass Lake Rd Cheres, Christ-Roi, MD, (M), B Group Name: University Chardon, OH 44024

Group Name: Community Hospitals Medical Group (440) 542-5000 EB, P, R Hospitalists Provider ID: 004783847002 Ages: 0-99 Provider ID: 003475706002 NPI: 1134426398 Hospital Affiliations: NPI: 1356502074 13207 Ravenna Rd Uh Geauga Medical Center 13207 Ravenna Rd Chardon, OH 44024 University Hospitals Geauga

Chardon, OH 44024 (440) 285-6000 E, EB, G, IB, P, Medical Ctr

(440) 279-2406 EB, P, R PL, R, RE, S, T Cleveland Clinic Foundation Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Hillcrest Hospital Provider: French, Spanish, Ages: 0-99 Southwest General Health Center Haitian; Haitian Creole Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Ages: 0-99 Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga Uh Geauga Medical Center Medical Ctr University Hospitals Geauga Uh Regional Hospitals Medical Ctr Uh Cleveland Medical Center

242

Specialists Ohio - Geauga Esho, Adetokunbo O, MD, (M), B University Med Ctr Of Southern Group Name: Community Gopal, Naveen, MD, (M), B Nevada Hospitalists Group Name: Community Firelands Regional Medical Ctr Provider ID: 002360374001 Hospitalists Uh Parma Medical Center NPI: 1730139338 Provider ID: 003514261001 University Hospitals Parma 13207 Ravenna Rd NPI: 1346479623 Medical Ctr Chardon, OH 44024 12340 Bass Lake Rd Areas of Expertise: MAT1

(440) 542-5000 EB, P, R Chardon, OH 44024

Ages: 0-99 (440) 542-5000 EB, P, R Greenfield, Daniel J, MD, (F), B Hospital Affiliations: Languages Spoken: Group Name: Community Uh Geauga Medical Center Provider: Hindi, Kannada, Hospitalists University Hospitals Geauga Telugu Provider ID: 003643233001 Medical Ctr Cultural Competency: Y NPI: 1063673002 Cleveland Clinic Foundation Ages: 0-99 12340 Bass Lake Rd Hillcrest Hospital Hospital Affiliations: Chardon, OH 44024

Southwest General Health Center University Hospitals Elyria (440) 542-5000 EB, P, R Univ Hospitals Ahuja Med Ctr Medical Ctr Cultural Competency: Y Uh Elyria Medical Center Ages: 0-99 Ezell, Joshua E, DO, (M), B University Med Ctr Of Southern Hospital Affiliations: Group Name: Community Nevada University Hospitals Elyria Hospitalists Firelands Regional Medical Ctr Medical Ctr Provider ID: 006126954003 Uh Parma Medical Center Uh Elyria Medical Center NPI: 1851632806 University Hospitals Parma St John Medical Center 12340 Bass Lake Rd Medical Ctr Chardon, OH 44024 Areas of Expertise: MAT1 Greenfield, Daniel J, MD, (F), B

(440) 542-5000 EB, P, R Group Name: Community Ages: 0-99 Gopal, Naveen, MD, (M), B Hospitalists Hospital Affiliations: Group Name: Community Provider ID: 003643233001 Riverside Methodist Hospital Hospitalists NPI: 1063673002 Overland Park Rgnl Med Ctr Provider ID: 003514261001 13207 Ravenna Rd NPI: 1346479623 Chardon, OH 44024

Ezell, Joshua E, DO, (M), B 13207 Ravenna Rd (440) 542-5000 EB, P, R Group Name: Community Chardon, OH 44024 Cultural Competency: Y

Hospitalists (440) 542-5000 EB, P, R Ages: 0-99 Provider ID: 006126954003 Languages Spoken: Hospital Affiliations: NPI: 1851632806 Provider: Hindi, Kannada, University Hospitals Elyria 13207 Ravenna Rd Telugu Medical Ctr Chardon, OH 44024 Cultural Competency: Y Uh Elyria Medical Center

(440) 542-5000 EB, P, R Ages: 0-99 St John Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: University Hospitals Elyria Riverside Methodist Hospital Medical Ctr Overland Park Rgnl Med Ctr Uh Elyria Medical Center

243

Ohio - Geauga Specialists Guerini, Debra S, MD, (F) Kang, Harleen, MD, (F) Penn Highlands Dubois Group Name: Community Group Name: Community Ephrata Community Hospital Hospitalists Hospitalists Geisinger - Holy Spirit Hospital Provider ID: 001243203003 Provider ID: 003550157007 Penn State Health Holy Spirit NPI: 1013985605 NPI: 1144514647 Medical Ce 12340 Bass Lake Rd 13207 Ravenna Rd Pinnacle Health Hospitals Chardon, OH 44024 Chardon, OH 44024 Upmc Pinnacle Hospitals

(440) 542-5000 EB, P, R (440) 542-5000 EB, P, R Lower Bucks Hospital Ages: 0-99 Ages: 0-99 Hospital Affiliations: Lindbloom, Kristopher, DO, (M), Uh Geauga Medical Center Ledvin, Veronica, MD, (F), B B University Hospitals Geauga Group Name: Community Group Name: Community Medical Ctr Hospitalists Hospitalists Ashtabula County Med Center Provider ID: 002684260006 Provider ID: 003559744002 NPI: 1467462507 NPI: 1568635423 Guerini, Debra S, MD, (F) 12340 Bass Lake Rd 12340 Bass Lake Rd Group Name: Community Chardon, OH 44024 Chardon, OH 44024

Hospitalists (440) 542-5000 EB, P, R (440) 542-5000 EB, P, R Provider ID: 001243203003 Languages Spoken: Ages: 0-99 NPI: 1013985605 Provider: Russian Areas of Expertise: MAT1 13207 Ravenna Rd Ages: 0-99 Chardon, OH 44024 Hospital Affiliations: Lindbloom, Kristopher, DO, (M),

(440) 542-5000 EB, P, R Penn Highlands Dubois B Ages: 0-99 Ephrata Community Hospital Group Name: Community Hospital Affiliations: Geisinger - Holy Spirit Hospital Hospitalists Uh Geauga Medical Center Penn State Health Holy Spirit Provider ID: 003559744002 University Hospitals Geauga Medical Ce NPI: 1568635423 Medical Ctr Pinnacle Health Hospitals 13207 Ravenna Rd Ashtabula County Med Center Upmc Pinnacle Hospitals Chardon, OH 44024

Lower Bucks Hospital (440) 542-5000 EB, P, R Kang, Harleen, MD, (F) Ages: 0-99 Group Name: Community Ledvin, Veronica, MD, (F), B Areas of Expertise: MAT1 Hospitalists Group Name: Community Provider ID: 003550157007 Hospitalists NPI: 1144514647 Provider ID: 002684260006 12340 Bass Lake Rd NPI: 1467462507 Chardon, OH 44024 13207 Ravenna Rd

(440) 542-5000 EB, P, R Chardon, OH 44024

Ages: 0-99 (440) 542-5000 EB, P, R Languages Spoken: Provider: Russian Ages: 0-99 Hospital Affiliations:

244

Specialists Ohio - Geauga Massouh, Rafik, MD, (M), B Cleveland Clinic Lakewood Menolasino, Michael J, DO, (M), Group Name: Community Firelands Regional Medical Ctr B Hospitalists Southwest General Health Center Group Name: Community Provider ID: 002176576001 Areas of Expertise: MAT1 Hospitalists NPI: 1639274038 Provider ID: 001200557002 12340 Bass Lake Rd Mclean, Shoghi M, MD, (M), B NPI: 1063592459 Chardon, OH 44024 Group Name: Community 10190 Fairmount Rd

(440) 542-5000 EB, P, R Hospitalists Newbury, OH 44065

Languages Spoken: Provider ID: 002561123002 (440) 564-9101 EB, P, R Provider: Arabic NPI: 1659454320 Languages Spoken: Ages: 0-99 12340 Bass Lake Rd Provider: Tagalog Hospital Affiliations: Chardon, OH 44024 Cultural Competency: Y

Uh Geauga Medical Center (440) 542-5000 EB, P, R Ages: 18-99 University Hospitals Geauga Languages Spoken: Hospital Affiliations: Medical Ctr Provider: Spanish Metropolitan Hosp University Hospitals Elyria Ages: 0-99 Metro Health Hospital Medical Ctr Hospital Affiliations: Lake Health Uh Elyria Medical Center Metrohealth Medical Center Uh Regional Hospitals Lakewood Hospital Areas of Expertise: MAT1 Uh Cleveland Medical Center Cleveland Clinic Lakewood Univ Hospitals Ahuja Med Ctr Firelands Regional Medical Ctr Mclean, Shoghi M, MD, (M), B Southwest General Health Center Group Name: Community Menolasino, Michael J, DO, (M), Areas of Expertise: MAT1 Hospitalists B Provider ID: 002561123002 Group Name: Community Massouh, Rafik, MD, (M), B NPI: 1659454320 Hospitalists Group Name: Community 13207 Ravenna Rd Provider ID: 001200557002 Hospitalists Chardon, OH 44024 NPI: 1063592459

Provider ID: 002176576001 (440) 542-5000 EB, P, R 12496 Princeton Rd NPI: 1639274038 Languages Spoken: Huntsburg, OH 44046

13207 Ravenna Rd Provider: Spanish (440) 635-5567 E, EB, IB, P, PL, Chardon, OH 44024 Ages: 0-99 R, RE

(440) 542-5000 EB, P, R Hospital Affiliations: Languages Spoken: Languages Spoken: Metrohealth Medical Center Provider: Tagalog Provider: Arabic Areas of Expertise: MAT1 Cultural Competency: Y Ages: 0-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Uh Geauga Medical Center Metropolitan Hosp University Hospitals Geauga Metro Health Hospital Medical Ctr Lake Health University Hospitals Elyria Uh Regional Hospitals Medical Ctr Uh Cleveland Medical Center Uh Elyria Medical Center Univ Hospitals Ahuja Med Ctr Lakewood Hospital

245

Ohio - Geauga Specialists Menolasino, Michael J, DO, (M), Morra, Nariman K, MD, (F), B Nagy, Ryan S, MD, (M), B B Group Name: Community Group Name: Unive Group Name: Community Hospitalists Urologists/Cleveland Hospitalists Provider ID: 002927792001 Provider ID: 003218522009 Provider ID: 001200557002 NPI: 1902060783 NPI: 1366603516 NPI: 1063592459 12340 Bass Lake Rd 13207 Ravenna Rd 15950 Pierce St Chardon, OH 44024 Chardon, OH 44024

Middlefield, OH 44062 (440) 542-5000 EB, P, R (440) 285-6000 E, EB, G, IB, P,

(440) 423-5787 EB, P, R, T Languages Spoken: PL, R, RE, S, T Languages Spoken: Provider: Arabic Mo-Fr - 8:30 AM - 4:30 PM Provider: Tagalog Ages: 0-99 Accepting Existing Patients Only Cultural Competency: Y Hospital Affiliations: Ages: 18-99 Ages: 18-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Fairview Hospital Uh Geauga Medical Center Metropolitan Hosp Medina Hospital University Hospitals Geauga Metro Health Hospital Southwest General Health Center Medical Ctr Lake Health St John Medical Center Robinson Memorial Hospital Uh Regional Hospitals Uh Portage Medical Center Uh Cleveland Medical Center Morra, Nariman K, MD, (F), B Childrens Hospital Med Ctr Akron Univ Hospitals Ahuja Med Ctr Group Name: Community The Toledo Hospital Hospitalists Firelands Regional Medical Ctr Menolasino, Michael J, DO, (M), Provider ID: 002927792001 Fisher-titus Medical Center B NPI: 1902060783 Areas of Expertise: E112, E160, Group Name: Continuum 13207 Ravenna Rd MAT1 Healthcare Group Chardon, OH 44024

Provider ID: 001200557003 (440) 542-5000 EB, P, R Nanjunde Gowda, Madan Kumar, NPI: 1063592459 Languages Spoken: MD, (M) 775 South St Provider: Arabic Group Name: Community Chardon, OH 44024 Ages: 0-99 Hospitalists

(440) 542-5023 E, EB, G, IB, P, Hospital Affiliations: Provider ID: 003658496001 PL, R, RE, T Cleveland Clinic Foundation NPI: 1548413230 Languages Spoken: Fairview Hospital 12340 Bass Lake Rd Provider: Tagalog Medina Hospital Chardon, OH 44024

Cultural Competency: Y Southwest General Health Center (440) 542-5000 EB, P, R Ages: 0-99 St John Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Metropolitan Hosp Erie County Medical Center Metro Health Hospital Lake Health Uh Regional Hospitals Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

246

Specialists Ohio - Geauga Nanjunde Gowda, Madan Kumar, Peterson, Nicolle L, DO, (F), B Pop, Stefan C, MD, (M) MD, (M) Group Name: Community Group Name: Community Group Name: Community Hospitalists Hospitalists Hospitalists Provider ID: 005469215002 Provider ID: 003559690003 Provider ID: 003658496001 NPI: 1063709715 NPI: 1962645366 NPI: 1548413230 12340 Bass Lake Rd 13207 Ravenna Rd 13207 Ravenna Rd Chardon, OH 44024 Chardon, OH 44024

Chardon, OH 44024 (440) 542-5000 EB, P, R (440) 542-5000 EB, P, R

(440) 542-5000 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Areas of Expertise: MAT1 Hospital Affiliations: Nebraska Medical Center Erie County Medical Center Pop, Stefan C, MD, (M) Peterson, Nicolle L, DO, (F), B Group Name: Continuum Newman, Georgia L, MD, (F), B Group Name: Community Healthcare Group Group Name: Community Hospitalists Provider ID: 003559690005 Hospitalists Provider ID: 005469215002 NPI: 1962645366 Provider ID: 000554848002 NPI: 1063709715 775 South St NPI: 1194716555 13207 Ravenna Rd Chardon, OH 44024

12340 Bass Lake Rd Chardon, OH 44024 (440) 542-5023 E, EB, G, IB, P,

Chardon, OH 44024 (440) 542-5000 EB, P, R PL, R, RE, T

(440) 542-5000 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Areas of Expertise: MAT1 Hospital Affiliations: Nebraska Medical Center Mercy Allen Hospital Pope, Douglas A, MD, (M), B Pop, Stefan C, MD, (M) Group Name: Community Newman, Georgia L, MD, (F), B Group Name: Community Hospitalists Group Name: Community Hospitalists Provider ID: 001734630001 Hospitalists Provider ID: 003559690003 NPI: 1093786857 Provider ID: 000554848002 NPI: 1962645366 12340 Bass Lake Rd NPI: 1194716555 12340 Bass Lake Rd Chardon, OH 44024

13207 Ravenna Rd Chardon, OH 44024 (440) 542-5000 EB, P, R

Chardon, OH 44024 (440) 542-5000 EB, P, R Ages: 0-99

(440) 542-5000 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Areas of Expertise: MAT1 Nationwide Children's Hospital Hospital Affiliations: Nationwide Childrens Hospital Mercy Allen Hospital Fairfield Medical Center Areas of Expertise: E112, E160

247

Ohio - Geauga Specialists Pope, Douglas A, MD, (M), B Potluri, Satish B, MD, (M), B Hospital Affiliations: Group Name: Community Group Name: Community Tennova Healthcare Cleveland Hospitalists Hospitalists Select Specialty Hosp Columbus Provider ID: 001734630001 Provider ID: 002816482004 Doctors Hospital NPI: 1093786857 NPI: 1144427824 13207 Ravenna Rd 13207 Ravenna Rd Seffo, Firas, MD, (M), B Chardon, OH 44024 Chardon, OH 44024 Group Name: Community

(440) 542-5000 EB, P, R (440) 542-5000 EB, P, R Hospitalists Ages: 0-99 Web address: www.austinregionalcl Provider ID: 002434997003 Hospital Affiliations: inic.com NPI: 1366440778 Nationwide Children's Hospital Ages: 0-99 12340 Bass Lake Rd Nationwide Childrens Hospital Hospital Affiliations: Chardon, OH 44024

Fairfield Medical Center Howard County General Hospital (440) 542-5000 EB, P, R Areas of Expertise: E112, E160 Ascension Seton Medical Center Languages Spoken: Austin Provider: Arabic Potluri, Satish B, MD, (M), B Seton Highland Lakes Hosp Ages: 0-99 Group Name: Community Ascension Seton Highland Lakes Hospital Affiliations: Hospitalists Ascension Seton Northwest University Hospitals Elyria Provider ID: 002816482004 Ascension Seton Hays Medical Ctr NPI: 1144427824 Uh Elyria Medical Center 12340 Bass Lake Rd Rutledge, Ethan B, DO, (M), B Euclid Hospital Chardon, OH 44024 Group Name: Community Southwest General Health Center

(440) 542-5000 EB, P, R Hospitalists Uh Parma Medical Center Web address: www.austinregionalcl Provider ID: 004129045001 University Hospitals Parma inic.com NPI: 1508156696 Medical Ctr Ages: 0-99 12340 Bass Lake Rd Areas of Expertise: MAT1 Hospital Affiliations: Chardon, OH 44024

Howard County General Hospital (440) 542-5000 EB, P, R Seffo, Firas, MD, (M), B Ascension Seton Medical Center Ages: 0-99 Group Name: Community Austin Hospital Affiliations: Hospitalists Seton Highland Lakes Hosp Tennova Healthcare Cleveland Provider ID: 002434997003 Ascension Seton Highland Lakes Select Specialty Hosp Columbus NPI: 1366440778 Ascension Seton Northwest Doctors Hospital 13207 Ravenna Rd Ascension Seton Hays Chardon, OH 44024

Rutledge, Ethan B, DO, (M), B (440) 542-5000 EB, P, R Group Name: Community Languages Spoken: Hospitalists Provider: Arabic Provider ID: 004129045001 Ages: 0-99 NPI: 1508156696 Hospital Affiliations: 13207 Ravenna Rd University Hospitals Elyria Chardon, OH 44024 Medical Ctr

(440) 542-5000 EB, P, R Uh Elyria Medical Center Ages: 0-99 Euclid Hospital

248

Specialists Ohio - Geauga Southwest General Health Center Ware, Charles F, MD, (M) Areas of Expertise: MAT1 Uh Parma Medical Center Group Name: Community University Hospitals Parma Hospitalists Zang, Jie, MD, (F) Medical Ctr Provider ID: 005927306005 Group Name: Community Areas of Expertise: MAT1 NPI: 1528355922 Hospitalists 12340 Bass Lake Rd Provider ID: 002815102007 Wang, Kai, MD, (M), B Chardon, OH 44024 NPI: 1710048293

Group Name: Community (440) 542-5000 EB, P, R 13207 Ravenna Rd Hospitalists Ages: 0-99 Chardon, OH 44024

Provider ID: 003681051001 Hospital Affiliations: (440) 542-5000 EB, P, R NPI: 1467682518 Mount Carmel Medical Center Languages Spoken: 12340 Bass Lake Rd Mercy Medical Center Provider: Chinese Chardon, OH 44024 Cultural Competency: Y

(440) 542-5000 EB, P, R Ware, Charles F, MD, (M) Ages: 0-99 Cultural Competency: Y Group Name: Community Hospital Affiliations: Ages: 0-99 Hospitalists Union Hospital Hospital Affiliations: Provider ID: 005927306005 Summa Barberton Citizens Cleveland Clinic Foundation NPI: 1528355922 Summa Health System Uh Cleveland Medical Center 13207 Ravenna Rd Southwest General Health Center Univ Hospitals Ahuja Med Ctr Chardon, OH 44024 Areas of Expertise: MAT1

Areas of Expertise: MAT1 (440) 542-5000 EB, P, R Ages: 0-99 Zuberi, Mussaret A, MD, (M), B Wang, Kai, MD, (M), B Hospital Affiliations: Group Name: Community Group Name: Community Mount Carmel Medical Center Hospitalists Hospitalists Mercy Medical Center Provider ID: 001112797007 Provider ID: 003681051001 NPI: 1639123409 NPI: 1467682518 Zang, Jie, MD, (F) 12340 Bass Lake Rd 13207 Ravenna Rd Group Name: Community Chardon, OH 44024

Chardon, OH 44024 Hospitalists (440) 542-5000 EB, P, R

(440) 542-5000 EB, P, R Provider ID: 002815102007 Ages: 0-99 Cultural Competency: Y NPI: 1710048293 Hospital Affiliations: Ages: 0-99 12340 Bass Lake Rd University Hospitals Elyria Hospital Affiliations: Chardon, OH 44024 Medical Ctr

Cleveland Clinic Foundation (440) 542-5000 EB, P, R Uh Elyria Medical Center Uh Cleveland Medical Center Languages Spoken: Springfield Regional Medical Ctr Univ Hospitals Ahuja Med Ctr Provider: Chinese Fairfield Medical Center Areas of Expertise: MAT1 Cultural Competency: Y Fort Hamilton Hospital Ages: 0-99 Banner Estrella Medical Center Hospital Affiliations: Union Hospital Summa Barberton Citizens Summa Health System Southwest General Health Center

249

Ohio - Geauga Specialists Zuberi, Mussaret A, MD, (M), B Ragsdale, Ellie S, MD, (F), B Wilson-Costello, Deanne E, MD, Group Name: Community Group Name: University (F), B Hospitalists Hospitals Medical Group Group Name: University Primary Provider ID: 001112797007 Provider ID: 003487507002 Care Practices NPI: 1639123409 NPI: 1992965842 Provider ID: 001412978002 13207 Ravenna Rd 13207 Ravenna Rd NPI: 1316967284 Chardon, OH 44024 Chardon, OH 44024 13207 Ravenna Rd

(440) 542-5000 EB, P, R (440) 285-3032 EB, P, R Chardon, OH 44024

Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM (440) 285-6000 EB, P, R Hospital Affiliations: Cultural Competency: Y Languages Spoken: University Hospitals Elyria Ages: 0-99 Provider: Spanish Medical Ctr Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Uh Elyria Medical Center Uh Cleveland Medical Center Cultural Competency: Y Springfield Regional Medical Ctr Montefiore Medical Center Ages: 0-99 Fairfield Medical Center Univ Hospitals Ahuja Med Ctr Hospital Affiliations: Fort Hamilton Hospital Uh Geauga Medical Center Banner Estrella Medical Center University Hospitals Geauga Neonatology/Perinatology Medical Ctr

Members may self-refer to these Uh Cleveland Medical Center Maternal & Fetal Medicine Rainbow Babies & Childrens providers. Members may self-refer to these Hosp Bhola, Monika, MD, (F), B Mercy Regional Medical Center providers. Group Name: University Primary Communtiy Health Partners Rgnl March, Melissa I, MD, (F) Care Practices Mdcl Ctr Group Name: University Provider ID: 001984852002 Hospitals Medical Group NPI: 1467434183 Yalcinkaya, Gulgun F, MD, (F), B Provider ID: 003379458001 13207 Ravenna Rd Group Name: University Primary NPI: 1578726915 Chardon, OH 44024 Care Practices 13207 Ravenna Rd (440) 285-6000 EB, P, R Provider ID: 002255146002 Chardon, OH 44024 Languages Spoken: NPI: 1174512677 (440) 285-3032 EB, P, R Provider: Hindi 13207 Ravenna Rd Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Chardon, OH 44024 Cultural Competency: Y Cultural Competency: Y (440) 285-6000 EB, P, R Ages: 0-99 Ages: 0-99 Languages Spoken: Hospital Affiliations: Hospital Affiliations: Provider: Turkish Beth Israel Deaconess Medical Uh Geauga Medical Center Mo-Fr - 8:30 AM - 4:30 PM Center University Hospitals Geauga Cultural Competency: Y Uh Cleveland Medical Center Medical Ctr Ages: 0-20 Rainbow Babies & Childrens West Suburban Medical Center Hospital Affiliations: Hosp Loyola University Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr Uh Cleveland Medical Center Rainbow Babies & Childrens Rainbow Babies & Childrens Hosp Hosp

250

Specialists Ohio - Geauga

Mosenkis, Ari, MD, (M), B Sandhu, Satnam, MD, (M) Nephrology Group Name: Partners In Group Name: Partners In

Members may self-refer to these Nephrology Care Nephrology Care providers. Provider ID: 002533553002 Provider ID: 001572065001

NPI: 1093820292 NPI: 1790769149 Donca, Ionel Z, MD, (M), B 12340 Bass Lake Rd 12340 Bass Lake Rd Group Name: Great Lakes Care Chardon, OH 44024 Chardon, OH 44024 Provider ID: 003080364005 (440) 286-4103 EB, P, R, RE, T (440) 286-4103 EB, P, R, RE, T NPI: 1841433265 Languages Spoken: Languages Spoken: 775 South St Provider: Hebrew Provider: Punjabi, Spanish Chardon, OH 44024 Cultural Competency: Y Cultural Competency: Y (216) 255-5229 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 PL, R, RE, T Hospital Affiliations: Hospital Affiliations: Languages Spoken: Lake Health Uh Regional Hospital - Bedford Provider: Romanian Hillcrest Hospital Campus Ages: 18-99 Euclid Hospital Hillcrest Hospital Hospital Affiliations: South Pointe Hospital Lake Health Nanjunde Gowda, Madan Kumar, Euclid Hospital South Pointe Hospital MD, (M), B Marymount Hospital Uh Regional Hospitals Group Name: Community Uh Regional Hospitals Hospitalists Huron Hospital Lazar, Andrew E, MD, (M), B Provider ID: 003658496001 St Vincent Charity Medical Center Group Name: Partners In NPI: 1548413230 Nephrology Care 12340 Bass Lake Rd Siegel, M B, MD, (M), B Provider ID: 002420058002 Chardon, OH 44024 Group Name: Partners In NPI: 1164424081 (440) 542-5000 EB, P, R Nephrology Care 12340 Bass Lake Rd Ages: 0-99 Provider ID: 000603873006 Chardon, OH 44024 Hospital Affiliations: NPI: 1689773830 (440) 286-4103 EB, P, R, RE, T Erie County Medical Center 12340 Bass Lake Rd Cultural Competency: Y Chardon, OH 44024 Ages: 18-99 Nanjunde Gowda, Madan Kumar, (440) 286-4103 EB, P, R, RE, T Hospital Affiliations: MD, (M), B Languages Spoken: Summa Health System Group Name: Community Provider: Yiddish Akron General Medical Ctr Hospitalists Cultural Competency: Y Hillcrest Hospital Provider ID: 003658496001 Ages: 0-99 Univ Hospitals Ahuja Med Ctr NPI: 1548413230 Hospital Affiliations: 13207 Ravenna Rd Lake Health Chardon, OH 44024 Hillcrest Hospital

(440) 542-5000 EB, P, R South Pointe Hospital Ages: 0-99 Hospital Affiliations: Erie County Medical Center

251

Ohio - Geauga Specialists

Uh Regional Hospital - Bedford Uh Cleveland Medical Center Neurology Campus Univ Hospitals Ahuja Med Ctr

Members may self-refer to these Uh Regional Hospitals providers. Uh Cleveland Medical Center Hussain, Aamir, MD, (M), B

Rainbow Babies & Childrens Group Name: UPCP Degeorgia, Michael A, MD, (M), B Hosp Provider ID: 003316397001 Group Name: University Univ Hospitals Ahuja Med Ctr NPI: 1558529404 Hospitals Medical Group 13170 Ravenna Rd Provider ID: 001788334001 Eccher, Matthew A, MD, (M), B Chardon, OH 44024 NPI: 1053425983 Group Name: University (440) 285-2888 EB, P, R 13207 Ravenna Rd Hospitals Medical Group Mo-Fr - 8:30 AM - 4:30 PM Chardon, OH 44024 Provider ID: 002586987003 Cultural Competency: Y (216) 844-1552 EB, P, R NPI: 1275591976 Ages: 0-99 Languages Spoken: 13207 Ravenna Rd Hospital Affiliations: Provider: German Chardon, OH 44024 Cleveland Clinic Foundation Cultural Competency: Y (216) 844-3192 EB, P, R Uh Cleveland Medical Center Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Univ Hospitals Ahuja Med Ctr Hospital Affiliations: Cultural Competency: Y Uh Geauga Medical Center Ages: 0-99 Hussain, Aamir, MD, (M), B University Hospitals Geauga Hospital Affiliations: Group Name: UPCP Medical Ctr Uh Geauga Medical Center Provider ID: 003316397001 Uh Regional Hospital - Bedford University Hospitals Geauga NPI: 1558529404 Campus Medical Ctr 13170 Ravenna Rd Ste 102 Cleveland Clinic Foundation Uh Regional Hospital - Bedford Chardon, OH 44024 Uh Regional Hospitals Campus (440) 285-2888 EB, P, R Uh Cleveland Medical Center Uh Regional Hospitals Mo-Fr - 8:30 AM - 4:30 PM Rainbow Babies & Childrens Pinnacle Health Hospitals Cultural Competency: Y Hosp Upmc Pinnacle Hospitals Ages: 0-99 Upstate University Hosp Comm Uh Cleveland Medical Center Hospital Affiliations: Campus Abbott Northwestern Hospital Cleveland Clinic Foundation Uh Cleveland Medical Center Devereaux, Michael W, MD, (M), Furlan, Anthony J, MD, (M), B Univ Hospitals Ahuja Med Ctr B Group Name: University Group Name: University Hosp Hospitals Medical Group Professionals Provider ID: 001201236001 Provider ID: 000283331001 NPI: 1053356659 NPI: 1962420430 13207 Ravenna Rd 13207 Ravenna Rd Chardon, OH 44024 Chardon, OH 44024 (216) 844-3192 EB, P, R (216) 844-3192 EB, P, R Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations:

252

Specialists Ohio - Geauga

Rorick, Mark B, MD, (M), B Group Name: University Primary Occupational Therapy Oncology

Care Practices Brasdovich, Mindy C, OTR, (F) Prior authorization is required to Provider ID: 001836201002 Group Name: Cramer Physical obtain some covered services from NPI: 1790788727 Therapy these providers. You will not be 13170 Ravenna Rd Ste 102 Provider ID: 007518066001 covered for those services without Chardon, OH 44024 NPI: 1558970772 such approval by UnitedHealthcare (440) 285-2888 EB, P, R 11850 Mayfield Rd Community Plan. Please see your Mo-Fr - 8:30 AM - 4:30 PM Chardon, OH 44024 member handbook, or call Member Cultural Competency: Y (440) 286-1007 Services for details.

Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Spanish Biswas, Tithi, MD, (F) Uh Geauga Medical Center Ages: 0-99 Group Name: University Primary University Hospitals Geauga Care Practices Medical Ctr Brasdovich, Mindy C, OTR, (F) Provider ID: 002999716001 Lake Health Group Name: Cramer Physical NPI: 1922115682 Uh Cleveland Medical Center Therapy 13207 Ravenna Rd Provider ID: 007518066001 Chardon, OH 44024 Sila, Cathy A, MD, (F), B NPI: 1558970772 (216) 844-3951 EB, P, R Group Name: University 14950 S Springdale Ave Mo-Fr - 8:30 AM - 4:30 PM Neurologists Asc Middlefield, OH 44062 Ages: 0-99 Hospital Affiliations: Provider ID: 001202644001 (440) 632-1007 EB, IB, P, R, RE, NPI: 1821034190 T Uh Geauga Medical Center 13207 Ravenna Rd Languages Spoken: University Hospitals Geauga Chardon, OH 44024 Provider: Spanish Medical Ctr Lake Health (216) 844-8934 EB, P, R Interpreter: Spanish Mo-Fr - 8:30 AM - 4:30 PM Mo,We,Th - 8:00 AM - 7:00 PM Uh Cleveland Medical Center Ages: 0-99 Tu,Sa - 8:00 AM - 1:00 PM Uh Parma Medical Center Hospital Affiliations: Fr - 8:00 AM - 5:00 PM University Hospitals Parma Uh Geauga Medical Center Ages: 0-99 Medical Ctr University Hospitals Geauga Rainbow Babies & Childrens Medical Ctr Hosp Uh Regional Hospital - Bedford Thomas Jefferson Univ Hsp Campus Cleveland Clinic Foundation Wagamon, Sharon S, MD, (F), B Uh Regional Hospitals Group Name: UPCP University Hospitals Conneaut Provider ID: 002946651004 Medical Ce NPI: 1811107683 Uh Conneaut Medical Center 13207 Ravenna Rd Uh Cleveland Medical Center Chardon, OH 44024 (440) 286-5050 E, EB, G, IB, P, PL, R, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99

253

Ohio - Geauga Specialists Hospital Affiliations: Medical Ctr Gillespie, Robert J, MD, (M), B Metrohealth Medical Center Stamford Hospital Group Name: University Mercy Medical Center Mount Sinai Beth Israel Hospitals Medical Group Cleveland Clinic Mercy Hospital Beth Israel Med Ctr Petrie Di Provider ID: 003375292001 Alliance Community Hospital NPI: 1053525907 Affinity Medical Center Dunn, Albert S, DO, (M), B 13207 Ravenna Rd Group Name: Precision Chardon, OH 44024

Orthopaedic Spec (440) 285-6000 EB, P, R Orthopaedic Surgery Provider ID: 003565803003 Cultural Competency: Y

Members may self-refer to these NPI: 1467615047 Ages: 0-99 providers. 15389 W High St Hospital Affiliations:

Middlefield, OH 44062 Uh Geauga Medical Center Dunn, Albert S, DO, (M), B (440) 285-4999 EB, IB, P, R, RE, University Hospitals Geauga Group Name: Precision T Medical Ctr Orthopaedic Spec Mo-Fr - 9:00 AM - 5:00 PM St John Medical Center Provider ID: 003565803003 Ages: 0-99 Uh Cleveland Medical Center NPI: 1467615047 Hospital Affiliations: Rainbow Babies & Childrens 11800 E Washington St Uh Geauga Medical Center Hosp Chagrin Falls, OH 44023 University Hospitals Geauga Univ Hospitals Ahuja Med Ctr (440) 285-4999 EB, IB, P, R, RE, Medical Ctr T Stamford Hospital Gordon, Zachary L, MD, (M) Mo-Fr - 9:00 AM - 5:00 PM Mount Sinai Beth Israel Group Name: University Ages: 0-99 Beth Israel Med Ctr Petrie Di Hospitals Medical Group Hospital Affiliations: Provider ID: 003759417001 Uh Geauga Medical Center Eubanks, Jason D, MD, (M), B NPI: 1770771941 University Hospitals Geauga Group Name: University 13207 Ravenna Rd Medical Ctr Hospitals Medical Group Chardon, OH 44024 Stamford Hospital Provider ID: 003080625001 (216) 286-8888 E, EB, G, IB, P, Mount Sinai Beth Israel NPI: 1972718849 PL, R, RE, S, T Beth Israel Med Ctr Petrie Di 13207 Ravenna Rd Mo-Fr - 8:30 AM - 4:30 PM Chardon, OH 44024 Cultural Competency: Y Dunn, Albert S, DO, (M), B (216) 844-7200 EB, P, R Ages: 0-99 Group Name: Precision Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Orthopaedic Spec Cultural Competency: Y Uh Cleveland Medical Center Provider ID: 003565803003 Ages: 0-99 Univ Hospitals Ahuja Med Ctr NPI: 1467615047 Hospital Affiliations: 150 7th Ave Ste 200 Uh Geauga Medical Center Chardon, OH 44024 University Hospitals Geauga (440) 285-4999 EB, P, R, RE, T Medical Ctr Mo-Fr - 9:00 AM - 5:00 PM Uh Regional Hospitals Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Uh Geauga Medical Center University Hospitals Geauga

254

Specialists Ohio - Geauga Harmat, Laszlo S, DO, (M), B Harmat, Laszlo S, DO, (M), B Jones, Thomas B, MD, (M), B Group Name: Precision Group Name: Precision Group Name: Northeast Ohio Orthopaedic Spec Orthopaedic Spec Orthopedics Provider ID: 002299425001 Provider ID: 002299425001 Provider ID: 002277184001 NPI: 1740265917 NPI: 1740265917 NPI: 1346234598 11800 E Washington St 150 Seventh Ave Ste 200 14950 Springdale Ave Chagrin Falls, OH 44023 Chardon, OH 44024 Middlefield, OH 44062

(440) 285-4999 EB, IB, P, R, RE, (440) 285-4999 EB, P, R (330) 856-1070 EB, IB, P, R, RE, T Sa - 8:00 AM - 12:00 PM S, T Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Th - 1:00 PM - 4:00 PM Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Trumbull Memorial Hospital University Hospitals Geauga Medical Ctr Steward Trumbull Memorial Medical Ctr Lake Health Hospital Lake Health Hillcrest Hospital St Joseph Health Center Hillcrest Hospital Western Reserve Hospital St Joseph Health Centeral Western Reserve Hospital St Joseph Warren Hospital Harmat, Laszlo S, DO, (M), B Vibra Hospital Of Mahoning Harmat, Laszlo S, DO, (M), B Group Name: Precision Valley- Trumb Group Name: Precision Orthopaedic Spec Orthopaedic Spec Provider ID: 002299425001 Leland, J Martin, MD, (M), B Provider ID: 002299425002 NPI: 1740265917 Group Name: UPCP NPI: 1740265917 15389 W High St Provider ID: 002963682002 150 7th Ave Ste 200 Middlefield, OH 44062 NPI: 1851593412

Chardon, OH 44024 (440) 285-4999 EB, IB, P, R, RE, 13207 Ravenna Rd

(440) 285-4999 EB, P, R, RE, T T Chardon, OH 44024

Sa - 8:00 AM - 12:00 PM Sa - 8:00 AM - 12:00 PM (440) 285-5004 EB, P, R Ages: 0-99 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Uh Geauga Medical Center Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga University Hospitals Geauga Uh Geauga Medical Center Medical Ctr Medical Ctr University Hospitals Geauga Lake Health Lake Health Medical Ctr Hillcrest Hospital Hillcrest Hospital University Of Chicago Hsps/cln Western Reserve Hospital Western Reserve Hospital St Vincent Charity Medical Center

255

Ohio - Geauga Specialists Sarkisian, Gregory, DO, (M), B Sarkisian, Gregory, DO, (M), B Silver, Benjamin A, MD, (M), B Group Name: Precision Group Name: Precision Group Name: UPCP Orthopaedic Spec Orthopaedic Spec Provider ID: 001727893002 Provider ID: 001439048001 Provider ID: 001439048001 NPI: 1649569054 NPI: 1962489146 NPI: 1962489146 13207 Ravenna Rd 100 7th Ave Ste 175 150 7th Ave Ste 200 Chardon, OH 44024

Chardon, OH 44024 Chardon, OH 44024 (440) 285-5004 EB, P, R

(440) 285-4999 EB, P, R (440) 285-4999 EB, P, R, RE, T Languages Spoken: Ages: 0-99 Sa - 8:00 AM - 12:00 PM Provider: Hebrew, Spanish Hospital Affiliations: Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Uh Geauga Medical Center Hospital Affiliations: Ages: 0-99 University Hospitals Geauga Uh Geauga Medical Center Hospital Affiliations: Medical Ctr University Hospitals Geauga Uh Geauga Medical Center Lake Health Medical Ctr University Hospitals Geauga Hillcrest Hospital Lake Health Medical Ctr Deaconess Hospital Hillcrest Hospital Allegheny General Hospital Deaconess Hospital Forbes Hospital Sarkisian, Gregory, DO, (M), B Group Name: Precision Sarkisian, Gregory, DO, (M), B Solak, Kraig K, DO, (M), B Orthopaedic Spec Group Name: Precision Group Name: Precision Provider ID: 001439048001 Orthopaedic Spec Orthopaedic Spec NPI: 1962489146 Provider ID: 001439048001 Provider ID: 002782492001 11800 E Washington St NPI: 1962489146 NPI: 1073505806 Chagrin Falls, OH 44023 15389 W High St 150 7th Ave Ste 200

(440) 285-4999 EB, IB, P, R, RE, Middlefield, OH 44062 Chardon, OH 44024

T (440) 285-4999 EB, IB, P, R, RE, (440) 285-4999 EB, P, R, RE, T Ages: 0-99 T Sa - 8:00 AM - 12:00 PM Hospital Affiliations: Sa - 8:00 AM - 12:00 PM Ages: 0-99 Uh Geauga Medical Center Ages: 0-99 Hospital Affiliations: University Hospitals Geauga Hospital Affiliations: Uh Geauga Medical Center Medical Ctr Uh Geauga Medical Center University Hospitals Geauga Lake Health University Hospitals Geauga Medical Ctr Hillcrest Hospital Medical Ctr Lake Health Deaconess Hospital Lake Health Hillcrest Hospital Zimmer, Scott M, MD, (M), B Deaconess Hospital Group Name: Lake Health Allied Health Professionals Provider ID: 002406682005 NPI: 1588641708 13170 Ravenna Rd Ste 200 Chardon, OH 44024

(844) 542-6363 EB, P, R Ages: 0-99

256

Specialists Ohio - Geauga

Hospital Affiliations: Abbass, Hassan A, MD, (M), B Uh Geauga Medical Center Group Name: University Primary Pain Management

University Hospitals Geauga Care Practices Prior authorization is required to Medical Ctr Provider ID: 001822051001 obtain some covered services from Lake Health NPI: 1023053980 these providers. You will not be Uh Regional Hospital - Bedford 8185 Washington St Ste 1 covered for those services without Campus Chagrin Falls, OH 44023 such approval by UnitedHealthcare Uh Regional Hospitals (440) 232-6789 EB, P, R Community Plan. Please see your Univ Hospitals Ahuja Med Ctr Languages Spoken: member handbook, or call Member Provider: Arabic, French Services for details.

Cultural Competency: Y Otolaryngology Ages: 0-99 Brown, Lisa A, MD, (F) Group Name: University Primary Members may self-refer to these Hospital Affiliations: Uh Geauga Medical Center Care Practices providers. Provider ID: 002919948001 University Hospitals Geauga Abbass, Hassan A, MD, (M), B Medical Ctr NPI: 1427008978 Group Name: University Primary Robinson Memorial Hospital 12475 Hospital Dr Care Practices Uh Portage Medical Center Chardon, OH 44024 Provider ID: 001822051001 Uh Regional Hospital - Bedford (440) 285-2960 EB, P, R NPI: 1023053980 Campus Mo-Fr - 8:30 AM - 4:30 PM 13207 Ravenna Rd Hillcrest Hospital Ages: 0-99 Chardon, OH 44024 Marymount Hospital Hospital Affiliations: (440) 285-8203 EB, P, R Uh Regional Hospitals Uh Geauga Medical Center Languages Spoken: University Hospitals Geauga Provider: Arabic, French Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Robinson Memorial Hospital Cultural Competency: Y Uh Portage Medical Center Ages: 0-99 University Hospitals Conneaut Hospital Affiliations: Medical Ce Uh Geauga Medical Center Uh Conneaut Medical Center University Hospitals Geauga Areas of Expertise: MAT1 Medical Ctr Robinson Memorial Hospital Brown, Lisa A, MD, (F) Uh Portage Medical Center Group Name: University Primary Uh Regional Hospital - Bedford Care Practices Campus Provider ID: 002919948001 Hillcrest Hospital NPI: 1427008978 Marymount Hospital 13207 Ravenna Rd Uh Regional Hospitals Chardon, OH 44024

(440) 285-2960 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center

257

Ohio - Geauga Specialists University Hospitals Geauga Butler, Maria A, PT, (F) Cramer, Adam M, PT, (M) Medical Ctr Group Name: Cramer Physical Group Name: Cramer Physical Robinson Memorial Hospital Therapy Therapy Uh Portage Medical Center Provider ID: 006532365001 Provider ID: 005307641002 University Hospitals Conneaut NPI: 1083020630 NPI: 1861795692 Medical Ce 14950 S Springdale Ave 14950 S Springdale Ave Uh Conneaut Medical Center Middlefield, OH 44062 Middlefield, OH 44062

Areas of Expertise: MAT1 (440) 632-1007 EB, IB, P, R, RE, (440) 632-1007 EB, IB, P, R, RE, T T Languages Spoken: Languages Spoken: Physical Therapy Provider: Spanish Provider: Spanish

Prior authorization is required to Interpreter: Spanish Mo,We,Th - 8:00 AM - 7:00 PM obtain some covered services from Mo,We,Th - 8:00 AM - 7:00 PM Tu - 8:00 AM - 1:00 PM these providers. You will not be Tu,Sa - 8:00 AM - 1:00 PM Fr - 8:00 AM - 5:00 PM covered for those services without Fr - 8:00 AM - 5:00 PM Sa - 9:00 AM - 1:00 PM such approval by UnitedHealthcare Ages: 0-99 Ages: 0-99 Community Plan. Please see your member handbook, or call Member Costello, Chelsea, PT, (F) Veenstra, Steven T, PT, (M) Services for details. Group Name: Cardinal Physical Group Name: Cramer Physical

Therapy And Rehab Therapy Avsec, Jennie, PT, (F) Provider ID: 007429553002 Provider ID: 007346704001 Group Name: Cardinal Physical NPI: 1245884766 11850 Mayfield Rd Therapy And Rehab 12656 W Geauga Plz Chardon, OH 44024 Provider ID: 006512642001 Chesterland, OH 44026 (440) 286-1007 EB, P, R, RE, S, NPI: 1003355223 (440) 688-4186 EB, IB, P, R, RE, T 12656 W Geauga Plz T Languages Spoken: Chesterland, OH 44026 Mo-Tu - 8:00 AM - 6:00 PM Provider: Spanish (440) 688-4186 EB, IB, P, R, RE, We - 8:00 AM - 3:00 PM Interpreter: Spanish T Fr - 8:00 AM - 2:00 PM Mo,We,Th - 8:00 AM - 7:00 PM Web address: www.cardinalphysical Web address: www.cardinalphysical Tu,Sa - 8:00 AM - 1:00 PM therapy.com therapy.com Fr - 8:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Ages: 0-99

258

Specialists Ohio - Geauga

Veenstra, Steven T, PT, (M) Hospital Affiliations: Group Name: Cramer Physical Physician Assistant Fairview Hospital Therapy Bardi, Pegah, PA , (F) Cleveland Clinic Foundation Provider ID: 007346704001 Group Name: University Hillcrest Hospital 14950 S Springdale Ave Hospitals Medical Group South Pointe Hospital Middlefield, OH 44062 Provider ID: 006713540003 Marymount Hospital (440) 632-1007 EB, IB, P, R, RE, NPI: 1699811356 Lutheran Hospital T 13207 Revenna Rd Areas of Expertise: E112 Languages Spoken: Chardon, OH 44024

Provider: Spanish (440) 286-5050 EB, P, R Kreisher, Hayley R, PA, (F) Interpreter: Spanish Ages: 0-99 Group Name: Ues Geauga Mo,We,Th - 8:00 AM - 7:00 PM Hospital Affiliations: Provider ID: 006427819003 Tu,Sa - 8:00 AM - 1:00 PM Cleveland Clinic Foundation NPI: 1881947224 Fr - 8:00 AM - 5:00 PM Nyp-weill Cornell 13207 Ravenna Rd Ages: 0-99 Chardon, OH 44024 Demarco, Audrey J, PA, (F) (330) 656-5911 E, EB, G, IB, P, Weisbarth, Madison, PT, (F) Group Name: Ues Geauga PL, R, RE, S, T Group Name: Cramer Physical Provider ID: 003625487003 Ages: 0-99 Therapy NPI: 1245550706 Hospital Affiliations: Provider ID: 007483677001 13207 Ravenna Rd Uh Geauga Medical Center NPI: 1649896259 Chardon, OH 44024 University Hospitals Geauga

14950 Springdale Ave (330) 656-5911 EB, P, R Medical Ctr Middlefield, OH 44062 Ages: 0-99 Uh Geneva Medical Center (440) 632-1007 EB, IB, P, R, RE, Mercy Medical Center S, T Depriest, Zachary, PA, (M) Cleveland Clinic Mercy Hospital Languages Spoken: Group Name: Ues Geauga Provider: Spanish Provider ID: 005473059009 Kulkarni, Geeta, PA, (F) Interpreter: Spanish NPI: 1144538737 Group Name: Cleveland Clinic Mo,We,Th - 8:00 AM - 7:00 PM 13207 Ravenna Rd Foundation Tu,Sa - 8:00 AM - 1:00 PM Chardon, OH 44024 Provider ID: 003553590001

Fr - 8:00 AM - 5:00 PM (330) 656-5911 EB, P, R NPI: 1528302767 Ages: 0-99 Ages: 0-99 17747 Chillicothe Rd Ste 100 Chagrin Falls, OH 44023 Gavin, Maura A, PA, (F) (440) 543-8855 EB, P, R Group Name: Cleveland Clinic Ages: 0-99 Foundation Hospital Affiliations: Provider ID: 003133107001 Cleveland Clinic Foundation NPI: 1669530663 Hillcrest Hospital 17747 Chillicothe Rd Ste 100 Fairview Hospital Chagrin Falls, OH 44023 Cleveland Clinic Avon Hospital

(440) 543-8855 EB, P, R Cultural Competency: Y Ages: 0-99

259

Ohio - Geauga Specialists Langford, Benjamin A, PA, (M) Medical Ctr Nutter, Dian M, PA, (F) Group Name: Cleveland Clinic Uh Regional Hospital - Bedford Group Name: Lake Hospital Foundation Campus System Provider ID: 006397628002 Uh Geneva Medical Center Provider ID: 005605881006 NPI: 1043751001 Uh Regional Hospitals NPI: 1376970327 17747 Chillicothe Rd Ste 100 510 5th Ave Chagrin Falls, OH 44023 Meyers, Farzana A, PA, (F) Chardon, OH 44024

(440) 543-8855 EB, P, R Group Name: Cleveland Clinic (440) 286-8908 EB, P, R, RE Ages: 0-99 Foundation Languages Spoken: Hospital Affiliations: Provider ID: 003566798001 Provider: Spanish Cleveland Area Hospital NPI: 1346236817 Mo-Fr - 8:00 AM - 8:00 PM Cleveland Clinic Foundation 17747 Chillicothe Rd Ste 100 Sa - 8:00 AM - 5:00 PM Fairview Hospital Chagrin Falls, OH 44023 Su - 9:00 AM - 5:00 PM

Marymount Hospital (440) 543-8855 EB, P, R Ages: 0-99 Lutheran Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Avon Hospital Hospital Affiliations: Lake Health Cleveland Clinic Foundation Metrohealth Medical Center Marvin, Alisa F, PA, (F) Areas of Expertise: MAT1 Group Name: Cleveland Clinic Miller, Lisa N, PA, (F) Foundation Group Name: Cleveland Clinic Page, Carrie L, PA, (F) Provider ID: 004473768001 Foundation Group Name: Ues Geauga NPI: 1699190942 Provider ID: 003565606003 Provider ID: 004078478028 17747 Chillicothe Rd Ste 100 NPI: 1346532926 NPI: 1881636926 Chagrin Falls, OH 44023 17747 Chillicothe Rd Ste 100 13207 Ravenna Rd

(440) 543-8855 EB, P, R Chagrin Falls, OH 44023 Chardon, OH 44024

Ages: 0-99 (440) 543-8855 EB, P, R (330) 656-5911 EB, P, R Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Uh Geauga Medical Center Lutheran Hospital Lutheran Hospital University Hospitals Geauga Medical Ctr Mccloskey, Jacquelyn R, PA, (F) Cleveland Clinic Foundation Group Name: Ues Geauga Uh Geneva Medical Center Provider ID: 006443079003 Uh Regional Hospitals NPI: 1023568169 13207 Ravenna Rd Pintchuk, Kelly, PA, (F) Chardon, OH 44024 Group Name: Ues Geauga

(330) 656-5911 E, EB, G, IB, P, Provider ID: 005496207005 PL, R, RE, S, T NPI: 1629315239 Ages: 0-99 13207 Ravenna Rd Hospital Affiliations: Chardon, OH 44024

Uh Geauga Medical Center (330) 656-5911 EB, P, R University Hospitals Geauga Ages: 0-99

260

Specialists Ohio - Geauga

Stutzman, Regina M, PA, (F) Rudert, Nicole K, PA, (F) Group Name: Ues Geauga Podiatry

Group Name: University Primary Provider ID: 003341599004 Members may self-refer to these Care Practices NPI: 1174691406 providers.

Provider ID: 003231549021 13207 Ravenna Rd NPI: 1487896197 Chardon, OH 44024 De Leon, Gladys G, DPM, (F), B Group Name: Lake County Foot 8055 Mayfield Rd Ste 107 (330) 656-5911 EB, P, R Chesterland, OH 44026 Cultural Competency: Y & Ankle Ascs Provider ID: 001565944002 (440) 729-3644 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: NPI: 1841250867 Ages: 0-99 Lake Health 325 Center St Hospital Affiliations: Chardon, OH 44024 Akron General Medical Ctr Williams, Morgan T, PA, (F) (440) 285-2666 EB, P, R, RE, T Cleveland Clinic Foundation Group Name: Ues Geauga Mo-Fr - 9:00 AM - 5:00 PM Uh Cleveland Medical Center Provider ID: 006501948003 Web address: www.fasohio.com NPI: 1770034951 Ages: 0-99 Scully, Sharon L, PA, (F) 13207 Ravenna Rd Hospital Affiliations: Group Name: University Primary Chardon, OH 44024 Lake Health

Care Practices (330) 656-5911 EB, P, R Provider ID: 003304120003 Ages: 0-99 Milliman, Jessica A, DPM, (F) NPI: 1609837582 Group Name: University Primary 8055 Mayfield Rd Ste 107 Yacapraro, Lauren E, PA, (F) Care Practices Chesterland, OH 44026 Group Name: University Primary Provider ID: 005726646001 NPI: 1871868687 (440) 729-3644 EB, P, R Care Practices Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 007241944001 775 South St Ages: 0-99 NPI: 1366095721 Chardon, OH 44024 Hospital Affiliations: 13207 Ravenna Rd (440) 286-8176 E, EB, G, IB, P, Cleveland Clinic Foundation Chardon, OH 44024 PL, R, RE, T Mo-Fr - 8:30 AM - 4:30 PM Uh Cleveland Medical Center (440) 285-2956 E, EB, G, IB, P, Univ Hospitals Ahuja Med Ctr PL, R, RE, S, T Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Skof, Katelyn E, PA, (F) Ages: 18-99 Hospital Affiliations: Group Name: Ues Geauga Hospital Affiliations: University Hospitals Conneaut Provider ID: 005400173005 Uh Geauga Medical Center Medical Ce NPI: 1225464795 University Hospitals Geauga Uh Conneaut Medical Center 13207 Ravenna Rd Medical Ctr Chardon, OH 44024

(330) 656-5911 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99

261

Ohio - Geauga Specialists

Most, Gary J, DPM, (M), B Lakewood Hospital Group Name: Foot & Ankle Phy Cleveland Clinic Lakewood Pulmonary Medicine

Of Geauga Uh Regional Hospitals Members may self-refer to these Provider ID: 001571757001 Univ Hospitals Ahuja Med Ctr providers.

NPI: 1942201231 12585 Chillicothe Rd Weaver, Robert D, DPM, (M), B Abas, Mustafa, MD, (M), B Chesterland, OH 44026 Group Name: Northern Oh Group Name: University Primary Care Practices (440) 729-3668 EB, P, R, RE, T Medical Specialist Mo,Tu,We,Fr - 8:00 AM - 5:00 PM Provider ID: 001403362002 Provider ID: 006136549002 Ages: 0-99 NPI: 1760461784 NPI: 1720392988 Hospital Affiliations: 510 5th Ave 13207 Ravenna Rd Cleveland Clinic Foundation Chardon, OH 44024 Chardon, OH 44024 (440) 214-3144 EB, P, R (440) 286-4945 EB, IB, P, R, RE, Quercioli, Jacquelyn L, DPM, (F), T Languages Spoken: B Cultural Competency: Y Provider: Arabic Group Name: Chagrin Valley Ft Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM & Ankl Spec Hospital Affiliations: Ages: 0-99 Provider ID: 003310399001 Lake Health Hospital Affiliations: NPI: 1417157082 Hillcrest Hospital Uh Geauga Medical Center 11850 Mayfield Rd Ste 2 Uh Regional Hospitals University Hospitals Geauga Chardon, OH 44024 Medical Ctr Licking Memorial Hospital (440) 285-4010 EB, P, R, RE, T Wieland, Jeffrey W, DPM, (M) Mo - 8:30 AM - 6:00 PM Group Name: Wieland Jeffrey W Uh Regional Hospital - Bedford Tu,We,Fr - 8:30 AM - 5:00 PM Provider ID: 002406016001 Campus Th - 8:30 AM - 1:00 PM NPI: 1578568093 Uh Regional Hospitals Ages: 0-99 325 Center St Ste 1 Uh Cleveland Medical Center Hospital Affiliations: Chardon, OH 44024 Univ Hospitals Ahuja Med Ctr

University Hospitals Geauga (440) 273-3118 E, EB, G, IB, P, Medical Ctr R, RE, S, T Abas, Mustafa, MD, (M), B Uh Geauga Medical Center Mo,Th - 9:00 AM - 4:00 PM Group Name: University Primary Uh Cleveland Medical Center Cultural Competency: Y Care Practices Ages: 0-99 Provider ID: 006136549002 Ritz, Gary A, DPM, (M) Hospital Affiliations: NPI: 1720392988 Group Name: Zaccardelli & Ritz Uh Geauga Medical Center 13221 Ravenna Rd Ste 3 Provider ID: 000411329001 University Hospitals Geauga Chardon, OH 44024 NPI: 1487672622 Medical Ctr (440) 214-3114 EB, P, R 12896 S Woodside Dr Lake Health Languages Spoken: Chesterland, OH 44026 Provider: Arabic Mo-Fr - 8:30 AM - 4:30 PM (440) 666-6383 EB, P, R Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 18-99 Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga Medical Ctr

262

Specialists Ohio - Geauga Licking Memorial Hospital Medical Ctr Jesudoss, Rajinish S, MD, (M), B Uh Regional Hospital - Bedford Uh Regional Hospital - Bedford Group Name: Community Campus Campus Hospitalists Uh Regional Hospitals Provider ID: 005354081002 Uh Cleveland Medical Center Ghobrial, Michael M, MD, (M), B NPI: 1235443409 Univ Hospitals Ahuja Med Ctr Group Name: Community 12340 Bass Lake Rd Hospitalists Chardon, OH 44024

Chiang, Ambrose A, MD, (M), B Provider ID: 005518690003 (440) 542-5000 EB, P, R Group Name: University NPI: 1669727582 Ages: 0-99 Hospitals Medical Group 12340 Bass Lake Rd Provider ID: 001335361001 Chardon, OH 44024 Jesudoss, Rajinish S, MD, (M), B

NPI: 1447329172 (440) 542-5000 EB, P, R Group Name: Community 13221 Ravenna Rd Ste 12 Ages: 0-99 Hospitalists Chardon, OH 44024 Hospital Affiliations: Provider ID: 005354081002

(216) 214-3117 EB, P, R Fairview Hospital NPI: 1235443409 Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation 13207 Ravenna Rd Ages: 0-99 Hillcrest Hospital Chardon, OH 44024

Hospital Affiliations: South Pointe Hospital (440) 542-5000 EB, P, R Dlp Maria Parham Medical Center Euclid Hospital Ages: 0-99 Uh Regional Hospital - Bedford Marymount Hospital Campus Lutheran Hospital Peng, Charles Y, MD, (M), B Duke Regional Hospital Medina Hospital Group Name: UPCP Uh Regional Hospitals Provider ID: 003430511002 Rex Healthcare Ghobrial, Michael M, MD, (M), B NPI: 1326200387 Uh Cleveland Medical Center Group Name: Community 13221 Ravenna Rd Ste 12 Duke Raleigh Hospital Hospitalists Chardon, OH 44024

Duke University Hospital Provider ID: 005518690003 (440) 214-3114 EB, P, R NPI: 1669727582 Languages Spoken: Dimarco, Anthony F, MD, (M), B 13207 Ravenna Rd Provider: Chinese, Mandarin Group Name: Dimarco Anthony Chardon, OH 44024 Mo-Fr - 8:30 AM - 4:30 PM

F (440) 542-5000 EB, P, R Ages: 0-99 Provider ID: 001415991002 Ages: 0-99 Hospital Affiliations: NPI: 1730164740 Hospital Affiliations: Uh Geauga Medical Center 100 7th Ave Ste 225 Fairview Hospital University Hospitals Geauga Chardon, OH 44024 Cleveland Clinic Foundation Medical Ctr

(440) 285-9598 EB, IB, P, R, RE, Hillcrest Hospital Newark Beth Israel Medical Ctr T South Pointe Hospital Mo-Fr - 8:30 AM - 5:00 PM Euclid Hospital Cultural Competency: Y Marymount Hospital Ages: 0-99 Lutheran Hospital Hospital Affiliations: Medina Hospital Uh Geauga Medical Center University Hospitals Geauga

263

Ohio - Geauga Specialists Rutledge, Ethan B, DO, (M), B St Luke Hospital West Uh Geauga Medical Center Group Name: Community St Luke Hospital East University Hospitals Geauga Hospitalists Uh Cleveland Medical Center Medical Ctr Provider ID: 004129045001 University Of Cincinnati Medical Uh Cleveland Medical Center NPI: 1508156696 Center 12340 Bass Lake Rd Rainbow Babies & Childrens Chardon, OH 44024 Hosp Sleep Medicine

(440) 542-5000 EB, P, R Univ Hospitals Ahuja Med Ctr Prior authorization is required to Ages: 0-99 Areas of Expertise: MAT1 obtain some covered services from Hospital Affiliations: these providers if a sleep study is Tennova Healthcare Cleveland performed at a outpatient sleep Select Specialty Hosp Columbus Rheumatology study center or an ambulatory sleep Doctors Hospital Members may self-refer to these center. You will not be covered for providers. those services without such Rutledge, Ethan B, DO, (M), B approval by UnitedHealthcare Group Name: Community Lumapas, Arminda L, MD, (F), B Group Name: University Primary Community Plan. Please see your Hospitalists member handbook, or call Member Provider ID: 004129045001 Care Practices Provider ID: 002820716001 Services for details. NPI: 1508156696 13207 Ravenna Rd NPI: 1750587754 Wong, Eileen H, MD, (F), B Chardon, OH 44024 13207 Ravenna Rd Group Name: UPCP Chardon, OH 44024 Provider ID: 003681787003 (440) 542-5000 EB, P, R Ages: 0-99 (440) 285-6000 EB, P, R NPI: 1275841066 Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM 13221 Ravenna Rd Ste 3 Tennova Healthcare Cleveland Cultural Competency: Y Chardon, OH 44024 Select Specialty Hosp Columbus Ages: 0-99 (440) 285-6262 EB, P, R Doctors Hospital Hospital Affiliations: Languages Spoken: Uh Geauga Medical Center Provider: Mandarin, Tagalog, Strausbaugh, Steven D, MD, (M) University Hospitals Geauga Chinese Group Name: University Primary Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Care Practices Uh Cleveland Medical Center Ages: 18-99 Provider ID: 002327723004 Hospital Affiliations: NPI: 1427070838 Lumapas, Arminda L, MD, (F), B Uh Geauga Medical Center 13221 Ravenna Rd Ste 3 Group Name: University Primary University Hospitals Geauga Chardon, OH 44024 Care Practices Medical Ctr Provider ID: 002820716001 Robinson Memorial Hospital (440) 214-3114 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM NPI: 1750587754 Uh Portage Medical Center Cultural Competency: Y 13241 Ravenna Rd Uh Regional Hospitals Ages: 18-99 Chardon, OH 44024 Wesley Medical Center Hospital Affiliations: (440) 285-3133 EB, P, R St John Medical Center Uh Geauga Medical Center Mo-Fr - 8:30 AM - 4:30 PM Uh Parma Medical Center University Hospitals Geauga Cultural Competency: Y Medical Ctr Ages: 0-99 Hospital Affiliations:

264

Specialists Ohio - Geauga

Kim, Simon, MD, (M), B Speech Pathology Urology Group Name: University

Intelisano, Shannon, SLP, (F) Members may self-refer to these Hospitals Medical Group Group Name: Cramer Physical providers. Provider ID: 003647865002

Therapy NPI: 1407972748 Provider ID: 003558773002 Davili, Zurab, MD, (M), B 13170 Ravenna Rd Ste 104 NPI: 1285859264 Group Name: Drs Levine Reigle Chardon, OH 44024 & Schneider 14950 S Springdale Ave (216) 844-5661 EB, P, R Middlefield, OH 44062 Provider ID: 003641485001 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1831391366 (440) 632-1007 EB, IB, P, R, RE, Cultural Competency: Y T 13221 Ravenna Rd Ste 2 Ages: 0-99 Ages: 0-99 Chardon, OH 44024 Hospital Affiliations: (440) 753-0018 EB, P, R Yale New Haven Hospital Languages Spoken: Uh Cleveland Medical Center Thoracic Cardiovascular Surg Provider: Russian Denver Health & Hospital Argotegreene, Luis M, MD, (M) Cultural Competency: Y Authority Group Name: University Primary Ages: 0-99 Univ Hospitals Ahuja Med Ctr Care Practices Hospital Affiliations: Provider ID: 005719137001 Lake Health Levine, Frederic J, MD, (M), B NPI: 1598877748 Group Name: Drs Levine Reigle 13207 Ravenna Rd Ghandour, Rashed A, MD, (M) & Schneider Chardon, OH 44024 Group Name: UPCP Provider ID: 000843158001 Provider ID: 007527147001 (440) 285-3050 EB, P, R NPI: 1043205867 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1316440654 13221 Ravenna Rd Ste 2 Cultural Competency: Y 13170 Ravenna Rd Ste 104 Chardon, OH 44024 Chardon, OH 44024 Ages: 0-99 (440) 753-0018 EB, P, R Hospital Affiliations: (440) 285-9229 EB, P, R Tu,Th,Fr - 7:30 AM - 11:30 AM Uh Geauga Medical Center Languages Spoken: Cultural Competency: Y University Hospitals Geauga Provider: Arabic, French Ages: 0-99 Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Uh Cleveland Medical Center Ages: 18-99 Uh Geauga Medical Center Univ Hospitals Ahuja Med Ctr Hospital Affiliations: University Hospitals Geauga Uh Geauga Medical Center Medical Ctr University Hospitals Geauga Lake Health Medical Ctr Hillcrest Hospital Robinson Memorial Hospital Uh Regional Hospitals Uh Portage Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

265

Ohio - Geauga Specialists Rabets, John C, MD, (M), B Schneider, Kurt W, MD, (M), B Summa Barberton Citizens Group Name: University Primary Group Name: Drs Levine Reigle Western Reserve Hospital Care Practices & Schneider Crystal Clinic Orthopaedic Ctr Provider ID: 002784988002 Provider ID: 002550190001 NPI: 1174749907 NPI: 1518952266 Kumins, Norman H, MD, (M), B 13170 Ravenna Rd Ste 104 13221 Ravenna Rd Ste 2 Group Name: University Primary Chardon, OH 44024 Chardon, OH 44024 Care Practices

(440) 285-9229 EB, P, R (440) 753-0018 EB, P, R Provider ID: 001801244001 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 7:30 AM - 4:30 PM NPI: 1841266756 Cultural Competency: Y Sa - 8:00 AM - 11:30 PM 13207 Ravenna Rd Ages: 0-99 Cultural Competency: Y Chardon, OH 44024

Hospital Affiliations: Ages: 0-99 (216) 285-5188 EB, P, R Uh Geauga Medical Center Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM University Hospitals Geauga Uh Geauga Medical Center Cultural Competency: Y Medical Ctr University Hospitals Geauga Web address: sheryl.johnson@uhho Cleveland Clinic Foundation Medical Ctr spitals.org Uh Cleveland Medical Center Lake Health Ages: 0-99 Univ Hospitals Ahuja Med Ctr Hillcrest Hospital Hospital Affiliations: Uh Regional Hospitals Metropolitan Hosp Reigle, Melissa D, MD, (F), B Metro Health Hospital Group Name: Drs Levine Reigle Uh Geauga Medical Center & Schneider Vascular Surgery University Hospitals Geauga

Provider ID: 001822958001 Members may self-refer to these Medical Ctr NPI: 1124013313 providers. Edward Hospital

13221 Ravenna Rd Ste 2 Uh Regional Hospital - Bedford Chardon, OH 44024 Fried, Jason A, DO, (M), B Campus Group Name: University Primary (440) 753-0018 EB, P, R Uh Regional Hospitals Tu,Th,Fr - 7:30 AM - 1:30 PM Care Practices University Hospitals Conneaut Ages: 0-99 Provider ID: 002318279004 Medical Ce Hospital Affiliations: NPI: 1275575201 Uh Geauga Medical Center 13207 Ravenna Rd University Hospitals Geauga Chardon, OH 44024 Medical Ctr (330) 235-7434 E, EB, G, IB, P, Lake Health PL, R, RE, S, T Hillcrest Hospital Languages Spoken: Uh Regional Hospitals Provider: Korean Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Robinson Memorial Hospital Uh Portage Medical Center Summa Health System Akron General Medical Ctr South Pointe Hospital

266

Specialists Ohio - Lake Areas of Expertise: E112, E160 Hospital Affiliations: Lake Lake Health

Cleveland Clinic Foundation Acupuncture Allergy & Immunology Lutheran Hospital Of Indiana

Abdelhamid, Yaser, CA, (M) Members may self-refer to these Dupont Hospital Group Name: Cleveland Clinic providers.

Foundation Provider ID: 003454820001 Friedlander, Samuel L, MD, (M), Audiology

NPI: 1689638918 B Group Name: University Primary Prior authorization is required to 2570 Som Center Rd obtain some covered services from Willoughby Hills, OH 44094 Care Practices Provider ID: 002323614001 these providers. You will not be (216) 448-4325 EB, IB, P, R, RE, NPI: 1689630345 covered for those services without T such approval by UnitedHealthcare Ages: 0-99 9000 Mentor Ave Ste 103 Mentor, OH 44060 Community Plan. Please see your Hospital Affiliations: member handbook, or call Member Cleveland Clinic Foundation (440) 248-1630 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Services for details. Fairview Hospital Cultural Competency: Y Curtis, Sarah E, AUD, (F)

Ages: 0-99 Group Name: Curtis Sarah E Allergy Hospital Affiliations: Provider ID: 006963678001 Friedlander, Samuel L, MD, (M) Uh Geauga Medical Center NPI: 1932429396 Group Name: University Primary University Hospitals Geauga 8007 Auburn Rd Ste 1 Care Practices Medical Ctr Concord Township, OH 44077 Provider ID: 002323614001 Children's Hospital Medical (440) 579-4085 E, EB, P, R, RE, NPI: 1689630345 Center S, T 9000 Mentor Ave Ste 103 Uh Regional Hospitals Web address: www.soundsoflifehc.c Mentor, OH 44060 Southwest General Health Center om St John Medical Center Ages: 0-99 (440) 248-1630 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Uh Cleveland Medical Center Cultural Competency: Y Rainbow Babies & Childrens Falzone, Lori, AUD, (F) Ages: 0-99 Hosp Group Name: University Primary Hospital Affiliations: Areas of Expertise: E112, E160 Care Practices Uh Geauga Medical Center Provider ID: 003811817003 University Hospitals Geauga Szekely, Rachel A, MD, (F), B NPI: 1245431527 Medical Ctr Group Name: Allergy Partners Of 36060 Euclid Ave Ste 201 Children's Hospital Medical Northeast Ohio Willoughby, OH 44094 Center Provider ID: 002580985002 (440) 352-1474 E, EB, IB, P, R NPI: 1548237431 Uh Regional Hospitals Ages: 0-99 Southwest General Health Center 8224 Mentor Ave Ste 132 Mentor, OH 44060 Hospital Affiliations: St John Medical Center Cleveland Clinic Foundation (440) 290-8956 EB, P, R Uh Cleveland Medical Center Rainbow Babies & Childrens Mo,Tu,Th - 9:00 AM - 6:30 PM Hosp We - 7:30 AM - 12:30 PM Ages: 0-99

267

Ohio - Lake Specialists Falzone, Lori, AUD, (F) Iammarino, Caitlyn, AUD, (F) Group Name: University Primary Group Name: University Primary Kost, Margaret M, MA, (F) Care Practices Care Practices Group Name: University Primary Provider ID: 003811817003 Provider ID: 007251984002 Care Practices NPI: 1245431527 NPI: 1609392307 Provider ID: 001569348002 6270 N Ridge Rd 36060 Euclid Ave Ste 201 NPI: 1710141908 Madison, OH 44057 Willoughby, OH 44094 6270 N Ridge Rd

(440) 352-1474 EB, IB, P, R, RE, (440) 352-1474 E, EB, IB, P, R Madison, OH 44057

T (440) 352-1474 EB, IB, P, R, RE, Ages: 0-99 Ages: 0-99 T Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Iammarino, Caitlyn, AUD, (F) Group Name: University Primary Mills, Ryan J, AUD, (M) Falzone, Lori, AUD, (F) Care Practices Group Name: Holly's Hearing Group Name: University Primary Provider ID: 007251984002 Aid Center Care Practices NPI: 1609392307 Provider ID: 003575057002 Provider ID: 003811817003 6270 N Ridge Rd NPI: 1144291188 NPI: 1245431527 Madison, OH 44057 35104 Euclid Ave 7580 Auburn Rd Ste 103 (440) 352-1474 EB, IB, P, R, RE, Willoughby, OH 44094 T Concord Township, OH 44077 (440) 946-7800 EB, P, R Ages: 0-99 (440) 352-1474 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Iammarino, Caitlyn, AUD, (F) Cleveland Clinic Foundation Group Name: University Primary Mills, Ryan J, AUD, (M) Care Practices Group Name: Holly's Hearing Hahn, Katie E, AUD, (F) Provider ID: 007251984002 Aid Center Group Name: Cleveland Clinic NPI: 1609392307 Provider ID: 003575057002 Foundation 7580 Auburn Rd Ste 103 NPI: 1144291188 Provider ID: 003710634001 Concord Township, OH 44077 35104 Euclid Ave Ste 100 NPI: 1740564657 (440) 352-1474 EB, P, R Willoughby, OH 44094 Ages: 0-99 2550 Som Center Rd (440) 946-7800 EB, P, R Willoughby Hills, OH 44094 Mo-Th - 9:00 AM - 5:00 PM Johnson, Holly A, AUD, (F) (440) 943-2500 EB, P, R Cultural Competency: Y Ages: 0-99 Group Name: Holly's Hearing Ages: 0-99 Hospital Affiliations: Aid Center Cleveland Clinic Foundation Provider ID: 003386401001 NPI: 1508152489 35104 Euclid Ave Ste 100 Willoughby, OH 44094

(440) 946-7800 EB, P, R Languages Spoken: Provider: Spanish Mo-Th - 9:00 AM - 5:00 PM Ages: 0-99

268

Specialists Ohio - Lake

Mills, Ryan J, AUD, (M) Testen, Cristina F, AUD, (F) Group Name: Holly's Hearing Group Name: University Primary Cardiology

Aid Center Care Practices Members may self-refer to these Provider ID: 003575057002 Provider ID: 007605391001 providers.

NPI: 1144291188 NPI: 1457728610 9875 Johnnycake Ridge Rd 7580 Auburn Rd Ste 103 Banna, Ahmad, MD, (M), B Mentor, OH 44060 Concord Township, OH 44077 Group Name: Ahmad Banna Md Provider ID: 000154510001 (440) 358-1559 EB, P, R, RE, T (440) 352-1474 EB, P, R Mo-Th - 9:00 AM - 5:00 PM Ages: 0-99 NPI: 1639156805 Cultural Competency: Y 124 Liberty St Ste B Web address: www.hollyshearing.c Webb, Jane R, MA, (F) Painesville, OH 44077 om Group Name: University Primary (440) 352-4956 EB, P, R Ages: 0-99 Care Practices Languages Spoken: Provider ID: 002499258002 Provider: Arabic Testen, Cristina F, AUD, (F) NPI: 1255576146 Sa - 9:00 AM - 12:00 PM Group Name: University Primary 36060 Euclid Ave Ste 201 Cultural Competency: Y Care Practices Willoughby, OH 44094 Ages: 0-99 Hospital Affiliations: Provider ID: 007605391001 (440) 352-1474 E, EB, IB, P, R NPI: 1457728610 Lake Health 36060 Euclid Ave Ste 201 Ages: 0-99 Hillcrest Hospital Willoughby, OH 44094 Huron Hospital Webb, Jane R, MA, (F) (440) 352-1474 E, EB, IB, P, R Group Name: University Primary Banna, Ahmad, MD, (M), B Ages: 0-99 Care Practices Group Name: Ahmad Banna Md Provider ID: 002499258002 Provider ID: 000154510001 Testen, Cristina F, AUD, (F) NPI: 1255576146 NPI: 1639156805 Group Name: University Primary 6270 N Ridge Rd 35717 Euclid Ave Care Practices Madison, OH 44057 Willoughby, OH 44094

Provider ID: 007605391001 (440) 352-1474 EB, IB, P, R, RE, (440) 942-4890 P, R, RE, T NPI: 1457728610 T Languages Spoken: 6270 N Ridge Rd Ages: 0-99 Provider: Arabic Madison, OH 44057 Cultural Competency: Y

(440) 352-1474 EB, IB, P, R, RE, Webb, Jane R, MA, (F) Ages: 0-99 T Group Name: University Primary Hospital Affiliations: Ages: 0-99 Care Practices Lake Health Provider ID: 002499258002 Hillcrest Hospital NPI: 1255576146 Huron Hospital 7580 Auburn Rd Ste 103 Concord Township, OH 44077

(440) 352-1474 EB, P, R Ages: 0-99

269

Ohio - Lake Specialists Bruening, Laurie C, NP, (F) Cakulev, Ivan T, MD, (M), B Elamm, Chantal A, MD, (F) Group Name: University Group Name: University Group Name: University Hospitals Medical Group Hospitals Medical Group Hospitals Medical Group Provider ID: 007350217002 Provider ID: 002510139002 Provider ID: 003422893001 NPI: 1457996043 NPI: 1083639546 NPI: 1104017383 7500 Auburn Rd Ste 1500 9000 Mentor Ave Ste 212 9000 Mentor Ave Ste 212 Concord Township, OH 44077 Mentor, OH 44060 Mentor, OH 44060

(216) 844-3800 EB, P, R (216) 844-3800 EB, P, R (216) 844-3800 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Languages Spoken: Ages: 18-99 Provider: Bulgarian, Serbian, Provider: Arabic, French Hospital Affiliations: Macedonian Mo-Fr - 8:30 AM - 4:30 PM Uh Geauga Medical Center Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y University Hospitals Geauga Cultural Competency: Y Ages: 0-99 Medical Ctr Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Cakulev, Ivan T, MD, (M), B Uh Geauga Medical Center Univ Hospitals Ahuja Med Ctr Group Name: University University Hospitals Geauga Hospitals Medical Group Medical Ctr Espinosa, Roger G, MD, (M), B Provider ID: 002510139002 Uh Cleveland Medical Center Group Name: Roger Espinosa Md NPI: 1083639546 Univ Hospitals Ahuja Med Ctr Provider ID: 000154511001 7500 Auburn Rd NPI: 1386622728 Concord Township, OH 44077 Effron, Barry A, MD, (M), B 35717 Euclid Ave

(216) 844-3800 EB, IB, P, R Group Name: University Willoughby, OH 44094

Languages Spoken: Hospitals Medical Group (440) 942-4890 P, R, RE, T Provider: Bulgarian, Serbian, Provider ID: 000621206002 Languages Spoken: Macedonian NPI: 1376569640 Provider: Filipino Mo-Fr - 8:30 AM - 4:30 PM 9000 Mentor Ave Mo,Tu,Th - 9:00 AM - 5:00 PM Cultural Competency: Y Mentor, OH 44060 We,Fr - 9:00 AM - 3:00 PM

Ages: 0-99 (216) 844-3800 EB, P, R Cultural Competency: Y Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Uh Geauga Medical Center Cultural Competency: Y Hospital Affiliations: University Hospitals Geauga Ages: 0-99 Lake Health Medical Ctr Hospital Affiliations: Huron Hospital Uh Cleveland Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr Univ Hospitals Ahuja Med Ctr

270

Specialists Ohio - Lake Espinosa, Roger G, MD, (M), B Hoit, Brian D, MD, (M) Jenkins, Trevor L, MD, (M) Group Name: Roger Espinosa Md Group Name: University Group Name: University Provider ID: 000154511001 Hospitals Medical Group Hospitals Medical Group NPI: 1386622728 Provider ID: 000801861002 Provider ID: 003492199001 9500 Mentor Ave Ste 240 NPI: 1225054430 NPI: 1639388333 Mentor, OH 44060 9000 Mentor Ave Ste 212 9000 Mentor Ave Ste 212

(440) 354-7300 EB, IB, P, R Mentor, OH 44060 Mentor, OH 44060

Languages Spoken: (216) 844-3800 EB, P, R (216) 844-3800 EB, P, R Provider: Filipino Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Uh Cleveland Medical Center Lake Health University Of Cincinnati Medical Univ Hospitals Ahuja Med Ctr Huron Hospital Center Univ Hospitals Ahuja Med Ctr Josephson, Richard A, MD, (M), Farah, Michel G, MD, (M), B B Group Name: University Jain, Mukesh K, MD, (M) Group Name: University Hospitals Medical Group Group Name: University Hospitals Medical Group Provider ID: 000621210002 Hospitals Medical Group Provider ID: 000046859001 NPI: 1780603563 Provider ID: 002032581002 NPI: 1487659009 9000 Mentor Ave Ste 212 NPI: 1942221775 9000 Mentor Ave Ste 212 Mentor, OH 44060 9000 Mentor Ave Mentor, OH 44060

(216) 844-3800 EB, P, R Mentor, OH 44060 (216) 844-3800 EB, P, R

Languages Spoken: (216) 844-3800 EB, P, R Cultural Competency: Y Provider: Arabic Languages Spoken: Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Provider: Hindi Hospital Affiliations: Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Summa Health System Ages: 0-99 Cultural Competency: Y Childrens Hospital Med Ctr Akron Hospital Affiliations: Ages: 0-99 Akron General Medical Ctr Uh Cleveland Medical Center Hospital Affiliations: Summa Barberton Citizens Univ Hospitals Ahuja Med Ctr Brigham & Womens Hospital Uh Cleveland Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

271

Ohio - Lake Specialists Madan Mohan, Sri K, MD, (M) Wilson, Thomas S, MD, (M), B Wilson, Thomas S, MD, (M), B Group Name: University Group Name: University Group Name: University Hospitals Medical Group Hospitals Medical Group Hospitals Medical Group Provider ID: 001765539003 Provider ID: 000940617002 Provider ID: 000940617002 NPI: 1801825609 NPI: 1649239260 NPI: 1649239260 9000 Mentor Ave Ste 212 10 E Washington St 7590 Auburn Rd Mentor, OH 44060 Painesville, OH 44077 Concord Township, OH 44077

(216) 844-3800 EB, P, R (216) 844-3800 EB, P, R (440) 354-1625 EB, P, R Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Provider: Indian, Indonesian Cultural Competency: Y Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Uh Cleveland Medical Center Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Wilson, Thomas S, MD, (M), B Metrohealth Medical Center Wilson, Thomas S, MD, (M), B Group Name: University Deaconess Hospital Group Name: University Hospitals Medical Group Uh Regional Hospitals Hospitals Medical Group Provider ID: 000940617002 University Hospitals Conneaut Provider ID: 000940617002 NPI: 1649239260 Medical Ce NPI: 1649239260 9000 Mentor Ave Uh Conneaut Medical Center 36000 Euclid Ave Mentor, OH 44060

Southwest General Health Center Willoughby, OH 44094 (216) 844-3800 EB, P, R

Uh Cleveland Medical Center (216) 844-3800 P, R, RE, T Mo-Fr - 8:30 AM - 4:30 PM St Vincent Charity Medical Center Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Waldo, Albert L, MD, (M), B Ages: 0-99 Hospital Affiliations: Group Name: University Hospital Affiliations: Uh Cleveland Medical Center Hospitals Medical Group Uh Cleveland Medical Center Provider ID: 000621272002 NPI: 1427074855 Wilson, Thomas S, MD, (M), B Cardiovascular Disease 9000 Mentor Ave Ste 212 Group Name: University Arruda, Maria J, MD, (F), B Mentor, OH 44060 Hospitals Medical Group Group Name: University (216) 844-3800 EB, P, R Provider ID: 000940617002 Hospitals Medical Group Mo-Fr - 8:30 AM - 4:30 PM NPI: 1649239260 Provider ID: 002184392002 Cultural Competency: Y 7500 Auburn Rd NPI: 1043323066 Ages: 0-99 Concord Township, OH 44077 9000 Mentor Ave Ste 212 Hospital Affiliations: (216) 844-3800 EB, IB, P, R Mentor, OH 44060

Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM (216) 844-7700 EB, P, R Univ Hospitals Ahuja Med Ctr Cultural Competency: Y Languages Spoken: Ages: 0-99 Provider: Portuguese, Spanish Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Uh Cleveland Medical Center Cultural Competency: Y Ages: 0-99 Hospital Affiliations:

272

Specialists Ohio - Lake Wooster Community Hospital Uh Geauga Medical Center Confino, Jason L, MD, (M), B Cunningham, Michael J, MD, University Hospitals Geauga Group Name: Cleveland Clinic (M), B Medical Ctr Foundation Group Name: University Metrohealth Medical Center Provider ID: 002824167002 Hospitals Medical Group Cleveland Clinic Foundation NPI: 1326244666 Provider ID: 001830470001 Loyola University Medical Center 2550 Som Center Rd NPI: 1942229893 Medina Hospital Willoughby Hills, OH 44094 9000 Mentor Ave Ste 212

Uh Cleveland Medical Center (440) 943-2500 EB, P, R Mentor, OH 44060

Mo-Fr - 8:00 AM - 4:00 PM (440) 974-4101 EB, P, R Botti, Robert E, MD, (M) Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Group Name: Cardiovascular Hospital Affiliations: Cultural Competency: Y Consultants/Cleveland Fairview Hospital Ages: 0-99 Provider ID: 000885092001 Cleveland Clinic Foundation Hospital Affiliations: NPI: 1841285376 South Pointe Hospital Uh Geauga Medical Center 7200 Mentor Ave Euclid Hospital University Hospitals Geauga Mentor, OH 44060 Marymount Hospital Medical Ctr

(440) 942-5400 EB, G, P, R, RE, Lutheran Hospital Lake Health S, T Medina Hospital Uh Regional Hospital - Bedford Mo-Fr - 8:30 AM - 5:00 PM Upmc St Margaret Hsp Campus Cultural Competency: Y Uh Regional Hospitals Ages: 0-99 Cunningham, Michael J, MD, St John Medical Center Hospital Affiliations: (M), B Uh Cleveland Medical Center Uh Geauga Medical Center Group Name: University St Vincent Charity Medical Center University Hospitals Geauga Hospitals Medical Group Medical Ctr Provider ID: 001830470001 Desai, Milind Y, MD, (M), B Lake Health NPI: 1942229893 Group Name: Cleveland Clinic Hillcrest Hospital 7590 Auburn Rd Foundation Euclid Hospital Concord Township, OH 44077 Provider ID: 002018313001

Huron Hospital (440) 354-1625 EB, P, R NPI: 1669572152 Cultural Competency: Y 2550 Som Center Rd Collier, Patrick H, MD, (M), B Ages: 0-99 Willoughby Hills, OH 44094

Group Name: Cleveland Clinic Hospital Affiliations: (440) 943-2500 EB, P, R Foundation Uh Geauga Medical Center Cultural Competency: Y Provider ID: 003668484001 University Hospitals Geauga Ages: 0-99 NPI: 1235411190 Medical Ctr Hospital Affiliations: 2550 Som Center Rd Lake Health Wooster Community Hospital Willoughby Hills, OH 44094 Uh Regional Hospital - Bedford Cleveland Clinic Foundation

(216) 444-3200 EB, P, R Campus Fairview Hospital Cultural Competency: Y Uh Regional Hospitals South Pointe Hospital Ages: 0-99 St John Medical Center Euclid Hospital Hospital Affiliations: Uh Cleveland Medical Center Marymount Hospital Cleveland Clinic Foundation St Vincent Charity Medical Center Lutheran Hospital

273

Ohio - Lake Specialists Brigham & Womens Hospital Desai, Milind Y, MD, (M), B Elamm, Chantal A, MD, (F), B Group Name: Cleveland Clinic Group Name: University Desai, Milind Y, MD, (M), B Foundation Hospitals Medical Group Group Name: Cleveland Clinic Provider ID: 002018313001 Provider ID: 003422893001 Foundation NPI: 1669572152 NPI: 1104017383 Provider ID: 002018313001 7060 Wayside Dr 9000 Mentor Ave Ste 212 NPI: 1669572152 Mentor, OH 44060 Mentor, OH 44060

2570 Som Center Rd (440) 357-2770 EB, P, R (216) 844-3800 EB, P, R Willoughby Hills, OH 44094 Cultural Competency: Y Languages Spoken:

(440) 943-2500 EB, IB, P, R, RE, Ages: 0-99 Provider: Arabic, French T Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Wooster Community Hospital Cultural Competency: Y Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Fairview Hospital Hospital Affiliations: Wooster Community Hospital South Pointe Hospital Uh Cleveland Medical Center Cleveland Clinic Foundation Euclid Hospital Univ Hospitals Ahuja Med Ctr Fairview Hospital Marymount Hospital South Pointe Hospital Lutheran Hospital Espinosa, Roger G, MD, (M), B Euclid Hospital Brigham & Womens Hospital Group Name: Roger Espinosa Md Marymount Hospital Provider ID: 000154511001 Lutheran Hospital Effron, Barry A, MD, (M), B NPI: 1386622728 Brigham & Womens Hospital Group Name: University 35717 Euclid Ave Hospitals Medical Group Willoughby, OH 44094

Desai, Milind Y, MD, (M), B Provider ID: 000621206002 (440) 942-4890 P, R, RE, T Group Name: Cleveland Clinic NPI: 1376569640 Languages Spoken: Foundation 9000 Mentor Ave Provider: Filipino Provider ID: 002018313001 Mentor, OH 44060 Mo,Tu,Th - 9:00 AM - 5:00 PM

NPI: 1669572152 (216) 844-3800 EB, P, R We,Fr - 9:00 AM - 3:00 PM 2999 Mcmackin Rd Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Madison, OH 44057 Cultural Competency: Y Ages: 0-99

(440) 428-1111 E, EB, IB, P Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Lake Health Ages: 0-99 Uh Cleveland Medical Center Huron Hospital Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Wooster Community Hospital Cleveland Clinic Foundation Fairview Hospital South Pointe Hospital Euclid Hospital Marymount Hospital Lutheran Hospital Brigham & Womens Hospital

274

Specialists Ohio - Lake Espinosa, Roger G, MD, (M), B Farah, George M, MD, (M) Goldstein, Robert N, MD, (M), B Group Name: Roger Espinosa Md Group Name: University Group Name: Lake Medical Provider ID: 000154511001 Hospitals Medical Group Center/Madison NPI: 1386622728 Provider ID: 003279408001 Provider ID: 002224116003 9500 Mentor Ave Ste 240 NPI: 1629049283 NPI: 1255350070 Mentor, OH 44060 9000 Mentor Ave Ste 212 36100 Euclid Ave Ste 400

(440) 354-7300 EB, IB, P, R Mentor, OH 44060 Willoughby, OH 44094

Languages Spoken: (216) 844-3800 EB, P, R (440) 602-6735 EB, P, R Provider: Filipino Languages Spoken: Mo-Fr - 8:30 AM - 5:00 PM Mo-Fr - 9:00 AM - 5:00 PM Provider: Arabic Cultural Competency: Y Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Web address: www.smalv.com Lake Health Lake Health Ages: 0-99 Uh Regional Hospitals Huron Hospital Hospital Affiliations: Uh Cleveland Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr Farah, George M, MD, (M) Univ Hospitals Ahuja Med Ctr Group Name: University Goldstein, Robert N, MD, (M), B Hospitals Medical Group Farah, Michel G, MD, (M), B Group Name: Lake Medical Provider ID: 003279408001 Group Name: University Center/Madison NPI: 1629049283 Hospitals Medical Group Provider ID: 002224116003 7500 Auburn Rd Ste 1500 Provider ID: 000621210002 NPI: 1255350070 Concord Township, OH 44077 NPI: 1780603563 8655 Market St

(216) 844-3800 EB, P, R 9000 Mentor Ave Ste 212 Mentor, OH 44060

Languages Spoken: Mentor, OH 44060 (440) 255-5508 P, R, RE, T

Provider: Arabic (216) 844-3800 EB, P, R Mo-Fr - 8:30 AM - 5:00 PM Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Cultural Competency: Y Cultural Competency: Y Provider: Arabic Ages: 0-99 Web address: www.smalv.com Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Lake Health Hospital Affiliations: Ages: 0-99 Uh Regional Hospitals Uh Cleveland Medical Center Hospital Affiliations: Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr Univ Hospitals Ahuja Med Ctr

275

Ohio - Lake Specialists Greene, Lloyd H, MD, (M), B Jain, Mukesh K, MD, (M), B Hospital Affiliations: Group Name: University Group Name: University Summa Health System Hospitals Medical Group Hospitals Medical Group Childrens Hospital Med Ctr Akron Provider ID: 001123215002 Provider ID: 002032581002 Akron General Medical Ctr NPI: 1144243841 NPI: 1942221775 Summa Barberton Citizens 9000 Mentor Ave Ste 212 9000 Mentor Ave Uh Cleveland Medical Center Mentor, OH 44060 Mentor, OH 44060 Univ Hospitals Ahuja Med Ctr

(216) 844-3800 EB, P, R (216) 844-3800 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Joshi, Deepak, MD, (M), B Cultural Competency: Y Provider: Hindi Group Name: Community Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospitalists Hospital Affiliations: Cultural Competency: Y Provider ID: 003374875003 Good Samaritan Hospital Ages: 0-99 NPI: 1154506582 Uh Regional Hospitals Hospital Affiliations: 10 E Washington St Uh Cleveland Medical Center Brigham & Womens Hospital Painesville, OH 44077

Univ Hospitals Ahuja Med Ctr Uh Cleveland Medical Center (440) 542-5000 EB, P, R Ages: 0-99 Hoit, Brian D, MD, (M), B Jenkins, Trevor L, MD, (M) Hospital Affiliations: Group Name: University Group Name: University Gaffney Medical Center Hospitals Medical Group Hospitals Medical Group Cherokee Medical Center Provider ID: 000801861002 Provider ID: 003492199001 Spartanburg Medical Ctr-mary NPI: 1225054430 NPI: 1639388333 Black Cmps 9000 Mentor Ave Ste 212 9000 Mentor Ave Ste 212 Spartanburg Medical Center Mentor, OH 44060 Mentor, OH 44060 Union Medical Center

(216) 844-3800 EB, P, R (216) 844-3800 EB, P, R Pelham Medical Center Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Joshi, Deepak, MD, (M), B Ages: 0-99 Ages: 0-99 Group Name: Community Hospital Affiliations: Hospital Affiliations: Hospitalists Uh Cleveland Medical Center Uh Cleveland Medical Center Provider ID: 003374875003 University Of Cincinnati Medical Univ Hospitals Ahuja Med Ctr NPI: 1154506582 Center 36000 Euclid Ave Univ Hospitals Ahuja Med Ctr Josephson, Richard A, MD, (M), Willoughby, OH 44094

B (440) 542-5000 P, R, RE, T Group Name: University Ages: 0-99 Hospitals Medical Group Hospital Affiliations: Provider ID: 000046859001 Gaffney Medical Center NPI: 1487659009 Cherokee Medical Center 9000 Mentor Ave Ste 212 Spartanburg Medical Ctr-mary Mentor, OH 44060 Black Cmps

(216) 844-3800 EB, P, R Spartanburg Medical Center Cultural Competency: Y Union Medical Center Ages: 0-99 Pelham Medical Center

276

Specialists Ohio - Lake Kruithoff, Keith L, MD, (M), B Madan Mohan, Sri K, MD, (M), B Joshi, Deepak, MD, (M), B Group Name: Cleveland Clinic Group Name: University Group Name: Community Foundation Hospitals Medical Group Hospitalists Provider ID: 002610886005 Provider ID: 001765539003 Provider ID: 003374875003 NPI: 1093825317 NPI: 1801825609 NPI: 1154506582 7060 Wayside Dr 9000 Mentor Ave Ste 212 7590 Auburn Rd Mentor, OH 44060 Mentor, OH 44060

Concord Township, OH 44077 (440) 357-2741 EB, P, R (216) 844-3800 EB, P, R

(440) 542-5000 E, EB, G, IB, P, Languages Spoken: Languages Spoken: PL, R, RE, S, T Provider: Spanish Provider: Indian, Indonesian Ages: 0-99 Mo-Fr - 8:00 AM - 4:00 PM Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Gaffney Medical Center Hospital Affiliations: Ages: 0-99 Cherokee Medical Center Metrohealth Medical Center Hospital Affiliations: Spartanburg Medical Ctr-mary Cleveland Clinic Foundation Metrohealth Medical Center Black Cmps Hillcrest Hospital Deaconess Hospital Spartanburg Medical Center Euclid Hospital Uh Regional Hospitals Union Medical Center Marymount Hospital University Hospitals Conneaut Pelham Medical Center Medical Ce Longenecker, Christopher T, MD, Uh Conneaut Medical Center Kruithoff, Keith L, MD, (M), B (M), B Southwest General Health Center Group Name: Cleveland Clinic Group Name: University Uh Cleveland Medical Center Foundation Hospitals Medical Group St Vincent Charity Medical Center Provider ID: 002610886005 Provider ID: 003536139001 NPI: 1093825317 NPI: 1629249529 Naso, Arabi, MD, (M), B 2550 Som Center Rd 9000 Mentor Ave Ste 212 Group Name: University Hosp Willoughby Hills, OH 44094 Mentor, OH 44060 Professionals

(440) 943-2500 EB, P, R (440) 808-5108 EB, P, R Provider ID: 002998841001 Languages Spoken: Languages Spoken: NPI: 1073651915 Provider: Spanish Provider: French 10 E Washington St Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Painesville, OH 44077

Hospital Affiliations: Cultural Competency: Y (216) 844-3800 EB, P, R Metrohealth Medical Center Ages: 0-99 Languages Spoken: Cleveland Clinic Foundation Hospital Affiliations: Provider: Arabic Hillcrest Hospital Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM Euclid Hospital Univ Hospitals Ahuja Med Ctr Cultural Competency: Y Marymount Hospital Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center

277

Ohio - Lake Specialists Naso, Arabi, MD, (M), B Hospital Affiliations: Schoenhagen, Paul, MD, (M), B Group Name: University Hosp Uh Cleveland Medical Center Group Name: Cleveland Clinic Professionals Foundation Provider ID: 002998841001 Patel, Chetan P, MD, (M), B Provider ID: 002305957001 NPI: 1073651915 Group Name: Lake NPI: 1235194051 36000 Euclid Ave Cardiovascular 2550 Som Center Rd Willoughby, OH 44094 Provider ID: 002117301005 Willoughby Hills, OH 44094

(216) 844-3800 P, R, RE, T NPI: 1639156516 (440) 943-2500 EB, P, R Languages Spoken: 35717 Euclid Ave Accepting Existing Patients Only Provider: Arabic Willoughby, OH 44094 Ages: 0-99

Mo-Fr - 8:30 AM - 4:30 PM (440) 279-0599 P, R, RE, T Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Wooster Community Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Sanford Medical Center Uh Cleveland Medical Center Lake Health Schoenhagen, Paul, MD, (M), B Group Name: Cleveland Clinic Naso, Arabi, MD, (M), B Riad, Kamal S, MD, (M), B Foundation Group Name: University Hosp Group Name: Cleveland Clinic Provider ID: 002305957001 Professionals Foundation NPI: 1235194051 Provider ID: 002998841001 Provider ID: 002102117001 2570 Som Center Rd NPI: 1073651915 NPI: 1023125937 Willoughby Hills, OH 44094

36100 Euclid Ave 2550 Som Center Rd (440) 943-2500 EB, IB, P, R, RE, Willoughby, OH 44094 Willoughby Hills, OH 44094 T

(216) 844-3800 EB, P, R (440) 943-2500 EB, P, R Accepting Existing Patients Only Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Provider: Arabic Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Wooster Community Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Lake Health Uh Cleveland Medical Center Cleveland Clinic Foundation Schoenhagen, Paul, MD, (M), B Fairview Hospital Group Name: Cleveland Clinic Naso, Arabi, MD, (M), B South Pointe Hospital Foundation Group Name: University Hosp Euclid Hospital Provider ID: 002305957001 Professionals Marymount Hospital NPI: 1235194051 Provider ID: 002998841001 Lutheran Hospital 2999 Mcmackin Rd NPI: 1073651915 Medina Hospital Madison, OH 44057

7590 Auburn Rd (440) 428-1111 E, EB, IB, P Concord Township, OH 44077 Accepting Existing Patients Only

(440) 354-1625 EB, P, R Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Arabic Wooster Community Hospital Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99

278

Specialists Ohio - Lake Schoenhagen, Paul, MD, (M), B Vandyke, Arthur E, MD, (M), B Wattar, Abdul R, MD, (M), B Group Name: Cleveland Clinic Group Name: Cardiovascular Group Name: Cleveland Clinic Foundation Consultants/Cleveland Foundation Provider ID: 002305957001 Provider ID: 000496883003 Provider ID: 002366794001 NPI: 1235194051 NPI: 1346234036 NPI: 1013996214 7060 Wayside Dr 7200 Mentor Ave 2550 Som Center Rd Mentor, OH 44060 Mentor, OH 44060 Willoughby Hills, OH 44094

(440) 357-2770 EB, P, R (440) 942-5400 EB, G, P, R, RE, (440) 943-2500 EB, P, R Accepting Existing Patients Only S, T Languages Spoken: Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Provider: Arabic Hospital Affiliations: Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Wooster Community Hospital Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Uh Geauga Medical Center Ages: 0-99 University Hospitals Geauga Hospital Affiliations: Smith, David G, MD, (M), B Medical Ctr Cleveland Clinic Foundation Group Name: Smith Vein Lake Health Fairview Hospital Institute Hillcrest Hospital South Pointe Hospital Provider ID: 001841435003 Euclid Hospital Euclid Hospital NPI: 1316980246 Huron Hospital Southwest General Health Center 7536 Fredle Dr St John Medical Center Concord Township, OH 44077 Waldo, Albert L, MD, (M), B St Vincent Charity Medical Center

(440) 853-8208 E, EB, IB, P, R, Group Name: University Cleveland Clinic Avon Hospital RE, S, T Hospitals Medical Group Mo-Fr - 9:00 AM - 5:00 PM Provider ID: 000621272002 Wattar, Abdul R, MD, (M), B Sa - 8:00 AM - 1:00 PM NPI: 1427074855 Group Name: Cleveland Clinic Ages: 0-99 9000 Mentor Ave Ste 212 Foundation Hospital Affiliations: Mentor, OH 44060 Provider ID: 002366794001

Uh Geauga Medical Center (216) 844-3800 EB, P, R NPI: 1013996214 University Hospitals Geauga Mo-Fr - 8:30 AM - 4:30 PM 2570 Som Center Rd Medical Ctr Cultural Competency: Y Willoughby Hills, OH 44094

Lake Health Ages: 0-99 (440) 943-2500 EB, IB, P, R, RE, Uh Geneva Medical Center Hospital Affiliations: T Uh Cleveland Medical Center Uh Cleveland Medical Center Languages Spoken: Univ Hospitals Ahuja Med Ctr Provider: Arabic Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital South Pointe Hospital Euclid Hospital Southwest General Health Center

279

Ohio - Lake Specialists St John Medical Center Wilson, Thomas S, MD, (M), B Wilson, Thomas S, MD, (M), B St Vincent Charity Medical Center Group Name: University Group Name: University Cleveland Clinic Avon Hospital Hospitals Medical Group Hospitals Medical Group Provider ID: 000940617002 Provider ID: 000940617002 Wattar, Abdul R, MD, (M), B NPI: 1649239260 NPI: 1649239260 Group Name: Cleveland Clinic 36000 Euclid Ave 9000 Mentor Ave Foundation Willoughby, OH 44094 Mentor, OH 44060

Provider ID: 002366794001 (216) 844-3800 P, R, RE, T (216) 844-3800 EB, P, R NPI: 1013996214 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM 7060 Wayside Dr Cultural Competency: Y Cultural Competency: Y Mentor, OH 44060 Ages: 0-99 Ages: 0-99

(440) 357-2770 EB, P, R Hospital Affiliations: Hospital Affiliations: Languages Spoken: Uh Cleveland Medical Center Uh Cleveland Medical Center Provider: Arabic Mo-Fr - 9:00 AM - 5:00 PM Wilson, Thomas S, MD, (M), B Cultural Competency: Y Group Name: University Cardiovascular Surgery Ages: 0-99 Hospitals Medical Group Rao, Vikram K, MD , (M), B Hospital Affiliations: Provider ID: 000940617002 Group Name: Northeast Ohio Cleveland Clinic Foundation NPI: 1649239260 Vascular Associates Fairview Hospital 7500 Auburn Rd Provider ID: 002588234003 South Pointe Hospital Concord Township, OH 44077 NPI: 1881637825 Euclid Hospital (216) 844-3800 EB, IB, P, R 36445 Biltmore Pl Ste A Southwest General Health Center Mo-Fr - 8:30 AM - 4:30 PM Willoughby, OH 44094

St John Medical Center Cultural Competency: Y (440) 269-8346 EB, P, R St Vincent Charity Medical Center Ages: 0-99 Languages Spoken: Cleveland Clinic Avon Hospital Hospital Affiliations: Provider: Hindi Uh Cleveland Medical Center Mo-Fr - 9:00 AM - 5:00 PM Wilson, Thomas S, MD, (M), B Cultural Competency: Y Group Name: University Wilson, Thomas S, MD, (M), B Ages: 0-99 Hospitals Medical Group Group Name: University Hospital Affiliations: Provider ID: 000940617002 Hospitals Medical Group Lake Health NPI: 1649239260 Provider ID: 000940617002 10 E Washington St NPI: 1649239260 Painesville, OH 44077 7590 Auburn Rd

(216) 844-3800 EB, P, R Concord Township, OH 44077

Mo-Fr - 8:30 AM - 4:30 PM (440) 354-1625 EB, P, R Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Uh Cleveland Medical Center

280

Specialists Ohio - Lake

Rollins, David L, MD, (M), B Crum, Gary A, DC, (M) Group Name: Northeast Ohio Chiropractor Group Name: Lake Chiropractic

Vascular Associates Prior authorization is required to Clinic Provider ID: 002056972002 obtain some covered services from Provider ID: 002054388001 NPI: 1639106594 these providers. You will not be NPI: 1811987852 36445 Biltmore Pl Ste A covered for those services without 32313 Vine St Willoughby, OH 44094 such approval by UnitedHealthcare Willowick, OH 44095 (440) 269-8346 EB, P, R Community Plan. Please see your (440) 943-4357 EB, P, R, RE, T Languages Spoken: member handbook, or call Member Languages Spoken: Provider: Spanish Services for details. Provider: Spanish Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Brown, Kenneth C, DC, (M) Staff: Spanish Ages: 0-99 Group Name: Brown Kenneth C Interpreter: Spanish Hospital Affiliations: Provider ID: 000705156001 Mo,We,Fr - 9:30 AM - 6:30 PM Lake Health NPI: 1356428114 Tu - 9:30 AM - 12:00 PM 37742 Euclid Ave Cultural Competency: Y Rollins, David L, MD, (M), B Willoughby, OH 44094 Ages: 0-99 Group Name: Northeast Ohio (440) 942-1232 EB, P, R Vascular Associates Mo,We,Fr - 9:00 AM - 6:30 PM French, Timothy M, DC, (M) Provider ID: 002056972002 Tu - 9:00 AM - 3:00 PM Group Name: French NPI: 1639106594 Ages: 5-99 Chiropractic And Wellness 8007 Auburn Rd Ste 1 Provider ID: 002138851001 Concord Township, OH 44077 Copp, David A, DC, (M) NPI: 1194826727 Group Name: Aligned 6166 N Ridge Rd (440) 269-8346 E, EB, P, R, RE, S, T Chiropractic And Physical Rehab Madison, OH 44057 Languages Spoken: Provider ID: 001111258001 (440) 428-1755 E, EB, IB, P, R, Provider: Spanish NPI: 1487678397 RE, S, T Mo-Fr - 9:00 AM - 5:00 PM 7547 Mentor Ave Mo-Fr - 8:00 AM - 6:30 PM Cultural Competency: Y Mentor, OH 44060 Sa - 9:00 AM - 1:00 PM Ages: 0-99 (440) 536-5475 EB, P, R Cultural Competency: Y Hospital Affiliations: Languages Spoken: Ages: 0-99 Lake Health Provider: Vietnamese Ages: 0-99 Kim, Susan M, DC, (F) Group Name: Lakehealth Provider ID: 002170902004 NPI: 1215012257 8655 Market St Mentor, OH 44060

(440) 255-5508 P, R, RE, T Mo-We - 8:00 AM - 5:00 PM Th - 9:00 AM - 6:00 PM Fr - 8:00 AM - 12:00 PM Cultural Competency: Y Ages: 0-99

281

Ohio - Lake Specialists Hospital Affiliations: Migoni, Natalie J, DC, (F) Staib, Clayton T, DC, (M) Lake Health Group Name: Wellness Lake Group Name: French County Chiropractic Inc Chiropractic And Wellness Lemire, Thomas G, DC, (M) Provider ID: 003211888002 Provider ID: 007424809001 Group Name: Thomas Lemire Dc NPI: 1568789840 NPI: 1154955524 Provider ID: 003222322001 1640 Mentor Ave 6166 N Ridge Rd NPI: 1629393244 Painesville, OH 44077 Madison, OH 44057

9031 Mentor Ave (440) 639-9171 EB, P, R (440) 428-1755 E, EB, IB, P, R, Mentor, OH 44060 Ages: 0-99 RE, S, T

(440) 255-1315 EB, P, R, RE Ages: 0-99 Mo-Fr - 8:00 AM - 6:00 PM Moore, Timothy T, DC, (M) Sa - 8:30 AM - 11:00 AM Group Name: Aligned Torzok, Thomas B, DC, (M) Web address: www.drestadt.com Chiropractic And Physical Rehab Group Name: Cleveland Clinic Ages: 0-99 Provider ID: 003373102001 Foundation Hospital Affiliations: NPI: 1316021231 Provider ID: 002119795001 Lake Health 39000 Mentor Ave NPI: 1639162258 Willoughby, OH 44094 2570 Som Center Rd

Mclaughlin, Patrick J, DC, (M) (440) 953-3950 E, EB, G, IB, P, Willoughby Hills, OH 44094

Group Name: Willoughby PL, R, RE, S, T (440) 943-2500 EB, IB, P, R, RE, Chiropractic Center Languages Spoken: T Provider ID: 001801629001 Provider: Vietnamese Ages: 0-99 NPI: 1912078247 Ages: 0-99 Hospital Affiliations: 4045 Erie St Cleveland Clinic Foundation Willoughby, OH 44094 Nguyen, Bi T, DC, (M)

(440) 942-2225 EB, IB, P, R Group Name: Aligned Waked, Monda T, DC, (F) Mo,We,Th - 9:00 AM - 6:00 PM Chiropractic And Physical Rehab Group Name: Chiro Life Fr - 8:30 AM - 12:00 PM Provider ID: 003821368001 Provider ID: 002771782002 Web address: www.mclaughlinchiro NPI: 1295080232 NPI: 1245375351 .com 7547 Mentor Ave Ste 3 7211 Center St Ages: 0-99 Mentor, OH 44060 Mentor, OH 44060

(440) 953-3950 E, EB, P, R, RE, (440) 205-9910 Migoni, Natalie J, DC, (F) S Ages: 0-99 Group Name: Wellness Lake Languages Spoken: County Chiropractic Inc Provider: Vietnamese Provider ID: 003211888003 Staff: Vietnamese NPI: 1568789840 Interpreter: Vietnamese 1545 Mentor Ave Mo-Th - 10:00 AM - 6:00 PM Painesville, OH 44077 Fr,Sa - 10:00 AM - 1:30 PM

(440) 639-9171 EB, IB, P, R, RE, Ages: 0-99 T Ages: 0-99

282

Specialists Ohio - Lake

Bergfeld, Wilma F, MD, (F), B Carroll, Bryan T, MD, (M), B Dermatology Group Name: Cleveland Clinic Group Name: University

Members may self-refer to these Foundation Hospitals Medical Group providers. Provider ID: 001200869001 Provider ID: 003489113003

NPI: 1013972207 NPI: 1609087121 Amado De Olazaval, Antoine, 2570 Som Center Rd 7500 Auburn Rd Ste 2500 MD, (F), B Willoughby Hills, OH 44094 Concord Township, OH 44077 Group Name: Cleveland Clinic (440) 943-2500 EB, IB, P, R, RE, (216) 844-8200 EB, P, R Foundation T Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 003521665001 Cultural Competency: Y Ages: 0-99 NPI: 1053584193 Ages: 0-99 Hospital Affiliations: 2570 Som Center Rd Hospital Affiliations: Sentara Rmh Medical Center Willoughby Hills, OH 44094 Cleveland Clinic Foundation Magee Womens Hospital Of (440) 943-2500 EB, IB, P, R, RE, Hillcrest Hospital Upmc T Fairview Hospital Penn Presbyterian Medical Center Ages: 0-99 Lakewood Hospital Presbyterian Medical Center Hospital Affiliations: Cleveland Clinic Lakewood Uh Cleveland Medical Center Cleveland Clinic Foundation Euclid Hospital Rainbow Babies & Childrens Marymount Hospital Hosp Bergfeld, Wilma F, MD, (F), B Lutheran Hospital Upmc Presbyterian Shadyside Group Name: Cleveland Clinic Foundation Beveridge, Mara G, MD, (F), B Castrovinci, Anthony J, MD, (M) Provider ID: 001200869001 Group Name: University Group Name: Castrovinci NPI: 1013972207 Hospitals Medical Group Anthony J 2550 Som Center Rd Provider ID: 005656509001 Provider ID: 000090610001 Willoughby Hills, OH 44094 NPI: 1861780017 NPI: 1477649713 (440) 943-2500 EB, P, R 7500 Auburn Rd Ste 2500 6270 N Ridge Rd Cultural Competency: Y Concord Township, OH 44077 Madison, OH 44057 Ages: 0-99 (216) 844-8200 EB, P, R (440) 428-8263 EB, IB, P, R, RE, Hospital Affiliations: Languages Spoken: T Cleveland Clinic Foundation Provider: Dutch Mo - 8:00 AM - 11:00 AM Hillcrest Hospital Mo-Fr - 8:30 AM - 4:30 PM Tu,Th,Fr - 7:00 AM - 4:00 PM Fairview Hospital Accepting Existing Patients Only We - 8:00 AM - 4:00 PM Lakewood Hospital Ages: 0-99 Sa - 7:00 AM - 12:00 PM Cleveland Clinic Lakewood Hospital Affiliations: Cultural Competency: Y Euclid Hospital Northshore Skokie Hospital Ages: 0-99 Marymount Hospital Uh Cleveland Medical Center Hospital Affiliations: Lutheran Hospital Rainbow Babies & Childrens Lake Health Hosp Uh Cleveland Medical Center

283

Ohio - Lake Specialists Castrovinci, Anthony J, MD, (M) Haber, Robert S, MD, (M), B Horvath, Mikhenan M, MD, (F), Group Name: Castrovinci Group Name: Haber Dermatology B Anthony J Provider ID: 001189569002 Group Name: The Parker Skin & Provider ID: 000090610002 NPI: 1346233160 Aest Clin NPI: 1477649713 7200 Mentor Ave Provider ID: 003673236004 7915 Munson Rd Ste 4 Mentor, OH 44060 NPI: 1437392164

Mentor On The Lake, OH 44060 (216) 932-5200 EB, G, P, R, RE, 4212 State Route 306 Ste 200

(440) 951-2304 EB, P, R, RE S, T Willoughby, OH 44094

Mo - 7:30 AM - 10:30 AM Sa - 8:30 AM - 12:30 PM (216) 464-7333 EB, P, R Tu,Th - 7:00 AM - 3:30 PM Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM We - 7:30 AM - 3:30 PM Hospital Affiliations: Cultural Competency: Y Fr,Sa - 7:00 AM - 10:30 AM Uh Cleveland Medical Center Ages: 0-99 Cultural Competency: Y Uh Parma Medical Center Hospital Affiliations: Ages: 0-99 University Hospitals Parma Lake Health Hospital Affiliations: Medical Ctr Cleveland Clinic Foundation Lake Health Uh Cleveland Medical Center Horvath, Mikhenan M, MD, (F), Marucci, Tatum S, NP, (F) B Group Name: University Garcia-Zuazaga, Jorge A, MD, Group Name: The Parker Skin & Hospitals Medical Group (M), B Aest Clin Provider ID: 007025373005 Group Name: Apex Dermatology Provider ID: 003673236004 NPI: 1457847998 And Skin Surgery NPI: 1437392164 7500 Auburn Rd Ste 2500 Provider ID: 002796962001 4212 Chillicothe Rd Ste 200 Concord Township, OH 44077

NPI: 1407979529 Willoughby, OH 44094 (216) 844-8200 EB, P, R

7580 Auburn Rd Ste 301 (440) 946-9080 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Concord Township, OH 44077 Cultural Competency: Y Ages: 0-99

(440) 352-7546 EB, P, R, RE, T Web address: www.theparkerclinic. Hospital Affiliations: Mo-Fr - 8:00 AM - 4:30 PM com Saint Vincent Health Center Cultural Competency: Y Ages: 0-99 Uh Cleveland Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Lake Health Mistur, Rachel L, MD, (F) Lahey Clinic Hospital Cleveland Clinic Foundation Group Name: The Parker Skin & Lake Health Aest Clin Uh Regional Hospitals Provider ID: 007243292001 Uh Cleveland Medical Center NPI: 1033504501 4212 State Rte 306 Ste 200 Willoughby, OH 44094

(216) 464-7333 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: Lake Health

284

Specialists Ohio - Lake Moore, Brian W, MD, (M), B Cleveland Clinic Foundation Hospital Affiliations: Group Name: Apex Dermatology Advocate Illinois Masonic Med Ct Lake Health And Skin Surgery Sky Ridge Medical Center Cleveland Clinic Foundation Provider ID: 005140734001 Marymount Hospital NPI: 1346402575 Stanton-Hicks, Ursula, MD, (F) Ssm Health St Mary's Hospital - 7580 Auburn Rd Ste 301 Group Name: Cleveland Clinic Audrain Concord Township, OH 44077 Foundation Uh Parma Medical Center

(440) 352-7546 EB, P, R, RE, T Provider ID: 001829551001 University Hospitals Parma Mo-Fr - 8:00 AM - 4:30 PM NPI: 1376634410 Medical Ctr Cultural Competency: Y 2570 Som Center Rd Ages: 0-99 Willoughby Hills, OH 44094 Endocrinology Hospital Affiliations: (440) 943-2500 EB, IB, P, R, RE,

Lake Health T Members may self-refer to these Cleveland Clinic Foundation Ages: 0-99 providers.

Hospital Affiliations: Parker, Lydia U, MD, (F), B Cleveland Clinic Foundation Burgun, Stephen J, MD, (M), B Group Name: The Parker Skin & Lutheran Hospital Group Name: University Primary Aest Clin Care Practices Provider ID: 001006283002 Wong, Christina Y, MD, (F), B Provider ID: 002053483001 NPI: 1912937079 Group Name: University NPI: 1396831798 4212 Chillicothe Rd Ste 200 Hospitals Medical Group 7500 Auburn Rd Ste 2300 Willoughby, OH 44094 Provider ID: 006850317002 Concord Township, OH 44077 (440) 285-3621 EB, IB, P, R (440) 946-9080 EB, P, R NPI: 1851719686 Mo-Fr - 9:00 AM - 5:00 PM 7500 Auburn Rd Ste 2500 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Concord Township, OH 44077 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: (216) 844-8200 EB, P, R Lake Health Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Marymount Hospital Ages: 0-99 Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga Reimer, Meredith S, MD, (F), B Cleveland Clinic Foundation Medical Ctr Group Name: The Parker Skin & Ohio State University Hospital Aest Clin Woodhouse, Justin G, MD, (M), B Nw Ar Hosp Nw Med Ctr Provider ID: 002854247001 Group Name: Allied Dermatology Uh Cleveland Medical Center NPI: 1629273909 & Skin Surg James Cancer Hospital 4212 State Route 306 Ste 200 Provider ID: 002537547002 Oro Valley Hospital Willoughby, OH 44094 NPI: 1225128556 Univ Hospitals Ahuja Med Ctr

(440) 946-9080 EB, P, R 9485 Mentor Ave Ste 102 Mo-Fr - 9:00 AM - 5:00 PM Mentor, OH 44060

Ages: 0-99 (440) 429-9758 EB, IB, P, R, RE, Hospital Affiliations: T Northwestern Lake Forest Mo-Fr - 8:30 AM - 4:30 PM Hospital Cultural Competency: Y Lake Health Ages: 0-99

285

Ohio - Lake Specialists

Burtch, Brian E, MD, (M), B Group Name: Your Diabetes Viswanathan, Anuradha, MD, (F) Family Practice

Endocrine Nutri Grp Group Name: University Members may self-refer to these Provider ID: 002910293002 Hospitals Medical Group providers.

NPI: 1184745143 Provider ID: 003134182002 8300 Tyler Blvd Ste 102 NPI: 1225237878 Bowers, Donald L, DO, (M) Mentor, OH 44060 9000 Mentor Ave Ste 100 Group Name: University Primary Care Practices (440) 266-5000 EB, IB, P, R Mentor, OH 44060 Provider ID: 001420240015 Mo-Fr - 8:00 AM - 4:30 PM (216) 844-7700 EB, P, R Ages: 0-99 Languages Spoken: NPI: 1356394688 Hospital Affiliations: Provider: Hindi, Tamil 7500 Auburn Rd Ste 1200 Lake Health Mo-Fr - 8:30 AM - 4:30 PM Concord Township, OH 44077 Cultural Competency: Y (440) 358-5400 EB, P, R Khan, Leila Z, MD, (F), B Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Group Name: Cleveland Clinic Hospital Affiliations: Cultural Competency: Y Foundation Robert Wood Johnson Univ Hosp Ages: 0-99 Provider ID: 002799873001 At Hml Hospital Affiliations: NPI: 1083827877 Uh Cleveland Medical Center Uh Geauga Medical Center 2570 Som Center Rd Robert Wood Johnson Univ Hosp University Hospitals Geauga Willoughby Hills, OH 44094 Rainbow Babies & Childrens Medical Ctr Lake Health (440) 943-2500 EB, IB, P, R, RE, Hosp T Univ Hospitals Ahuja Med Ctr Euclid Hospital Cultural Competency: Y Marymount Hospital Ages: 0-99 Weiss, Daniel, MD, (M), B Medina Hospital Hospital Affiliations: Group Name: Lake Health Allied Uh Parma Medical Center Cleveland Clinic Foundation Health Professionals University Hospitals Parma Ms Hershey Medical Center Provider ID: 000250820007 Medical Ctr NPI: 1437148590 Krishnamurthy, Vikram D, MD, 8300 Tyler Blvd Ste 102 Brin, Margarita, MD, (F), B (M), B Mentor, OH 44060 Group Name: University Primary Care Practices Group Name: Cleveland Clinic (440) 266-5000 E, EB, IB, P, R, Foundation RE, S, T Provider ID: 002683621003 Provider ID: 005049160001 Cultural Competency: Y NPI: 1801905450 NPI: 1922264191 Web address: www.yourdiabetes.net 7500 Auburn Rd Ste 1200 2550 Som Center Rd Ages: 0-99 Concord Township, OH 44077 Willoughby Hills, OH 44094 Hospital Affiliations: (440) 358-5400 EB, P, R Languages Spoken: (440) 943-2500 EB, P, R Lake Health Mo-Fr - 8:00 AM - 4:00 PM Hillcrest Hospital Provider: Russian, Turkish Cultural Competency: Y Uh Regional Hospitals Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Uh Cleveland Medical Center Ages: 0-99 Hospital Affiliations: St Vincent Charity Medical Center Hospital Affiliations: Cleveland Clinic Foundation Hillcrest Hospital Marymount Hospital South Pointe Hospital

286

Specialists Ohio - Lake Carnahan, Joana A, DO, (F), B Cruz-Jaszkewicz, Natasha R, MD, Iqbal, Sabahat K, MD, (F) Group Name: University Primary (F), B Group Name: Community Care Practices Group Name: University Primary Hospitalists Provider ID: 006704884002 Care Practices Provider ID: 002946590002 NPI: 1376923540 Provider ID: 002562310001 NPI: 1508814021 7500 Auburn Rd Ste 1200 NPI: 1396798245 10 E Washington St Concord Township, OH 44077 7500 Auburn Rd Ste 1200 Painesville, OH 44077

(440) 358-5400 EB, P, R Concord Township, OH 44077 (440) 542-5000 EB, P, R

Ages: 0-99 (440) 358-5400 EB, P, R Languages Spoken: Hospital Affiliations: Languages Spoken: Provider: Punjabi, Urdu Novant Health Brunswick Medical Provider: Tagalog Cultural Competency: Y Center Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Hospital Affiliations: Chagin, Daniel J, MD, (M) Hospital Affiliations: Uh Geauga Medical Center Group Name: Parma Fam Corry Memorial Hospital University Hospitals Geauga Prac/Urg Care Ctr Medical Ctr Provider ID: 001243425002 Hileman, Craig M, MD, (M), B Uh Regional Hospitals NPI: 1407863152 Group Name: University Primary St John Medical Center 30575 Euclid Ave Care Practices Uh Cleveland Medical Center Wickliffe, OH 44092 Provider ID: 002737898012 Uh Parma Medical Center

(440) 516-3776 NPI: 1184738619 University Hospitals Parma Languages Spoken: 7500 Auburn Rd Ste 1200 Medical Ctr Provider: Spanish Concord Township, OH 44077 Univ Hospitals Ahuja Med Ctr

Cultural Competency: Y (440) 358-5400 EB, P, R Ages: 0-99 Languages Spoken: Iqbal, Sabahat K, MD, (F) Hospital Affiliations: Provider: Spanish Group Name: Community Metrohealth Medical Center Mo-Fr - 8:30 AM - 4:30 PM Hospitalists Uh Parma Medical Center Cultural Competency: Y Provider ID: 002946590002 University Hospitals Parma Ages: 0-99 NPI: 1508814021 Medical Ctr Hospital Affiliations: 36000 Euclid Ave Uh Geauga Medical Center Willoughby, OH 44094

University Hospitals Geauga (440) 542-5000 P, R, RE, T Medical Ctr Languages Spoken: Metrohealth Medical Center Provider: Punjabi, Urdu San Francisco General Hospital Cultural Competency: Y Uh Cleveland Medical Center Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Uh Regional Hospitals St John Medical Center Uh Cleveland Medical Center

287

Ohio - Lake Specialists Uh Parma Medical Center Lake Health University Hospitals Parma Patel, Darshana G, MD, (F), B Medical Ctr Kezele, Gregory P, MD, (M), B Group Name: University Primary Univ Hospitals Ahuja Med Ctr Group Name: Northeast Ohio Care Practices Vascular Associates Provider ID: 001904778001 Iqbal, Sabahat K, MD, (F) Provider ID: 001946542005 NPI: 1790770923 Group Name: Community NPI: 1972563997 7500 Auburn Rd Ste 1200 Hospitalists 36060 Euclid Ave Ste 107 Concord Township, OH 44077

Provider ID: 002946590002 Willoughby, OH 44094 (440) 358-5400 EB, P, R

NPI: 1508814021 (440) 269-8346 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM 7590 Auburn Rd Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Concord Township, OH 44077 Cultural Competency: Y Ages: 0-99

(440) 542-5000 E, EB, G, IB, P, Ages: 0-99 Hospital Affiliations: PL, R, RE, S, T Hospital Affiliations: Columbia St Marys Hospital Languages Spoken: Lake Health Milwaukee Provider: Punjabi, Urdu Columbia St Mary's Hospital Cultural Competency: Y Naumoff, Thomas, MD, (M), B Ascension Ne Wisconsin-st Ages: 0-99 Group Name: University Primary Elizabeth Hosp Hospital Affiliations: Care Practices Mercy Medical Center Uh Geauga Medical Center Provider ID: 000485557001 Mercy Medical Center-oshkosh University Hospitals Geauga NPI: 1477560696 Ascension All Saints Hospital Medical Ctr 7500 Auburn Rd Ste 1200 Ascension Ne Wisconsin Uh Regional Hospitals Concord Township, OH 44077 St Elizabeth Hospital

St John Medical Center (440) 358-5400 EB, P, R Uh Cleveland Medical Center Ages: 0-99 Platz, Michelle M, MD, (F), B Uh Parma Medical Center Hospital Affiliations: Group Name: University Primary University Hospitals Parma Mercy Medical Center Care Practices Medical Ctr Cleveland Clinic Mercy Hospital Provider ID: 002422285001 Univ Hospitals Ahuja Med Ctr Medina Hospital NPI: 1457432437 7500 Auburn Rd Ste 1200 Kezele, Gregory P, MD, (M), B Naumoff, Thomas, MD, (M), B Concord Township, OH 44077

Group Name: Lake Health Allied Group Name: University Primary (440) 358-5400 EB, P, R Health Professionals Care Practices Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 001946542008 Provider ID: 000485557001 Sa,Su - 10:00 AM - 10:00 PM NPI: 1972563997 NPI: 1477560696 Ages: 0-99 29804 Lakeshore Blvd 9000 Mentor Ave Ste 101 Hospital Affiliations: Willowick, OH 44095 Mentor, OH 44060 Cleveland Clinic Foundation

(440) 585-3322 P, R, RE, T (440) 974-4443 EB, P, R Uh Cleveland Medical Center Mo-Fr - 8:00 AM - 9:00 PM Ages: 0-99 Univ Hospitals Ahuja Med Ctr Sa,Su - 9:00 AM - 6:00 PM Hospital Affiliations: Cultural Competency: Y Mercy Medical Center Ages: 0-99 Cleveland Clinic Mercy Hospital Hospital Affiliations: Medina Hospital

288

Specialists Ohio - Lake Resnick, Lee A, MD, (M), B Upmc St Margaret Hsp Skef, Suzan, MD, (F), B Group Name: University Primary Areas of Expertise: CIL Group Name: Community Care Practices Hospitalists Provider ID: 001896341001 Skef, Suzan, MD, (F), B Provider ID: 006208235001 NPI: 1477659134 Group Name: Community NPI: 1427312107 7500 Auburn Rd Ste 1200 Hospitalists 7590 Auburn Rd Concord Township, OH 44077 Provider ID: 006208235001 Concord Township, OH 44077

(440) 358-5400 EB, P, R NPI: 1427312107 (440) 542-5000 E, EB, G, IB, P, Languages Spoken: 3600 Euclid Ave PL, R, RE, S, T Provider: Spanish Willoughby, OH 44094 Languages Spoken:

Mo-Fr - 8:30 AM - 4:30 PM (440) 542-5000 EB, P, R Provider: Arabic, Spanish Ages: 0-99 Languages Spoken: Ages: 0-99 Provider: Arabic, Spanish Hospital Affiliations: Sidari, Bonnie J, DO, (F) Ages: 0-99 Magee Womens Hospital Of Group Name: Great Lakes Pain Hospital Affiliations: Upmc Management Magee Womens Hospital Of Upmc St Margaret Hsp Provider ID: 001738500002 Upmc Areas of Expertise: CIL NPI: 1699883959 Upmc St Margaret Hsp 2760 Som Center Rd Areas of Expertise: CIL Terry, Francine M, MD, (F), B Willoughby Hills, OH 44094 Group Name: University Primary

(440) 306-2358 EB, P, R Skef, Suzan, MD, (F), B Care Practices Cultural Competency: Y Group Name: Community Provider ID: 002113869029 Ages: 0-99 Hospitalists NPI: 1316148299 Hospital Affiliations: Provider ID: 006208235001 7500 Auburn Rd Ste 1200 Lake Health NPI: 1427312107 Concord Township, OH 44077

Metrohealth Medical Center 36000 Euclid Ave (440) 358-5400 EB, P, R Cleveland Clinic Foundation Willoughby, OH 44094 Mo-Fr - 8:30 AM - 4:30 PM

Hillcrest Hospital (440) 542-5000 P, R, RE, T Cultural Competency: Y Languages Spoken: Ages: 0-99 Skef, Suzan, MD, (F), B Provider: Arabic, Spanish Hospital Affiliations: Group Name: Community Ages: 0-99 Wadsworth Rittman Hospital Hospitalists Hospital Affiliations: Summa Health System Provider ID: 006208235001 Magee Womens Hospital Of NPI: 1427312107 Upmc Yang, Youapa S, MD, (F) 10 E Washington St Upmc St Margaret Hsp Group Name: University Primary Painesville, OH 44077 Areas of Expertise: CIL Care Practices

(440) 542-5000 EB, P, R Provider ID: 002518446006 Languages Spoken: NPI: 1992769327 Provider: Arabic, Spanish 7500 Auburn Rd Ste 1200 Ages: 0-99 Concord Township, OH 44077

Hospital Affiliations: (440) 358-5400 EB, P, R Magee Womens Hospital Of Mo-Fr - 8:30 AM - 4:30 PM Upmc Ages: 0-99

289

Ohio - Lake Specialists Hospital Affiliations: Ascha, Ahmad, MD, (M) Lake Health Group Name: Ahmed Ascha Md Brinberg, Don E, MD, (M), B Metrohealth Medical Center Provider ID: 000101493001 Group Name: Great Lakes Fairview Hospital NPI: 1225113327 Gastroenterology M Health Fairview St. John's 5105 Som Center Rd # 102 Provider ID: 000268001001 Hospital Willoughby, OH 44094 NPI: 1235237090

M Health Fairview St John's (440) 352-9400 EB, P, R, RE, T 7590 Auburn Rd Hospital Concord Township, OH 44077 Languages Spoken: M Health Fairview Bethesda (508) 836-3663 E, EB, G, IB, P, Hospital Provider: Arabic, French PL, R, RE, S, T M Health Fairview St Josephs Mo - 1:00 PM - 5:00 PM Cultural Competency: Y Hospital Ages: 0-99 Ages: 0-99 Healtheast St Josephs Hospital Hospital Affiliations: Hospital Affiliations: Areas of Expertise: MAT1 Lake Health Lake Health Hillcrest Hospital Hillcrest Hospital South Pointe Hospital Gastroenterology Ascha, Ahmad, MD, (M) Euclid Hospital Group Name: Ahmed Ascha Md Members may self-refer to these Huron Hospital Provider ID: 000101493001 providers. NPI: 1225113327 Brinberg, Don E, MD, (M), B Abbass, Rami, MD, (M), B 9500 Mentor Ave Ste 380 Group Name: Great Lakes Group Name: University Primary Mentor, OH 44060 Gastroenterology Care Practices (440) 352-9400 EB, P, R Provider ID: 000268001001 Provider ID: 003051144001 Languages Spoken: NPI: 1235237090 NPI: 1659523405 Provider: Arabic, French 8877 Mentor Ave 9000 Mentor Ave Ste 204 Mo-Fr - 8:30 AM - 4:00 PM Mentor, OH 44060 Mentor, OH 44060 Ages: 0-99 (440) 205-1225 EB, P, R, RE, T (440) 708-1555 EB, P, R Hospital Affiliations: Languages Spoken: Lake Health Mo-Fr - 9:00 AM - 5:00 PM Provider: Arabic, French Hillcrest Hospital Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Bou-Abboud Matta, Carine E, Hospital Affiliations: Hospital Affiliations: MD, (F), B Lake Health Uh Geauga Medical Center Group Name: Cleveland Clinic Hillcrest Hospital University Hospitals Geauga Foundation South Pointe Hospital Medical Ctr Provider ID: 007463676001 Euclid Hospital Uh Regional Hospital - Bedford NPI: 1790028389 Huron Hospital Campus 7530 Fredle Dr Uh Regional Hospitals Concord Township, OH 44077

Uh Cleveland Medical Center (440) 386-2250 EB, P, R Univ Hospitals Ahuja Med Ctr Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hillcrest Hospital

290

Specialists Ohio - Lake Carey, Emily E, DO, (F), B Confer, Bradley D, DO, (M), B Center Group Name: Ahmed Ascha Md Group Name: Community Provider ID: 003668470002 Hospitalists Dasarathy, Srinivasan, MD, (M), NPI: 1265656870 Provider ID: 003355494004 B 9500 Mentor Ave Ste 380 NPI: 1518132612 Group Name: Cleveland Clinic Mentor, OH 44060 36000 Euclid Ave Foundation

(440) 352-9400 EB, P, R Willoughby, OH 44094 Provider ID: 002048275003

Mo-Fr - 8:30 AM - 4:00 PM (440) 542-5000 P, R, RE, T NPI: 1003979147 Cultural Competency: Y Ages: 0-99 2550 Som Center Rd Ages: 0-99 Hospital Affiliations: Willoughby Hills, OH 44094

Hospital Affiliations: Geisinger Lewistown Hospital (440) 943-2500 EB, P, R Lake Health Geisinger Medical Center Languages Spoken: Cleveland Clinic Foundation Jersey Shore Hospital Provider: Hindi, Tamil Marymount Hospital Medina Hospital Staff: Hindi, Tamil Geisinger - Holy Spirit Hospital Mo-Fr - 8:00 AM - 4:00 PM Confer, Bradley D, DO, (M), B Penn State Health Holy Spirit Cultural Competency: Y Group Name: Community Medical Ce Ages: 0-99 Hospitalists Geisinger Wyoming Valley Med Hospital Affiliations: Provider ID: 003355494004 Ctr Robinson Memorial Hospital NPI: 1518132612 Geisinger Community Medical Uh Portage Medical Center 10 E Washington St Center Metrohealth Medical Center Painesville, OH 44077 Cleveland Clinic Foundation

(440) 542-5000 EB, P, R Confer, Bradley D, DO, (M), B Lutheran Hospital Ages: 0-99 Group Name: Community University Hospitals Hlth System Hospital Affiliations: Hospitalists Geisinger Lewistown Hospital Provider ID: 003355494004 Friedenberg, Keith A, MD, (M), B Geisinger Medical Center NPI: 1518132612 Group Name: Great Lakes Jersey Shore Hospital 7590 Auburn Rd Gastroenterology Medina Hospital Concord Township, OH 44077 Provider ID: 001264888001

Geisinger - Holy Spirit Hospital (440) 542-5000 E, EB, G, IB, P, NPI: 1104928043 Penn State Health Holy Spirit PL, R, RE, S, T 7590 Auburn Rd Medical Ce Ages: 0-99 Concord Township, OH 44077

Geisinger Wyoming Valley Med Hospital Affiliations: (508) 836-3663 E, EB, G, IB, P, Ctr Geisinger Lewistown Hospital PL, R, RE, S, T Geisinger Community Medical Geisinger Medical Center Cultural Competency: Y Center Jersey Shore Hospital Ages: 0-99 Medina Hospital Hospital Affiliations: Geisinger - Holy Spirit Hospital Lake Health Penn State Health Holy Spirit Hillcrest Hospital Medical Ce Euclid Hospital Geisinger Wyoming Valley Med Ctr Geisinger Community Medical

291

Ohio - Lake Specialists Friedenberg, Keith A, MD, (M), B Kirsch, Michael, MD, (M), B Group Name: Great Lakes Kirsch, Michael, MD, (M), B Group Name: Cleveland Clinic Gastroenterology Group Name: Cleveland Clinic Foundation Provider ID: 001264888001 Foundation Provider ID: 000944467002 NPI: 1104928043 Provider ID: 000944467002 NPI: 1942294368 8877 Mentor Ave NPI: 1942294368 7530 Fredle Dr Mentor, OH 44060 2570 Som Center Rd Concord Township, OH 44077

(440) 205-1225 EB, P, R, RE, T Willoughby Hills, OH 44094 (440) 386-2250 EB, P, R

(440) 386-2250 EB, IB, P, R, RE, Languages Spoken: Cultural Competency: Y T Provider: German, Spanish Ages: 0-99 Languages Spoken: Cultural Competency: Y Hospital Affiliations: Provider: German, Spanish Ages: 0-99 Lake Health Cultural Competency: Y Hospital Affiliations: Hillcrest Hospital Ages: 0-99 Lake Health Euclid Hospital Hospital Affiliations: Cleveland Clinic Foundation Lake Health Euclid Hospital Inkster, Michelle D, MD, (F), B Cleveland Clinic Foundation Uh Cleveland Medical Center Group Name: Cleveland Clinic Euclid Hospital Foundation Uh Cleveland Medical Center Kirsch, Michael, MD, (M), B Provider ID: 002443710001 Group Name: Center For NPI: 1992762124 Kirsch, Michael, MD, (M), B Digestive Health 2550 Som Center Rd Group Name: Center For Provider ID: 000944467001 Willoughby Hills, OH 44094 Digestive Health NPI: 1942294368 (440) 943-2500 EB, P, R Provider ID: 000944467001 9485 Mentor Ave Ste 204 Mo-Fr - 8:00 AM - 4:00 PM NPI: 1942294368 Mentor, OH 44060 Cultural Competency: Y 34940 Ridge Rd Ste B (440) 205-5740 EB, IB, P, R Ages: 0-99 Willoughby, OH 44094 Languages Spoken: Hospital Affiliations: (440) 953-1899 EB, G, IB, P, R Provider: German, Spanish Cleveland Clinic Foundation Mo-Fr - 9:30 AM - 4:30 PM Marymount Hospital Languages Spoken: Cultural Competency: Y Provider: German, Spanish Ages: 0-99 Kane, Saul, MD, (M), B Mo-Fr - 9:30 AM - 4:30 PM Hospital Affiliations: Group Name: Cleveland Clinic Cultural Competency: Y Lake Health Foundation Ages: 0-99 Cleveland Clinic Foundation Provider ID: 003673893001 Hospital Affiliations: Euclid Hospital NPI: 1235394248 Lake Health Uh Cleveland Medical Center 2550 Som Center Rd Cleveland Clinic Foundation Willoughby Hills, OH 44094 Euclid Hospital

(440) 953-2500 EB, P, R Uh Cleveland Medical Center Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hillcrest Hospital

292

Specialists Ohio - Lake Macaron, Carole, MD, (F), B Hospital Affiliations: Pollack, Michael J, MD, (M), B Group Name: Cleveland Clinic Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Marymount Hospital Foundation Provider ID: 005210898004 Uh Cleveland Medical Center Provider ID: 002927612002 NPI: 1801061056 NPI: 1154524882 2550 Som Center Rd Pollack, Michael J, MD, (M), B 7530 Fredle Dr Willoughby Hills, OH 44094 Group Name: Cleveland Clinic Concord Township, OH 44077

(440) 943-2500 EB, P, R Foundation (440) 386-2250 EB, P, R Ages: 0-99 Provider ID: 002927612002 Cultural Competency: Y Hospital Affiliations: NPI: 1154524882 Ages: 0-99 Cleveland Clinic Foundation 2999 Mcmackin Rd Hospital Affiliations: Marymount Hospital Madison, OH 44057 Lake Health

Medina Hospital (440) 386-2250 E, EB, IB, P Cleveland Clinic Foundation Cultural Competency: Y Hillcrest Hospital Myers, Doris A, DO, (F) Ages: 0-99 Group Name: Advanced Hospital Affiliations: Powell, Gregory S, MD, (M), B Concepts/Endoscopy Ll Lake Health Group Name: Cleveland Clinic Provider ID: 000708457001 Cleveland Clinic Foundation Foundation NPI: 1598787319 Hillcrest Hospital Provider ID: 002334051002 7551 Fredle Dr NPI: 1588868541 Concord Twp, OH 44077 Pollack, Michael J, MD, (M), B 7530 Fredle Dr

(440) 357-1474 EB, IB, P, R, RE, Group Name: Cleveland Clinic Concord Township, OH 44077

T Foundation (440) 386-2550 EB, P, R Languages Spoken: Provider ID: 002927612002 Cultural Competency: Y Provider: Spanish NPI: 1154524882 Ages: 0-99 Mo-Fr - 8:00 AM - 4:00 PM 36100 Euclid Ave Ste 440 Hospital Affiliations: Cultural Competency: Y Willoughby, OH 44094 Lake Health

Ages: 0-99 (440) 386-2250 EB, P, R Cleveland Clinic Foundation Hospital Affiliations: Cultural Competency: Y Hillcrest Hospital Lake Health Ages: 0-99 Uh Regional Hospitals Hospital Affiliations: Punjabi, Eshwar B, MD, (M), B Lake Health Group Name: Keith A O'shea, Robert S, MD, (M), B Cleveland Clinic Foundation Friedenberg Md Group Name: Cleveland Clinic Hillcrest Hospital Provider ID: 001398516002 Foundation NPI: 1861421984 Provider ID: 001829620001 8877 Mentor Ave NPI: 1073577110 Mentor, OH 44060

2550 Som Center Rd (440) 205-1225 EB, P, R, RE, T Willoughby Hills, OH 44094 Languages Spoken: (440) 943-2500 EB, P, R Mo-Fr - 8:00 AM - 4:00 PM Provider: Indian, Panjabi Cultural Competency: Y Mo-Fr - 9:00 AM - 4:30 PM Ages: 0-99 Cultural Competency: Y Ages: 0-99

293

Ohio - Lake Specialists Hospital Affiliations: Wiesen, Ari J, MD, (M), B Wiesen, Ari J, MD, (M), B Lake Health Group Name: Cleveland Clinic Group Name: Cleveland Clinic Southeastern Ohio Regional Foundation Foundation Medical Cente Provider ID: 003373610003 Provider ID: 003373610003 Uh Cleveland Medical Center NPI: 1780851444 NPI: 1780851444 2999 Mcmackin Rd 7530 Fredle Dr Ray, Monica N, MD, (F), B Madison, OH 44057 Concord Township, OH 44077

Group Name: Cleveland Clinic (440) 386-2250 E, EB, IB, P (440) 386-2250 EB, P, R Foundation Languages Spoken: Languages Spoken: Provider ID: 001309112001 Provider: Hebrew Provider: Hebrew NPI: 1457377004 Mo-Fr - 9:00 AM - 5:00 PM Mo-Fr - 9:00 AM - 5:00 PM 2570 Som Center Rd Cultural Competency: Y Cultural Competency: Y Willoughby Hills, OH 44094 Ages: 0-99 Ages: 0-99

(440) 953-2500 EB, IB, P, R, RE, Hospital Affiliations: Hospital Affiliations: T Univ Of Md Medical System Univ Of Md Medical System Ages: 0-99 University Of Md Medical System University Of Md Medical System Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital Hillcrest Hospital Marymount Hospital Uh Cleveland Medical Center Wiesen, Ari J, MD, (M), B Wolf, Jason M, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Schwartz, Steven M, MD, (M), B Foundation Foundation Group Name: Cleveland Clinic Provider ID: 003373610003 Provider ID: 002329485002 Foundation NPI: 1780851444 NPI: 1891898771 Provider ID: 001197215009 36100 Euclid Ave Ste 440 2999 Mcmackin Rd NPI: 1043317589 Willoughby, OH 44094 Madison, OH 44057

7530 Fredle Dr (440) 386-2250 EB, P, R (440) 386-2250 E, EB, IB, P Concord Township, OH 44077 Languages Spoken: Mo-Fr - 9:00 AM - 5:00 PM

(440) 386-2250 EB, P, R Provider: Hebrew Cultural Competency: Y Mo-Fr - 9:00 AM - 5:00 PM Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Uh Geauga Medical Center Lake Health Hospital Affiliations: University Hospitals Geauga Cleveland Clinic Foundation Univ Of Md Medical System Medical Ctr Hillcrest Hospital University Of Md Medical System Cleveland Clinic Foundation Uh Cleveland Medical Center Cleveland Clinic Foundation Hillcrest Hospital Hillcrest Hospital

294

Specialists Ohio - Lake

Wolf, Jason M, MD, (M), B Bohac, Christopher J, MD, (M) Group Name: Cleveland Clinic General Surgery Group Name: University Primary

Foundation Members may self-refer to these Care Practices Provider ID: 002329485002 providers. Provider ID: 006214019001

NPI: 1891898771 NPI: 1952690638 36100 Euclid Ave Ste 440 Bodzin, Gordon A, MD, (M), B 7500 Auburn Rd Ste 2500 Willoughby, OH 44094 Group Name: Lake Health Allied Concord Township, OH 44077 Health Professionals (440) 386-2250 EB, P, R (440) 214-3111 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Provider ID: 002522372002 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y NPI: 1053388637 Ages: 0-99 Ages: 0-99 5105 Som Center Rd # 107 Hospital Affiliations: Hospital Affiliations: Willoughby, OH 44094 Uh Geauga Medical Center Uh Geauga Medical Center (440) 953-5712 EB, P, R University Hospitals Geauga University Hospitals Geauga Mo-Fr - 8:30 AM - 5:00 PM Medical Ctr Medical Ctr Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99 Grundfest-Broniatowski, Sharon Hillcrest Hospital Hospital Affiliations: F, MD, (F), B Lake Health Group Name: Cleveland Clinic Wolf, Jason M, MD, (M), B Chandler Regional Medical Center Foundation Group Name: Cleveland Clinic Mercy Gilbert Medical Center Provider ID: 001201390001 Foundation NPI: 1649216029 Provider ID: 002329485002 Bodzin, Gordon A, MD, (M), B 2570 Som Center Rd NPI: 1891898771 Group Name: Lake Health Allied Willoughby Hills, OH 44094 Health Professionals 7530 Fredle Dr (440) 943-3315 EB, IB, P, R, RE, Concord Township, OH 44077 Provider ID: 002522372002 T NPI: 1053388637 (440) 386-2550 EB, P, R Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM 9500 Mentor Ave Ste 300 Hospital Affiliations: Cultural Competency: Y Mentor, OH 44060 Cleveland Clinic Foundation Ages: 0-99 (440) 354-0377 EB, IB, P, R Hospital Affiliations: Mo-Fr - 8:30 AM - 5:00 PM Harth, Karem C, MD, (F), B Uh Geauga Medical Center Cultural Competency: Y Group Name: University University Hospitals Geauga Ages: 0-99 Hospitals Medical Group Medical Ctr Hospital Affiliations: Provider ID: 005814709001 Cleveland Clinic Foundation Lake Health NPI: 1982806873 Hillcrest Hospital Chandler Regional Medical Center 7500 Auburn Rd Ste 1500 Mercy Gilbert Medical Center Concord Township, OH 44077

(216) 844-3800 EB, P, R Languages Spoken: Provider: Spanish Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center

295

Ohio - Lake Specialists University Hospitals Geauga Huck, Patrick D, MD, (M), B Jasper, John J, MD, (M), B Medical Ctr Group Name: Lake Hospital Group Name: University Primary University Hospitals Elyria System Care Practices Medical Ctr Provider ID: 006273906002 Provider ID: 002105737001 Uh Elyria Medical Center NPI: 1821280223 NPI: 1851300875 Uh Regional Hospitals 5105 Som Center Rd Ste 107 9000 Mentor Ave Ste 210 University Hospitals Conneaut Willoughby, OH 44094 Mentor, OH 44060

Medical Ce (440) 953-5712 EB, P, R (440) 974-4224 EB, P, R Uh Conneaut Medical Center Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Uh Cleveland Medical Center Hospital Affiliations: Cultural Competency: Y Pinnacle Health Carlisle Reg Med Ages: 0-99 Harth, Karem C, MD, (F), B Ctr Hospital Affiliations: Group Name: University Carlisle Regional Medical Center Uh Regional Hospital - Bedford Hospitals Medical Group Upmc Carlisle Campus Provider ID: 005814709001 Gettysburg Hospital Uh Regional Hospitals NPI: 1982806873 Lake Health Uh Cleveland Medical Center 9000 Mentor Ave Ste 212 Univ Hospitals Ahuja Med Ctr Mentor, OH 44060 Huck, Patrick D, MD, (M), B

(216) 844-3800 EB, P, R Group Name: Lake Hospital Klenotic, Eveline R, DO, (F), B Languages Spoken: System Group Name: Lake Health Allied Provider: Spanish Provider ID: 006273906002 Health Professionals Mo-Fr - 8:30 AM - 4:30 PM NPI: 1821280223 Provider ID: 006218117001 Cultural Competency: Y 7590 Auburn Rd NPI: 1801185541 Ages: 0-99 Concord Township, OH 44077 5105 Som Center Rd Ste 107

Hospital Affiliations: (440) 953-5712 EB, P, R Willoughby, OH 44094

Uh Geauga Medical Center Ages: 0-99 (440) 953-5712 EB, P, R University Hospitals Geauga Hospital Affiliations: Ages: 0-99 Medical Ctr Pinnacle Health Carlisle Reg Med Hospital Affiliations: University Hospitals Elyria Ctr Lake Health Medical Ctr Carlisle Regional Medical Center Uh Elyria Medical Center Upmc Carlisle Mackow, Anne K, MD, (F), B Uh Regional Hospitals Gettysburg Hospital Group Name: University University Hospitals Conneaut Lake Health Hospitals Medical Group Medical Ce Provider ID: 003759621001 Uh Conneaut Medical Center NPI: 1790767036 Uh Cleveland Medical Center 9000 Mentor Ave Ste 100 Mentor, OH 44060

(216) 844-3051 EB, P, R Languages Spoken: Provider: Spanish Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99

296

Specialists Ohio - Lake Hospital Affiliations: Otoole, John, MD, (M) Shin, Joyce J, MD, (F), B Metrohealth Medical Center Group Name: Community Group Name: Cleveland Clinic Uh Cleveland Medical Center Hospitalists Foundation Rainbow Babies & Childrens Provider ID: 001571177003 Provider ID: 003063781001 Hosp NPI: 1922048057 NPI: 1356573075 Univ Hospitals Ahuja Med Ctr 7590 Auburn Rd 2570 Som Center Rd Concord Township, OH 44077 Willoughby Hills, OH 44094

Nicholson, Bryson A, MD, (M), B (440) 542-5000 E, EB, G, IB, P, (440) 943-2500 EB, IB, P, R, RE, Group Name: Lake Health PL, R, RE, S, T T Provider ID: 005679933002 Ages: 0-99 Cultural Competency: Y NPI: 1356661839 Ages: 0-99 9500 Mentor Ave Ste 200 Pritchard, Timothy J, MD, (M), B Hospital Affiliations: Mentor, OH 44060 Group Name: Lake Health Allied Cleveland Clinic Foundation

(440) 354-0377 EB, IB, P, R Health Professionals Hillcrest Hospital Ages: 0-99 Provider ID: 000857077002 Fairview Hospital Hospital Affiliations: NPI: 1225126824 Marymount Hospital Williamsport Hospital & Med Ct 9500 Mentor Ave Ste 200 Upmc Williamsport Mentor, OH 44060 Snider, Alicia E, MD, (M)

Lake Health (440) 354-0377 EB, IB, P, R Group Name: Lake Health Allied Mo-Fr - 9:00 AM - 5:00 PM Health Professionals Otoole, John, MD, (M) Cultural Competency: Y Provider ID: 007561366001 Group Name: Community Ages: 0-99 NPI: 1235426685 Hospitalists Hospital Affiliations: 9500 Mentor Ave Ste 200 Provider ID: 001571177003 Lake Health Mentor, OH 44060

NPI: 1922048057 (440) 354-0377 EB, IB, P, R 10 E Washington St Rosenblatt, Steven M, MD, (M), B Ages: 0-99 Painesville, OH 44077 Group Name: Cleveland Clinic

(440) 542-5000 EB, P, R Foundation Stein, Richard B, MD, (M) Ages: 0-99 Provider ID: 001902740001 Group Name: Lake Health Allied NPI: 1275626574 Health Professionals Otoole, John, MD, (M) 2570 Som Center Rd Provider ID: 007531277001 Group Name: Community Willoughby Hills, OH 44094 NPI: 1477949857

Hospitalists (440) 943-2500 EB, IB, P, R, RE, 5105 Som Center Rd Ste 107 Provider ID: 001571177003 T Willoughby, OH 44094

NPI: 1922048057 Ages: 0-99 (440) 953-5712 EB, P, R 36000 Euclid Ave Hospital Affiliations: Ages: 0-99 Willoughby, OH 44094 Cleveland Clinic Foundation

(440) 542-5000 P, R, RE, T Ages: 0-99

297

Ohio - Lake Specialists Wilhelm, Scott M, MD, (M), B Childs, Dylan, MD, (M) Group Name: University Group Name: Community Hospitals Medical Group Hospitalists Hematology/Oncology

Provider ID: 002318552002 Provider ID: 006250847002 Prior authorization is required to NPI: 1962422675 NPI: 1083925705 obtain some covered services from 9000 Mentor Ave Ste 209 36000 Euclid Ave these providers. You will not be Mentor, OH 44060 Willoughby, OH 44094 covered for those services without (216) 844-7874 EB, P, R (440) 542-5000 P, R, RE, T such approval by UnitedHealthcare Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Community Plan. Please see your Cultural Competency: Y Hospital Affiliations: member handbook, or call Member Ages: 0-99 Southwest General Health Center Services for details.

Hospital Affiliations: Regency Hospital Of Cleveland Uh Regional Hospital - Bedford West Baar, Joseph C, MD, (M), B Campus Group Name: Lake-Health Univ Uh Regional Hospitals Childs, Dylan, MD, (M) Hosp Seidman Cancer Ctr Uh Cleveland Medical Center Group Name: Community Provider ID: 001947737004 Univ Hospitals Ahuja Med Ctr Hospitalists NPI: 1346269230 Provider ID: 006250847002 9485 Mentor Ave Ste 3 NPI: 1083925705 Mentor, OH 44060 Hand Surgery 7590 Auburn Rd (440) 205-5755 Concord Township, OH 44077 Languages Spoken: Members may self-refer to these Provider: French (440) 542-5000 E, EB, G, IB, P, providers. Mo-Fr - 8:30 AM - 4:30 PM PL, R, RE, S, T Childs, Dylan, MD, (M) Ages: 0-99 Ages: 0-99 Group Name: Community Hospital Affiliations: Hospital Affiliations: Hospitalists Southwest General Health Center Uh Cleveland Medical Center Provider ID: 006250847002 Regency Hospital Of Cleveland Univ Hospitals Ahuja Med Ctr NPI: 1083925705 West 10 E Washington St Greenfield, Aric W, MD, (M), B

Painesville, OH 44077 Group Name: Cleveland Clinic

(440) 542-5000 EB, P, R Hearing Instrument Specialist Foundation Ages: 0-99 Johnson, Holly A, AUD, (F) Provider ID: 000621223001 Hospital Affiliations: Group Name: Holly's Hearing NPI: 1790885408 Southwest General Health Center Aid Center 2570 Som Center Rd Regency Hospital Of Cleveland Provider ID: 003386401001 Willoughby Hills, OH 44094 West NPI: 1508152489 (440) 943-2500 EB, IB, P, R, RE, 35104 Euclid Ave Ste 100 T Willoughby, OH 44094 Cultural Competency: Y Ages: 0-99 (440) 946-7800 EB, P, R Languages Spoken: Hospital Affiliations: Provider: Spanish Lake Health Mo-Th - 9:00 AM - 5:00 PM Cleveland Clinic Foundation Ages: 0-99 South Pointe Hospital Euclid Hospital

298

Specialists Ohio - Lake Marymount Hospital Metheny, Leland L, MD, (M), B Metrohealth Medical Center Uh Cleveland Medical Center Group Name: Community Cleveland Clinic Foundation Hospitalists Maiti, Baidehi, MD, (F), B Provider ID: 005726627002 Saltzman, Joel N, MD, (M), B Group Name: Cleveland Clinic NPI: 1336303817 Group Name: Lake-Health Univ Foundation 36000 Euclid Ave Hosp Seidman Cancer Ctr Provider ID: 005059107001 Willoughby, OH 44094 Provider ID: 002328162002

NPI: 1255580932 (440) 542-5000 P, R, RE, T NPI: 1578582227 2550 Som Center Rd Cultural Competency: Y 36000 Euclid Ave Willoughby Hills, OH 44094 Ages: 0-99 Willoughby, OH 44094

(440) 943-2500 EB, P, R Hospital Affiliations: (440) 205-5755 P, R, RE, T Mo-Fr - 8:00 AM - 4:30 PM Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Univ Hospitals Ahuja Med Ctr Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Metheny, Leland L, MD, (M), B Hospital Affiliations: Cleveland Clinic Foundation Group Name: Community Lake Health South Pointe Hospital Hospitalists Uh Cleveland Medical Center Euclid Hospital Provider ID: 005726627002 Lake City Medical Ctr Marymount Hospital NPI: 1336303817 Lutheran Hospital 7590 Auburn Rd Saltzman, Joel N, MD, (M), B Concord Township, OH 44077 Group Name: Lake-Health Univ

Metheny, Leland L, MD, (M), B (440) 542-5000 E, EB, G, IB, P, Hosp Seidman Cancer Ctr Group Name: Community PL, R, RE, S, T Provider ID: 002328162002 Hospitalists Cultural Competency: Y NPI: 1578582227 Provider ID: 005726627002 Ages: 0-99 7590 Auburn Rd NPI: 1336303817 Hospital Affiliations: Concord Township, OH 44077

10 E Washington St Uh Cleveland Medical Center (440) 354-1625 EB, P, R Painesville, OH 44077 Univ Hospitals Ahuja Med Ctr Cultural Competency: Y

(440) 542-5000 EB, P, R Ages: 0-99 Cultural Competency: Y Pishchik, Vitaliy I, MD, (M), B Hospital Affiliations: Ages: 0-99 Group Name: Cleveland Clinic Lake Health Hospital Affiliations: Foundation Uh Cleveland Medical Center Uh Cleveland Medical Center Provider ID: 003510025002 Lake City Medical Ctr Univ Hospitals Ahuja Med Ctr NPI: 1093949158 2550 Som Center Rd Willoughby Hills, OH 44094

(440) 943-2500 EB, P, R Languages Spoken: Provider: Russian Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Hospital Affiliations: Grady Memorial Hospital

299

Ohio - Lake Specialists Silbiger, Daniel R, DO, (M), B Silbiger, Daniel R, DO, (M), B Van Heeckeren, Willem J, MD, Group Name: Lake-Health Univ Group Name: Lake-Health Univ (M), B Hosp Seidman Cancer Ctr Hosp Seidman Cancer Ctr Group Name: Lake-Health Univ Provider ID: 006110334001 Provider ID: 006110334001 Hosp Seidman Cancer Ctr NPI: 1639490469 NPI: 1639490469 Provider ID: 002795406001 36000 Euclid Ave 9485 Mentor Ave Ste 3 NPI: 1306931761 Willoughby, OH 44094 Mentor, OH 44060 7590 Auburn Rd

(440) 205-5755 P, R, RE, T (440) 205-5755 E, EB, G, IB, P, Concord Township, OH 44077

Mo-Fr - 8:30 AM - 4:30 PM PL, R, RE, S, T (440) 205-5755 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Hillcrest Hospital Cleveland Clinic Foundation Hospital Affiliations: South Pointe Hospital Hillcrest Hospital Lake Health Euclid Hospital South Pointe Hospital Uh Cleveland Medical Center Marymount Hospital Euclid Hospital Uh Cleveland Medical Center Marymount Hospital Van Heeckeren, Willem J, MD, Uh Cleveland Medical Center (M), B Silbiger, Daniel R, DO, (M), B Group Name: Lake-Health Univ Group Name: Lake-Health Univ Van Heeckeren, Willem J, MD, Hosp Seidman Cancer Ctr Hosp Seidman Cancer Ctr (M), B Provider ID: 002795406001 Provider ID: 006110334001 Group Name: Lake-Health Univ NPI: 1306931761 NPI: 1639490469 Hosp Seidman Cancer Ctr 9485 Mentor Ave 7590 Auburn Rd Provider ID: 002795406001 Mentor, OH 44060

Concord Township, OH 44077 NPI: 1306931761 (440) 205-5755 E, EB, G, IB, P,

(440) 205-5755 EB, P, R 36000 Euclid Ave PL, R, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Willoughby, OH 44094 Mo-Fr - 8:30 AM - 4:30 PM

Ages: 0-99 (440) 205-5755 P, R, RE, T Cultural Competency: Y Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cleveland Clinic Foundation Cultural Competency: Y Hospital Affiliations: Hillcrest Hospital Ages: 0-99 Lake Health South Pointe Hospital Hospital Affiliations: Uh Cleveland Medical Center Euclid Hospital Lake Health Marymount Hospital Uh Cleveland Medical Center Uh Cleveland Medical Center

300

Specialists Ohio - Lake Varghai, Mohammad A, MD, Carolinas Hosp System Florence Ballin, Mitchell I, MD, (M), B (M), B Musc Health Florence Medical Group Name: Community Group Name: Cleveland Clinic Center Hospitalists Foundation Rapides Regional Medical Cente Provider ID: 002475804003 Provider ID: 000758088002 Advanced Specialty Hospital Of NPI: 1104866565 NPI: 1124027776 Toledo 36000 Euclid Ave 2570 Som Center Rd Willoughby, OH 44094

Willoughby Hills, OH 44094 (440) 542-5000 P, R, RE, T Internal Medicine (440) 943-2500 EB, IB, P, R, RE, Ages: 0-99

T Prior authorization is required to Hospital Affiliations: Languages Spoken: obtain some covered services from St Ritas Medical Center Provider: Farsi, Turkish these providers. You will not be Lake Health Cultural Competency: Y covered for those services without University Of Toledo Medical Ages: 0-99 such approval by UnitedHealthcare Center Hospital Affiliations: Community Plan. Please see your Cleveland Clinic Foundation Lake Health member handbook, or call Member Mayo Regional Hospital Cleveland Clinic Foundation Services for details. Northern Light Mayo Hospital

Hillcrest Hospital Uh Regional Hospitals South Pointe Hospital Ballin, Mitchell I, MD, (M), B Uh Cleveland Medical Center Euclid Hospital Group Name: Community University Hospitals Conneaut Hospitalists Ballin, Mitchell I, MD, (M), B Medical Ce Provider ID: 002475804003 Group Name: Community Uh Conneaut Medical Center NPI: 1104866565 Hospitalists Ashtabula County Med Center 10 E Washington St Provider ID: 002475804003 Painesville, OH 44077 NPI: 1104866565 Verghese, Cherian, MD, (M), B (440) 542-5000 EB, P, R 7590 Auburn Rd Group Name: Lake-Health Univ Ages: 0-99 Concord Township, OH 44077 Hospital Affiliations: Hosp Seidman Cancer Ctr (440) 542-5000 E, EB, G, IB, P, Provider ID: 002835860008 St Ritas Medical Center PL, R, RE, S, T NPI: 1568548824 Lake Health Ages: 0-99 9485 Mentor Ave Ste 3 University Of Toledo Medical Hospital Affiliations: Mentor, OH 44060 Center St Ritas Medical Center Cleveland Clinic Foundation (440) 205-5755 E, EB, G, IB, P, Lake Health PL, R, RE, S, T Mayo Regional Hospital University Of Toledo Medical Languages Spoken: Northern Light Mayo Hospital Center Provider: Hindi, Malayalam Uh Regional Hospitals Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM Uh Cleveland Medical Center Mayo Regional Hospital Ages: 18-99 Northern Light Mayo Hospital Hospital Affiliations: Uh Regional Hospitals University Of Toledo Medical Uh Cleveland Medical Center Center Tulane Univ Hospital & Clinic Uh Cleveland Medical Center

301

Ohio - Lake Specialists Biggs, Ariel J, MD, (F), B Blair, Russell A, MD, (M), B Lake Health Group Name: Community Group Name: Gary B Kaplan Md Hillcrest Hospital Hospitalists Provider ID: 002909851001 Uh Cleveland Medical Center Provider ID: 005392312003 NPI: 1134314644 NPI: 1316239916 36001 Euclid Ave Ste C19 Brinberg, Don E, MD, (M), B 10 E Washington St Willoughby, OH 44094 Group Name: Great Lakes

Painesville, OH 44077 (440) 946-0574 E, EB, G, IB, P, Gastroenterology

(440) 542-5000 EB, P, R PL, R, RE, S, T Provider ID: 000268001001 Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM NPI: 1235237090 Hospital Affiliations: Ages: 0-99 7590 Auburn Rd Doctors Hospital Hospital Affiliations: Concord Township, OH 44077

Lake Health (508) 836-3663 E, EB, G, IB, P, Biggs, Ariel J, MD, (F), B PL, R, RE, S, T Group Name: Community Bowe, David A, MD, (M), B Cultural Competency: Y Hospitalists Group Name: Lake Health Allied Ages: 0-99 Provider ID: 005392312003 Health Professionals Hospital Affiliations: NPI: 1316239916 Provider ID: 000192581007 Lake Health 36000 Euclid Ave NPI: 1164482675 Hillcrest Hospital Willoughby, OH 44094 29804 Lakeshore Blvd South Pointe Hospital

(440) 542-5000 P, R, RE, T Willowick, OH 44095 Euclid Hospital

Ages: 0-99 (440) 585-3322 P, R, RE, T Huron Hospital Hospital Affiliations: Mo-Fr - 8:00 AM - 8:00 PM Doctors Hospital Sa,Su - 9:00 AM - 5:00 PM Brinberg, Don E, MD, (M), B Cultural Competency: Y Group Name: Great Lakes Biggs, Ariel J, MD, (F), B Ages: 0-99 Gastroenterology Group Name: Community Hospital Affiliations: Provider ID: 000268001001 Hospitalists Lake Health NPI: 1235237090 Provider ID: 005392312003 Hillcrest Hospital 8877 Mentor Ave NPI: 1316239916 Uh Cleveland Medical Center Mentor, OH 44060

7590 Auburn Rd (440) 205-1225 EB, P, R, RE, T Concord Township, OH 44077 Bowe, David A, MD, (M), B Mo-Fr - 9:00 AM - 5:00 PM (440) 542-5000 E, EB, G, IB, P, Group Name: Lake Health Allied PL, R, RE, S, T Health Professionals Cultural Competency: Y Ages: 0-99 Provider ID: 000192581008 Ages: 0-99 Hospital Affiliations: NPI: 1164482675 Hospital Affiliations: Doctors Hospital 8655 Market St Lake Health Mentor, OH 44060 Hillcrest Hospital South Pointe Hospital (440) 255-6400 P, R, RE, T Mo-Fr - 8:00 AM - 8:00 PM Euclid Hospital Sa,Su - 9:00 AM - 5:00 PM Huron Hospital Cultural Competency: Y Ages: 0-99 Hospital Affiliations:

302

Specialists Ohio - Lake Brzozowski, Philip C, MD, (M) Center Chan, Amanda M, MD, (F), B Group Name: Lake Health Allied Borgess Medical Center Group Name: Community Health Professionals Ascension Borgess Hospital Hospitalists Provider ID: 000923024006 St Lukes Hospital Provider ID: 006250814002 NPI: 1013023332 NPI: 1669746939 5105 Som Center Rd Ste 201 Chacko, Paul, MD, (M), B 10 E Washington St Willoughby, OH 44094 Group Name: Community Painesville, OH 44077

(440) 602-6710 EB, P, PL, R, RE, Hospitalists (440) 542-5000 EB, P, R T Provider ID: 002772223001 Ages: 0-99 Cultural Competency: Y NPI: 1932253200 Ages: 18-99 36000 Euclid Ave Chan, Amanda M, MD, (F), B Does Not Accept Male Patients Willoughby, OH 44094 Group Name: Community

Hospital Affiliations: (440) 542-5000 P, R, RE, T Hospitalists Lake Health Ages: 0-99 Provider ID: 006250814002 Uh Cleveland Medical Center Hospital Affiliations: NPI: 1669746939 University Medical Center-mesabi 36000 Euclid Ave Brzozowski, Philip C, MD, (M) University Of Toledo Medical Willoughby, OH 44094

Group Name: Lake Health Allied Center (440) 542-5000 P, R, RE, T Health Professionals Borgess Medical Center Ages: 0-99 Provider ID: 000923024003 Ascension Borgess Hospital NPI: 1013023332 St Lukes Hospital Chan, Amanda M, MD, (F), B 9485 Mentor Ave Ste 202 Group Name: Community Mentor, OH 44060 Chacko, Paul, MD, (M), B Hospitalists

(440) 205-5862 EB, P, R Group Name: Community Provider ID: 006250814002 Cultural Competency: Y Hospitalists NPI: 1669746939 Ages: 18-99 Provider ID: 002772223001 7590 Auburn Rd Does Not Accept Male Patients NPI: 1932253200 Concord Township, OH 44077

Hospital Affiliations: 7590 Auburn Rd (440) 542-5000 E, EB, G, IB, P, Lake Health Concord Township, OH 44077 PL, R, RE, S, T

Uh Cleveland Medical Center (440) 542-5000 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Chacko, Paul, MD, (M), B Ages: 0-99 Chand, Prakash, MD, (M), B Group Name: Community Hospital Affiliations: Group Name: Community Hospitalists University Medical Center-mesabi Hospitalists Provider ID: 002772223001 University Of Toledo Medical Provider ID: 004047807005 NPI: 1932253200 Center NPI: 1275812497 10 E Washington St Borgess Medical Center 10 E Washington St Painesville, OH 44077 Ascension Borgess Hospital Painesville, OH 44077

(440) 542-5000 EB, P, R St Lukes Hospital (440) 542-5000 EB, P, R Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 University Medical Center-mesabi Hospital Affiliations: University Of Toledo Medical Wooster Community Hospital

303

Ohio - Lake Specialists University Hospitals Elyria South Pointe Hospital Areas of Expertise: E112 Medical Ctr Fisher-titus Medical Center Uh Elyria Medical Center Cheres, Christ-Roi, MD, (M), B Knox Community Hospital Cheres, Christ-Roi, MD, (M), B Group Name: Community South Pointe Hospital Group Name: Community Hospitalists Fisher-titus Medical Center Hospitalists Provider ID: 003475706004 Provider ID: 003475706004 NPI: 1356502074 Chand, Prakash, MD, (M), B NPI: 1356502074 7590 Auburn Rd Group Name: Community 10 E Washington St Concord Township, OH 44077

Hospitalists Painesville, OH 44077 (440) 542-5000 E, EB, G, IB, P,

Provider ID: 004047807005 (440) 542-5000 EB, P, R PL, R, RE, S, T NPI: 1275812497 Languages Spoken: Languages Spoken: 36000 Euclid Ave Provider: French, Spanish, Provider: French, Spanish, Willoughby, OH 44094 Haitian; Haitian Creole Haitian; Haitian Creole

(440) 542-5000 P, R, RE, T Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Uh Geauga Medical Center Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga University Hospitals Geauga Wooster Community Hospital Medical Ctr Medical Ctr University Hospitals Elyria Uh Parma Medical Center Uh Parma Medical Center Medical Ctr University Hospitals Parma University Hospitals Parma Uh Elyria Medical Center Medical Ctr Medical Ctr Knox Community Hospital Areas of Expertise: E112 Areas of Expertise: E112 South Pointe Hospital Fisher-titus Medical Center Cheres, Christ-Roi, MD, (M), B Chiang, Ambrose A, MD, (M), B Group Name: Community Group Name: University Chand, Prakash, MD, (M), B Hospitalists Hospitals Medical Group Group Name: Community Provider ID: 003475706004 Provider ID: 001335361001 Hospitalists NPI: 1356502074 NPI: 1447329172 Provider ID: 004047807005 36000 Euclid Ave 9000 Mentor Ave Ste 212 NPI: 1275812497 Willoughby, OH 44094 Mentor, OH 44060

7590 Auburn Rd (440) 542-5000 P, R, RE, T (216) 844-8500 EB, P, R Concord Township, OH 44077 Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM

(440) 542-5000 E, EB, G, IB, P, Provider: French, Spanish, Ages: 0-99 PL, R, RE, S, T Haitian; Haitian Creole Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Dlp Maria Parham Medical Center Ages: 0-99 Hospital Affiliations: Uh Regional Hospital - Bedford Hospital Affiliations: Uh Geauga Medical Center Campus Wooster Community Hospital University Hospitals Geauga Duke Regional Hospital University Hospitals Elyria Medical Ctr Uh Regional Hospitals Medical Ctr Uh Parma Medical Center Rex Healthcare Uh Elyria Medical Center University Hospitals Parma Uh Cleveland Medical Center Knox Community Hospital Medical Ctr Duke Raleigh Hospital

304

Specialists Ohio - Lake Duke University Hospital Huron Hospital Donca, Ionel Z, MD, (M) Group Name: Great Lakes Care Cox, Diethra D, MD, (F), B Dinga, Marc J, MD, (M), B Provider ID: 003080364005 Group Name: Diethra D Cox Md Group Name: Lake Health Allied NPI: 1841433265 Provider ID: 000537342004 Health Professionals 1515 Brookstone Blvd NPI: 1790796274 Provider ID: 000272872001 Painesville, OH 44077

5900 Som Center Rd Ste 12123 NPI: 1760470751 (440) 226-8869 EB, P, R Willoughby, OH 44094 9500 Mentor Ave Ste 300 Languages Spoken:

(440) 205-0242 EB, P, R Mentor, OH 44060 Provider: Romanian

Cultural Competency: Y (440) 255-5620 EB, P, R Ages: 18-99 Ages: 0-99 Mo-Tu - 1:00 PM - 4:30 PM Hospital Affiliations: Hospital Affiliations: We,Th - 9:00 AM - 11:30 AM Lake Health Lake Health Cultural Competency: Y South Pointe Hospital Metrohealth Medical Center Ages: 0-99 Uh Regional Hospitals Hospital Affiliations: Cox, Diethra D, MD, (F), B Lake Health Donca, Ionel Z, MD, (M) Group Name: Diethra D Cox Md South Pointe Hospital Group Name: Great Lakes Care Provider ID: 000537342004 Huron Hospital Provider ID: 003080364005 NPI: 1790796274 NPI: 1841433265 8300 Tyler Blvd Ste 102 Donca, Ionel Z, MD, (M) 29640 Euclid Ave Mentor, OH 44060 Group Name: Great Lakes Care Wickliffe, OH 44092

(440) 205-0242 E, EB, IB, P, R, Provider ID: 003080364005 (440) 585-2221 EB, P, R RE, S, T NPI: 1841433265 Languages Spoken: Mo-Fr - 9:00 AM - 5:00 PM 10665 Blueberry Hill Dr Provider: Romanian Cultural Competency: Y Willoughby, OH 44094 Ages: 18-99

Ages: 0-99 (440) 585-2221 EB, P, R Hospital Affiliations: Hospital Affiliations: Languages Spoken: Lake Health Lake Health Provider: Romanian South Pointe Hospital Metrohealth Medical Center Ages: 18-99 Uh Regional Hospitals Hospital Affiliations: Dinga, Marc J, MD, (M), B Lake Health Donca, Ionel Z, MD, (M) Group Name: Lake Health Allied South Pointe Hospital Group Name: Great Lakes Care Health Professionals Uh Regional Hospitals Provider ID: 003080364005 Provider ID: 000272872001 NPI: 1841433265 NPI: 1760470751 29640 Euclid Ave Ste 1 4212 State Route 306 Ste 110 Wickliffe, OH 44092

Willoughby, OH 44094 (440) 585-2221 EB, P, R

(440) 953-9135 EB, P, R Languages Spoken: Cultural Competency: Y Provider: Romanian Ages: 0-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Lake Health Lake Health South Pointe Hospital South Pointe Hospital

305

Ohio - Lake Specialists Uh Regional Hospitals Espinosa, Roger G, MD, (M), B Esho, Adetokunbo O, MD, (M), B Group Name: Roger Espinosa Md Duber, Vanessa M, NP, (F) Group Name: Community Provider ID: 000154511001 Group Name: Id Consultants Hospitalists NPI: 1386622728 Provider ID: 005232860006 Provider ID: 002360374001 35717 Euclid Ave NPI: 1144650227 NPI: 1730139338 Willoughby, OH 44094

50 Normandy Dr Ste 1 36000 Euclid Ave (440) 942-4890 P, R, RE, T Painesville, OH 44077 Willoughby, OH 44094 Languages Spoken:

(216) 360-0456 EB, P, R (440) 542-5000 P, R, RE, T Provider: Filipino Ages: 0-99 Ages: 0-99 Mo,Tu,Th - 9:00 AM - 5:00 PM Hospital Affiliations: We,Fr - 9:00 AM - 3:00 PM Effron, Barry A, MD, (M), B Uh Geauga Medical Center Cultural Competency: Y Group Name: University University Hospitals Geauga Ages: 0-99 Hospitals Medical Group Medical Ctr Hospital Affiliations: Provider ID: 000621206002 Cleveland Clinic Foundation Lake Health NPI: 1376569640 Hillcrest Hospital Huron Hospital 9000 Mentor Ave Southwest General Health Center Mentor, OH 44060 Univ Hospitals Ahuja Med Ctr Espinosa, Roger G, MD, (M), B

(216) 844-3800 EB, P, R Group Name: Roger Espinosa Md Mo-Fr - 8:30 AM - 4:30 PM Esho, Adetokunbo O, MD, (M), B Provider ID: 000154511001 Cultural Competency: Y Group Name: Community NPI: 1386622728 Ages: 0-99 Hospitalists 9500 Mentor Ave Ste 240 Hospital Affiliations: Provider ID: 002360374001 Mentor, OH 44060

Uh Cleveland Medical Center NPI: 1730139338 (440) 354-7300 EB, IB, P, R Univ Hospitals Ahuja Med Ctr 7590 Auburn Rd Languages Spoken: Concord Township, OH 44077 Provider: Filipino

Esho, Adetokunbo O, MD, (M), B (440) 542-5000 E, EB, G, IB, P, Mo-Fr - 9:00 AM - 5:00 PM Group Name: Community PL, R, RE, S, T Cultural Competency: Y Hospitalists Ages: 0-99 Ages: 0-99 Provider ID: 002360374001 Hospital Affiliations: Hospital Affiliations: NPI: 1730139338 Uh Geauga Medical Center Lake Health 10 E Washington St University Hospitals Geauga Huron Hospital Painesville, OH 44077 Medical Ctr

(440) 542-5000 EB, P, R Cleveland Clinic Foundation Ezell, Joshua E, DO, (M), B Ages: 0-99 Hillcrest Hospital Group Name: Community Hospital Affiliations: Southwest General Health Center Hospitalists Uh Geauga Medical Center Univ Hospitals Ahuja Med Ctr Provider ID: 006126954003 University Hospitals Geauga NPI: 1851632806 Medical Ctr 10 E Washington St Cleveland Clinic Foundation Painesville, OH 44077

Hillcrest Hospital (440) 542-5000 EB, P, R Southwest General Health Center Ages: 0-99 Univ Hospitals Ahuja Med Ctr Hospital Affiliations:

306

Specialists Ohio - Lake Riverside Methodist Hospital Farah, George M, MD, (M), B Farah, Michel G, MD, (M), B Overland Park Rgnl Med Ctr Group Name: University Group Name: University Hospitals Medical Group Hospitals Medical Group Ezell, Joshua E, DO, (M), B Provider ID: 003279408001 Provider ID: 000621210002 Group Name: Community NPI: 1629049283 NPI: 1780603563 Hospitalists 7500 Auburn Rd Ste 1500 9000 Mentor Ave Ste 212 Provider ID: 006126954003 Concord Township, OH 44077 Mentor, OH 44060

NPI: 1851632806 (216) 844-3800 EB, P, R (216) 844-3800 EB, P, R 36000 Euclid Ave Languages Spoken: Languages Spoken: Willoughby, OH 44094 Provider: Arabic Provider: Arabic

(440) 542-5000 P, R, RE, T Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cultural Competency: Y Cultural Competency: Y Hospital Affiliations: Web address: www.smalv.com Ages: 0-99 Riverside Methodist Hospital Ages: 0-99 Hospital Affiliations: Overland Park Rgnl Med Ctr Hospital Affiliations: Uh Cleveland Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr Ezell, Joshua E, DO, (M), B Univ Hospitals Ahuja Med Ctr Group Name: Community Glovatskaya, Galina, MD, (F), B Hospitalists Farah, George M, MD, (M), B Group Name: Community Provider ID: 006126954003 Group Name: University Hospitalists NPI: 1851632806 Hospitals Medical Group Provider ID: 002785840004 7590 Auburn Rd Provider ID: 003279408001 NPI: 1578537999 Concord Township, OH 44077 NPI: 1629049283 36000 Euclid Ave

(440) 542-5000 E, EB, G, IB, P, 9000 Mentor Ave Ste 212 Willoughby, OH 44094

PL, R, RE, S, T Mentor, OH 44060 (440) 542-5025 P, R, RE, T

Ages: 0-99 (216) 844-3800 EB, P, R Languages Spoken: Hospital Affiliations: Languages Spoken: Provider: Russian Riverside Methodist Hospital Provider: Arabic Cultural Competency: Y Overland Park Rgnl Med Ctr Mo-Fr - 8:30 AM - 4:30 PM Ages: 19-99 Cultural Competency: Y Hospital Affiliations: Web address: www.smalv.com Lake Health Ages: 0-99 Areas of Expertise: MAT1 Hospital Affiliations: Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

307

Ohio - Lake Specialists Glovatskaya, Galina, MD, (F), B Gopal, Naveen, MD, (M), B University Med Ctr Of Southern Group Name: Community Group Name: Community Nevada Hospitalists Hospitalists Firelands Regional Medical Ctr Provider ID: 002785840005 Provider ID: 003514261001 Uh Parma Medical Center NPI: 1578537999 NPI: 1346479623 University Hospitals Parma 7590 Auburn Rd 36000 Euclid Ave Medical Ctr Concord Township, OH 44077 Willoughby, OH 44094 Areas of Expertise: MAT1

(440) 542-5023 EB, P, R (440) 542-5000 P, R, RE, T Languages Spoken: Languages Spoken: Greenfield, Daniel J, MD, (F), B Provider: Russian Provider: Hindi, Kannada, Group Name: Community Cultural Competency: Y Telugu Hospitalists Ages: 19-99 Cultural Competency: Y Provider ID: 003643233001 Hospital Affiliations: Ages: 0-99 NPI: 1063673002 Lake Health Hospital Affiliations: 10 E Washington St Areas of Expertise: MAT1 University Hospitals Elyria Painesville, OH 44077

Medical Ctr (440) 542-5000 EB, P, R Gopal, Naveen, MD, (M), B Uh Elyria Medical Center Cultural Competency: Y Group Name: Community University Med Ctr Of Southern Ages: 0-99 Hospitalists Nevada Hospital Affiliations: Provider ID: 003514261001 Firelands Regional Medical Ctr University Hospitals Elyria NPI: 1346479623 Uh Parma Medical Center Medical Ctr 10 E Washington St University Hospitals Parma Uh Elyria Medical Center Painesville, OH 44077 Medical Ctr St John Medical Center

(440) 542-5000 EB, P, R Areas of Expertise: MAT1 Languages Spoken: Greenfield, Daniel J, MD, (F), B Provider: Hindi, Kannada, Gopal, Naveen, MD, (M), B Group Name: Community Telugu Group Name: Community Hospitalists Cultural Competency: Y Hospitalists Provider ID: 003643233001 Ages: 0-99 Provider ID: 003514261001 NPI: 1063673002 Hospital Affiliations: NPI: 1346479623 36000 Euclid Ave University Hospitals Elyria 7590 Auburn Rd Willoughby, OH 44094

Medical Ctr Concord Township, OH 44077 (440) 542-5000 P, R, RE, T

Uh Elyria Medical Center (440) 542-5000 E, EB, G, IB, P, Cultural Competency: Y University Med Ctr Of Southern PL, R, RE, S, T Ages: 0-99 Nevada Languages Spoken: Hospital Affiliations: Firelands Regional Medical Ctr Provider: Hindi, Kannada, University Hospitals Elyria Uh Parma Medical Center Telugu Medical Ctr University Hospitals Parma Cultural Competency: Y Uh Elyria Medical Center Medical Ctr Ages: 0-99 St John Medical Center Areas of Expertise: MAT1 Hospital Affiliations: University Hospitals Elyria Medical Ctr Uh Elyria Medical Center

308

Specialists Ohio - Lake Greenfield, Daniel J, MD, (F), B University Hospitals Geauga Heidenreich, Bess, DO, (F), B Group Name: Community Medical Ctr Group Name: Community Hospitalists Ashtabula County Med Center Hospitalists Provider ID: 003643233001 Provider ID: 006673626001 NPI: 1063673002 Guerini, Debra S, MD, (F) NPI: 1710305248 7590 Auburn Rd Group Name: Community 7590 Auburn Rd Concord Township, OH 44077 Hospitalists Concord Township, OH 44077

(440) 542-5000 E, EB, G, IB, P, Provider ID: 001243203003 (440) 375-8100 EB, P, R PL, R, RE, S, T NPI: 1013985605 Ages: 0-99 Cultural Competency: Y 7590 Auburn Rd Hospital Affiliations: Ages: 0-99 Concord Township, OH 44077 Lake Health

Hospital Affiliations: (440) 542-5000 E, EB, G, IB, P, Cleveland Clinic Foundation University Hospitals Elyria PL, R, RE, S, T South Pointe Hospital Medical Ctr Ages: 0-99 Areas of Expertise: MAT1 Uh Elyria Medical Center Hospital Affiliations: St John Medical Center Uh Geauga Medical Center Hoit, Brian D, MD, (M), B University Hospitals Geauga Group Name: University Guerini, Debra S, MD, (F) Medical Ctr Hospitals Medical Group Group Name: Community Ashtabula County Med Center Provider ID: 000801861002 Hospitalists NPI: 1225054430 Provider ID: 001243203003 Heidenreich, Bess, DO, (F), B 9000 Mentor Ave Ste 212 NPI: 1013985605 Group Name: Community Mentor, OH 44060

10 E Washington St Hospitalists (216) 844-3800 EB, P, R Painesville, OH 44077 Provider ID: 006673626001 Mo-Fr - 8:30 AM - 4:30 PM

(440) 542-5000 EB, P, R NPI: 1710305248 Cultural Competency: Y Ages: 0-99 36000 Euclid Ave Ages: 0-99 Hospital Affiliations: Willoughby, OH 44094 Hospital Affiliations:

Uh Geauga Medical Center (440) 542-5023 P, R, RE, T Uh Cleveland Medical Center University Hospitals Geauga Ages: 0-99 University Of Cincinnati Medical Medical Ctr Hospital Affiliations: Center Ashtabula County Med Center Lake Health Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation Guerini, Debra S, MD, (F) South Pointe Hospital Josephson, Richard A, MD, (M), Group Name: Community Areas of Expertise: MAT1 B Hospitalists Group Name: University Provider ID: 001243203003 Hospitals Medical Group NPI: 1013985605 Provider ID: 000046859001 36000 Euclid Ave NPI: 1487659009 Willoughby, OH 44094 9000 Mentor Ave Ste 212

(440) 542-5000 P, R, RE, T Mentor, OH 44060

Ages: 0-99 (216) 844-3800 EB, P, R Hospital Affiliations: Cultural Competency: Y Uh Geauga Medical Center Ages: 0-99

309

Ohio - Lake Specialists Hospital Affiliations: Kirsch, Michael, MD, (M) Ledvin, Veronica, MD, (F), B Summa Health System Group Name: Center For Group Name: Community Childrens Hospital Med Ctr Akron Digestive Health Hospitalists Akron General Medical Ctr Provider ID: 000944467001 Provider ID: 002684260006 Summa Barberton Citizens NPI: 1942294368 NPI: 1467462507 Uh Cleveland Medical Center 34940 Ridge Rd Ste B 10 E Washington St Univ Hospitals Ahuja Med Ctr Willoughby, OH 44094 Painesville, OH 44077

(440) 953-1899 EB, G, IB, P, R (440) 542-5000 EB, P, R Kang, Harleen, MD, (F) Languages Spoken: Group Name: Community Languages Spoken: Provider: Russian Hospitalists Provider: German, Spanish Ages: 0-99 Provider ID: 003550157007 Mo-Fr - 9:30 AM - 4:30 PM Hospital Affiliations: NPI: 1144514647 Cultural Competency: Y Penn Highlands Dubois 10 E Washington St Ages: 0-99 Ephrata Community Hospital Painesville, OH 44077 Hospital Affiliations: Geisinger - Holy Spirit Hospital Lake Health (440) 542-5000 EB, P, R Penn State Health Holy Spirit Ages: 0-99 Cleveland Clinic Foundation Medical Ce Euclid Hospital Pinnacle Health Hospitals Kang, Harleen, MD, (F) Uh Cleveland Medical Center Upmc Pinnacle Hospitals Group Name: Community Lower Bucks Hospital Hospitalists Kirsch, Michael, MD, (M) Provider ID: 003550157007 Group Name: Center For Ledvin, Veronica, MD, (F), B NPI: 1144514647 Digestive Health Group Name: Community 36000 Euclid Ave Provider ID: 000944467001 Hospitalists Willoughby, OH 44094 NPI: 1942294368 Provider ID: 002684260006 9485 Mentor Ave Ste 204 (440) 542-5000 P, R, RE, T NPI: 1467462507 Ages: 0-99 Mentor, OH 44060 36000 Euclid Ave (440) 205-5740 EB, IB, P, R Willoughby, OH 44094 Languages Spoken: Kang, Harleen, MD, (F) (440) 542-5000 P, R, RE, T Group Name: Community Provider: German, Spanish Languages Spoken: Hospitalists Mo-Fr - 9:30 AM - 4:30 PM Provider: Russian Provider ID: 003550157007 Cultural Competency: Y Ages: 0-99 NPI: 1144514647 Ages: 0-99 Hospital Affiliations: 7590 Auburn Rd Hospital Affiliations: Penn Highlands Dubois Concord Township, OH 44077 Lake Health Ephrata Community Hospital Cleveland Clinic Foundation (440) 542-5000 E, EB, G, IB, P, Geisinger - Holy Spirit Hospital PL, R, RE, S, T Euclid Hospital Penn State Health Holy Spirit Ages: 0-99 Uh Cleveland Medical Center Medical Ce Pinnacle Health Hospitals Upmc Pinnacle Hospitals Lower Bucks Hospital

310

Specialists Ohio - Lake Ledvin, Veronica, MD, (F), B Lindbloom, Kristopher, DO, (M), Lakewood Hospital Group Name: Community B Cleveland Clinic Lakewood Hospitalists Group Name: Community Firelands Regional Medical Ctr Provider ID: 002684260006 Hospitalists Southwest General Health Center NPI: 1467462507 Provider ID: 003559744002 Areas of Expertise: MAT1 7590 Auburn Rd NPI: 1568635423 Concord Township, OH 44077 36000 Euclid Ave Massouh, Rafik, MD, (M), B

(440) 542-5000 E, EB, G, IB, P, Willoughby, OH 44094 Group Name: Community

PL, R, RE, S, T (440) 542-5000 P, R, RE, T Hospitalists Languages Spoken: Ages: 0-99 Provider ID: 002176576001 Provider: Russian Areas of Expertise: MAT1 NPI: 1639274038 Ages: 0-99 36000 Euclid Ave Hospital Affiliations: Lindbloom, Kristopher, DO, (M), Willoughby, OH 44094

Penn Highlands Dubois B (440) 542-5000 P, R, RE, T Ephrata Community Hospital Group Name: Community Languages Spoken: Geisinger - Holy Spirit Hospital Hospitalists Provider: Arabic Penn State Health Holy Spirit Provider ID: 003559744002 Ages: 0-99 Medical Ce NPI: 1568635423 Hospital Affiliations: Pinnacle Health Hospitals 7590 Auburn Rd Uh Geauga Medical Center Upmc Pinnacle Hospitals Concord Township, OH 44077 University Hospitals Geauga

Lower Bucks Hospital (440) 542-5000 E, EB, G, IB, P, Medical Ctr PL, R, RE, S, T University Hospitals Elyria Lindbloom, Kristopher, DO, (M), Ages: 0-99 Medical Ctr B Areas of Expertise: MAT1 Uh Elyria Medical Center Group Name: Community Lakewood Hospital Hospitalists Massouh, Rafik, MD, (M), B Cleveland Clinic Lakewood Provider ID: 003559744002 Group Name: Community Firelands Regional Medical Ctr NPI: 1568635423 Hospitalists Southwest General Health Center 10 E Washington St Provider ID: 002176576001 Areas of Expertise: MAT1 Painesville, OH 44077 NPI: 1639274038

(440) 542-5000 EB, P, R 10 E Washington St Massouh, Rafik, MD, (M), B Ages: 0-99 Painesville, OH 44077 Group Name: Community

Areas of Expertise: MAT1 (440) 542-5000 EB, P, R Hospitalists Languages Spoken: Provider ID: 002176576001 Provider: Arabic NPI: 1639274038 Ages: 0-99 7590 Auburn Rd Hospital Affiliations: Concord Township, OH 44077

Uh Geauga Medical Center (440) 542-5000 E, EB, G, IB, P, University Hospitals Geauga PL, R, RE, S, T Medical Ctr Languages Spoken: University Hospitals Elyria Provider: Arabic Medical Ctr Ages: 0-99 Uh Elyria Medical Center Hospital Affiliations:

311

Ohio - Lake Specialists Uh Geauga Medical Center Mclean, Shoghi M, MD, (M), B Menolasino, Michael J, DO, (M), University Hospitals Geauga Group Name: Community B Medical Ctr Hospitalists Group Name: Community University Hospitals Elyria Provider ID: 002561123002 Hospitalists Medical Ctr NPI: 1659454320 Provider ID: 001200557002 Uh Elyria Medical Center 7590 Auburn Rd NPI: 1063592459 Lakewood Hospital Concord Township, OH 44077 36000 Euclid Ave

Cleveland Clinic Lakewood (440) 542-5000 E, EB, G, IB, P, Willoughby, OH 44094

Firelands Regional Medical Ctr PL, R, RE, S, T (440) 542-5005 P, R, RE, T Southwest General Health Center Languages Spoken: Languages Spoken: Areas of Expertise: MAT1 Provider: Spanish Provider: Tagalog Ages: 0-99 Cultural Competency: Y Mclean, Shoghi M, MD, (M), B Hospital Affiliations: Ages: 18-99 Group Name: Community Metrohealth Medical Center Hospital Affiliations: Hospitalists Areas of Expertise: MAT1 Metropolitan Hosp Provider ID: 002561123002 Metro Health Hospital NPI: 1659454320 Menolasino, Michael J, DO, (M), Lake Health 10 E Washington St B Uh Regional Hospitals Painesville, OH 44077 Group Name: Community Uh Cleveland Medical Center

(440) 542-5000 EB, P, R Hospitalists Univ Hospitals Ahuja Med Ctr Languages Spoken: Provider ID: 001200557002 Provider: Spanish NPI: 1063592459 Menolasino, Michael J, DO, (M), Ages: 0-99 1919 Bishop Rd B Hospital Affiliations: Wickliffe, OH 44092 Group Name: Community

Metrohealth Medical Center (440) 944-9400 EB, P, R Hospitalists Areas of Expertise: MAT1 Languages Spoken: Provider ID: 001200557002 Provider: Tagalog NPI: 1063592459 Mclean, Shoghi M, MD, (M), B Cultural Competency: Y 37603 Euclid Ave Group Name: Community Ages: 18-99 Willoughby, OH 44094

Hospitalists Hospital Affiliations: (440) 951-5551 EB, P, R Provider ID: 002561123002 Metropolitan Hosp Languages Spoken: NPI: 1659454320 Metro Health Hospital Provider: Tagalog 36000 Euclid Ave Lake Health Cultural Competency: Y Willoughby, OH 44094 Uh Regional Hospitals Ages: 18-99

(440) 542-5000 P, R, RE, T Uh Cleveland Medical Center Hospital Affiliations: Languages Spoken: Univ Hospitals Ahuja Med Ctr Metropolitan Hosp Provider: Spanish Metro Health Hospital Ages: 0-99 Lake Health Hospital Affiliations: Uh Regional Hospitals Metrohealth Medical Center Uh Cleveland Medical Center Areas of Expertise: MAT1 Univ Hospitals Ahuja Med Ctr

312

Specialists Ohio - Lake Menolasino, Michael J, DO, (M), Morra, Nariman K, MD, (F), B Morra, Nariman K, MD, (F), B B Group Name: Community Group Name: Community Group Name: Community Hospitalists Hospitalists Hospitalists Provider ID: 002927792001 Provider ID: 002927792001 Provider ID: 001200557002 NPI: 1902060783 NPI: 1902060783 NPI: 1063592459 10 E Washington St 7590 Auburn Rd 7590 Auburn Rd Painesville, OH 44077 Concord Township, OH 44077

Concord Township, OH 44077 (440) 542-5000 EB, P, R (440) 542-5000 E, EB, G, IB, P,

(440) 375-8100 E, EB, G, IB, P, Languages Spoken: PL, R, RE, S, T PL, R, RE, S, T Provider: Arabic Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Arabic Provider: Tagalog Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Cleveland Clinic Foundation Hospital Affiliations: Ages: 18-99 Fairview Hospital Cleveland Clinic Foundation Hospital Affiliations: Medina Hospital Fairview Hospital Metropolitan Hosp Southwest General Health Center Medina Hospital Metro Health Hospital St John Medical Center Southwest General Health Center Lake Health St John Medical Center Uh Regional Hospitals Morra, Nariman K, MD, (F), B Uh Cleveland Medical Center Group Name: Community Nanjunde Gowda, Madan Kumar, Univ Hospitals Ahuja Med Ctr Hospitalists MD, (M) Provider ID: 002927792001 Group Name: Community Menolasino, Michael J, DO, (M), NPI: 1902060783 Hospitalists B 36000 Euclid Ave Provider ID: 003658496001 Group Name: Community Willoughby, OH 44094 NPI: 1548413230

Hospitalists (440) 542-5000 P, R, RE, T 10 E Washington St Provider ID: 001200557002 Languages Spoken: Painesville, OH 44077

NPI: 1063592459 Provider: Arabic (440) 542-5000 EB, P, R 8881 Schaeffer St Ages: 0-99 Ages: 0-99 Mentor, OH 44060 Hospital Affiliations: Hospital Affiliations:

(440) 255-9309 EB, P, R Cleveland Clinic Foundation Erie County Medical Center Languages Spoken: Fairview Hospital Provider: Tagalog Medina Hospital Nanjunde Gowda, Madan Kumar, Cultural Competency: Y Southwest General Health Center MD, (M) Ages: 18-99 St John Medical Center Group Name: Community Hospital Affiliations: Hospitalists Metropolitan Hosp Provider ID: 003658496001 Metro Health Hospital NPI: 1548413230 Lake Health 36000 Euclid Ave Uh Regional Hospitals Willoughby, OH 44094

Uh Cleveland Medical Center (440) 542-5000 P, R, RE, T Univ Hospitals Ahuja Med Ctr Ages: 0-99 Hospital Affiliations:

313

Ohio - Lake Specialists Erie County Medical Center Newman, Georgia L, MD, (F), B Peterson, Nicolle L, DO, (F), B Group Name: Community Group Name: Community Nanjunde Gowda, Madan Kumar, Hospitalists Hospitalists MD, (M) Provider ID: 000554848002 Provider ID: 005469215002 Group Name: Community NPI: 1194716555 NPI: 1063709715 Hospitalists 7590 Auburn Rd 36000 Euclid Ave Provider ID: 003658496001 Concord Township, OH 44077 Willoughby, OH 44094

NPI: 1548413230 (440) 542-5000 E, EB, G, IB, P, (440) 542-5000 P, R, RE, T 7590 Auburn Rd PL, R, RE, S, T Ages: 0-99 Concord Township, OH 44077 Ages: 0-99 Hospital Affiliations:

(440) 542-5000 E, EB, G, IB, P, Hospital Affiliations: Nebraska Medical Center PL, R, RE, S, T Mercy Allen Hospital Ages: 0-99 Peterson, Nicolle L, DO, (F), B Hospital Affiliations: Parran, Theodore V, MD, (M), B Group Name: Community Erie County Medical Center Group Name: Gma Consultants Hospitalists Inc Provider ID: 005469215002 Newman, Georgia L, MD, (F), B Provider ID: 000169625001 NPI: 1063709715 Group Name: Community NPI: 1811974348 7590 Auburn Rd Hospitalists 35900 Euclid Ave Concord Township, OH 44077

Provider ID: 000554848002 Willoughby, OH 44094 (440) 542-5000 E, EB, G, IB, P,

NPI: 1194716555 (440) 953-3000 EB, P, R PL, R, RE, S, T 10 E Washington St Languages Spoken: Ages: 0-99 Painesville, OH 44077 Provider: Ukrainian Hospital Affiliations:

(440) 542-5000 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Nebraska Medical Center Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Pop, Stefan C, MD, (M) Mercy Allen Hospital Lutheran Hospital Group Name: Community St Vincent Charity Medical Center Hospitalists Newman, Georgia L, MD, (F), B Areas of Expertise: A021, E112, Provider ID: 003559690003 Group Name: Community E160, MAT1 NPI: 1962645366 Hospitalists 10 E Washington St Provider ID: 000554848002 Peterson, Nicolle L, DO, (F), B Painesville, OH 44077

NPI: 1194716555 Group Name: Community (440) 542-5000 EB, P, R 36000 Euclid Ave Hospitalists Ages: 0-99 Willoughby, OH 44094 Provider ID: 005469215002 Areas of Expertise: MAT1

(440) 542-5000 P, R, RE, T NPI: 1063709715 Ages: 0-99 10 E Washington St Hospital Affiliations: Painesville, OH 44077

Mercy Allen Hospital (440) 542-5000 EB, P, R Ages: 0-99 Hospital Affiliations: Nebraska Medical Center

314

Specialists Ohio - Lake Pop, Stefan C, MD, (M) Pope, Douglas A, MD, (M), B Howard County General Hospital Group Name: Community Group Name: Community Ascension Seton Medical Center Hospitalists Hospitalists Austin Provider ID: 003559690003 Provider ID: 001734630001 Seton Highland Lakes Hosp NPI: 1962645366 NPI: 1093786857 Ascension Seton Highland Lakes 36000 Euclid Ave 36000 Euclid Ave Ascension Seton Northwest Willoughby, OH 44094 Willoughby, OH 44094 Ascension Seton Hays

(440) 542-5000 P, R, RE, T (440) 542-5000 P, R, RE, T Ages: 0-99 Ages: 0-99 Potluri, Satish B, MD, (M), B Areas of Expertise: MAT1 Hospital Affiliations: Group Name: Community Nationwide Children's Hospital Hospitalists Pop, Stefan C, MD, (M) Nationwide Childrens Hospital Provider ID: 002816482004 Group Name: Community Fairfield Medical Center NPI: 1144427824 Hospitalists Areas of Expertise: E112, E160 36000 Euclid Ave Provider ID: 003559690003 Willoughby, OH 44094

NPI: 1962645366 Pope, Douglas A, MD, (M), B (440) 542-5000 P, R, RE, T 7590 Auburn Rd Group Name: Community Web address: www.austinregionalcl Concord Township, OH 44077 Hospitalists inic.com

(440) 542-5000 E, EB, G, IB, P, Provider ID: 001734630001 Ages: 0-99 PL, R, RE, S, T NPI: 1093786857 Hospital Affiliations: Ages: 0-99 7590 Auburn Rd Howard County General Hospital Areas of Expertise: MAT1 Concord Township, OH 44077 Ascension Seton Medical Center

(440) 542-5000 E, EB, G, IB, P, Austin Pope, Douglas A, MD, (M), B PL, R, RE, S, T Seton Highland Lakes Hosp Group Name: Community Ages: 0-99 Ascension Seton Highland Lakes Hospitalists Hospital Affiliations: Ascension Seton Northwest Provider ID: 001734630001 Nationwide Children's Hospital Ascension Seton Hays NPI: 1093786857 Nationwide Childrens Hospital 10 E Washington St Fairfield Medical Center Potluri, Satish B, MD, (M), B Painesville, OH 44077 Areas of Expertise: E112, E160 Group Name: Community

(440) 542-5000 EB, P, R Hospitalists Ages: 0-99 Potluri, Satish B, MD, (M), B Provider ID: 002816482004 Hospital Affiliations: Group Name: Community NPI: 1144427824 Nationwide Children's Hospital Hospitalists 7590 Auburn Rd Nationwide Childrens Hospital Provider ID: 002816482004 Concord Township, OH 44077

Fairfield Medical Center NPI: 1144427824 (440) 542-5000 E, EB, G, IB, P, Areas of Expertise: E112, E160 10 E Washington St PL, R, RE, S, T Painesville, OH 44077 Web address: www.austinregionalcl

(440) 542-5000 EB, P, R inic.com Web address: www.austinregionalcl Ages: 0-99 inic.com Hospital Affiliations: Ages: 0-99 Howard County General Hospital Hospital Affiliations: Ascension Seton Medical Center

315

Ohio - Lake Specialists Austin Rutledge, Ethan B, DO, (M), B Seffo, Firas, MD, (M), B Seton Highland Lakes Hosp Group Name: Community Group Name: Community Ascension Seton Highland Lakes Hospitalists Hospitalists Ascension Seton Northwest Provider ID: 004129045001 Provider ID: 002434997003 Ascension Seton Hays NPI: 1508156696 NPI: 1366440778 7590 Auburn Rd 36000 Euclid Ave Rutledge, Ethan B, DO, (M), B Concord Township, OH 44077 Willoughby, OH 44094

Group Name: Community (440) 542-5000 E, EB, G, IB, P, (440) 542-5000 P, R, RE, T Hospitalists PL, R, RE, S, T Languages Spoken: Provider ID: 004129045001 Ages: 0-99 Provider: Arabic NPI: 1508156696 Hospital Affiliations: Ages: 0-99 10 E Washington St Tennova Healthcare Cleveland Hospital Affiliations: Painesville, OH 44077 Select Specialty Hosp Columbus University Hospitals Elyria

(440) 542-5000 EB, P, R Doctors Hospital Medical Ctr Ages: 0-99 Uh Elyria Medical Center Hospital Affiliations: Seffo, Firas, MD, (M), B Euclid Hospital Tennova Healthcare Cleveland Group Name: Community Southwest General Health Center Select Specialty Hosp Columbus Hospitalists Uh Parma Medical Center Doctors Hospital Provider ID: 002434997003 University Hospitals Parma NPI: 1366440778 Medical Ctr Rutledge, Ethan B, DO, (M), B 10 E Washington St Areas of Expertise: MAT1 Group Name: Community Painesville, OH 44077

Hospitalists (440) 542-5000 EB, P, R Seffo, Firas, MD, (M), B Provider ID: 004129045001 Languages Spoken: Group Name: Community NPI: 1508156696 Provider: Arabic Hospitalists 36000 Euclid Ave Ages: 0-99 Provider ID: 002434997003 Willoughby, OH 44094 Hospital Affiliations: NPI: 1366440778

(440) 542-5000 P, R, RE, T University Hospitals Elyria 7590 Auburn Rd Ages: 0-99 Medical Ctr Concord Township, OH 44077

Hospital Affiliations: Uh Elyria Medical Center (440) 542-5000 E, EB, G, IB, P, Tennova Healthcare Cleveland Euclid Hospital PL, R, RE, S, T Select Specialty Hosp Columbus Southwest General Health Center Languages Spoken: Doctors Hospital Uh Parma Medical Center Provider: Arabic University Hospitals Parma Ages: 0-99 Medical Ctr Hospital Affiliations: Areas of Expertise: MAT1 University Hospitals Elyria Medical Ctr Uh Elyria Medical Center Euclid Hospital Southwest General Health Center Uh Parma Medical Center University Hospitals Parma Medical Ctr

316

Specialists Ohio - Lake Areas of Expertise: MAT1 Wang, Kai, MD, (M), B Ware, Charles F, MD, (M) Group Name: Community Group Name: Community Wang, Kai, MD, (M), B Hospitalists Hospitalists Group Name: Community Provider ID: 003681051001 Provider ID: 005927306005 Hospitalists NPI: 1467682518 NPI: 1528355922 Provider ID: 003681051001 7590 Auburn Rd 7590 Auburn Rd NPI: 1467682518 Concord Township, OH 44077 Concord Township, OH 44077

10 E Washington St (440) 542-5000 E, EB, G, IB, P, (440) 542-5000 E, EB, G, IB, P, Painesville, OH 44077 PL, R, RE, S, T PL, R, RE, S, T

(440) 542-5000 EB, P, R Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Mount Carmel Medical Center Hospital Affiliations: Cleveland Clinic Foundation Mercy Medical Center Cleveland Clinic Foundation Uh Cleveland Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr Wilson, Thomas S, MD, (M), B Univ Hospitals Ahuja Med Ctr Areas of Expertise: MAT1 Group Name: University Areas of Expertise: MAT1 Hospitals Medical Group Ware, Charles F, MD, (M) Provider ID: 000940617002 Wang, Kai, MD, (M), B Group Name: Community NPI: 1649239260 Group Name: Community Hospitalists 10 E Washington St Hospitalists Provider ID: 005927306005 Painesville, OH 44077

Provider ID: 003681051001 NPI: 1528355922 (216) 844-3800 EB, P, R NPI: 1467682518 10 E Washington St Mo-Fr - 8:30 AM - 4:30 PM 36000 Euclid Ave Painesville, OH 44077 Cultural Competency: Y

Willoughby, OH 44094 (440) 542-5000 EB, P, R Ages: 0-99

(440) 542-5000 P, R, RE, T Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Uh Cleveland Medical Center Ages: 0-99 Mount Carmel Medical Center Hospital Affiliations: Mercy Medical Center Wilson, Thomas S, MD, (M), B Cleveland Clinic Foundation Group Name: University Uh Cleveland Medical Center Ware, Charles F, MD, (M) Hospitals Medical Group Univ Hospitals Ahuja Med Ctr Group Name: Community Provider ID: 000940617002 Areas of Expertise: MAT1 Hospitalists NPI: 1649239260 Provider ID: 005927306005 36000 Euclid Ave NPI: 1528355922 Willoughby, OH 44094

36000 Euclid Ave (216) 844-3800 P, R, RE, T Willoughby, OH 44094 Mo-Fr - 8:30 AM - 4:30 PM

(440) 542-5000 P, R, RE, T Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mount Carmel Medical Center Uh Cleveland Medical Center Mercy Medical Center

317

Ohio - Lake Specialists Wilson, Thomas S, MD, (M), B Zang, Jie, MD, (F) Zang, Jie, MD, (F) Group Name: University Group Name: Community Group Name: Community Hospitals Medical Group Hospitalists Hospitalists Provider ID: 000940617002 Provider ID: 002815102007 Provider ID: 002815102007 NPI: 1649239260 NPI: 1710048293 NPI: 1710048293 7500 Auburn Rd 10 E Washington St 7590 Auburn Rd Concord Township, OH 44077 Painesville, OH 44077 Concord Township, OH 44077

(216) 844-3800 EB, IB, P, R (440) 542-5000 EB, P, R (440) 542-5000 E, EB, G, IB, P, Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: PL, R, RE, S, T Cultural Competency: Y Provider: Chinese Languages Spoken: Ages: 0-99 Cultural Competency: Y Provider: Chinese Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Uh Cleveland Medical Center Hospital Affiliations: Ages: 0-99 Union Hospital Hospital Affiliations: Wilson, Thomas S, MD, (M), B Summa Barberton Citizens Union Hospital Group Name: University Summa Health System Summa Barberton Citizens Hospitals Medical Group Southwest General Health Center Summa Health System Provider ID: 000940617002 Areas of Expertise: MAT1 Southwest General Health Center NPI: 1649239260 Areas of Expertise: MAT1 7590 Auburn Rd Zang, Jie, MD, (F) Concord Township, OH 44077 Group Name: Community Zinni, Richard A, MD, (M)

(440) 354-1625 EB, P, R Hospitalists Group Name: Signature Health Cultural Competency: Y Provider ID: 002815102007 Provider ID: 000380483013 Ages: 0-99 NPI: 1710048293 NPI: 1013024793 Hospital Affiliations: 36000 Euclid Ave 38882 Mentor Ave Uh Cleveland Medical Center Willoughby, OH 44094 Willoughby, OH 44094

(440) 542-5000 P, R, RE, T (440) 953-9999 EB, P, R Wilson, Thomas S, MD, (M), B Languages Spoken: Cultural Competency: Y Group Name: University Provider: Chinese Ages: 0-99 Hospitals Medical Group Cultural Competency: Y Hospital Affiliations: Provider ID: 000940617002 Ages: 0-99 Lake Health NPI: 1649239260 Hospital Affiliations: Euclid Hospital 9000 Mentor Ave Union Hospital Uh Regional Hospitals Mentor, OH 44060 Summa Barberton Citizens Areas of Expertise: E112, E160,

(216) 844-3800 EB, P, R Summa Health System MAT1 Mo-Fr - 8:30 AM - 4:30 PM Southwest General Health Center Cultural Competency: Y Areas of Expertise: MAT1 Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center

318

Specialists Ohio - Lake Zuberi, Mussaret A, MD, (M), B Zuberi, Mussaret A, MD, (M), B Areas of Expertise: MAT1 Group Name: Community Group Name: Community Hospitalists Hospitalists Perni, Uma C, MD, (F), B Provider ID: 001112797007 Provider ID: 001112797007 Group Name: Cleveland Clinic NPI: 1639123409 NPI: 1639123409 Foundation 10 E Washington St 7590 Auburn Rd Provider ID: 002131094001 Painesville, OH 44077 Concord Township, OH 44077 NPI: 1356317218

(440) 542-5000 EB, P, R (440) 542-5000 E, EB, G, IB, P, 7060 Wayside Dr Ages: 0-99 PL, R, RE, S, T Mentor, OH 44060

Hospital Affiliations: Ages: 0-99 (440) 357-2770 EB, P, R University Hospitals Elyria Hospital Affiliations: Languages Spoken: Medical Ctr University Hospitals Elyria Provider: Telugu Uh Elyria Medical Center Medical Ctr Cultural Competency: Y Springfield Regional Medical Ctr Uh Elyria Medical Center Ages: 0-99 Fairfield Medical Center Springfield Regional Medical Ctr Hospital Affiliations: Fort Hamilton Hospital Fairfield Medical Center Akron General Medical Ctr Banner Estrella Medical Center Fort Hamilton Hospital Cleveland Clinic Foundation Banner Estrella Medical Center Hillcrest Hospital Zuberi, Mussaret A, MD, (M), B Fairview Hospital Group Name: Community Lakewood Hospital Hospitalists Maternal & Fetal Medicine Cleveland Clinic Lakewood

Provider ID: 001112797007 Members may self-refer to these Marymount Hospital NPI: 1639123409 providers. Jamaica Hospital

36000 Euclid Ave Areas of Expertise: MAT1 Willoughby, OH 44094 Chapa, Jeff B, MD, (M), B Group Name: Cleveland Clinic (440) 542-5000 P, R, RE, T Singh, Katherine A, MD, (F), B Ages: 0-99 Foundation Group Name: Cleveland Clinic Hospital Affiliations: Provider ID: 002098187001 Foundation University Hospitals Elyria NPI: 1730160037 Provider ID: 002939297001 Medical Ctr 7060 Wayside Dr NPI: 1396948501 Uh Elyria Medical Center Mentor, OH 44060 7060 Wayside Dr Springfield Regional Medical Ctr (440) 357-2770 EB, P, R Mentor, OH 44060 Cultural Competency: Y Fairfield Medical Center (440) 357-2770 EB, P, R Fort Hamilton Hospital Ages: 0-99 Cultural Competency: Y Banner Estrella Medical Center Does Not Accept Male Patients Web address: www.clevelandclinic. Hospital Affiliations: org Wooster Community Hospital Ages: 0-99 Akron General Medical Ctr Hospital Affiliations: Cleveland Clinic Foundation Wooster Community Hospital Hillcrest Hospital Akron General Medical Ctr Fairview Hospital Metrohealth Medical Center Lakewood Hospital Cleveland Clinic Foundation Cleveland Clinic Lakewood Hillcrest Hospital Marymount Hospital

319

Ohio - Lake Specialists Fairview Hospital Kuper-Sasse, Margaret E, MD, Azem, Jamal M, MD, (M), B Marymount Hospital (F), B Group Name: Jamal M Azem Md Medina Hospital Group Name: University Provider ID: 000824389001 Areas of Expertise: MAT1 Hospitals Medical Group NPI: 1518061811 Provider ID: 006107829001 7580 Auburn Rd Ste 214 Vanburen, George A, MD, (M), B NPI: 1285954891 Concord Township, OH 44077

Group Name: University 7590 Auburn Rd (440) 269-8020 EB, P, R Hospitals Medical Group Concord Township, OH 44077 Languages Spoken:

Provider ID: 001393516001 (216) 844-7700 EB, P, R Provider: Arabic NPI: 1659397438 Ages: 0-99 Mo-Th - 8:00 AM - 5:00 PM 7590 Auburn Rd Fl 1 Hospital Affiliations: Fr - 1:00 PM - 5:00 PM Concord Township, OH 44077 Uh Cleveland Medical Center Cultural Competency: Y

(216) 844-3941 EB, P, R Rainbow Babies & Childrens Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hosp Hospital Affiliations: Ages: 0-99 Lake Health Hospital Affiliations: Uh Regional Hospitals Nephrology Azem, Jamal M, MD, (M), B

Southwest General Health Center Members may self-refer to these Group Name: Jamal M Azem Md St John Medical Center providers. Provider ID: 000824389001

Uh Cleveland Medical Center NPI: 1518061811 Azem, Jamal M, MD, (M), B 9500 Mentor Ave Ste 300 Group Name: Jamal M Azem Md Mentor, OH 44060 Neonatology/Perinatology Provider ID: 000824389001 (440) 269-8020 EB, P, R NPI: 1518061811 Members may self-refer to these Languages Spoken: 36100 Euclid Ave Ste 330a Provider: Arabic providers. Willoughby, OH 44094 Cultural Competency: Y Kuper-Sasse, Margaret E, MD, (440) 269-8020 E, EB, IB, P, R Ages: 0-99 (F), B Languages Spoken: Hospital Affiliations: Group Name: University Lake Health Hospitals Medical Group Provider: Arabic Cultural Competency: Y Provider ID: 006107829001 Azem, Rami M, MD, (M) NPI: 1285954891 Ages: 0-99 Hospital Affiliations: Group Name: Jamal M Azem Md 36000 Euclid Ave Provider ID: 007186278001 Willoughby, OH 44094 Lake Health NPI: 1225457724 (216) 844-7700 P, R, RE, T 36100 Euclid Ave Ste 330a Ages: 0-99 Willoughby, OH 44094 Hospital Affiliations: (440) 269-8020 E, EB, IB, P, R Uh Cleveland Medical Center Rainbow Babies & Childrens Ages: 0-99 Hosp Hospital Affiliations: Lake Health

320

Specialists Ohio - Lake Donca, Ionel Z, MD, (M), B Uh Regional Hospitals Nanjunde Gowda, Madan Kumar, Group Name: Great Lakes Care MD, (M), B Provider ID: 003080364005 Donca, Ionel Z, MD, (M), B Group Name: Community NPI: 1841433265 Group Name: Great Lakes Care Hospitalists 10665 Blueberry Hill Dr Provider ID: 003080364005 Provider ID: 003658496001 Willoughby, OH 44094 NPI: 1841433265 NPI: 1548413230

(440) 585-2221 EB, P, R 29640 Euclid Ave Ste 1 7590 Auburn Rd Languages Spoken: Wickliffe, OH 44092 Concord Township, OH 44077

Provider: Romanian (440) 585-2221 EB, P, R (440) 542-5000 E, EB, G, IB, P, Ages: 18-99 Languages Spoken: PL, R, RE, S, T Hospital Affiliations: Provider: Romanian Ages: 0-99 Lake Health Ages: 18-99 Hospital Affiliations: South Pointe Hospital Hospital Affiliations: Erie County Medical Center Uh Regional Hospitals Lake Health South Pointe Hospital Nurko, Saul, MD, (M), B Donca, Ionel Z, MD, (M), B Uh Regional Hospitals Group Name: Cleveland Clinic Group Name: Great Lakes Care Foundation Provider ID: 003080364005 Nanjunde Gowda, Madan Kumar, Provider ID: 001402847001 NPI: 1841433265 MD, (M), B NPI: 1538259627 1515 Brookstone Blvd Group Name: Community 2570 Som Center Rd Painesville, OH 44077 Hospitalists Willoughby Hills, OH 44094

(440) 226-8869 EB, P, R Provider ID: 003658496001 (440) 943-2500 EB, IB, P, R, RE, Languages Spoken: NPI: 1548413230 T Provider: Romanian 10 E Washington St Ages: 0-99 Ages: 18-99 Painesville, OH 44077 Hospital Affiliations:

Hospital Affiliations: (440) 542-5000 EB, P, R Cleveland Clinic Foundation Lake Health Ages: 0-99 South Pointe Hospital Hospital Affiliations: Sandhu, Satnam, MD, (M) Uh Regional Hospitals Erie County Medical Center Group Name: Partners In Nephrology Care Donca, Ionel Z, MD, (M), B Nanjunde Gowda, Madan Kumar, Provider ID: 001572065001 Group Name: Great Lakes Care MD, (M), B NPI: 1790769149 Provider ID: 003080364005 Group Name: Community 1233 Mentor Ave NPI: 1841433265 Hospitalists Painesville, OH 44077

29640 Euclid Ave Provider ID: 003658496001 (440) 357-9262 EB, P, R Wickliffe, OH 44092 NPI: 1548413230 Languages Spoken:

(440) 585-2221 EB, P, R 36000 Euclid Ave Provider: Punjabi, Spanish Languages Spoken: Willoughby, OH 44094 Cultural Competency: Y

Provider: Romanian (440) 542-5000 P, R, RE, T Ages: 0-99 Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Uh Regional Hospital - Bedford Lake Health Erie County Medical Center Campus South Pointe Hospital Hillcrest Hospital

321

Ohio - Lake Specialists South Pointe Hospital Siegel, M B, MD, (M), B Kendis, Hallie, MD, (F), B Euclid Hospital Group Name: Partners In Group Name: Associates In Marymount Hospital Nephrology Care Neurology Uh Regional Hospitals Provider ID: 000603873006 Provider ID: 005647265001 Huron Hospital NPI: 1689773830 NPI: 1285967919 St Vincent Charity Medical Center 8900 Tyler Blvd 35040 Chardon Rd Mentor, OH 44060 Willoughby Hills, OH 44094

Sandhu, Satnam, MD, (M) (440) 951-3602 EB, IB, P, R (440) 946-1200 EB, P, R Group Name: Partners In Languages Spoken: Mo-Fr - 8:30 AM - 5:00 PM Nephrology Care Provider: Yiddish Cultural Competency: Y Provider ID: 001572065001 Cultural Competency: Y Ages: 0-99 NPI: 1790769149 Ages: 0-99 Hospital Affiliations: 8900 Tyler Blvd Hospital Affiliations: Lake Health Mentor, OH 44060 Lake Health

(440) 951-3602 EB, IB, P, R Hillcrest Hospital Kendis, Hallie, MD, (F), B Languages Spoken: South Pointe Hospital Group Name: Associates In Provider: Punjabi, Spanish Neurology Interpreter: Medical Interp Provider ID: 005647265001 Vendor Neurology NPI: 1285967919

Cultural Competency: Y Members may self-refer to these 36000 Euclid Ave Ages: 0-99 providers. Willoughby, OH 44094

Hospital Affiliations: (440) 946-1200 P, R, RE, T Uh Regional Hospital - Bedford Dashefsky, Larry H, MD, (M), B Cultural Competency: Y Campus Group Name: Larry H Dashefsky Ages: 0-99 Hillcrest Hospital Md Hospital Affiliations: South Pointe Hospital Provider ID: 000946713001 Lake Health Euclid Hospital NPI: 1346272069 Marymount Hospital 36100 Euclid Ave Ste 330b Kosmides, Robert W, MD, (M), B Uh Regional Hospitals Willoughby, OH 44094 Group Name: Cleveland Clinic Huron Hospital (440) 449-2000 EB, IB, P, R Foundation St Vincent Charity Medical Center Languages Spoken: Provider ID: 001425838002 Staff: Russian NPI: 1629055223 Mo-Fr - 8:30 AM - 5:00 PM 7060 Wayside Dr Cultural Competency: Y Mentor, OH 44060 Ages: 0-99 (440) 357-2770 EB, P, R Hospital Affiliations: Ages: 0-99 Lake Health Hospital Affiliations: Cleveland Clinic Foundation Uh Geauga Medical Center Hillcrest Hospital University Hospitals Geauga Euclid Hospital Medical Ctr Cleveland Clinic Foundation Hillcrest Hospital South Pointe Hospital

322

Specialists Ohio - Lake Marymount Hospital Rubin, Sheila N, MD, (F), B University Hospitals Geauga St Vincent Charity Medical Center Group Name: Cleveland Clinic Medical Ctr Foundation Lake Health Rorick, Mark B, MD, (M), B Provider ID: 002123212003 Uh Cleveland Medical Center Group Name: University Primary NPI: 1477721363 Care Practices 7060 Wayside Dr Sundararajan, Sophia N, MD, (F), Provider ID: 001836201002 Mentor, OH 44060 B

NPI: 1790788727 (440) 357-2770 EB, P, R Group Name: University 9000 Mentor Ave Ste 107 Cultural Competency: Y Hospitals Medical Group Mentor, OH 44060 Ages: 0-99 Provider ID: 002147901002

(440) 285-2888 EB, P, R Hospital Affiliations: NPI: 1639197031 Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation 9000 Mentor Ave Ste 209 Cultural Competency: Y Hillcrest Hospital Mentor, OH 44060

Ages: 0-99 Unity Hospital Of Rochester (216) 844-8421 EB, P, R Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Uh Geauga Medical Center Rudolph, Joseph N, MD, (M), B Cultural Competency: Y University Hospitals Geauga Group Name: Cleveland Clinic Ages: 0-99 Medical Ctr Foundation Hospital Affiliations: Lake Health Provider ID: 003230540001 Uh Geauga Medical Center Uh Cleveland Medical Center NPI: 1356505341 University Hospitals Geauga 2570 Som Center Rd Medical Ctr Rubin, Sheila N, MD, (F), B Willoughby Hills, OH 44094 University Hospitals Conneaut

Group Name: Cleveland Clinic (440) 943-2500 EB, IB, P, R, RE, Medical Ce Foundation T Uh Conneaut Medical Center Provider ID: 002123212003 Ages: 0-99 Geneva General Hospital NPI: 1477721363 Hospital Affiliations: Uh Cleveland Medical Center 2550 Som Center Rd Cleveland Clinic Foundation Uh Parma Medical Center Willoughby Hills, OH 44094 Hillcrest Hospital University Hospitals Parma

(440) 943-2500 EB, P, R Euclid Hospital Medical Ctr Mo-Fr - 8:00 AM - 4:30 PM Cultural Competency: Y Smith, Kristen A, MD, (F), B Ages: 0-99 Group Name: Associates In Hospital Affiliations: Neurology Cleveland Clinic Foundation Provider ID: 003239646001 Hillcrest Hospital NPI: 1346431632 Unity Hospital Of Rochester 35040 Chardon Rd Ste 110 Willoughby Hills, OH 44094

(440) 946-1200 EB, P, R Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center

323

Ohio - Lake Specialists Sunshine, Joshua J, MD, (M), B Tessman, Patrick A, MD, (M), B Cleveland Clinic Foundation Group Name: Associates In Group Name: Associates In Neurology Neurology Weinberger, Leonard M, MD, Provider ID: 001389046001 Provider ID: 002715083001 (M), B NPI: 1548263569 NPI: 1871570507 Group Name: University Primary 35040 Chardon Rd Ste 110 35040 Chardon Rd Ste 110 Care Practices Willoughby Hills, OH 44094 Willoughby Hills, OH 44094 Provider ID: 001163215001

(440) 946-1200 EB, P, R (440) 946-1200 EB, P, R NPI: 1245223676 Languages Spoken: Mo-Fr - 9:00 AM - 5:00 PM 7535 Fredle Dr Provider: Hebrew Cultural Competency: Y Concord Township, OH 44077

Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 (440) 357-3100 EB, P, R Sa,Su - 12:00 AM - 11:59 PM Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Lake Health Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Torrico, Pedro J, MD, (M), B Uh Geauga Medical Center Uh Geauga Medical Center Group Name: Cleveland Clinic University Hospitals Geauga University Hospitals Geauga Foundation Medical Ctr Medical Ctr Provider ID: 003338057004 Lake Health Lake Health NPI: 1154626596 Hillcrest Hospital Hillcrest Hospital 2550 Som Center Rd Euclid Hospital Euclid Hospital Willoughby Hills, OH 44094

(440) 943-2500 EB, P, R Tani, Marie, MD, (F), B Ages: 18-99 Nutritionist (Reg Dietician) Group Name: University Primary Hospital Affiliations: Ilic, Mira S, RD, (F) Care Practices Mount Sinai Hospital Group Name: Cleveland Clinic Provider ID: 001867535001 Huntington Hospital Foundation NPI: 1154314581 Huntington Hospital Association Provider ID: 003670945001 7535 Fredle Dr Cleveland Clinic Foundation NPI: 1689637845 Concord Township, OH 44077 2570 Som Center Rd (440) 357-3100 EB, P, R Torrico, Pedro J, MD, (M), B Willoughby Hills, OH 44094

Mo-Fr - 8:30 AM - 4:30 PM Group Name: Cleveland Clinic (440) 943-6868 EB, IB, P, R, RE, Ages: 0-99 Foundation T Hospital Affiliations: Provider ID: 003338057004 Cultural Competency: Y Uh Geauga Medical Center NPI: 1154626596 Ages: 0-99 University Hospitals Geauga 2570 Som Center Rd Hospital Affiliations: Medical Ctr Willoughby Hills, OH 44094 Cleveland Clinic Foundation Lake Health (440) 943-2500 EB, IB, P, R, RE, T Ages: 18-99 Hospital Affiliations: Mount Sinai Hospital Huntington Hospital Huntington Hospital Association

324

Specialists Ohio - Lake

Karp, Kimberly, RD, (F) Group Name: Cleveland Clinic Occupational Therapy Oncology

Foundation Hayes, Alissa R, OTR, (F) Prior authorization is required to Provider ID: 002676917001 Group Name: Hopebridge obtain some covered services from NPI: 1043282650 Provider ID: 007097383003 these providers. You will not be 2550 Som Center Rd NPI: 1629549456 covered for those services without Willoughby Hills, OH 44094 7325 Production Dr such approval by UnitedHealthcare (440) 516-8316 EB, P, R Mentor, OH 44060 Community Plan. Please see your Ages: 0-99 (800) 873-4575 EB, P, R member handbook, or call Member Hospital Affiliations: Languages Spoken: Services for details.

Cleveland Clinic Foundation Provider: Hindi, Spanish, Creole, French, American Sign Tamaskar, Ila R, MD, (F), B Language, Haitian, Tamil Group Name: Lake-Health Univ Occupational Medicine Interpreter: American Sign Hosp Seidman Cancer Ctr Language, Cambodian, Creole, Provider ID: 003167704002 Prior authorization is required to NPI: 1487828646 obtain some covered services from French, Haitian; Haitian Creole, Hindi, Laotian, Spanish, Tamil 36000 Euclid Ave these providers. You will not be Willoughby, OH 44094 covered for those services without Mo-Fr - 8:30 AM - 6:00 PM (440) 205-5755 P, R, RE, T such approval by UnitedHealthcare Ages: 0-99 Languages Spoken: Community Plan. Please see your Provider: Gujarati, Hindi, member handbook, or call Member Radford, Robert R, OTR, (M) Group Name: Annava Marathi Services for details. Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 004864620001 Hanahan, Paul C, MD, (M) NPI: 1790111888 Cultural Competency: Y Group Name: Healthcare For 35104 Euclid Ave Ste 300 Accepting Existing Patients Only Business Willoughby, OH 44094 Ages: 0-99 Provider ID: 000779000001 Hospital Affiliations: (440) 527-8070 EB, P, R, RE, T NPI: 1003976200 Metrohealth Medical Center 50 Normandy Dr Ste 5 Ages: 0-99 Cleveland Clinic Foundation Painesville, OH 44077 Hillcrest Hospital (440) 354-4747 EB, P, R, RE Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:00 PM Cultural Competency: Y Web address: www.healthcareforbu siness.com Ages: 15-99 Hospital Affiliations: Lake Health

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Ohio - Lake Specialists Tamaskar, Ila R, MD, (F), B Convery, Patrick G, MD, (M), B Group Name: Lake-Health Univ Group Name: Lake Health Allied Hosp Seidman Cancer Ctr Orthopaedic Surgery Health Professionals

Provider ID: 003167704002 Members may self-refer to these Provider ID: 000952730002 NPI: 1487828646 providers. NPI: 1437230307

7590 Auburn Rd 36060 Euclid Ave Ste 203 Concord Township, OH 44077 Bucchieri, John S, MD, (M), B Willoughby, OH 44094 Group Name: Lake Orthopaedic (440) 205-5755 E, EB, G, IB, P, (440) 602-6670 EB, P, R PL, R, RE, S, T Associates Cultural Competency: Y Languages Spoken: Provider ID: 002027750001 Ages: 0-99 Provider: Gujarati, Hindi, NPI: 1003923335 Hospital Affiliations: Marathi 36060 Euclid Ave Ste 104 Lake Health Mo-Fr - 8:30 AM - 4:30 PM Willoughby, OH 44094 Uh Cleveland Medical Center Cultural Competency: Y (440) 942-1050 EB, P, R Accepting Existing Patients Only Languages Spoken: Convery, Patrick G, MD, (M), B Ages: 0-99 Provider: Spanish Group Name: Lake Health Allied Hospital Affiliations: Cultural Competency: Y Health Professionals Metrohealth Medical Center Ages: 0-99 Provider ID: 000952730002 Cleveland Clinic Foundation Hospital Affiliations: NPI: 1437230307 Hillcrest Hospital Lake Health 7580 Auburn Rd Ste 214 Uh Cleveland Medical Center Euclid Hospital Concord Township, OH 44077

(440) 602-6670 EB, P, R Tamaskar, Ila R, MD, (F), B Bucchieri, John S, MD, (M), B Cultural Competency: Y Group Name: Lake-Health Univ Group Name: Lake Orthopaedic Ages: 0-99 Hosp Seidman Cancer Ctr Associates Hospital Affiliations: Provider ID: 003167704002 Provider ID: 002027750001 Lake Health NPI: 1487828646 NPI: 1003923335 Uh Cleveland Medical Center 9485 Mentor Ave Ste 3 9500 Mentor Ave #210 Mentor, OH 44060 Mentor, OH 44060 Eppig, Michael D, MD, (M), B (440) 352-1711 EB, P, R (440) 205-5755 E, EB, G, IB, P, Group Name: Eppig Michael D PL, R, RE, S, T Languages Spoken: Provider ID: 000177205003 Languages Spoken: Provider: Spanish NPI: 1073536611 Provider: Gujarati, Hindi, Cultural Competency: Y 7551 Fredle Dr Marathi Ages: 0-99 Concord Township, OH 44077 Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM (440) 350-9595 EB, P, R, RE, T Cultural Competency: Y Lake Health Mo,We,Fr - 8:00 AM - 5:00 PM Accepting Existing Patients Only Euclid Hospital Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Lake Health Cleveland Clinic Foundation Metrohealth Medical Center Hillcrest Hospital Cleveland Clinic Foundation Uh Cleveland Medical Center Hillcrest Hospital

326

Specialists Ohio - Lake Lutheran Hospital Gillespie, Robert J, MD, (M), B Gurd, David P, MD, (M), B Group Name: University Group Name: Cleveland Clinic Eubanks, Jason D, MD, (M), B Hospitals Medical Group Foundation Group Name: University Provider ID: 003375292001 Provider ID: 002680560001 Hospitals Medical Group NPI: 1053525907 NPI: 1275631988 Provider ID: 003080625001 7500 Auburn Rd Ste 2500 29017 Chardon Rd NPI: 1972718849 Concord Township, OH 44077 Willoughby Hills, OH 44092

7500 Auburn Rd (216) 844-7200 EB, P, R (440) 516-5500 EB, P, R Concord Township, OH 44077 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 9:00 AM - 5:00 PM

(216) 844-7200 EB, IB, P, R Cultural Competency: Y Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Uh Geauga Medical Center Hillcrest Hospital Hospital Affiliations: University Hospitals Geauga Uh Geauga Medical Center Medical Ctr Karns, Michael R, MD, (M) University Hospitals Geauga St John Medical Center Group Name: University Medical Ctr Uh Cleveland Medical Center Hospitals Medical Group Uh Regional Hospitals Rainbow Babies & Childrens Provider ID: 006163965001 Uh Cleveland Medical Center Hosp NPI: 1316236789 Univ Hospitals Ahuja Med Ctr Univ Hospitals Ahuja Med Ctr 9000 Mentor Ave Ste 107 Mentor, OH 44060

Eubanks, Jason D, MD, (M), B Gillespie, Robert J, MD, (M), B (216) 844-7200 EB, P, R Group Name: University Group Name: University Mo-Fr - 8:30 AM - 4:30 PM Hospitals Medical Group Hospitals Medical Group Ages: 0-99 Provider ID: 003080625001 Provider ID: 003375292001 Hospital Affiliations: NPI: 1972718849 NPI: 1053525907 Uh Regional Hospital - Bedford 9000 Mentor Ave 9000 Mentor Ave Ste 209 Campus Mentor, OH 44060 Mentor, OH 44060 Uh Regional Hospitals

(216) 844-7200 EB, P, R (216) 844-7200 EB, P, R Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM University Of Utah Hospital And Cultural Competency: Y Cultural Competency: Y Clinics Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Leland, J Martin, MD, (M), B Uh Geauga Medical Center Uh Geauga Medical Center Group Name: UPCP University Hospitals Geauga University Hospitals Geauga Provider ID: 002963682002 Medical Ctr Medical Ctr NPI: 1851593412 Uh Regional Hospitals St John Medical Center 9000 Mentor Ave Ste 209 Uh Cleveland Medical Center Uh Cleveland Medical Center Mentor, OH 44060

Univ Hospitals Ahuja Med Ctr Rainbow Babies & Childrens (440) 285-5004 EB, P, R Hosp Mo-Fr - 8:30 AM - 4:30 PM Univ Hospitals Ahuja Med Ctr Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center

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Ohio - Lake Specialists University Hospitals Geauga Miskovsky, Shana N, MD, (F), B Myers, Frank J, DO, (M), B Medical Ctr Group Name: University Group Name: Orthopedic University Of Chicago Hsps/cln Hospitals Medical Group Asc/Lake County St Vincent Charity Medical Center Provider ID: 002233204002 Provider ID: 000869234001 NPI: 1760416259 NPI: 1528037173 Miskovsky, Shana N, MD, (F), B 9000 Mentor Ave Ste 209 6550 N Ridge Rd Ste 201 Group Name: University Mentor, OH 44060 Madison, OH 44057

Hospitals Medical Group (440) 974-4403 EB, P, R (440) 428-1994 EB, P, R Provider ID: 002233204002 Languages Spoken: Mo-Fr - 8:00 AM - 4:00 PM NPI: 1760416259 Provider: German, Russian Ages: 0-99 9000 Mentor Ave Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Mentor, OH 44060 Cultural Competency: Y Uh Geauga Medical Center

(216) 844-7200 EB, P, R Ages: 0-99 University Hospitals Geauga Languages Spoken: Hospital Affiliations: Medical Ctr Provider: German, Russian Uh Cleveland Medical Center Lake Health Mo-Fr - 8:30 AM - 4:30 PM Univ Hospitals Ahuja Med Ctr Uh Regional Hospitals Cultural Competency: Y Ashtabula County Med Center Ages: 0-99 Myers, Frank J, DO, (M), B Hospital Affiliations: Group Name: Orthopedic Myers, Frank J, DO, (M), B Uh Cleveland Medical Center Asc/Lake County Group Name: Orthopedic Univ Hospitals Ahuja Med Ctr Provider ID: 000869234001 Asc/Lake County NPI: 1528037173 Provider ID: 000869234001 Miskovsky, Shana N, MD, (F), B 6550 N Ridge Rd NPI: 1528037173 Group Name: University Madison, OH 44057 7551 Fredle Dr

Hospitals Medical Group (440) 428-1994 EB, P, R Concord Twp, OH 44077

Provider ID: 002233204002 Mo-Fr - 8:00 AM - 4:00 PM (440) 350-9595 EB, IB, P, R, RE, NPI: 1760416259 Ages: 0-99 T 9000 Mentor Ave Ste 107 Hospital Affiliations: Mo-Fr - 8:00 AM - 4:00 PM Mentor, OH 44060 Uh Geauga Medical Center Web address: www.ortholake.com

(216) 844-7200 EB, P, R University Hospitals Geauga Ages: 0-99 Languages Spoken: Medical Ctr Hospital Affiliations: Provider: German, Russian Lake Health Uh Geauga Medical Center Mo-Fr - 8:30 AM - 4:30 PM Uh Regional Hospitals University Hospitals Geauga Cultural Competency: Y Ashtabula County Med Center Medical Ctr Ages: 0-99 Lake Health Hospital Affiliations: Uh Regional Hospitals Uh Cleveland Medical Center Ashtabula County Med Center Univ Hospitals Ahuja Med Ctr

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Specialists Ohio - Lake Myers, Frank J, DO, (M), B Lake Health Uh Geauga Medical Center Group Name: Orthopedic Areas of Expertise: E112, E160 University Hospitals Geauga Asc/Lake County Medical Ctr Provider ID: 000869234001 Nahra, Mitchell E, MD, (M), B Lake Health NPI: 1528037173 Group Name: Lake Orthopaedic Cleveland Clinic Foundation 7590 Auburn Rd Associates Euclid Hospital Concord Township, OH 44077 Provider ID: 001086257001 Marymount Hospital

(440) 350-9595 EB, P, R NPI: 1508979485 Ages: 0-99 9500 Mentor Ave Ste 210 Parsons, Eric M, MD, (M), B Hospital Affiliations: Mentor, OH 44060 Group Name: Lake Orthopaedic

Uh Geauga Medical Center (440) 352-1711 EB, P, R Associates University Hospitals Geauga Mo-Fr - 7:00 AM - 4:00 PM Provider ID: 002811329001 Medical Ctr Cultural Competency: Y NPI: 1063548683 Lake Health Ages: 0-99 36060 Euclid Ave Ste 104 Uh Regional Hospitals Hospital Affiliations: Willoughby, OH 44094

Ashtabula County Med Center Lake Health (440) 942-1050 EB, P, R Areas of Expertise: E112, E160 Cultural Competency: Y Nahra, Mitchell E, MD, (M), B Ages: 0-99 Group Name: Lake Orthopaedic Nice, Timothy J, MD, (M), B Hospital Affiliations: Associates Group Name: Tim Nice Md Lake Health Provider ID: 001086257001 Provider ID: 000268097001 NPI: 1508979485 NPI: 1457442824 Parsons, Eric M, MD, (M), B 36060 Euclid Ave Ste 104 34600 Chardon Rd Ste 9 Group Name: Lake Orthopaedic Willoughby, OH 44094 Willoughby Hills, OH 44094 Associates

(440) 942-1050 EB, P, R (440) 585-5258 EB, P, R Provider ID: 002811329001 Mo-Fr - 8:00 AM - 6:00 PM Mo-Fr - 8:30 AM - 4:00 PM NPI: 1063548683 Cultural Competency: Y Cultural Competency: Y 6270 N Ridge Rd Ages: 0-99 Ages: 0-99 Madison, OH 44057

Hospital Affiliations: Hospital Affiliations: (888) 377-1711 EB, IB, P, R, RE, Lake Health Hillcrest Hospital T Areas of Expertise: E112, E160 University Of Cincinnati Medical Cultural Competency: Y Center Ages: 0-99 Nahra, Mitchell E, MD, (M), B Hospital Affiliations: Group Name: Lake Orthopaedic Nickodem, Robert J, MD, (M), B Lake Health Associates Group Name: Cleveland Clinic Provider ID: 001086257001 Foundation NPI: 1508979485 Provider ID: 000153812001 7580 Auburn Rd Ste 214 NPI: 1790707966 Concord Township, OH 44077 7060 Wayside Dr

(888) 377-1711 EB, P, R Mentor, OH 44060

Cultural Competency: Y (440) 357-2770 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations:

329

Ohio - Lake Specialists Parsons, Eric M, MD, (M), B Picha, Brad M, MD, (M), B Group Name: Lake Orthopaedic Group Name: St Vincent Medical Son-Hing, Jochen P, MD, (M), B Associates Group Group Name: University Provider ID: 002811329001 Provider ID: 003485955002 Hospitals Medical Group NPI: 1063548683 NPI: 1811020936 Provider ID: 002729049002 7580 Auburn Rd Ste 214 34600 Chardon Rd Unit 9 NPI: 1528141199 Concord Township, OH 44077 Willoughby Hills, OH 44094 9000 Mentor Ave Ste 100

(888) 377-1711 EB, P, R (216) 369-2830 EB, IB, P, R Mentor, OH 44060

Cultural Competency: Y Ages: 0-99 (216) 844-7200 EB, P, R Ages: 0-99 Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: St Elizabeth Youngstown Hospital Cultural Competency: Y Lake Health St Vincent Charity Medical Center Ages: 0-99 Hospital Affiliations: Parsons, Eric M, MD, (M), B Rosneck, James, MD, (M), B Uh Cleveland Medical Center Group Name: Lake Orthopaedic Group Name: Cleveland Clinic Univ Hospitals Ahuja Med Ctr Associates Foundation Provider ID: 002811329001 Provider ID: 003065018002 Stephens, Susan E, MD, (F), B NPI: 1063548683 NPI: 1538341417 Group Name: Institute For Spine 9500 Mentor Ave #210 7060 Wayside Dr Provider ID: 000986093003 Mentor, OH 44060 Mentor, OH 44060 NPI: 1164476263

(440) 352-1711 EB, P, R (440) 357-2770 EB, P, R 6270 North Ridge Rd Mo-Fr - 8:00 AM - 5:30 PM Cultural Competency: Y Madison, OH 44057

Cultural Competency: Y Ages: 18-99 (440) 296-5915 Ages: 0-99 Hospital Affiliations: Languages Spoken: Hospital Affiliations: Cleveland Clinic Foundation Provider: Spanish Lake Health Euclid Hospital Cultural Competency: Y Marymount Hospital Ages: 0-99 Paul, John H, MD, (M), B Lutheran Hospital Hospital Affiliations: Group Name: John H Paul Md Mercy St Vincent Medical Center Provider ID: 000153590001 Son-Hing, Jochen P, MD, (M), B Lake Health NPI: 1588868053 Group Name: University South Pointe Hospital 50 Normandy Dr Ste 2 Hospitals Medical Group Huron Hospital Painesville, OH 44077 Provider ID: 002729049002 St Vincent Charity Medical Center

(440) 352-0719 EB, P, R NPI: 1528141199 Mo-Fr - 9:00 AM - 4:00 PM 9000 Mentor Ave Ages: 0-99 Mentor, OH 44060

Hospital Affiliations: (216) 844-7200 EB, P, R Lake Health Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

330

Specialists Ohio - Lake Stephens, Susan E, MD, (F), B Verdun, Mark, DO, (M), B Zimmer, Scott M, MD, (M), B Group Name: Institute For Spine Group Name: Cleveland Clinic Group Name: Lake Health Allied Provider ID: 000986093003 Foundation Health Professionals NPI: 1164476263 Provider ID: 002756941002 Provider ID: 002406682005 7580 Auburn Rd Ste 214 NPI: 1558300285 NPI: 1588641708 Concord Township, OH 44077 2999 Mcmackin Rd 36000 Euclid Ave

(440) 296-5915 EB, P, R Madison, OH 44057 Willoughby, OH 44094

Languages Spoken: (440) 428-1111 E, EB, IB, P (844) 746-8537 P, R, RE, T Provider: Spanish Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Watertown Regional Medical Uh Geauga Medical Center Hospital Affiliations: Center University Hospitals Geauga Mercy St Vincent Medical Center Watertown Medical Center Medical Ctr Lake Health Cleveland Clinic Foundation Lake Health South Pointe Hospital Ashtabula County Med Center Uh Regional Hospital - Bedford Huron Hospital Campus St Vincent Charity Medical Center Walker, James H, MD, (M), B Uh Regional Hospitals Group Name: Orthopedic Univ Hospitals Ahuja Med Ctr Stephens, Susan E, MD, (F), B Asc/Lake County Group Name: Institute For Spine Provider ID: 001408676001 Zimmer, Scott M, MD, (M), B Provider ID: 000986093003 NPI: 1952366858 Group Name: Lake Health Allied NPI: 1164476263 6550 N Ridge Rd Ste 201 Health Professionals 8007 Auburn Rd Ste 2 Madison, OH 44057 Provider ID: 002406682005

Concord Township, OH 44077 (440) 428-1944 EB, P, R NPI: 1588641708

(440) 296-5915 E, EB, G, IB, P, Ages: 0-99 7590 Auburn Rd Ste 214 PL, R, RE, S, T Hospital Affiliations: Concord Township, OH 44077

Languages Spoken: Lake Health (844) 746-8537 EB, IB, P, R, RE, Provider: Spanish Cleveland Clinic Foundation T Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Cultural Competency: Y Walker, James H, MD, (M), B Hospital Affiliations: Ages: 0-99 Group Name: Orthopedic Uh Geauga Medical Center Hospital Affiliations: Asc/Lake County University Hospitals Geauga Mercy St Vincent Medical Center Provider ID: 001408676001 Medical Ctr Lake Health NPI: 1952366858 Lake Health South Pointe Hospital 7551 Fredle Dr Uh Regional Hospital - Bedford Huron Hospital Concord Twp, OH 44077 Campus

St Vincent Charity Medical Center (440) 350-9595 EB, IB, P, R, RE, Uh Regional Hospitals T Univ Hospitals Ahuja Med Ctr Ages: 0-99 Hospital Affiliations: Lake Health Cleveland Clinic Foundation

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Ohio - Lake Specialists

Bold, Edward L, MD, (M), B Bold, Edward L, MD, (M), B Otolaryngology Group Name: University Primary Group Name: University Primary

Members may self-refer to these Care Practices Care Practices providers. Provider ID: 001234344002 Provider ID: 001234344002

NPI: 1366412827 NPI: 1366412827 Azem, Khalil, MD, (M), B 36000 Euclid Ave 7580 Auburn Rd Ste 103 Group Name: Cleveland Clinic Willoughby, OH 44094 Concord Township, OH 44077 Foundation (440) 352-1474 P, R, RE, T (440) 352-1474 EB, P, R Provider ID: 001245171001 Cultural Competency: Y Cultural Competency: Y NPI: 1508859497 Ages: 0-99 Ages: 0-99 2550 Som Center Rd Hospital Affiliations: Hospital Affiliations: Willoughby Hills, OH 44094 Lake Health Lake Health (440) 943-2500 EB, P, R Euclid Hospital Euclid Hospital Ages: 0-99 Hospital Affiliations: Bold, Edward L, MD, (M), B Bold, Edward L, MD, (M), B Lake Health Group Name: University Primary Group Name: University Primary Cleveland Clinic Foundation Care Practices Care Practices Hillcrest Hospital Provider ID: 001234344002 Provider ID: 001234344002 Fairview Hospital NPI: 1366412827 NPI: 1366412827 36060 Euclid Ave Ste 201 7590 Auburn Rd Baskin, Jonathan Z, MD, (M), B Willoughby, OH 44094 Concord Township, OH 44077 Group Name: University (440) 352-1474 E, EB, IB, P, R (440) 352-1474 Hospitals Medical Group Cultural Competency: Y Provider ID: 002317912001 Cultural Competency: Y Ages: 0-99 NPI: 1568496156 Ages: 0-99 Hospital Affiliations: 9000 Mentor Ave Ste 220 Hospital Affiliations: Lake Health Mentor, OH 44060 Lake Health Euclid Hospital (216) 844-6000 EB, IB, P, R Euclid Hospital Languages Spoken: Bold, Edward L, MD, (M), B Provider: Hebrew Bold, Edward L, MD, (M), B Group Name: University Primary Mo-Fr - 8:30 AM - 4:30 PM Group Name: University Primary Care Practices Cultural Competency: Y Care Practices Provider ID: 001234344002 Ages: 0-99 Provider ID: 001234344002 NPI: 1366412827 Hospital Affiliations: NPI: 1366412827 9485 Mentor Ave Uh Regional Hospitals 6270 N Ridge Rd Mentor, OH 44060 Uh Cleveland Medical Center Madison, OH 44057 (440) 352-1474 EB, P, R Rainbow Babies & Childrens (440) 352-1474 EB, IB, P, R, RE, Cultural Competency: Y Hosp T Ages: 0-99 Upstate University Hosp Comm Cultural Competency: Y Hospital Affiliations: Campus Ages: 0-99 Lake Health Hospital Affiliations: Euclid Hospital Lake Health Euclid Hospital

332

Specialists Ohio - Lake Higgins, Mamie N, MD, (F), B Kerns, Samuel C, MD, (M), B Kerns, Samuel C, MD, (M), B Group Name: Cleveland Clinic Group Name: University Primary Group Name: University Primary Foundation Care Practices Care Practices Provider ID: 006822818002 Provider ID: 002935142002 Provider ID: 002935142002 NPI: 1558707927 NPI: 1902075054 NPI: 1902075054 2550 Som Center Rd 6270 N Ridge Rd 9485 Mentor Ave Willoughby Hills, OH 44094 Madison, OH 44057 Mentor, OH 44060

(216) 445-2845 EB, P, R (440) 352-1474 EB, IB, P, R, RE, (440) 352-1474 EB, P, R Ages: 0-99 T Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Hillcrest Hospital Hospital Affiliations: Lake Health Harborview Medical Center Lake Health University Of Washington Otteson, Todd D, MD, (M), B Medical Ctr Kerns, Samuel C, MD, (M), B Group Name: University Group Name: University Primary Hospitals Medical Group Kerns, Samuel C, MD, (M), B Care Practices Provider ID: 002671771003 Group Name: University Primary Provider ID: 002935142002 NPI: 1750336582 Care Practices NPI: 1902075054 9000 Mentor Ave Ste 220 Provider ID: 002935142002 7580 Auburn Rd Ste 103 Mentor, OH 44060

NPI: 1902075054 Concord Township, OH 44077 (216) 844-6000 EB, IB, P, R

36000 Euclid Ave (440) 352-1474 EB, P, R Cultural Competency: Y Willoughby, OH 44094 Cultural Competency: Y Ages: 0-99

(440) 352-1474 P, R, RE, T Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Childrens Hospital Of Pittsburgh Ages: 0-99 Lake Health Southwest General Health Center Hospital Affiliations: St John Medical Center Lake Health Kerns, Samuel C, MD, (M), B Uh Cleveland Medical Center Group Name: University Primary Rainbow Babies & Childrens Kerns, Samuel C, MD, (M), B Care Practices Hosp Group Name: University Primary Provider ID: 002935142002 Univ Hospitals Ahuja Med Ctr Care Practices NPI: 1902075054 Provider ID: 002935142002 7590 Auburn Rd Vito, Kenneth J, MD, (M), B NPI: 1902075054 Concord Township, OH 44077 Group Name: University Primary 36060 Euclid Ave Ste 201 (440) 352-1474 Care Practices Willoughby, OH 44094 Cultural Competency: Y Provider ID: 001396227004

(440) 352-1474 E, EB, IB, P, R Ages: 0-99 NPI: 1629048194 Hospital Affiliations: 36000 Euclid Ave Cultural Competency: Y Lake Health Willoughby, OH 44094 Ages: 0-99 (440) 352-1474 P, R, RE, T Hospital Affiliations: Cultural Competency: Y Lake Health Ages: 0-99 Hospital Affiliations:

333

Ohio - Lake Specialists Lake Health Lake Health Hospital Affiliations: Uh Cleveland Medical Center Uh Cleveland Medical Center Uh Geauga Medical Center University Hospitals Geauga Vito, Kenneth J, MD, (M), B Vito, Kenneth J, MD, (M), B Medical Ctr Group Name: University Primary Group Name: University Primary Uh Geneva Medical Center Care Practices Care Practices Provider ID: 001396227004 Provider ID: 001396227004 NPI: 1629048194 NPI: 1629048194 Pain Management

36060 Euclid Ave Ste 201 7590 Auburn Rd Prior authorization is required to Willoughby, OH 44094 Concord Township, OH 44077 obtain some covered services from (440) 352-1474 E, EB, IB, P, R (440) 352-1474 these providers. You will not be Cultural Competency: Y covered for those services without Cultural Competency: Y Ages: 0-99 such approval by UnitedHealthcare Ages: 0-99 Hospital Affiliations: Community Plan. Please see your Hospital Affiliations: Lake Health member handbook, or call Member Lake Health Uh Cleveland Medical Center Services for details. Uh Cleveland Medical Center

Vito, Kenneth J, MD, (M), B Brown, Lisa A, MD, (F) Vito, Kenneth J, MD, (M), B Group Name: University Primary Group Name: University Primary Group Name: University Primary Care Practices Care Practices Care Practices Provider ID: 001396227004 Provider ID: 002919948001 Provider ID: 001396227004 NPI: 1629048194 NPI: 1427008978 NPI: 1629048194 9485 Mentor Ave 7500 Auburn Rd Ste 1500 6270 N Ridge Rd Mentor, OH 44060 Concord Township, OH 44077 Madison, OH 44057 (440) 285-2960 EB, P, R (440) 352-1474 EB, P, R (440) 352-1474 EB, IB, P, R, RE, Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM T Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Lake Health Uh Geauga Medical Center Hospital Affiliations: Uh Cleveland Medical Center University Hospitals Geauga Lake Health Medical Ctr Uh Cleveland Medical Center Yilmaz, Turker, MD, (M) Robinson Memorial Hospital Group Name: UPCP Uh Portage Medical Center Vito, Kenneth J, MD, (M), B Provider ID: 006147982001 University Hospitals Conneaut Group Name: University Primary NPI: 1033451158 Medical Ce Care Practices 7500 Auburn Rd Ste 1500 Uh Conneaut Medical Center Provider ID: 001396227004 Concord Township, OH 44077 Areas of Expertise: MAT1 NPI: 1629048194 (440) 214-8005 EB, P, R 7580 Auburn Rd Ste 103 Languages Spoken: Concord Township, OH 44077 Provider: Turkish (440) 352-1474 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations:

334

Specialists Ohio - Lake Demangone, David A, MD, (M), B Khalil, Al-Amin A, MD, (M), B Mikhail, Emad A, MD, (M), B Group Name: Cleveland Med Group Name: University Group Name: Great Lakes Pain Institute Hospitals Medical Group Management Provider ID: 001753680003 Provider ID: 002203818002 Provider ID: 002083810001 NPI: 1548225832 NPI: 1124041926 NPI: 1790757375 6025 Commerce Cir Ste 2 9000 Mentor Ave 2760 Som Center Rd Willoughby, OH 44094 Mentor, OH 44060 Willoughby Hills, OH 44094

(440) 944-1414 EB, P, R (216) 844-7330 EB, P, R (440) 306-2358 EB, P, R Cultural Competency: Y Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Arabic Provider: Arabic Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Lake Health Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hayek, Salim M, MD, (M), B Hospital Affiliations: Lake Health Group Name: University Uh Cleveland Medical Center South Pointe Hospital Hospitals Medical Group Areas of Expertise: MAT1 Euclid Hospital Provider ID: 002223702001 Areas of Expertise: MAT1 NPI: 1770501272 Mcintyre, Patrick J, MD, (M), B 9000 Mentor Ave Group Name: Lake Hospital Mikhail, Emad A, MD, (M), B Mentor, OH 44060 System Group Name: Great Lakes Pain

(440) 460-8000 EB, P, R Provider ID: 002668880007 Management Languages Spoken: NPI: 1831142140 Provider ID: 002083810001 Provider: Arabic, French 9485 Mentor Ave Ste 103 NPI: 1790757375 Mo-Fr - 8:30 AM - 4:30 PM Mentor, OH 44060 9002 Mentor Ave

Cultural Competency: Y (440) 205-5799 Mentor, OH 44060

Ages: 0-99 Cultural Competency: Y (440) 283-0244 E, EB, G, IB, P, Hospital Affiliations: Ages: 0-99 R, RE, T Cleveland Clinic Foundation Hospital Affiliations: Languages Spoken: South Pointe Hospital Akron General Medical Ctr Provider: Arabic St John Medical Center Northeastern Health System Staff: Arabic Uh Cleveland Medical Center Medina Hospital Mo-Fr - 8:00 AM - 4:00 PM Univ Hospitals Ahuja Med Ctr Uh Cleveland Medical Center Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Lake Health South Pointe Hospital Euclid Hospital Areas of Expertise: MAT1

335

Ohio - Lake Specialists

Mikhail, Emad A, MD, (M), B Saeed, Pasha M, MD, (M), B Group Name: Great Lakes Pain Group Name: University Primary Physical Medicine And Management Care Practices Rehabilitation / Physiatry Provider ID: 002083810001 Provider ID: 001873677006 Keum, Matthew M, MD, (M), B NPI: 1790757375 NPI: 1639267297 Group Name: Matthew M Keum 9002 Mentor Ave Ste A 7500 Auburn Rd Ste 2300 Md Mentor, OH 44060 Concord Township, OH 44077 Provider ID: 001775671002 (440) 283-0244 EB, P, R (440) 415-0138 EB, IB, P, R NPI: 1073508297 Languages Spoken: Cultural Competency: Y 36060 Euclid Ave Ste 101 Provider: Arabic Ages: 0-99 Willoughby, OH 44094

Mo-Fr - 8:00 AM - 4:00 PM Hospital Affiliations: (440) 269-4990 EB, P, R Cultural Competency: Y Indiana University Hlth Languages Spoken: Ages: 0-99 Bloomington Hsp Provider: Korean Hospital Affiliations: Cleveland Clinic Foundation Mo-Fr - 9:00 AM - 5:00 PM Lake Health Hillcrest Hospital Cultural Competency: Y South Pointe Hospital South Pointe Hospital Ages: 0-99 Euclid Hospital Euclid Hospital Hospital Affiliations: Areas of Expertise: MAT1 Marymount Hospital Lake Health Lutheran Hospital Pahr, Dean C, DO, (M), B Rodway, Nancy V, MD, (F) Group Name: Lake Health Allied Vucetic, Henry E, MD, (M), B Group Name: Signature Health Health Professionals Group Name: Lake Health Allied Provider ID: 002591694006 Provider ID: 001260778005 Health Professionals NPI: 1265451256 NPI: 1417900473 Provider ID: 003334600008 38882 Mentor Ave 9485 Mentor Ave Ste 103 NPI: 1104015213 Willoughby, OH 44094

Mentor, OH 44060 9485 Mentor Ave Ste 103 (440) 953-9999 EB, P, R (440) 205-5799 EB, P, R Mentor, OH 44060 Ages: 0-99 Cultural Competency: Y (440) 205-5799 Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Temple University Hospital Hospital Affiliations: Ages: 0-99 Lake Health Union Hospital Association Hospital Affiliations: Knox Community Hospital Lake Health Akron General Medical Ctr Adena Regional Medical Center Cleveland Clinic Foundation Cleveland Clinic Foundation Areas of Expertise: E112 Hillcrest Medical Center

336

Specialists Ohio - Lake

Serels, Anna, MD, (F) Martin, James E, PT, (M) Group Name: University Primary Physical Therapy Group Name: Hands On Physical

Care Practices Prior authorization is required to Therapy Of Mentor Provider ID: 005714721001 obtain some covered services from Provider ID: 006539520006 NPI: 1871889907 these providers. You will not be NPI: 1730603796 7500 Auburn Rd Ste 2300 covered for those services without 8836 Tyler Blvd Concord Township, OH 44077 such approval by UnitedHealthcare Mentor, OH 44060 (440) 285-7256 EB, IB, P, R Community Plan. Please see your (440) 255-9553 E, EB, G, IB, P, Languages Spoken: member handbook, or call Member R, RE, S, T Provider: Hebrew, Russian Services for details. Languages Spoken:

Mo-Fr - 8:30 AM - 4:30 PM Staff: French Ages: 0-99 Craig, Kari T, PT, (F) Mo-Th - 7:30 AM - 7:30 PM Hospital Affiliations: Group Name: Agm Physical Fr - 7:30 AM - 1:00 PM Uh Geauga Medical Center Therapy Ages: 0-99 University Hospitals Geauga Provider ID: 003626637003 Medical Ctr NPI: 1861732471 Polakowski, Lisa M, PT, (F) Uh Geneva Medical Center 6000 Heisley Rd Group Name: Layton Physical Mentor, OH 44060 Therapy Co (440) 357-6677 EB, IB, P, R Provider ID: 003788865001 Mo,We - 6:00 AM - 7:00 PM NPI: 1225255813 Tu - 8:00 AM - 5:00 PM 2899 Hubbard Rd Th - 8:00 AM - 7:00 PM Madison, OH 44057 Fr - 6:00 AM - 5:00 PM (440) 428-0422 EB, IB, P, R Sa - 8:00 AM - 12:00 PM Mo - 6:30 AM - 7:00 PM Web address: www.agmphysicalther Tu,Th - 8:00 AM - 7:00 PM apy.com We - 7:30 AM - 7:00 PM Ages: 0-99 Fr - 6:30 AM - 5:00 PM Sa - 9:00 AM - 1:00 PM Layton, Loretta A, PT, (F) Ages: 0-99 Group Name: Layton Physical Therapy Co Schordock, David A, PT, (M) Provider ID: 003657852001 Group Name: Agm Physical NPI: 1386792638 Therapy 50 Normandy Dr Provider ID: 005445813015 Painesville, OH 44077 NPI: 1760872295 (440) 639-8800 EB, IB, P, R 6000 Heisley Rd Sa - 8:00 AM - 4:00 PM Mentor, OH 44060 Web address: www.laytonpt.com (440) 357-6677 EB, IB, P, R Ages: 0-99 Mo,We,Fr - 6:00 AM - 7:00 PM Tu,Th - 8:00 AM - 7:00 PM Sa - 8:00 AM - 12:00 PM Ages: 0-99

337

Ohio - Lake Specialists

Shcherabakov, Dennis, PT, (M) Wardrop, Terrance, PT, (M) Group Name: Physicians Plus Group Name: Cleveland Clinic Physician Assistant Provider ID: 003313131001 Foundation Adkins, Laurie M, PA, (F) NPI: 1851523807 Provider ID: 003645970002 Group Name: Clinic Regional 263 Mentor Ave NPI: 1043658958 Physicians Painesville, OH 44077 2620 Hubbard Rd Provider ID: 003166772005 (440) 354-5643 E, EB, P, R, T Madison, OH 44057 NPI: 1457682825 Languages Spoken: (440) 428-1111 EB, P, R 2570 Som Center Rd Provider: Russian Ages: 0-99 Willoughby Hills, OH 44094

Staff: Russian, Spanish Hospital Affiliations: (440) 943-2500 EB, IB, P, R, RE, Interpreter: Russian Cleveland Clinic Foundation T Mo,We,Th - 8:00 AM - 6:00 PM Cultural Competency: Y Tu,Fr - 8:00 AM - 12:00 PM Washek, James, PT, (M) Ages: 0-99 Ages: 0-99 Group Name: Agm Physical Hospital Affiliations: Therapy Cleveland Clinic Foundation Stalter, Brian J, PT, (M) Provider ID: 007170236001 Hillcrest Hospital Group Name: Cleveland Clinic NPI: 1902391584 Euclid Hospital Foundation 6000 Heisley Rd Medina Hospital Provider ID: 003641764001 Mentor, OH 44060 NPI: 1710323092 (440) 357-6677 EB, IB, P, R Adkins, Laurie M, PA, (F) 2620 Hubbard Rd Ages: 0-99 Group Name: Clinic Regional Madison, OH 44057 Physicians (440) 428-1111 EB, P, R Yoder, James S, PT, (M) Provider ID: 003166772005 Ages: 0-99 Group Name: Alok Bhaiji Md NPI: 1457682825 Hospital Affiliations: Provider ID: 004905366004 2999 Mcmackin Rd Cleveland Clinic Foundation NPI: 1699027805 Madison, OH 44057

35900 Euclid Ave (440) 428-1111 E, EB, IB, P Ursick, Marissa A, PT, (F) Willoughby, OH 44094 Cultural Competency: Y Group Name: Atlas Rehab And (440) 953-3000 EB, P, R Ages: 0-99 Wellness Ages: 0-99 Hospital Affiliations: Provider ID: 006924807002 Cleveland Clinic Foundation NPI: 1275991127 Hillcrest Hospital 2770 Som Center Rd Euclid Hospital Willoughby Hills, OH 44094 Medina Hospital (330) 759-5904 EB, P, R Ages: 0-99

338

Specialists Ohio - Lake Bartyzel, James A, PA, (M) Boyd, Alysse J, PA, (F) Bui, Huan, PA, (F) Group Name: University Primary Group Name: University Group Name: University Primary Care Practices Hospitals Medical Group Care Practices Provider ID: 006557012008 Provider ID: 006036419001 Provider ID: 006489658003 NPI: 1144747049 NPI: 1003018763 NPI: 1285087908 7500 Auburn Rd Ste 1200 9000 Mentor Ave 7500 Auburn Rd Ste 1200 Concord Township, OH 44077 Mentor, OH 44060 Concord Township, OH 44077

(440) 358-5400 EB, P, R (216) 844-7200 EB, P, R (440) 358-5400 EB, P, R Mo-Fr - 8:00 AM - 4:30 PM Ages: 18-99 Languages Spoken: Accepting Existing Patients Only Hospital Affiliations: Provider: Vietnamese Ages: 0-99 Fairview Hospital Staff: Vietnamese Hospital Affiliations: Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Ages: 0-99 Lutheran Hospital Of Indiana Boyd, Alysse J, PA, (F) Hospital Affiliations: Fairview Hospital Group Name: University Cleveland Clinic Foundation Lutheran Hospital Hospitals Medical Group Hillcrest Hospital Provider ID: 006036419001 Bondi, Jane, PA, (F) NPI: 1003018763 Duller, Michal M, PA, (F) Group Name: Alok Bhaiji Md 9000 Mentor Ave Ste 209 Group Name: University Provider ID: 006208257005 Mentor, OH 44060 Hospitals Medical Group

NPI: 1063869303 (216) 844-7200 EB, P, R Provider ID: 005332827001 35900 Euclid Ave Ages: 18-99 NPI: 1437547510 Willoughby, OH 44094 Hospital Affiliations: 9000 Mentor Ave Ste 209

(440) 953-3000 EB, P, R Fairview Hospital Mentor, OH 44060

Ages: 0-99 Uh Cleveland Medical Center (216) 844-7200 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Bordonaro, Salvatore, PA, (M) Bruno, Thomas D, PA, (M) Cultural Competency: Y Group Name: Cleveland Clinic Group Name: University Ages: 0-99 Foundation Hospitals Medical Group Hospital Affiliations: Provider ID: 003661182001 Provider ID: 002780799002 Uh Cleveland Medical Center NPI: 1821337759 NPI: 1043232416 Univ Hospitals Ahuja Med Ctr 2550 Som Center Rd 9000 Mentor Ave Willoughby Hills, OH 44094 Mentor, OH 44060 Edds, Farah M, PA, (F), B

(440) 943-2500 EB, P, R (216) 844-7330 EB, P, R Group Name: Apex Dermatology Mo-Fr - 8:00 AM - 4:00 PM Mo-Fr - 8:30 AM - 4:30 PM And Skin Surgery Cultural Competency: Y Ages: 18-99 Provider ID: 006624215002 Ages: 0-99 Hospital Affiliations: NPI: 1386191724 Hospital Affiliations: Uh Regional Hospitals 7580 Auburn Rd Ste 301 Cleveland Clinic Foundation Uh Cleveland Medical Center Concord Township, OH 44077

Rainbow Babies & Childrens (440) 352-7546 EB, P, R, RE, T Hosp Mo-Fr - 8:00 AM - 4:30 PM Univ Hospitals Ahuja Med Ctr Ages: 0-99

339

Ohio - Lake Specialists Gavin, Maura A, PA, (F) Gavin, Maura A, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Kraynak-Nolen, Laurel A, PA, (F) Foundation Foundation Group Name: Cleveland Clinic Provider ID: 003133107001 Provider ID: 003133107001 Foundation NPI: 1669530663 NPI: 1669530663 Provider ID: 003566624002 2570 Som Center Rd 7533 Center St NPI: 1871649442 Willoughby Hills, OH 44094 Mentor, OH 44060 2570 Som Center Rd

(440) 943-2500 EB, IB, P, R, RE, (440) 205-1714 EB, P, R Willoughby Hills, OH 44094

T Cultural Competency: Y (440) 943-5020 EB, IB, P, R, RE, Cultural Competency: Y Ages: 0-99 T Web address: http://www.cleveland Hospital Affiliations: Cultural Competency: Y clinic.org Fairview Hospital Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Hillcrest Hospital Cleveland Clinic Foundation Fairview Hospital South Pointe Hospital Cleveland Clinic Foundation Marymount Hospital Krolik, Eric W, PA, (M) Hillcrest Hospital Lutheran Hospital Group Name: UPCP South Pointe Hospital Areas of Expertise: E112 Provider ID: 006595968002 Marymount Hospital NPI: 1033638697 Lutheran Hospital Gray, Anna, PA, (F) 7500 Auburn Rd Ste 1200 Areas of Expertise: E112 Group Name: Crossroads Lake Concord Township, OH 44077

County Adolescent (440) 358-5400 EB, P, R Gavin, Maura A, PA, (F) Provider ID: 006819478002 Mo-Fr - 8:30 AM - 4:30 PM Group Name: Cleveland Clinic NPI: 1932609161 Ages: 0-99 Foundation 8445 Munson Rd Hospital Affiliations: Provider ID: 003133107001 Mentor, OH 44060 Cleveland Clinic Foundation

NPI: 1669530663 (440) 255-1700 EB, P, R, RE, S, Hillcrest Hospital 2999 Mcmackin Rd T Euclid Hospital Madison, OH 44057 Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM Marymount Hospital

(440) 428-1111 E, EB, IB, P Ages: 0-99 Lutheran Hospital Cultural Competency: Y Medina Hospital Web address: http://www.cleveland Hollcraft, Jacqueline, PA, (F) Cleveland Clinic Avon Hospital clinic.org Group Name: Apex Dermatology Ages: 0-99 And Skin Surgery Kulkarni, Geeta, PA, (F) Hospital Affiliations: Provider ID: 003587569005 Group Name: Cleveland Clinic Fairview Hospital NPI: 1578621157 Foundation Cleveland Clinic Foundation 7580 Auburn Rd Ste 301 Provider ID: 003553590001 Hillcrest Hospital Concord Township, OH 44077 NPI: 1528302767

South Pointe Hospital (440) 352-7546 EB, P, R, RE, T 2570 Som Center Rd Marymount Hospital Mo-Fr - 8:00 AM - 4:30 PM Willoughby Hills, OH 44094

Lutheran Hospital Ages: 0-99 (440) 943-2500 EB, IB, P, R, RE, Areas of Expertise: E112 Hospital Affiliations: T Lake Health Ages: 0-99

340

Specialists Ohio - Lake Hospital Affiliations: Langford, Benjamin A, PA, (M) Langford, Benjamin A, PA, (M) Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Hillcrest Hospital Foundation Foundation Fairview Hospital Provider ID: 006397628002 Provider ID: 006397628002 Cleveland Clinic Avon Hospital NPI: 1043751001 NPI: 1043751001 2570 Som Center Rd 7533 Center St Kulkarni, Geeta, PA, (F) Willoughby Hills, OH 44094 Mentor, OH 44060

Group Name: Cleveland Clinic (440) 943-2500 EB, IB, P, R, RE, (440) 205-1714 EB, P, R Foundation T Ages: 0-99 Provider ID: 003553590001 Ages: 0-99 Hospital Affiliations: NPI: 1528302767 Hospital Affiliations: Cleveland Area Hospital 2999 Mcmackin Rd Cleveland Area Hospital Cleveland Clinic Foundation Madison, OH 44057 Cleveland Clinic Foundation Fairview Hospital

(440) 428-1111 E, EB, IB, P Fairview Hospital Marymount Hospital Ages: 0-99 Marymount Hospital Lutheran Hospital Hospital Affiliations: Lutheran Hospital Cleveland Clinic Avon Hospital Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Hillcrest Hospital Levandovski, Yelena, PA, (F) Fairview Hospital Langford, Benjamin A, PA, (M) Group Name: Rakesh Ranjan Md Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic And Assoc Foundation Provider ID: 007123114002 Kulkarni, Geeta, PA, (F) Provider ID: 006397628002 NPI: 1366907891 Group Name: Cleveland Clinic NPI: 1043751001 8532 Mentor Ave Foundation 2999 Mcmackin Rd Mentor, OH 44060

Provider ID: 003553590001 Madison, OH 44057 (440) 205-1008 EB, RE, S, T

NPI: 1528302767 (440) 428-1111 E, EB, IB, P Mo-Fr - 9:00 AM - 5:30 PM 7533 Center St Ages: 0-99 Ages: 0-99 Mentor, OH 44060 Hospital Affiliations: Areas of Expertise: MAT1

(440) 205-1714 EB, P, R Cleveland Area Hospital Ages: 0-99 Cleveland Clinic Foundation Loss, Sarah, PA, (F) Hospital Affiliations: Fairview Hospital Group Name: Lake Hospital Cleveland Clinic Foundation Marymount Hospital System Hillcrest Hospital Lutheran Hospital Provider ID: 007164770002 Fairview Hospital Cleveland Clinic Avon Hospital NPI: 1295265635 Cleveland Clinic Avon Hospital 9485 Mentor Ave Ste 212 Mentor, OH 44060

(440) 205-5883 EB, P, R Sa - 9:00 AM - 1:00 PM Ages: 0-99 Hospital Affiliations: Lake Health

341

Ohio - Lake Specialists Manzeo, William A, PA, (M) Meyers, Farzana A, PA, (F) Group Name: University Marvin, Alisa F, PA, (F) Group Name: Cleveland Clinic Hospitals Medical Group Group Name: Cleveland Clinic Foundation Provider ID: 003736750001 Foundation Provider ID: 003566798001 NPI: 1477996288 Provider ID: 004473768001 NPI: 1346236817 9000 Mentor Ave Ste 209 NPI: 1699190942 7533 Center St Mentor, OH 44060 7533 Center St Mentor, OH 44060

(216) 844-7200 EB, P, R Mentor, OH 44060 (440) 205-1714 EB, P, R

Mo-Fr - 8:30 AM - 4:30 PM (440) 205-1714 EB, P, R Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Uh Cleveland Medical Center Fairview Hospital Micklewright, Sarah E, PA, (F) Univ Hospitals Ahuja Med Ctr Lutheran Hospital Group Name: Cleveland Clinic Foundation Marvin, Alisa F, PA, (F) Meyers, Farzana A, PA, (F) Provider ID: 006008515001 Group Name: Cleveland Clinic Group Name: Cleveland Clinic NPI: 1154776623 Foundation Foundation 2570 Som Center Rd Provider ID: 004473768001 Provider ID: 003566798001 Willoughby Hills, OH 44094

NPI: 1699190942 NPI: 1346236817 (440) 943-2500 EB, IB, P, R, RE, 2570 Som Center Rd 2570 Som Center Rd T Willoughby Hills, OH 44094 Willoughby Hills, OH 44094 Ages: 0-99

(440) 943-2500 EB, IB, P, R, RE, (440) 943-2500 EB, IB, P, R, RE, Hospital Affiliations: T T Cleveland Clinic Foundation Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Miller, Lisa N, PA, (F) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Cleveland Clinic Fairview Hospital Foundation Lutheran Hospital Meyers, Farzana A, PA, (F) Provider ID: 003565606018 Group Name: Cleveland Clinic NPI: 1346532926 Marvin, Alisa F, PA, (F) Foundation 2570 Som Center Rd Group Name: Cleveland Clinic Provider ID: 003566798001 Willoughby Hills, OH 44094

Foundation NPI: 1346236817 (440) 943-2500 EB, IB, P, R, RE, Provider ID: 004473768001 2999 Mcmackin Rd T NPI: 1699190942 Madison, OH 44057 Ages: 0-99

2999 Mcmackin Rd (440) 428-1111 E, EB, IB, P Hospital Affiliations: Madison, OH 44057 Ages: 0-99 Cleveland Clinic Foundation

(440) 428-1111 E, EB, IB, P Hospital Affiliations: Lutheran Hospital Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Lutheran Hospital

342

Specialists Ohio - Lake Miller, Lisa N, PA, (F) Nutter, Dian M, PA, (F) Hospital Affiliations: Group Name: Cleveland Clinic Group Name: Lake Hospital Akron General Medical Ctr Foundation System Cleveland Clinic Foundation Provider ID: 003565606007 Provider ID: 005605881006 Uh Cleveland Medical Center NPI: 1346532926 NPI: 1376970327 2999 Mcmackin Rd 8655 Market St Rudert, Nicole K, PA, (F) Madison, OH 44057 Mentor, OH 44060 Group Name: University Primary

(440) 428-1111 E, EB, IB, P (440) 255-6400 P, R, RE, T Care Practices Ages: 0-99 Languages Spoken: Provider ID: 003231549021 Hospital Affiliations: Provider: Spanish NPI: 1487896197 Cleveland Clinic Foundation Mo-Fr - 8:00 AM - 8:00 PM 9000 Mentor Ave Ste 101 Lutheran Hospital Sa - 8:00 AM - 5:00 PM Mentor, OH 44060

Su - 12:00 PM - 6:00 PM (440) 255-0250 EB, P, R Nutter, Dian M, PA, (F) Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Group Name: Lake Hospital Hospital Affiliations: Ages: 0-99 System Lake Health Hospital Affiliations: Provider ID: 005605881006 Metrohealth Medical Center Akron General Medical Ctr NPI: 1376970327 Areas of Expertise: MAT1 Cleveland Clinic Foundation 29804 Lakeshore Blvd Uh Cleveland Medical Center Willowick, OH 44095 Proctor, Andrew H, PA, (M)

(440) 585-3322 P, R, RE, T Group Name: Cleveland Clinic Scully, Sharon L, PA, (F) Languages Spoken: Foundation Group Name: University Primary Provider: Spanish Provider ID: 003040235002 Care Practices Mo-Fr - 8:00 AM - 9:00 PM NPI: 1891971461 Provider ID: 003304120003 Sa - 8:00 AM - 5:00 PM 7060 Wayside Dr NPI: 1609837582 Su - 9:00 AM - 5:00 PM Mentor, OH 44060 7500 Auburn Rd Ste 1200

Ages: 0-99 (440) 357-2770 EB, P, R Concord Township, OH 44077

Hospital Affiliations: Mo-Fr - 8:00 AM - 4:00 PM (440) 358-5400 EB, P, R Lake Health Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Metrohealth Medical Center Hospital Affiliations: Ages: 0-99 Areas of Expertise: MAT1 Cleveland Clinic Foundation Hospital Affiliations: Marymount Hospital Cleveland Clinic Foundation Uh Cleveland Medical Center Rudert, Nicole K, PA, (F) Univ Hospitals Ahuja Med Ctr Group Name: University Primary Care Practices Provider ID: 003231549021 NPI: 1487896197 7500 Auburn Rd Ste 1200 Concord Township, OH 44077

(440) 358-5400 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99

343

Ohio - Lake Specialists Scully, Sharon L, PA, (F) Tripodi, Michael A, PA, (M) Group Name: University Primary Group Name: Alok Bhaiji Md Care Practices Provider ID: 006910958004 Plastic Surgery

Provider ID: 003304120003 NPI: 1114427317 Prior authorization is required to NPI: 1609837582 35900 Euclid Ave obtain some covered services from 9000 Mentor Ave Ste 101 Willoughby, OH 44094 these providers. You will not be Mentor, OH 44060 (440) 953-3000 EB, P, R covered for those services without (440) 255-0250 EB, P, R Ages: 0-99 such approval by UnitedHealthcare Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Community Plan. Please see your Ages: 0-99 Metrohealth Medical Center member handbook, or call Member Hospital Affiliations: Cleveland Clinic Foundation Services for details.

Cleveland Clinic Foundation Fairview Hospital Uh Cleveland Medical Center Binder, Michael P, MD, (M), B Univ Hospitals Ahuja Med Ctr Tudico, Marina G, PA, (F) Group Name: Michael P Binder Group Name: Cleveland Clinic Md Sherman, Crystal E, PA, (F) Foundation Provider ID: 000603935002 Group Name: University Primary Provider ID: 003534247001 NPI: 1922198357 Care Practices NPI: 1487884896 8587 East Ave Provider ID: 006794403004 2550 Som Center Rd Mentor, OH 44060 NPI: 1225530306 Willoughby Hills, OH 44094 (440) 953-4646 EB, P, R, RE, T Mo-Th - 9:00 AM - 4:00 PM 7500 Auburn Rd Ste 1200 (440) 943-2500 EB, P, R Concord Township, OH 44077 Ages: 0-99 Fr - 9:00 AM - 5:00 PM Cultural Competency: Y (440) 358-5400 EB, P, R Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: South Pointe Hospital Hospital Affiliations: Uh Cleveland Medical Center Lakewood Hospital Lake Health Cleveland Clinic Lakewood St Vincent Charity Medical Center Staley, Jessica N, PA, (F) Marymount Hospital Group Name: Lake Health Allied Davidson, Edward H, MD, (M), B Health Professionals Yacapraro, Lauren E, PA, (F) Group Name: University Provider ID: 003322404002 Group Name: University Primary Hospitals Medical Group NPI: 1043510050 Care Practices Provider ID: 006517214002 7580 Auburn Rd Ste 202 Provider ID: 007241944001 NPI: 1609193697 Concord Township, OH 44077 NPI: 1366095721 9000 Mentor Ave Ste 220 Mentor, OH 44060 (440) 352-0400 EB, P, R 7500 Auburn Rd Ste 2500 Mo-Fr - 8:00 AM - 9:00 PM Concord Township, OH 44077 (216) 844-4780 EB, IB, P, R Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y (440) 285-2956 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Ages: 18-99 Hospital Affiliations: Lake Health Hospital Affiliations: Uh Cleveland Medical Center Uh Geauga Medical Center Montefiore Medical Center University Hospitals Geauga Rainbow Babies & Childrens Medical Ctr Hosp Univ Hospitals Ahuja Med Ctr

344

Specialists Ohio - Lake Miller, James R, MD, (M), B Miller, James R, MD, (M), B Greer, Jennifer A, MD, (F), B Group Name: Lake Health Allied Group Name: Lake Health Allied Group Name: Janet M Blanchard Health Professionals Health Professionals Md Provider ID: 001158266004 Provider ID: 001158266004 Provider ID: 003508719003 NPI: 1407888589 NPI: 1407888589 NPI: 1285838664 36060 Euclid Ave Ste 204 9500 Mentor Ave Ste 200 6990 Lindsay Dr Ste 5 Willoughby, OH 44094 Mentor, OH 44060

Mentor, OH 44060 (440) 602-6640 EB, P, R (440) 205-5433 EB, IB, P, R

(440) 974-8577 EB, P, R Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Mo-Fr - 9:00 AM - 5:00 PM Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Uh Geauga Medical Center Hospital Affiliations: Ages: 0-99 University Hospitals Geauga Uh Geauga Medical Center Hospital Affiliations: Medical Ctr University Hospitals Geauga Lake Health Lake Health Medical Ctr Uh Regional Hospital - Bedford Lake Health Hudak, Donald T, MD, (M) Campus Uh Regional Hospital - Bedford Group Name: University Parkview Hospital Campus Hospitals Medical Group Parkview Hospital Provider ID: 002668732001 Miller, James R, MD, (M), B NPI: 1396709234 Group Name: Lake Health Allied Vanek, Paul F, MD, (M), B 4212 State Route 306 Ste 120 Health Professionals Group Name: Vanek Paul F Willoughby, OH 44094 Provider ID: 001158266004 Provider ID: 001565994002

(216) 844-4780 EB, P, R NPI: 1407888589 NPI: 1730256967 Languages Spoken: 7590 Auburn Rd 7537 Fredle Dr Provider: Spanish Concord Township, OH 44077 Concord Township, OH 44077

Ages: 0-99 (440) 354-1100 EB, P, R (440) 205-5750 EB, P, R Hospital Affiliations: Ages: 0-99 Languages Spoken: Atrium Medical Center Hospital Affiliations: Provider: German Children's Hospital Medical Uh Geauga Medical Center Mo-Fr - 9:00 AM - 4:30 PM Center University Hospitals Geauga Cultural Competency: Y Bethesda Hospital Medical Ctr Ages: 0-99 Good Samaritan Hospital Lake Health Hospital Affiliations: University Of Cincinnati Medical Uh Regional Hospital - Bedford Lake Health Center Campus Hillcrest Hospital Trihealth Evendale Hospital Parkview Hospital Good Samaritan Hospital-evendale

345

Ohio - Lake Specialists Vanek, Paul F, MD, (M), B Bala, Vikram A, DPM, (M), B Botek, Georgeanne G, DPM, (F), Group Name: Vanek Paul F Group Name: Orthopedic B Provider ID: 001565994001 Asc/Lake County Group Name: Cleveland Clinic NPI: 1730256967 Provider ID: 007485806001 Foundation 9485 Mentor Ave Ste 100 NPI: 1518490069 Provider ID: 001740630011 Mentor, OH 44060 7551 Fredle Dr NPI: 1326001348

(440) 205-5750 E, EB, IB, P, R, T Concord Twp, OH 44077 2550 Som Center Rd

(440) 350-9595 EB, IB, P, R, RE, Willoughby Hills, OH 44094 Languages Spoken: T (440) 943-2500 EB, P, R Provider: German Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Staff: American Sign Language, Ages: 0-99 Hospital Affiliations: German Cleveland Clinic Foundation Mo-Fr - 9:00 AM - 4:30 PM Bala, Vikram A, DPM, (M), B Marymount Hospital Cultural Competency: Y Group Name: Balance Foot And Ages: 0-99 Ankle Chiunda, Stella, DPM, (F), B Hospital Affiliations: Provider ID: 007485806002 Group Name: Cleveland Clinic Lake Health NPI: 1518490069 Foundation Hillcrest Hospital 7580 Auburn Rd Ste 102 Provider ID: 002791354001 Concord Township, OH 44077 NPI: 1972632875

Podiatry (216) 658-0111 E, EB, IB, P, R 2550 Som Center Rd

Ages: 0-99 Willoughby Hills, OH 44094

Members may self-refer to these (440) 943-2500 providers. Barr, Robert J, DPM, (M), B Ages: 0-99 Bala, Vikram A, DPM , (M), B Group Name: Barr Robert J Hospital Affiliations: Group Name: Orthopedic Provider ID: 000224880001 Cleveland Clinic Foundation Asc/Lake County NPI: 1902890577 South Pointe Hospital Provider ID: 007485806001 840 N Lake St Euclid Hospital NPI: 1518490069 Madison, OH 44057 Uh Regional Hospitals 6550 N Ridge Rd Ste 201 (440) 428-7146 EB, P, R, RE, T Huron Hospital Madison, OH 44057 Mo-Fr - 9:00 AM - 5:00 PM Sa - 8:00 AM - 12:00 PM De Leon, Gladys G, DPM, (F), B (440) 428-1994 EB, P, R Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Group Name: Lake County Foot Ages: 0-99 Hospital Affiliations: & Ankle Ascs Lake Health Provider ID: 001565944002 Uh Geneva Medical Center NPI: 1841250867 7482 Center St Ste 100 Mentor, OH 44060

(440) 357-8418 EB, P, R Languages Spoken: Staff: Spanish Ages: 0-99 Hospital Affiliations: Lake Health

346

Specialists Ohio - Lake Frania, Stephen J, DPM, (M), B Frania, Stephen J, DPM, (M), B De Leon, Gladys G, DPM, (F), B Group Name: Lake County Foot Group Name: Lake County Foot Group Name: Lake County Foot & Ankle Ascs & Ankle Ascs & Ankle Ascs Provider ID: 001385890001 Provider ID: 001385890001 Provider ID: 001565944002 NPI: 1023077278 NPI: 1023077278 NPI: 1841250867 36060 Euclid Ave Ste 107 7482 Center St Ste 100 7482 Center St Unit 100 Willoughby, OH 44094 Mentor, OH 44060

Mentor, OH 44060 (440) 975-8823 EB, P, R (440) 357-8418 EB, P, R

(440) 357-8418 EB, P, R, RE, T Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Mo,Tu,We,Fr - 8:00 AM - 5:00 PM Mo-Fr - 9:00 AM - 5:00 PM Staff: Spanish Th - 8:00 AM - 6:30 PM Cultural Competency: Y Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Lake Health Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga Uh Geauga Medical Center Farley, Donald R, DPM, (M), B Medical Ctr University Hospitals Geauga Group Name: Podiatry Assoc Of Lake Health Medical Ctr Lake County Lake Health Provider ID: 000747621001 Frania, Stephen J, DPM, (M), B NPI: 1093783466 Group Name: Lake County Foot Hehemann, Christopher T, DPM, 161 E Washington St & Ankle Ascs (M), B Painesville, OH 44077 Provider ID: 001385890001 Group Name: Balance Foot And (440) 352-2201 EB, P, R, RE NPI: 1023077278 Ankle Mo,Th - 8:00 AM - 5:00 PM 36060 Euclid Ave Ste 109 Provider ID: 005827515004 Tu,Fr - 9:00 AM - 5:00 PM Willoughby, OH 44094 NPI: 1194086066 We - 1:00 PM - 3:00 PM (440) 975-8823 E, EB, G, IB, P, 7580 Auburn Rd Ste 102 Ages: 0-99 PL, R, RE, S, T Concord Township, OH 44077 Hospital Affiliations: Languages Spoken: (216) 658-0111 Lake Health Provider: Spanish Ages: 0-99 Uh Geneva Medical Center Mo-Fr - 9:00 AM - 5:00 PM Hospital Affiliations: University Hospitals Conneaut Cultural Competency: Y Uh Parma Medical Center Medical Ce Ages: 0-99 University Hospitals Parma Uh Conneaut Medical Center Hospital Affiliations: Medical Ctr Ashtabula County Med Center Uh Geauga Medical Center Mclaren Flint University Hospitals Geauga Medical Ctr Lake Health

347

Ohio - Lake Specialists Kimmel, Howard M, DPM, (M), B Levar, Timothy J, DPM, (M) Lake Health Group Name: Buckeye Foot Care Group Name: Timothy Levar Cleveland Clinic Foundation Provider ID: 001191741001 Dpm NPI: 1124055918 Provider ID: 003659827001 Lupica, Jeffrey C, DPM, (M), B 5105 Som Center Rd Ste 102 NPI: 1073830766 Group Name: Lake Orthopaedic Willoughby, OH 44094 34600 Chardon Rd Ste 9 Associates

(216) 267-0304 EB, IB, P, R, RE, Willoughby Hills, OH 44094 Provider ID: 003650194001

T (440) 585-2640 EB, P, R NPI: 1164749859 Cultural Competency: Y Sa - 8:00 AM - 12:00 PM 9500 Mentor Ave Ste 210 Ages: 0-99 Ages: 0-99 Mentor, OH 44060

Hospital Affiliations: Hospital Affiliations: (440) 354-1711 EB, P, R Southwest General Health Center Hillcrest Hospital Mo-Fr - 7:00 AM - 4:00 PM Uh Parma Medical Center Euclid Hospital Cultural Competency: Y University Hospitals Parma Ages: 0-99 Medical Ctr Levar, Timothy J, DPM, (M) Hospital Affiliations: Group Name: Timothy Levar Lake Health Koludrovich, Brian A, DPM, (M), Dpm Cleveland Clinic Foundation B Provider ID: 003659827001 Group Name: North Eastern Oh NPI: 1073830766 Mckee, Patrick J, DPM, (M), B Podiatry Grp 34600 Chardon Rd Unit 8 Group Name: Cleveland Clinic Provider ID: 000180213002 Willoughby Hills, OH 44094 Foundation

NPI: 1295806248 (440) 585-2640 EB, P, R, RE, S, Provider ID: 001786705001 35010 Chardon Rd Ste 101a T NPI: 1366406423 Willoughby Hills, OH 44094 Mo,We,Th,Fr - 8:00 AM - 5:00 PM 2570 Som Center Rd

(440) 953-3668 EB, P, R, RE, T Tu - 8:00 AM - 6:00 PM Willoughby Hills, OH 44094

Languages Spoken: Sa - 8:00 AM - 12:00 PM (440) 519-6800 EB, IB, P, R, RE, Provider: Italian Ages: 0-99 T Mo,Tu,Th - 9:00 AM - 5:00 PM Hospital Affiliations: Ages: 0-99 We,Fr - 9:00 AM - 12:00 PM Hillcrest Hospital Hospital Affiliations: Ages: 0-99 Euclid Hospital Cleveland Clinic Foundation Hospital Affiliations: Marymount Hospital Lake Health Lupica, Jeffrey C, DPM, (M), B East Ohio Regional Hospital Hillcrest Hospital Group Name: Lake Orthopaedic Medina Hospital South Pointe Hospital Associates Euclid Hospital Provider ID: 003650194001 Marymount Hospital NPI: 1164749859 Grace Hospital 36060 Euclid Ave Ste 104 St Vincent Charity Medical Center Willoughby, OH 44094

Regency Hospital Of Cleveland (440) 942-1050 EB, P, R West Mo-Fr - 8:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations:

348

Specialists Ohio - Lake Nicolosi, Nicole M, DPM, (F), B Lake Health Sharpe, Carissa L, DPM, (F), B Group Name: Cleveland Clinic Group Name: Orthopedic Foundation Rodriguez Velazquez, Karen J, Asc/Lake County Provider ID: 005694356001 DPM, (F) Provider ID: 003431633001 NPI: 1437410503 Group Name: University Primary NPI: 1457630220 2570 Som Center Rd Care Practices 7551 Fredle Dr Willoughby Hills, OH 44094 Provider ID: 005714614001 Concord Twp, OH 44077

(440) 943-2500 EB, IB, P, R, RE, NPI: 1477812485 (440) 350-9595 EB, IB, P, R, RE, T 9000 Mentor Ave Ste 209 T Cultural Competency: Y Mentor, OH 44060 Ages: 0-99

Ages: 0-99 (216) 383-6090 EB, P, R Hospital Affiliations: Hospital Affiliations: Languages Spoken: Lake Health Cleveland Clinic Foundation Provider: Spanish Mo-Fr - 8:30 AM - 4:30 PM Sharpe, Carissa L, DPM, (F), B Privitera, Jerome M, DPM, (M), Cultural Competency: Y Group Name: Balance Foot And B Ages: 0-99 Ankle Group Name: Jerome M Privitera Hospital Affiliations: Provider ID: 003431633002 Dpm Uh Regional Hospital - Bedford NPI: 1457630220 Provider ID: 000791214001 Campus 7580 Auburn Rd Ste 102 NPI: 1639173628 Uh Regional Hospitals Concord Township, OH 44077

6270 N Ridge Rd Uh Cleveland Medical Center (216) 658-0111 Madison, OH 44057 Ages: 0-99

(440) 428-8259 EB, IB, P, R, RE, Sharpe, Carissa L, DPM, (F), B Hospital Affiliations: T Group Name: Orthopedic Lake Health Cultural Competency: Y Asc/Lake County Ages: 0-99 Provider ID: 003431633001 Sharpe, Jonathan J, DPM, (M), B Hospital Affiliations: NPI: 1457630220 Group Name: Orthopedic Lake Health 6550 N Ridge Rd Ste 201 Asc/Lake County Madison, OH 44057 Provider ID: 002786085001

Privitera, Jerome M, DPM, (M), (440) 428-1944 EB, P, R NPI: 1992834337 B Ages: 0-99 6550 N Ridge Rd Ste 201 Group Name: Jerome M Privitera Hospital Affiliations: Madison, OH 44057

Dpm Lake Health (440) 428-1994 EB, P, R Provider ID: 000791214001 Languages Spoken: NPI: 1639173628 Provider: Spanish 9485 Mentor Ave Ste 200 Ages: 0-99 Mentor, OH 44060 Hospital Affiliations:

(440) 205-5878 EB, P, R Lake Health Mo-We - 8:30 AM - 3:00 PM Th - 1:30 PM - 6:00 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations:

349

Ohio - Lake Specialists

Sharpe, Jonathan J, DPM, (M), B Carnegie Surgery Center Group Name: Orthopedic Pulmonary Medicine

Asc/Lake County Tenney, William D, DPM, (M) Members may self-refer to these Provider ID: 002786085001 Group Name: Tenney William D providers.

NPI: 1992834337 Provider ID: 000040705001 7551 Fredle Dr NPI: 1700804911 Burwinkel, Ronald P, MD, (M), B Concord Twp, OH 44077 8899 Mentor Ave Group Name: Cleveland Clinic Foundation (440) 350-9595 EB, IB, P, R, RE, Mentor, OH 44060 Provider ID: 001208562001 T (440) 974-3338 EB, P, PL, R, RE, Languages Spoken: T NPI: 1821099946 Provider: Spanish Mo,Th,Fr - 9:00 AM - 5:00 PM 7060 Wayside Dr Ages: 0-99 Tu - 9:00 AM - 7:00 PM Mentor, OH 44060 Hospital Affiliations: Sa - 9:00 AM - 1:00 PM (440) 357-2770 EB, P, R Lake Health Ages: 0-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Sharpe, Jonathan J, DPM, (M), B South Pointe Hospital Cleveland Clinic Foundation Group Name: Balance Foot And Hillcrest Hospital Ankle Waxman, Howard M, DPM, (M) South Pointe Hospital Provider ID: 002786085002 Group Name: Pleasant Valley Euclid Hospital NPI: 1992834337 Podiatry Iu Health Methodist Hospital 7580 Auburn Rd Ste 102 Provider ID: 000891705005 Indiana University Health Concord Township, OH 44077 NPI: 1891742730 Iu Health West Hospital Iu Health North Hospital (216) 658-0111 35000 Chardon Rd Ste 220 Languages Spoken: Willoughby Hills, OH 44094 Chiang, Ambrose A, MD, (M), B Provider: Spanish (440) 546-5656 EB, P, R, RE, T Ages: 0-99 Languages Spoken: Group Name: University Hospital Affiliations: Provider: Russian Hospitals Medical Group Lake Health Staff: Russian Provider ID: 001335361001 Tu - 9:00 AM - 5:00 PM NPI: 1447329172 Stock, Dina, DPM, (F), B We,Fr - 12:00 PM - 1:00 PM 9000 Mentor Ave Ste 212 Group Name: Cleveland Clinic Ages: 0-99 Mentor, OH 44060 Foundation Hospital Affiliations: (216) 844-8500 EB, P, R Provider ID: 002047520001 South Pointe Hospital Mo-Fr - 8:30 AM - 4:30 PM NPI: 1295835510 Euclid Hospital Ages: 0-99 2570 Som Center Rd Hospital Affiliations: Willoughby Hills, OH 44094 Dlp Maria Parham Medical Center Uh Regional Hospital - Bedford (440) 943-2500 EB, IB, P, R, RE, T Campus Cultural Competency: Y Duke Regional Hospital Ages: 0-99 Uh Regional Hospitals Hospital Affiliations: Rex Healthcare Cleveland Clinic Foundation Uh Cleveland Medical Center Uh Regional Hospitals Duke Raleigh Hospital Duke University Hospital

350

Specialists Ohio - Lake Hospital Affiliations: Cleveland Clinic Foundation Dinga, Marc J, MD, (M), B Lake Health Hillcrest Hospital Group Name: Lake Health Allied Uh Regional Hospital - Bedford South Pointe Hospital Health Professionals Campus Euclid Hospital Provider ID: 000272872001 Uh Regional Hospitals Marymount Hospital NPI: 1760470751 Uh Cleveland Medical Center Lutheran Hospital 4212 State Route 306 Ste 110 Aspirus Wausau Hospital Medina Hospital Willoughby, OH 44094

(440) 953-9135 EB, P, R Garrow, Andrew, MD, (M), B Ghobrial, Michael M, MD, (M), B Cultural Competency: Y Group Name: Cleveland Clinic Group Name: Community Ages: 0-99 Foundation Hospitalists Hospital Affiliations: Provider ID: 002022212003 Provider ID: 005518690003 Lake Health NPI: 1952368714 NPI: 1669727582 South Pointe Hospital 7060 Wayside Dr 36000 Euclid Ave Huron Hospital Mentor, OH 44060 Willoughby, OH 44094

(440) 357-2770 EB, P, R (440) 542-5000 P, R, RE, T Dinga, Marc J, MD, (M), B Languages Spoken: Ages: 0-99 Group Name: Lake Health Allied Provider: Spanish Hospital Affiliations: Health Professionals Mo-Fr - 8:00 AM - 3:40 PM Fairview Hospital Provider ID: 000272872001 Cultural Competency: Y Cleveland Clinic Foundation NPI: 1760470751 Ages: 18-99 Hillcrest Hospital 9500 Mentor Ave Ste 300 Hospital Affiliations: South Pointe Hospital Mentor, OH 44060 Cleveland Clinic Foundation Euclid Hospital

(440) 255-5620 EB, P, R Hillcrest Hospital Marymount Hospital Mo-Tu - 1:00 PM - 4:30 PM Long Island Jewish Medical Lutheran Hospital We,Th - 9:00 AM - 11:30 AM Center Medina Hospital Cultural Competency: Y South Pointe Hospital Ages: 0-99 Euclid Hospital Ghobrial, Michael M, MD, (M), B Hospital Affiliations: Lutheran Hospital Group Name: Community Lake Health Medina Hospital Hospitalists South Pointe Hospital Cleveland Clinic Avon Hospital Provider ID: 005518690003 Huron Hospital NPI: 1669727582 Ghobrial, Michael M, MD, (M), B 7590 Auburn Rd Fabien, Andre M, MD, (M), B Group Name: Community Concord Township, OH 44077

Group Name: Gary B Kaplan Md Hospitalists (440) 542-5000 E, EB, G, IB, P, Provider ID: 002742002006 Provider ID: 005518690003 PL, R, RE, S, T NPI: 1689758229 NPI: 1669727582 Ages: 0-99 36001 Euclid Ave Ste C19 10 E Washington St Hospital Affiliations: Willoughby, OH 44094 Painesville, OH 44077 Fairview Hospital

(440) 946-0053 E, EB, G, IB, P, (440) 542-5000 EB, P, R Cleveland Clinic Foundation PL, R, RE, S, T Ages: 0-99 Hillcrest Hospital Cultural Competency: Y Hospital Affiliations: South Pointe Hospital Ages: 0-99 Fairview Hospital Euclid Hospital

351

Ohio - Lake Specialists Marymount Hospital Kaplan, Gary B, MD, (M), B Doctors Hospital Lutheran Hospital Group Name: Gary B Kaplan Md Medina Hospital Provider ID: 000710600001 Rutledge, Ethan B, DO, (M), B NPI: 1023102324 Group Name: Community Jesudoss, Rajinish S, MD, (M), B 36000 Euclid Ave Hospitalists Group Name: Community Willoughby, OH 44094 Provider ID: 004129045001

Hospitalists (440) 946-0574 P, R, RE, T NPI: 1508156696 Provider ID: 005354081002 Cultural Competency: Y 36000 Euclid Ave NPI: 1235443409 Ages: 0-99 Willoughby, OH 44094

10 E Washington St Hospital Affiliations: (440) 542-5000 P, R, RE, T Painesville, OH 44077 Lake Health Ages: 0-99

(440) 542-5000 EB, P, R Hillcrest Hospital Hospital Affiliations: Ages: 0-99 Euclid Hospital Tennova Healthcare Cleveland Uh Cleveland Medical Center Select Specialty Hosp Columbus Jesudoss, Rajinish S, MD, (M), B Doctors Hospital Group Name: Community Kaplan, Gary B, MD, (M), B Hospitalists Group Name: Gary B Kaplan Md Rutledge, Ethan B, DO, (M), B Provider ID: 005354081002 Provider ID: 000710600001 Group Name: Community NPI: 1235443409 NPI: 1023102324 Hospitalists 36000 Euclid Ave 36001 Euclid Ave Ste C19 Provider ID: 004129045001 Willoughby, OH 44094 Willoughby, OH 44094 NPI: 1508156696

(440) 542-5000 P, R, RE, T (440) 946-0053 E, EB, G, IB, P, 7590 Auburn Rd Ages: 0-99 PL, R, RE, S, T Concord Township, OH 44077

Cultural Competency: Y (440) 542-5000 E, EB, G, IB, P, Jesudoss, Rajinish S, MD, (M), B Ages: 0-99 PL, R, RE, S, T Group Name: Community Hospital Affiliations: Ages: 0-99 Hospitalists Lake Health Hospital Affiliations: Provider ID: 005354081002 Hillcrest Hospital Tennova Healthcare Cleveland NPI: 1235443409 Euclid Hospital Select Specialty Hosp Columbus 7590 Auburn Rd Uh Cleveland Medical Center Doctors Hospital Concord Township, OH 44077

(440) 542-5000 E, EB, G, IB, P, Rutledge, Ethan B, DO, (M), B Strausbaugh, Steven D, MD, (M) PL, R, RE, S, T Group Name: Community Group Name: University Primary Ages: 0-99 Hospitalists Care Practices Provider ID: 004129045001 Provider ID: 002327723004 NPI: 1508156696 NPI: 1427070838 10 E Washington St 7500 Auburn Rd Ste 1500 Painesville, OH 44077 Concord Township, OH 44077

(440) 542-5000 EB, P, R (440) 214-3114 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Cultural Competency: Y Tennova Healthcare Cleveland Ages: 18-99 Select Specialty Hosp Columbus Hospital Affiliations:

352

Specialists Ohio - Lake Uh Geauga Medical Center Fairview Hospital Cleveland Clinic Foundation University Hospitals Geauga Uh Cleveland Medical Center Medical Ctr Kammer, Gary M, MD, (M), B St Luke Hospital West Boyd, Alysse J, PA, (F) Group Name: Lake Health Allied St Luke Hospital East Group Name: University Health Professionals Uh Cleveland Medical Center Hospitals Medical Group Provider ID: 006436495001 University Of Cincinnati Medical Provider ID: 006036419001 NPI: 1083685952 Center NPI: 1003018763 34500 Chardon Rd Ste 4 Rainbow Babies & Childrens 9000 Mentor Ave Ste 209 Willoughby Hills, OH 44094

Hosp Mentor, OH 44060 (440) 953-8700 EB, P, R

Univ Hospitals Ahuja Med Ctr (216) 844-7200 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Areas of Expertise: MAT1 Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Fairview Hospital Lake Health Rheumatology Uh Cleveland Medical Center

Members may self-refer to these Lumapas, Arminda L, MD, (F), B providers. Granieri, Janice A, MD, (F), B Group Name: University Primary

Group Name: Cleveland Clinic Care Practices Azem, May, MD, (F), B Foundation Provider ID: 002820716001 Group Name: May Azem Md Inc Provider ID: 001116496001 NPI: 1750587754 Provider ID: 002383634003 NPI: 1669571683 7500 Auburn Rd Ste 2300 NPI: 1407049133 2570 Som Center Rd Concord Township, OH 44077 7527 Fredle Dr Willoughby Hills, OH 44094 (440) 358-5701 EB, IB, P, R Concord Township, OH 44077 (440) 943-2500 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM (440) 709-0055 EB, P, R T Cultural Competency: Y Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Sa,Su - 12:00 AM - 11:59 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Uh Geauga Medical Center Ages: 0-99 Cleveland Clinic Foundation University Hospitals Geauga Hospital Affiliations: Uh Cleveland Medical Center Medical Ctr Lake Health Uh Cleveland Medical Center Summa Health System Hsia, Augusto T, MD, (M), B Akron General Medical Ctr Group Name: Cleveland Clinic Ray, Elisabeth T, MD, (F), B Foundation Group Name: Cleveland Clinic Boyd, Alysse J, PA, (F) Provider ID: 002301053001 Foundation Group Name: University NPI: 1598791097 Provider ID: 006158358001 Hospitals Medical Group 2570 Som Center Rd NPI: 1730408642 Provider ID: 006036419001 Willoughby Hills, OH 44094 2550 Som Center Rd NPI: 1003018763 (440) 943-2500 EB, IB, P, R, RE, Willoughby Hills, OH 44094 9000 Mentor Ave T (440) 943-2500 EB, P, R Mentor, OH 44060 Cultural Competency: Y Mo-Fr - 8:00 AM - 4:00 PM (216) 844-7200 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations:

353

Ohio - Lake Specialists

Cleveland Clinic Foundation Huron Hospital Sleep Medicine

Roter, Elisabeth S, MD, (F), B Prior authorization is required to Yeh, Eric Y, MD, (M) Group Name: University Primary obtain some covered services from Group Name: University Care Practices these providers if a sleep study is Hospitals Medical Group Provider ID: 002003150001 performed at a outpatient sleep Provider ID: 007531234001 NPI: 1548366370 study center or an ambulatory sleep NPI: 1770947095 7500 Auburn Rd Ste 2200 center. You will not be covered for 9000 Mentor Ave Concord Township, OH 44077 those services without such Mentor, OH 44060 (440) 358-5411 EB, P, R approval by UnitedHealthcare (216) 844-8500 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Community Plan. Please see your Languages Spoken: Cultural Competency: Y member handbook, or call Member Provider: Chinese Ages: 0-99 Services for details. Mo-Fr - 8:30 AM - 4:30 PM

Hospital Affiliations: Ages: 18-99 Uh Regional Hospitals Dinga, Marc J, MD, (M), B Hospital Affiliations: Uh Cleveland Medical Center Group Name: Lake Health Allied Uh Cleveland Medical Center Lake City Medical Ctr Health Professionals Uh Parma Medical Center Provider ID: 000272872001 University Hospitals Parma Roter, Elisabeth S, MD, (F), B NPI: 1760470751 Medical Ctr Group Name: University Primary 4212 State Route 306 Ste 110 Care Practices Willoughby, OH 44094 Provider ID: 002003150001 (440) 953-9135 EB, P, R Thoracic Cardiovascular Surg NPI: 1548366370 Cultural Competency: Y Akhrass, Rami, MD , (M), B 9000 Mentor Ave Ste 212 Ages: 0-99 Group Name: Cleveland Clinic Mentor, OH 44060 Hospital Affiliations: Foundation Lake Health (440) 974-4492 EB, P, R Provider ID: 001465205001 Mo-Fr - 8:30 AM - 4:30 PM South Pointe Hospital NPI: 1396707105 Cultural Competency: Y Huron Hospital 36100 Euclid Ave Ste 280 Ages: 0-99 Willoughby, OH 44094 Dinga, Marc J, MD, (M), B Hospital Affiliations: (440) 918-4640 EB, P, R Uh Regional Hospitals Group Name: Lake Health Allied Ages: 0-99 Uh Cleveland Medical Center Health Professionals Hospital Affiliations: Lake City Medical Ctr Provider ID: 000272872001 Lake Health NPI: 1760470751 Metrohealth Medical Center 9500 Mentor Ave Ste 300 Cleveland Clinic Foundation Mentor, OH 44060 Hillcrest Hospital (440) 255-5620 EB, P, R Fairview Hospital Mo-Tu - 1:00 PM - 4:30 PM South Pointe Hospital We,Th - 9:00 AM - 11:30 AM Lakewood Hospital Cultural Competency: Y Cleveland Clinic Lakewood Ages: 0-99 Hospital Affiliations: Lake Health South Pointe Hospital

354

Specialists Ohio - Lake Argotegreene, Luis M, MD, (M) Temes, R Thomas, MD, (M), B Davili, Zurab, MD, (M), B Group Name: University Group Name: Cleveland Clinic Group Name: Drs Levine Reigle Hospitals Medical Group Foundation & Schneider Provider ID: 005719137002 Provider ID: 001911978002 Provider ID: 003641485001 NPI: 1598877748 NPI: 1902856040 NPI: 1831391366 36000 Euclid Ave Ste 204 36000 Euclid Ave 7580 Auburn Rd Ste 108 Willoughby, OH 44094 Willoughby, OH 44094 Concord Township, OH 44077

(440) 285-3050 EB, P, R (440) 953-9600 P, R, RE, T (440) 753-0018 EB, P, R Cultural Competency: Y Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Spanish, Hungarian Provider: Russian Hospital Affiliations: Cultural Competency: Y Cultural Competency: Y Uh Geauga Medical Center Ages: 0-99 Ages: 0-99 University Hospitals Geauga Hospital Affiliations: Hospital Affiliations: Medical Ctr Metrohealth Medical Center Lake Health Uh Cleveland Medical Center Cleveland Clinic Foundation Univ Hospitals Ahuja Med Ctr Fairview Hospital Ghandour, Rashed A, MD, (M) South Pointe Hospital Group Name: UPCP Lakewood Hospital Provider ID: 007527147001 Thoracic Surgery Cleveland Clinic Lakewood NPI: 1316440654

Members may self-refer to these Marymount Hospital 9000 Mentor Ave Ste 209 providers. Lutheran Hospital Mentor, OH 44060

(440) 205-5755 EB, P, R Akhrass, Rami, MD, (M), B Languages Spoken: Group Name: Cleveland Clinic Urology Provider: Arabic, French Foundation Members may self-refer to these Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 001465205001 Ages: 18-99 NPI: 1396707105 providers. Hospital Affiliations: 36100 Euclid Ave Ste 280 Bodner, Donald R, MD, (M), B Uh Geauga Medical Center Willoughby, OH 44094 Group Name: University University Hospitals Geauga (440) 918-4640 EB, P, R Hospitals Medical Group Medical Ctr Ages: 0-99 Provider ID: 000621302002 Robinson Memorial Hospital Hospital Affiliations: NPI: 1578597175 Uh Portage Medical Center Lake Health 36000 Euclid Ave Uh Cleveland Medical Center Metrohealth Medical Center Willoughby, OH 44094 Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation (216) 844-5661 P, R, RE, T Hillcrest Hospital Mo-Fr - 8:30 AM - 4:30 PM Fairview Hospital Cultural Competency: Y South Pointe Hospital Ages: 0-99 Lakewood Hospital Hospital Affiliations: Cleveland Clinic Lakewood Uh Cleveland Medical Center Rainbow Babies & Childrens Hosp Univ Hospitals Ahuja Med Ctr

355

Ohio - Lake Specialists Kern Laydner, Humberto, MD, Levine, Frederic J, MD, (M), B Reigle, Melissa D, MD, (F), B (M) Group Name: Drs Levine Reigle Group Name: Drs Levine Reigle Group Name: UPCP & Schneider & Schneider Provider ID: 005207639002 Provider ID: 000843158001 Provider ID: 001822958001 NPI: 1689937120 NPI: 1043205867 NPI: 1124013313 9000 Mentor Ave Ste 209 7580 Auburn Rd Ste 108 7580 Auburn Rd Ste 108 Mentor, OH 44060 Concord Township, OH 44077 Concord Township, OH 44077

(440) 516-8700 EB, P, R (440) 753-0018 EB, P, R (440) 753-0018 EB, P, R Cultural Competency: Y Mo-Fr - 7:30 AM - 5:00 PM Mo - 7:30 AM - 12:00 PM Ages: 0-99 Sa - 8:00 AM - 12:00 PM Tu,We - 7:30 AM - 5:00 PM Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Uh Regional Hospital - Bedford Ages: 0-99 Hospital Affiliations: Campus Hospital Affiliations: Uh Geauga Medical Center Uh Regional Hospitals Uh Geauga Medical Center University Hospitals Geauga Uh Cleveland Medical Center University Hospitals Geauga Medical Ctr Univ Hospitals Ahuja Med Ctr Medical Ctr Lake Health Lake Health Hillcrest Hospital Klatte, Paul A, MD, (M), B Hillcrest Hospital Uh Regional Hospitals Group Name: University Uh Regional Hospitals Hospitals Medical Group Schneider, Kurt W, MD, (M), B Provider ID: 000035277008 Ponsky, Lee E, MD, (M), B Group Name: Drs Levine Reigle NPI: 1124061106 Group Name: University & Schneider 9000 Mentor Ave Ste 110 Hospitals Medical Group Provider ID: 002550190001 Mentor, OH 44060 Provider ID: 002325213002 NPI: 1518952266

(440) 255-0800 EB, P, R NPI: 1871511972 7580 Auburn Rd Ste 108 Mo-Fr - 8:30 AM - 4:30 PM 36000 Euclid Ave Concord Township, OH 44077

Cultural Competency: Y Willoughby, OH 44094 (440) 753-0018 EB, P, R

Web address: paul.klatte@uhhospita (216) 844-5661 P, R, RE, T Mo - 7:30 AM - 12:00 PM ls.org Languages Spoken: Tu,We - 7:30 AM - 5:00 PM Ages: 0-99 Provider: Spanish Cultural Competency: Y Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Mercy Hosp Western Hills Cultural Competency: Y Hospital Affiliations: Uh Cleveland Medical Center Ages: 0-99 Uh Geauga Medical Center Good Samaritan Hospital Hospital Affiliations: University Hospitals Geauga Rainbow Babies & Childrens Metrohealth Medical Center Medical Ctr Hosp Uh Regional Hospital - Bedford Lake Health Univ Hospitals Ahuja Med Ctr Campus Hillcrest Hospital Cleveland Clinic Foundation Uh Regional Hospitals Uh Regional Hospitals Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

356

Specialists Ohio - Lake Siminovitch, Jeffrey P, MD, (M), Wolkoff, Lawrence H, MD, (M), B Woo, Lynn L, MD, (F), B B Group Name: Jeffrey Mp Group Name: University Group Name: Jeffrey Mp Siminovitch Md Inc Hospitals Medical Group Siminovitch Md Inc Provider ID: 001014293001 Provider ID: 003208797001 Provider ID: 000711309001 NPI: 1811936537 NPI: 1710151386 NPI: 1598754293 36060 Euclid Ave Ste 102 9000 Mentor Ave 36060 Euclid Ave Ste 102 Willoughby, OH 44094 Mentor, OH 44060

Willoughby, OH 44094 (440) 946-4555 E, EB, G, IB, P, (216) 844-5661 EB, P, R

(440) 946-4555 E, EB, G, IB, P, PL, R, RE, S, T Languages Spoken: PL, R, RE, S, T Languages Spoken: Provider: Spanish Languages Spoken: Provider: French Mo-Fr - 8:30 AM - 4:30 PM Provider: French Mo-Th - 9:00 AM - 5:00 PM Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Fr - 8:00 AM - 4:00 PM Hospital Affiliations: Cultural Competency: Y Cultural Competency: Y Metrohealth Medical Center Ages: 0-99 Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Uh Geauga Medical Center Lake Health University Hospitals Geauga Uh Regional Hospital - Bedford Medical Ctr Campus Vascular Surgery

Lake Health Uh Cleveland Medical Center Members may self-refer to these Hillcrest Hospital providers.

Wolkoff, Lawrence H, MD, (M), B Siminovitch, Jeffrey P, MD, (M), Group Name: Jeffrey Mp Cho, Jae S, MD, (M), B B Siminovitch Md Inc Group Name: University Group Name: Jeffrey Mp Provider ID: 001014293001 Hospitals Medical Group Siminovitch Md Inc NPI: 1811936537 Provider ID: 002315967004 Provider ID: 000711309001 9500 Mentor Ave Ste 370 NPI: 1578535001 NPI: 1598754293 Mentor, OH 44060 9000 Mentor Ave Ste 212 Mentor, OH 44060 9500 Mentor Ave Ste 370 (440) 946-4555 EB, P, R Mentor, OH 44060 Languages Spoken: (216) 844-3800 EB, P, R Languages Spoken: (440) 946-4555 EB, P, R Provider: French Languages Spoken: Mo-Th - 9:00 AM - 4:00 PM Provider: Karen, Korean Provider: French Fr - 9:00 AM - 3:00 PM Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Loyola University Medical Center Ages: 0-99 Hospital Affiliations: Salinas Valley Memorial Hospital Hospital Affiliations: Lake Health Uh Geauga Medical Center Uh Regional Hospital - Bedford University Hospitals Geauga Campus Medical Ctr Uh Cleveland Medical Center Lake Health Hillcrest Hospital

357

Ohio - Lake Specialists Fendrikova Mahlay, Natalia F, Rollins, David L, MD, (M), B MD, (F), B Miler, Roy, MD, (M) Group Name: Northeast Ohio Group Name: Cleveland Clinic Group Name: Cleveland Clinic Vascular Associates Foundation Foundation Provider ID: 002056972002 Provider ID: 003112641001 Provider ID: 006465239002 NPI: 1639106594 NPI: 1396998233 NPI: 1992071161 36445 Biltmore Pl Ste A 2570 Som Center Rd 2570 Som Center Rd Willoughby, OH 44094

Willoughby Hills, OH 44094 Willoughby Hills, OH 44094 (440) 269-8346 EB, P, R

(440) 953-2500 EB, IB, P, R, RE, (440) 953-2500 EB, IB, P, R, RE, Languages Spoken: T T Provider: Spanish Languages Spoken: Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Provider: Ukrainian, Gujarati, Hospital Affiliations: Cultural Competency: Y Hindi, Marathi Cleveland Clinic Foundation Ages: 0-99 Cultural Competency: Y Fairview Hospital Hospital Affiliations: Ages: 0-99 Cleveland Clinic Avon Hospital Lake Health Hospital Affiliations: Cleveland Clinic Foundation Rao, Vikram K, MD, (M), B Rollins, David L, MD, (M), B Group Name: Northeast Ohio Group Name: Northeast Ohio Kumins, Norman H, MD, (M), B Vascular Associates Vascular Associates Group Name: University Primary Provider ID: 002588234003 Provider ID: 002056972002 Care Practices NPI: 1881637825 NPI: 1639106594 Provider ID: 001801244001 36445 Biltmore Pl Ste A 8007 Auburn Rd Ste 1 NPI: 1841266756 Willoughby, OH 44094 Concord Township, OH 44077

7500 Auburn Rd Ste 1500 (440) 269-8346 EB, P, R (440) 269-8346 E, EB, P, R, RE, Concord Township, OH 44077 Languages Spoken: S, T

(216) 285-5188 EB, P, R Provider: Hindi Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 9:00 AM - 5:00 PM Provider: Spanish Cultural Competency: Y Cultural Competency: Y Mo-Fr - 9:00 AM - 5:00 PM Web address: sheryl.johnson@uhho Ages: 0-99 Cultural Competency: Y spitals.org Hospital Affiliations: Ages: 0-99 Ages: 0-99 Lake Health Hospital Affiliations: Hospital Affiliations: Lake Health Metropolitan Hosp Metro Health Hospital Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Edward Hospital Uh Regional Hospital - Bedford Campus Uh Regional Hospitals University Hospitals Conneaut Medical Ce

358

Specialists Ohio - Lorain

Wong, Virginia L, MD, (F), B Huang, Yanming, CA, (M) Group Name: University Group Name: Cleveland Clinic Allergy & Immunology

Hospitals Medical Group Foundation Members may self-refer to these Provider ID: 002389147003 Provider ID: 003249374001 providers.

NPI: 1881612901 NPI: 1144539206 7500 Auburn Rd 33100 Cleveland Clinic Blvd Chuang, Mann-Mann J, MD, (F), Concord Township, OH 44077 Avon, OH 44011 B Group Name: Cleveland Clinic (440) 358-5480 EB, IB, P, R (440) 695-4000 EB, P, R Languages Spoken: Ages: 0-99 Foundation Provider: French Hospital Affiliations: Provider ID: 000554834001 Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation NPI: 1083679476 Cultural Competency: Y 5700 Cooper Foster Park Rd W Ages: 0-99 Lorain, OH 44053 Hospital Affiliations: Allergy (440) 204-7400 EB, IB, P, R, RE, T Uh Geauga Medical Center Durve, Mohan J, MD, (M) Languages Spoken: University Hospitals Geauga Group Name: Mohan J Durve Md Provider: Chinese Medical Ctr Provider ID: 000017607001 Cultural Competency: Y Uh Geneva Medical Center NPI: 1003866302 Ages: 0-99 Uh Regional Hospitals 4560 Oberlin Ave Ste 2 Hospital Affiliations: University Hospitals Conneaut Lorain, OH 44053 Cleveland Clinic Foundation Mercy Allen Hospital Medical Ce (440) 282-2146 EB, P, R, RE, T Uh Conneaut Medical Center Mo - 1:30 PM - 5:30 PM Uh Cleveland Medical Center Tu - 2:00 PM - 5:00 PM Durve, Mohan J, MD, (M), B Univ Hospitals Ahuja Med Ctr We - 10:00 AM - 5:00 PM Group Name: Mohan J Durve Md Th - 12:30 PM - 5:00 PM Provider ID: 000017607001 Sa - 9:00 AM - 1:00 PM NPI: 1003866302 Lorain Cultural Competency: Y 4560 Oberlin Ave Ste 2

Ages: 0-99 Lorain, OH 44053 Acupuncture Hospital Affiliations: (440) 282-2146 EB, P, R, RE, T Abdelhamid, Yaser, CA, (M) Akron General Medical Ctr Mo - 1:30 PM - 5:30 PM Group Name: Cleveland Clinic South Pointe Hospital Tu - 2:00 PM - 5:00 PM Foundation Children's Hospital Medical We - 10:00 AM - 5:00 PM Provider ID: 003454820001 Center Th - 12:30 PM - 5:00 PM NPI: 1689638918 Lutheran Hospital Sa - 9:00 AM - 1:00 PM 5172 Leavitt Rd Southwest General Health Center Cultural Competency: Y Lorain, OH 44053 Uh Parma Medical Center Ages: 0-99 Hospital Affiliations: (216) 448-4325 EB, P, R University Hospitals Parma Ages: 0-99 Medical Ctr Akron General Medical Ctr Hospital Affiliations: South Pointe Hospital Cleveland Clinic Foundation Children's Hospital Medical Fairview Hospital Center Lutheran Hospital Southwest General Health Center Uh Parma Medical Center

359

Ohio - Lorain Specialists University Hospitals Parma Jarmoszuk, Irene, MD, (F), B Rambasek, Todd E, MD, (M), B Medical Ctr Group Name: Jarmoszuk Irene Group Name: Northern Oh Provider ID: 001389941001 Medical Specialist Hong, Sandra J, MD, (F), B NPI: 1629030739 Provider ID: 002381592008 Group Name: Cleveland Clinic 3885 Oberlin Ave NPI: 1093814220 Foundation Lorain, OH 44053 5319 Hoag Dr Ste 250 Provider ID: 002342684001 (440) 282-8001 Sheffield Village, OH 44035

NPI: 1114980059 Languages Spoken: (440) 282-5910 EB, P, R, RE, T 5700 Cooper Foster Park Rd W Provider: Polish Tu - 9:00 AM - 2:00 PM Lorain, OH 44053 We - 9:00 AM - 5:30 PM Fr - 9:00 AM - 5:00 PM

(440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Mercy Regional Medical Center Fairview Hospital Cleveland Clinic Foundation Communtiy Health Partners Rgnl Lakewood Hospital Southwest General Health Center Mdcl Ctr Cleveland Clinic Lakewood Uh Cleveland Medical Center Medina Hospital Patadia, Deepa D, MD, (F) Southwest General Health Center Jarmoszuk, Irene, MD, (F), B Group Name: Cleveland Clinic St John Medical Center Group Name: Jarmoszuk Irene Foundation Uh Parma Medical Center Provider ID: 001389941001 Provider ID: 006481930001 University Hospitals Parma NPI: 1629030739 NPI: 1023308046 Medical Ctr 3600 Kolbe Rd Ste 206 33300 Cleveland Clinic Blvd Lorain, OH 44053 Avon, OH 44011 Siles, Roxana I, MD, (F), B

(440) 282-8001 E, EB, IB, P, R, (440) 695-5000 EB, P, R Group Name: Cleveland Clinic RE, S, T Ages: 0-99 Foundation Languages Spoken: Hospital Affiliations: Provider ID: 002978681001 Provider: Polish Cleveland Clinic Foundation NPI: 1255518767 Cultural Competency: Y 33100 Cleveland Clinic Blvd Ages: 0-99 Patadia, Deepa D, MD, (F) Avon, OH 44011

Hospital Affiliations: Group Name: Cleveland Clinic (440) 695-4000 EB, P, R Mercy Regional Medical Center Foundation Cultural Competency: Y Communtiy Health Partners Rgnl Provider ID: 006481930001 Ages: 0-99 Mdcl Ctr NPI: 1023308046 Hospital Affiliations: 5700 Cooper Foster Park Rd W Cleveland Clinic Foundation Lorain, OH 44053

(440) 204-7400 EB, IB, P, R, RE, T Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

360

Specialists Ohio - Lorain

Siles, Roxana I, MD, (F), B Schieda, Heather L, AUD, (F) Group Name: Cleveland Clinic Audiology Group Name: Cleveland Clinic

Foundation Prior authorization is required to Foundation Provider ID: 002978681001 obtain some covered services from Provider ID: 002558035002 NPI: 1255518767 these providers. You will not be NPI: 1104811090 450 Avon Belden Rd covered for those services without 5700 Cooper Foster Park Rd W Avon Lake, OH 44012 such approval by UnitedHealthcare Lorain, OH 44053 (440) 930-6800 EB, P, R Community Plan. Please see your (440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y member handbook, or call Member Cultural Competency: Y Ages: 0-99 Services for details. Ages: 0-99

Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Jones Braden, Sharon, MA, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Wasserbauer Kingston, Nancy, Foundation DO, (F), B Provider ID: 002935857002 Cardiology NPI: 1235306796 Group Name: UPCP Members may self-refer to these Provider ID: 002687994005 5700 Cooper Foster Park Rd W Lorain, OH 44053 providers. NPI: 1922022524 32800 Lorain Rd Ste 1200 (440) 204-7400 EB, IB, P, R, RE, T Bolla, Ravisankar R, MD, (M), B North Ridgeville, OH 44039 Ages: 0-99 Group Name: Cleveland Clinic Hospital Affiliations: Foundation (216) 302-2437 EB, P, R, RE, T Cleveland Clinic Foundation Provider ID: 001023282002 Mo-Fr - 8:30 AM - 4:30 PM Euclid Hospital NPI: 1730156993 Ages: 0-18 33300 Cleveland Clinic Blvd Hospital Affiliations: Schieda, Heather L, AUD, (F) Avon, OH 44011 Childrens Hospital Med Ctr Akron Group Name: Cleveland Clinic (440) 695-5000 EB, P, R St John Medical Center Foundation Languages Spoken: Uh Cleveland Medical Center Provider ID: 002558035002 Provider: Hindi Rainbow Babies & Childrens NPI: 1104811090 Ages: 0-99 Hosp 303 Chestnut Commons Dr Hospital Affiliations: Elyria, OH 44035 Cleveland Clinic Foundation

(440) 366-9444 EB, P, R Fairview Hospital Cultural Competency: Y Lutheran Hospital Ages: 0-99 Southwest General Health Center Hospital Affiliations: St John Medical Center Cleveland Clinic Foundation Cleveland Clinic Avon Hospital

361

Ohio - Lorain Specialists Castle, Lon W, MD, (M), B Lyons, Sean V, MD, (M), B Group Name: Cleveland Clinic Group Name: UPCP Mohan, Geetha, MD, (F), B Foundation Provider ID: 001086248002 Group Name: North Ohio Heart Provider ID: 001178916001 NPI: 1457307787 Provider ID: 001397413001 NPI: 1609818731 5323 Meadow Lane Ct Ste B NPI: 1316927668 33100 Cleveland Clinic Blvd Sheffield Village, OH 44035 3600 Kolbe Rd Ste 127

Avon, OH 44011 (440) 899-2423 EB, P, R Lorain, OH 44053

(440) 695-4000 EB, P, R Languages Spoken: (440) 414-9200 EB, P, R, RE, T Cultural Competency: Y Provider: French, Spanish Cultural Competency: Y Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 University Hospitals Elyria Fairview Hospital Hospital Affiliations: Medical Ctr Lakewood Hospital Fairview Hospital Uh Elyria Medical Center Cleveland Clinic Lakewood Lakewood Hospital Fairview Hospital Lutheran Hospital Cleveland Clinic Lakewood Mercy Allen Hospital Cleveland Clinic Avon Hospital Southwest General Health Center Southwest General Health Center St John Medical Center St John Medical Center Hamoud, Tamouh, MD, (M), B St Vincent Charity Medical Center Mercy Regional Medical Center Group Name: Cleveland Clinic Uh Parma Medical Center Communtiy Health Partners Rgnl Foundation University Hospitals Parma Mdcl Ctr Provider ID: 002319564002 Medical Ctr NPI: 1689627689 Nukta, Emad M, MD, (M), B 33300 Cleveland Clinic Blvd Mccallister, Scott H, MD, (M) Group Name: Cleveland Clinic Avon, OH 44011 Group Name: North Ohio Heart Foundation

(440) 695-5000 EB, P, R Provider ID: 001789027001 Provider ID: 000869642003 Languages Spoken: NPI: 1306825617 NPI: 1922051937 Provider: Arabic 3600 Kolbe Rd Ste 127 33300 Cleveland Clinic Blvd Ages: 0-99 Lorain, OH 44053 Avon, OH 44011

Hospital Affiliations: (440) 414-9200 EB, P, R, RE, T (440) 695-5000 EB, P, R Cleveland Clinic Foundation Cultural Competency: Y Languages Spoken: Fairview Hospital Ages: 0-99 Provider: Arabic, French Lakewood Hospital Hospital Affiliations: Ages: 0-99 Cleveland Clinic Lakewood University Hospitals Elyria Hospital Affiliations: Lutheran Hospital Medical Ctr Cleveland Clinic Foundation St John Medical Center Uh Elyria Medical Center Fairview Hospital Mercy Regional Medical Center Fairview Hospital Lakewood Hospital Communtiy Health Partners Rgnl Mercy Allen Hospital Cleveland Clinic Lakewood Mdcl Ctr St John Medical Center Southwest General Health Center Mercy Regional Medical Center St John Medical Center Communtiy Health Partners Rgnl Mdcl Ctr Specialty Hospital/lorain

362

Specialists Ohio - Lorain Tarakji, Khaldoun G, MD, (M), B Ahmed, Ismail S, MD, (M), B Ahmed, Ismail S, MD, (M), B Group Name: Cleveland Clinic Group Name: Mercy Health Group Name: Mercy Health Foundation Physicians Lorain Physicians Lorain Provider ID: 002402909001 Provider ID: 000908012002 Provider ID: 000908012002 NPI: 1356517957 NPI: 1356324115 NPI: 1356324115 33100 Cleveland Clinic Blvd 1813 Nagel Rd Ste 500 5077 Waterford Dr Ste 305 Avon, OH 44011 Avon, OH 44011 Sheffield Village, OH 44035

(440) 695-4000 EB, P, R (440) 366-2239 EB, P, R, RE, T (440) 366-2239 E, EB, IB, P, R, Cultural Competency: Y Cultural Competency: Y RE, S, T Ages: 0-99 Ages: 18-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 18-99 University Hospitals Elyria University Hospitals Elyria Hospital Affiliations: Medical Ctr Medical Ctr University Hospitals Elyria Uh Elyria Medical Center Uh Elyria Medical Center Medical Ctr Cleveland Clinic Foundation Akron General Medical Ctr Uh Elyria Medical Center Fairview Hospital Fairview Hospital Akron General Medical Ctr Lakewood Hospital Medina Hospital Fairview Hospital Cleveland Clinic Lakewood Mercy Allen Hospital Medina Hospital Southwest General Health Center Mercy Allen Hospital St John Medical Center Southwest General Health Center Cardiovascular Disease St John Medical Center Abiose, Ademola K, MD, (M), B Ahmed, Ismail S, MD, (M), B Group Name: North Ohio Heart Group Name: Mercy Health Arruda, Maria J, MD, (F), B Provider ID: 002194730001 Physicians Lorain Group Name: University NPI: 1033190038 Provider ID: 000908012002 Hospitals Medical Group 125 E Broad St Ste 305 NPI: 1356324115 Provider ID: 002184392002 Elyria, OH 44035 3600 Kolbe Rd Ste 227 NPI: 1043323066

(440) 414-9100 EB, P, R Lorain, OH 44053 32800 Lorain Rd Ste 2200 Mo-Fr - 8:30 AM - 5:00 PM (440) 989-1800 E, EB, IB, P, R, North Ridgeville, OH 44039 Cultural Competency: Y RE, S, T (216) 844-7700 EB, P, R Ages: 0-99 Cultural Competency: Y Languages Spoken: Hospital Affiliations: Ages: 18-99 Provider: Portuguese, Spanish University Hospitals Elyria Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Medical Ctr University Hospitals Elyria Cultural Competency: Y Uh Elyria Medical Center Medical Ctr Ages: 0-99 Chi Health Creighton University Uh Elyria Medical Center Hospital Affiliations: Medical Akron General Medical Ctr Wooster Community Hospital Burgess Health Center Fairview Hospital Uh Geauga Medical Center Ach Cumc Medina Hospital University Hospitals Geauga Fairview Hospital Mercy Allen Hospital Medical Ctr Mercy Allen Hospital Southwest General Health Center Metrohealth Medical Center Southwest General Health Center St John Medical Center Cleveland Clinic Foundation Loyola University Medical Center

363

Ohio - Lorain Specialists Medina Hospital Cantillon, Daniel J, MD, (M), B Cleveland Clinic Foundation Uh Cleveland Medical Center Group Name: Cleveland Clinic Fairview Hospital Foundation Cleveland Clinic Avon Hospital Bolla, Ravisankar R, MD, (M), B Provider ID: 003145847001 Group Name: Cleveland Clinic NPI: 1508030024 Chahal, Mangeet, MD, (F) Foundation 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic Provider ID: 001023282002 Avon, OH 44011 Foundation

NPI: 1730156993 (440) 695-4000 EB, P, R Provider ID: 007604466001 33300 Cleveland Clinic Blvd Ages: 0-99 NPI: 1467616946 Avon, OH 44011 Hospital Affiliations: 33300 Cleveland Clinic Blvd

(440) 695-5000 EB, P, R Cleveland Clinic Foundation Avon, OH 44011

Languages Spoken: Fairview Hospital (440) 695-4000 EB, P, R Provider: Hindi South Pointe Hospital Ages: 18-99 Ages: 0-99 Euclid Hospital Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Castle, Lon W, MD, (M), B Fairview Hospital Fairview Hospital Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital Lutheran Hospital Foundation Southwest General Health Center Provider ID: 001178916001 Cho, Donald I, MD, (M), B St John Medical Center NPI: 1609818731 Group Name: Mercy Health Cleveland Clinic Avon Hospital 33100 Cleveland Clinic Blvd Physicians Lorain Avon, OH 44011 Provider ID: 002095447004

Callahan, Thomas D, MD, (M), B (440) 695-4000 EB, P, R NPI: 1750360822 Group Name: Cleveland Clinic Cultural Competency: Y 3600 Kolbe Rd Ste 227 Foundation Ages: 0-99 Lorain, OH 44053

Provider ID: 002686204001 Hospital Affiliations: (440) 988-9180 E, EB, IB, P, R, NPI: 1023004520 Cleveland Clinic Foundation RE, S, T 33100 Cleveland Clinic Blvd Fairview Hospital Cultural Competency: Y Avon, OH 44011 Lakewood Hospital Ages: 0-99

(440) 695-4000 EB, P, R Cleveland Clinic Lakewood Hospital Affiliations: Cultural Competency: Y Lutheran Hospital University Hospitals Elyria Ages: 0-99 Cleveland Clinic Avon Hospital Medical Ctr Hospital Affiliations: Uh Elyria Medical Center Cleveland Clinic Foundation Chahal, Mangeet, MD, (F) Akron General Medical Ctr Group Name: Cleveland Clinic Fairview Hospital Foundation Medina Hospital Provider ID: 007604466001 Southwest General Health Center NPI: 1467616946 St John Medical Center 33100 Cleveland Clinic Blvd Uh Cleveland Medical Center Avon, OH 44011

(440) 695-4000 EB, P, R Ages: 18-99 Hospital Affiliations:

364

Specialists Ohio - Lorain Chung, Roy F, MD, (M), B Desai, Milind Y, MD, (M), B Desai, Milind Y, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 002849774001 Provider ID: 002018313001 Provider ID: 002018313001 NPI: 1134320963 NPI: 1669572152 NPI: 1669572152 33100 Cleveland Clinic Blvd 303 Chestnut Commons Dr 33355 Health Campus Blvd Avon, OH 44011 Elyria, OH 44035 Avon, OH 44011

(440) 695-4000 EB, P, R (440) 366-9444 EB, P, R (440) 937-9099 EB, P, R Languages Spoken: Cultural Competency: Y Cultural Competency: Y Staff: Mandarin Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Wooster Community Hospital Wooster Community Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Fairview Hospital Fairview Hospital South Pointe Hospital South Pointe Hospital Chung, Roy F, MD, (M), B Euclid Hospital Euclid Hospital Group Name: Cleveland Clinic Marymount Hospital Marymount Hospital Foundation Lutheran Hospital Lutheran Hospital Provider ID: 002849774001 Brigham & Womens Hospital Brigham & Womens Hospital NPI: 1134320963 33300 Cleveland Clinic Blvd Desai, Milind Y, MD, (M), B Desai, Milind Y, MD, (M), B Avon, OH 44011 Group Name: Cleveland Clinic Group Name: Cleveland Clinic

(440) 695-5000 EB, P, R Foundation Foundation Languages Spoken: Provider ID: 002018313001 Provider ID: 002018313001 Staff: Mandarin NPI: 1669572152 NPI: 1669572152 Ages: 0-99 33100 Cleveland Clinic Blvd 450 Avon Belden Rd Hospital Affiliations: Avon, OH 44011 Avon Lake, OH 44012

Cleveland Clinic Foundation (440) 695-4000 EB, P, R (440) 930-6800 EB, P, R Cleveland Clinic Avon Hospital Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Collier, Patrick H, MD, (M), B Hospital Affiliations: Hospital Affiliations: Group Name: Cleveland Clinic Wooster Community Hospital Wooster Community Hospital Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 003668484001 Fairview Hospital Fairview Hospital NPI: 1235411190 South Pointe Hospital South Pointe Hospital 33100 Cleveland Clinic Blvd Euclid Hospital Euclid Hospital Avon, OH 44011 Marymount Hospital Marymount Hospital

(216) 444-2000 EB, P, R Lutheran Hospital Lutheran Hospital Cultural Competency: Y Brigham & Womens Hospital Brigham & Womens Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

365

Ohio - Lorain Specialists Desai, Milind Y, MD, (M), B Desai, Milind Y, MD, (M), B Desai, Milind Y, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 002018313001 Provider ID: 002018313001 Provider ID: 002018313001 NPI: 1669572152 NPI: 1669572152 NPI: 1669572152 5172 Leavitt Rd 5334 Meadow Lane Ct 5800 Cooper Foster Park Rd W Lorain, OH 44053 Sheffield Village, OH 44035 Lorain, OH 44053

(440) 282-7420 EB, P, R (440) 934-5454 EB, P, R (440) 985-3113 EB, P, R Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Wooster Community Hospital Wooster Community Hospital Wooster Community Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Fairview Hospital Fairview Hospital South Pointe Hospital South Pointe Hospital South Pointe Hospital Euclid Hospital Euclid Hospital Euclid Hospital Marymount Hospital Marymount Hospital Marymount Hospital Lutheran Hospital Lutheran Hospital Lutheran Hospital Brigham & Womens Hospital Brigham & Womens Hospital Brigham & Womens Hospital

Desai, Milind Y, MD, (M), B Desai, Milind Y, MD, (M), B Diaz, Alberto N, MD, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: North Ohio Heart Foundation Foundation Provider ID: 002585674002 Provider ID: 002018313001 Provider ID: 002018313001 NPI: 1952416802 NPI: 1669572152 NPI: 1669572152 125 E Broad St Ste 305 5275 N Abbe Rd 5700 Cooper Foster Park Rd W Elyria, OH 44035

Sheffield Village, OH 44035 Lorain, OH 44053 (440) 414-9100 EB, P, R

(216) 445-7050 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T Languages Spoken: Cultural Competency: Y Cultural Competency: Y Provider: French, Spanish Ages: 0-99 Ages: 0-99 Mo-Th - 8:00 AM - 5:00 PM Hospital Affiliations: Hospital Affiliations: Fr - 8:00 AM - 5:30 PM Wooster Community Hospital Wooster Community Hospital Cultural Competency: Y Cleveland Clinic Foundation Cleveland Clinic Foundation Ages: 0-99 Fairview Hospital Fairview Hospital Hospital Affiliations: South Pointe Hospital South Pointe Hospital University Hospitals Elyria Euclid Hospital Euclid Hospital Medical Ctr Marymount Hospital Marymount Hospital Uh Elyria Medical Center Lutheran Hospital Lutheran Hospital Metrohealth Medical Center Brigham & Womens Hospital Brigham & Womens Hospital St John Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr Amherst Hospital

366

Specialists Ohio - Lorain El-Atassi, Rafel S, MD, (M) Farhat, Naim Z, MD, (M), B Diaz, Alberto N, MD, (M) Group Name: Atassi Rafel S Group Name: North Ohio Heart Group Name: North Ohio Heart Provider ID: 001324617001 Provider ID: 000786684002 Provider ID: 002585674002 NPI: 1588623508 NPI: 1881673234 NPI: 1952416802 3600 Kolbe Rd Ste 223 3600 Kolbe Rd Ste 127 3600 Kolbe Rd Ste 127 Lorain, OH 44053 Lorain, OH 44053

Lorain, OH 44053 (440) 333-1101 E, EB, P, R, RE, (440) 414-9200 EB, P, R, RE, T

(440) 414-9200 EB, P, R, RE, T S, T Cultural Competency: Y Languages Spoken: Languages Spoken: Ages: 0-99 Provider: French, Spanish Provider: Arabic Hospital Affiliations: Cultural Competency: Y Fr - 8:00 AM - 12:00 PM University Hospitals Elyria Ages: 0-99 Ages: 0-99 Medical Ctr Hospital Affiliations: Hospital Affiliations: Uh Elyria Medical Center University Hospitals Elyria St John Medical Center Metrohealth Medical Center Medical Ctr St Vincent Charity Medical Center Fairview Hospital Uh Elyria Medical Center Mercy Regional Medical Center Lakewood Hospital Metrohealth Medical Center Communtiy Health Partners Rgnl Cleveland Clinic Lakewood St John Medical Center Mdcl Ctr Mercy Allen Hospital Mercy Regional Medical Center Southwest General Health Center Communtiy Health Partners Rgnl Farhat, Naim Z, MD, (M), B Mdcl Ctr Group Name: North Ohio Heart Hamoud, Tamouh, MD, (M), B Amherst Hospital Provider ID: 000786684002 Group Name: Cleveland Clinic NPI: 1881673234 Foundation El-Atassi, Rafel S, MD, (M) 125 E Broad St Ste 305 Provider ID: 002319564002 Group Name: Atassi Rafel S Elyria, OH 44035 NPI: 1689627689

Provider ID: 001324617001 (440) 414-9100 EB, P, R 33300 Cleveland Clinic Blvd NPI: 1588623508 Cultural Competency: Y Avon, OH 44011

1120 E Broad St 2nd Fl Ages: 0-99 (440) 695-5000 EB, P, R Elyria, OH 44035 Hospital Affiliations: Languages Spoken:

(440) 333-1101 EB, P, R University Hospitals Elyria Provider: Arabic Languages Spoken: Medical Ctr Ages: 0-99 Provider: Arabic Uh Elyria Medical Center Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Metrohealth Medical Center Cleveland Clinic Foundation Ages: 0-99 Fairview Hospital Fairview Hospital Hospital Affiliations: Lakewood Hospital Lakewood Hospital St John Medical Center Cleveland Clinic Lakewood Cleveland Clinic Lakewood St Vincent Charity Medical Center Mercy Allen Hospital Lutheran Hospital Mercy Regional Medical Center Southwest General Health Center St John Medical Center Communtiy Health Partners Rgnl Mercy Regional Medical Center Mdcl Ctr Communtiy Health Partners Rgnl Mdcl Ctr

367

Ohio - Lorain Specialists Hazarika, Surovi, MD, (F), B Holiday, Wes J, DO, (M), B Joshi, Deepak, MD, (M), B Group Name: Cleveland Clinic Group Name: Mercy Health Group Name: Community Foundation Physicians Lorain Hospitalists Provider ID: 005685083001 Provider ID: 003132245002 Provider ID: 003374875003 NPI: 1548428287 NPI: 1699982975 NPI: 1154506582 33100 Cleveland Clinic Blvd 3600 Kolbe Rd Ste 227 200 W Lorain St Avon, OH 44011 Lorain, OH 44053 Oberlin, OH 44074

(440) 695-4000 EB, P, R (440) 989-1800 E, EB, IB, P, R, (440) 542-5000 EB, IB, P, R, RE, Ages: 0-99 RE, S, T S, T Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Fairview Hospital University Hospitals Elyria Gaffney Medical Center Cleveland Clinic Avon Hospital Medical Ctr Cherokee Medical Center Uh Elyria Medical Center Spartanburg Medical Ctr-mary Hazarika, Surovi, MD, (F), B Mercy Regional Medical Center Black Cmps Group Name: Cleveland Clinic Communtiy Health Partners Rgnl Spartanburg Medical Center Foundation Mdcl Ctr Union Medical Center Provider ID: 005685083001 Pelham Medical Center NPI: 1548428287 Holiday, Wes J, DO, (M), B 33300 Cleveland Clinic Blvd Group Name: Mercy Health Joshi, Deepak, MD, (M), B Avon, OH 44011 Physicians Lorain Group Name: Community

(440) 204-7400 EB, P, R Provider ID: 003132245002 Hospitalists Ages: 0-99 NPI: 1699982975 Provider ID: 003374875003 Hospital Affiliations: 5077 Waterford Dr Ste 305 NPI: 1154506582 Cleveland Clinic Foundation Sheffield Village, OH 44035 254 Cleveland Ave

Fairview Hospital (440) 366-2239 E, EB, IB, P, R, Amherst, OH 44001

Cleveland Clinic Avon Hospital RE, S, T (440) 542-5000 EB, P, R Ages: 0-99 Ages: 0-99 Hazarika, Surovi, MD, (F), B Hospital Affiliations: Hospital Affiliations: Group Name: Cleveland Clinic University Hospitals Elyria Gaffney Medical Center Foundation Medical Ctr Cherokee Medical Center Provider ID: 005685083001 Uh Elyria Medical Center Spartanburg Medical Ctr-mary NPI: 1548428287 Mercy Regional Medical Center Black Cmps 5700 Cooper Foster Park Rd W Communtiy Health Partners Rgnl Spartanburg Medical Center Lorain, OH 44053 Mdcl Ctr Union Medical Center

(440) 204-7400 EB, IB, P, R, RE, T Pelham Medical Center Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Cleveland Clinic Avon Hospital

368

Specialists Ohio - Lorain Joshi, Deepak, MD, (M), B Joyce, David B, MD, (M), B Medical Ctr Group Name: Community Group Name: North Ohio Heart Hospitalists Provider ID: 000621233001 Lyons, Sean V, MD, (M), B Provider ID: 003374875003 NPI: 1114907243 Group Name: UPCP NPI: 1154506582 3600 Kolbe Rd Ste 127 Provider ID: 001086248002 3700 Kolbe Rd Lorain, OH 44053 NPI: 1457307787

Lorain, OH 44053 (440) 414-9412 EB, P, R, RE, T 5323 Meadow Lane Ct Ste B

(440) 542-5000 EB, G, IB, P, PL, Cultural Competency: Y Sheffield Village, OH 44035

R, RE, S, T Ages: 0-99 (440) 899-2423 EB, P, R Ages: 0-99 Hospital Affiliations: Languages Spoken: Hospital Affiliations: University Hospitals Elyria Provider: French, Spanish Gaffney Medical Center Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Cherokee Medical Center Uh Elyria Medical Center Cultural Competency: Y Spartanburg Medical Ctr-mary Cleveland Clinic Foundation Ages: 0-99 Black Cmps Mercy Allen Hospital Hospital Affiliations: Spartanburg Medical Center St John Medical Center Fairview Hospital Union Medical Center Mercy Regional Medical Center Lakewood Hospital Pelham Medical Center Communtiy Health Partners Rgnl Cleveland Clinic Lakewood Mdcl Ctr Southwest General Health Center Joshi, Deepak, MD, (M), B Specialty Hospital/lorain St John Medical Center Group Name: Community St Vincent Charity Medical Center Hospitalists Lyons, Sean V, MD, (M), B Uh Parma Medical Center Provider ID: 003374875003 Group Name: West Side University Hospitals Parma NPI: 1154506582 Cardiology Assoc Medical Ctr 630 E River St Provider ID: 001086248001 Elyria, OH 44035 NPI: 1457307787 Mccallister, Scott H, MD, (M), B

(440) 542-5000 EB, P, R 5323 Meadow Lane Ct Group Name: North Ohio Heart Ages: 0-99 Sheffield Village, OH 44035 Provider ID: 001789027001

Hospital Affiliations: (440) 899-2423 EB, P, R NPI: 1306825617 Gaffney Medical Center Languages Spoken: 3600 Kolbe Rd Ste 127 Cherokee Medical Center Provider: French, Spanish Lorain, OH 44053

Spartanburg Medical Ctr-mary Mo-Fr - 9:00 AM - 5:00 PM (440) 414-9200 EB, P, R, RE, T Black Cmps Cultural Competency: Y Cultural Competency: Y Spartanburg Medical Center Ages: 0-99 Ages: 0-99 Union Medical Center Hospital Affiliations: Hospital Affiliations: Pelham Medical Center Fairview Hospital University Hospitals Elyria Lakewood Hospital Medical Ctr Cleveland Clinic Lakewood Uh Elyria Medical Center Southwest General Health Center Fairview Hospital St John Medical Center Mercy Allen Hospital St Vincent Charity Medical Center St John Medical Center Uh Parma Medical Center Mercy Regional Medical Center University Hospitals Parma Communtiy Health Partners Rgnl

369

Ohio - Lorain Specialists Mdcl Ctr Nelson, Kenneth N, DO, (M), B Pacheco, Theodore R, MD, (M), B Specialty Hospital/lorain Group Name: Cleveland Clinic Group Name: North Ohio Heart Foundation Provider ID: 001205353002 Nelson, Kenneth N, DO, (M), B Provider ID: 006644663001 NPI: 1023097201 Group Name: Cleveland Clinic NPI: 1265728893 32800 Lorain Rd Ste 1100 Foundation 5700 Cooper Foster Park Rd W North Ridgeville, OH 44039

Provider ID: 006644663001 Lorain, OH 44053 (440) 414-9200 EB, P, R, RE, T

NPI: 1265728893 (440) 204-7400 EB, IB, P, R, RE, T 303 Chestnut Commons Dr Ages: 0-99 Cultural Competency: Y Elyria, OH 44035 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: (440) 366-9444 EB, P, R Cleveland Clinic Foundation Ages: 0-99 Hillcrest Hospital University Hospitals Elyria Hospital Affiliations: Fairview Hospital Medical Ctr Cleveland Clinic Foundation Marymount Hospital Uh Elyria Medical Center Hillcrest Hospital Lutheran Hospital Cleveland Clinic Foundation Fairview Hospital Mercy Allen Hospital Marymount Hospital Nukta, Emad M, MD, (M), B St John Medical Center Lutheran Hospital Group Name: Cleveland Clinic Mercy Regional Medical Center Foundation Communtiy Health Partners Rgnl Nelson, Kenneth N, DO, (M), B Provider ID: 000869642003 Mdcl Ctr Group Name: Cleveland Clinic NPI: 1922051937 Specialty Hospital/lorain Foundation 33300 Cleveland Clinic Blvd Provider ID: 006644663001 Avon, OH 44011 Pacheco, Theodore R, MD, (M), B Group Name: North Ohio Heart NPI: 1265728893 (440) 695-5000 EB, P, R 33300 Cleveland Clinic Blvd Languages Spoken: Provider ID: 001205353002 Avon, OH 44011 Provider: Arabic, French NPI: 1023097201 3600 Kolbe Rd Ste 127 (440) 204-7400 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Lorain, OH 44053 Hospital Affiliations: Cleveland Clinic Foundation (440) 414-9200 EB, P, R, RE, T Cleveland Clinic Foundation Fairview Hospital Cultural Competency: Y Hillcrest Hospital Lakewood Hospital Ages: 0-99 Fairview Hospital Cleveland Clinic Lakewood Hospital Affiliations: Marymount Hospital Southwest General Health Center University Hospitals Elyria Lutheran Hospital St John Medical Center Medical Ctr Uh Elyria Medical Center Cleveland Clinic Foundation Mercy Allen Hospital St John Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr Specialty Hospital/lorain

370

Specialists Ohio - Lorain Quan, Kara J, MD, (F) Schaeffer, John W, MD, (M), B Schoenhagen, Paul, MD, (M), B Group Name: North Ohio Heart Group Name: North Ohio Heart Group Name: Cleveland Clinic Provider ID: 001826052002 Provider ID: 000087121001 Foundation NPI: 1831270826 NPI: 1033199930 Provider ID: 002305957001 125 E Broad St Ste 305 125 E Broad St Ste 305 NPI: 1235194051 Elyria, OH 44035 Elyria, OH 44035 303 Chestnut Commons Dr

(440) 414-9100 EB, P, R (440) 414-9100 EB, P, R Elyria, OH 44035

Ages: 0-99 Cultural Competency: Y (440) 366-9444 EB, P, R Hospital Affiliations: Ages: 0-99 Accepting Existing Patients Only University Hospitals Elyria Hospital Affiliations: Ages: 0-99 Medical Ctr University Hospitals Elyria Hospital Affiliations: Uh Elyria Medical Center Medical Ctr Wooster Community Hospital Metrohealth Medical Center Uh Elyria Medical Center Cleveland Clinic Foundation Fairview Hospital Mercy Allen Hospital Medina Hospital Mercy Regional Medical Center Schoenhagen, Paul, MD, (M), B St John Medical Center Communtiy Health Partners Rgnl Group Name: Cleveland Clinic St Vincent Charity Medical Center Mdcl Ctr Foundation Uh Parma Medical Center Specialty Hospital/lorain Provider ID: 002305957001 NPI: 1235194051 Sakiewicz, Andrew J, MD, (M), B Schaeffer, John W, MD, (M), B 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic Group Name: North Ohio Heart Avon, OH 44011

Foundation Provider ID: 000087121001 (440) 695-4000 EB, P, R Provider ID: 001998844003 NPI: 1033199930 Accepting Existing Patients Only NPI: 1497708416 3600 Kolbe Rd Ste 127 Ages: 0-99 33300 Cleveland Clinic Blvd Lorain, OH 44053 Hospital Affiliations:

Avon, OH 44011 (440) 414-9200 EB, P, R, RE, T Wooster Community Hospital

(440) 695-5000 EB, P, R Cultural Competency: Y Cleveland Clinic Foundation Languages Spoken: Ages: 0-99 Provider: German, Polish Hospital Affiliations: Schoenhagen, Paul, MD, (M), B Staff: German, Polish University Hospitals Elyria Group Name: Cleveland Clinic Ages: 0-99 Medical Ctr Foundation Hospital Affiliations: Uh Elyria Medical Center Provider ID: 002305957001 Cleveland Clinic Foundation Mercy Allen Hospital NPI: 1235194051 Hillcrest Hospital Mercy Regional Medical Center 33300 Cleveland Clinic Blvd Fairview Hospital Communtiy Health Partners Rgnl Avon, OH 44011

South Pointe Hospital Mdcl Ctr (440) 695-5000 EB, P, R Lakewood Hospital Specialty Hospital/lorain Accepting Existing Patients Only Cleveland Clinic Lakewood Ages: 0-99 Euclid Hospital Hospital Affiliations: Lutheran Hospital Wooster Community Hospital Cleveland Clinic Foundation

371

Ohio - Lorain Specialists Schoenhagen, Paul, MD, (M), B Schoenhagen, Paul, MD, (M), B Tanaka-Esposito, Christine C, Group Name: Cleveland Clinic Group Name: Cleveland Clinic MD, (F), B Foundation Foundation Group Name: Cleveland Clinic Provider ID: 002305957001 Provider ID: 002305957001 Foundation NPI: 1235194051 NPI: 1235194051 Provider ID: 003341639001 33355 Health Campus Blvd 5334 Meadow Lane Ct NPI: 1467651539 Avon, OH 44011 Sheffield Village, OH 44035 33100 Cleveland Clinic Blvd

(440) 937-9099 EB, P, R (440) 934-5454 EB, P, R Avon, OH 44011

Accepting Existing Patients Only Accepting Existing Patients Only (440) 695-4000 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Wooster Community Hospital Wooster Community Hospital Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Schoenhagen, Paul, MD, (M), B Schoenhagen, Paul, MD, (M), B Lakewood Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Lakewood Foundation Foundation Lutheran Hospital Provider ID: 002305957001 Provider ID: 002305957001 NPI: 1235194051 NPI: 1235194051 Tarakji, Khaldoun G, MD, (M), B 450 Avon Belden Rd 5700 Cooper Foster Park Rd W Group Name: Cleveland Clinic Avon Lake, OH 44012 Lorain, OH 44053 Foundation

(440) 930-6800 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T Provider ID: 002402909001 Accepting Existing Patients Only Accepting Existing Patients Only NPI: 1356517957 Ages: 0-99 Ages: 0-99 33100 Cleveland Clinic Blvd Hospital Affiliations: Hospital Affiliations: Avon, OH 44011

Wooster Community Hospital Wooster Community Hospital (440) 695-4000 EB, P, R Cleveland Clinic Foundation Cleveland Clinic Foundation Cultural Competency: Y Ages: 0-99 Schoenhagen, Paul, MD, (M), B Schoenhagen, Paul, MD, (M), B Hospital Affiliations: Group Name: Cleveland Clinic Group Name: Cleveland Clinic University Hospitals Elyria Foundation Foundation Medical Ctr Provider ID: 002305957001 Provider ID: 002305957001 Uh Elyria Medical Center NPI: 1235194051 NPI: 1235194051 Cleveland Clinic Foundation 5275 N Abbe Rd 5800 Cooper Foster Park Rd W Fairview Hospital Sheffield Village, OH 44035 Lorain, OH 44053 Lakewood Hospital

(216) 445-7050 EB, P, R (440) 985-3113 EB, P, R Cleveland Clinic Lakewood Accepting Existing Patients Only Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Wooster Community Hospital Wooster Community Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation

372

Specialists Ohio - Lorain

Vacante, Michael, DO, (M), B Group Name: North Ohio Heart Cardiovascular Surgery Barry, Janet M, DC, (F) Provider ID: 000087122001 Park, Soon J, MD , (M), B Group Name: Barry Janet M NPI: 1295715035 Group Name: University Provider ID: 001425787001 125 E Broad St Ste 305 Hospitals Medical Group NPI: 1396851036 Elyria, OH 44035 Provider ID: 002003213001 5395 N Abbe Rd (440) 414-9100 EB, P, R NPI: 1891716544 Sheffield Village, OH 44035 Cultural Competency: Y 630 E River St (440) 934-2273 EB, IB, P, R, RE, Ages: 0-99 Elyria, OH 44035 T

Hospital Affiliations: (440) 284-8600 EB, P, R Mo,We - 9:00 AM - 5:00 PM University Hospitals Elyria Mo-Fr - 8:30 AM - 4:30 PM Tu,Th - 10:00 AM - 7:00 PM Medical Ctr Cultural Competency: Y Fr,Sa - 8:00 AM - 12:00 PM Uh Elyria Medical Center Ages: 0-99 Ages: 0-99 Mercy Allen Hospital Hospital Affiliations: Mercy Regional Medical Center University Hospitals Elyria Baumbick, Robert J, DC, (M) Communtiy Health Partners Rgnl Medical Ctr Group Name: Baumbick Mdcl Ctr Uh Elyria Medical Center Chiropractic Center Specialty Hospital/lorain Uh Cleveland Medical Center Provider ID: 001881536001 Rainbow Babies & Childrens NPI: 1780792754 Wattar, Abdul R, MD, (M), B Hosp 35095 Center Ridge Rd Group Name: Cleveland Clinic Univ Hospitals Ahuja Med Ctr North Ridgeville, OH 44039 Foundation (440) 353-0707 EB, P, R, RE, T Provider ID: 002366794001 Mo,We,Fr - 8:00 AM - 6:30 PM NPI: 1013996214 Chiropractor Tu,Th - 10:00 AM - 6:00 PM

33300 Cleveland Clinic Blvd Prior authorization is required to Web address: baumbickchiropractic. Avon, OH 44011 obtain some covered services from com (440) 695-5000 EB, P, R these providers. You will not be Ages: 0-99 Languages Spoken: covered for those services without Provider: Arabic such approval by UnitedHealthcare Cultural Competency: Y Community Plan. Please see your Ages: 0-99 member handbook, or call Member Hospital Affiliations: Services for details.

Cleveland Clinic Foundation Fairview Hospital Adams, Chad R, DC, (M) South Pointe Hospital Group Name: Cleveland Clinic Euclid Hospital Foundation Southwest General Health Center Provider ID: 003342437001 St John Medical Center NPI: 1154610293 St Vincent Charity Medical Center 5172 Leavitt Rd Cleveland Clinic Avon Hospital Lorain, OH 44053 (440) 282-7420 EB, P, R Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

373

Ohio - Lorain Specialists Charboneau, Douglas M, DC, (M) Migoni, Natalie J, DC, (F) Schaffer, Daniel J, DC, (M) Group Name: Charboneau Group Name: Healthsource Group Name: Midway Pointe Chiropractic Center Northcoast Chiropractic Inc Provider ID: 001571544001 Provider ID: 003211888001 Provider ID: 001994539001 NPI: 1891878443 NPI: 1568789840 NPI: 1295800944 35836 Center Ridge Rd Ste 101 33560 Detroit Rd 170 Midway Blvd North Ridgeville, OH 44039 Avon, OH 44011 Elyria, OH 44035

(440) 327-0338 EB, IB, P, R, RE, (440) 937-4222 EB, IB, P, R (440) 324-2040 EB, P, R, RE, T S, T Mo,We,Th - 8:30 AM - 6:00 PM Mo,We,Fr - 9:00 AM - 7:00 PM Mo - 8:00 AM - 6:00 PM Tu - 2:00 PM - 6:00 PM Tu - 9:00 AM - 5:00 PM Tu - 10:00 AM - 1:00 PM Fr - 8:30 AM - 12:00 PM Sa - 10:00 AM - 12:00 PM We - 8:00 AM - 7:00 PM Ages: 0-99 Cultural Competency: Y Fr - 8:00 AM - 5:00 PM Ages: 0-99 Sa - 10:00 AM - 12:00 PM Montgomery, Andre L, DC, (M) Cultural Competency: Y Group Name: Montgomery Scheithauer, Richard S, DC, (M) Web address: www.charboneauchir Chiropractic Center Group Name: Lorain opractic.com Provider ID: 002242506001 Chiropractic Center Ages: 0-99 NPI: 1457315202 Provider ID: 000087580001 684 Avon Belden Rd Ste B NPI: 1396813663 Fabian, Nicholas M, DC, (M) Avon Lake, OH 44012 5361 Oberlin Ave

Group Name: X Cell Chiropractic (440) 930-5537 EB, P, R Lorain, OH 44053

Rehabilitation Mo,We - 9:00 AM - 6:00 PM (440) 282-7132 EB, P, R, RE, T Provider ID: 003113426001 Tu,Th,Fr - 9:00 AM - 5:00 PM Languages Spoken: NPI: 1487881835 Ages: 0-99 Provider: Spanish 710 Leona St Hospital Affiliations: Mo-Fr - 7:00 AM - 7:00 PM Elyria, OH 44035 Cleveland Clinic Foundation Sa - 10:00 AM - 7:00 PM

(440) 324-0092 EB, IB, P, R, RE, Cultural Competency: Y T Nejad, Maziar A, DC, (M) Web address: lorainchiropracticcent Mo,We,Th - 9:00 AM - 6:00 PM Group Name: Health Solution er.com Tu - 2:00 PM - 6:00 PM Center Of Lorain Ages: 0-99 Fr - 9:00 AM - 12:00 PM Provider ID: 002172073002 Cultural Competency: Y NPI: 1114035185 Web address: www.xcellmedicalgro 1980 Cooper Foster Pk Rd W #a up.com Lorain, OH 44053

Ages: 0-99 (440) 282-7246 EB, IB, P, R Languages Spoken: Provider: German Cultural Competency: Y Ages: 0-99

374

Specialists Ohio - Lorain Simoson, Leo H, DC, (M) Van Skyhock, Gary A, DC, (M) Watson, Ronald C, DC, (M) Group Name: Simoson Group Name: Universal Group Name: Amherst Chiropractic Treatment & Recovery Center Chiropractic Care Provider ID: 000179927002 Provider ID: 002145039003 Provider ID: 001110613001 NPI: 1821107400 NPI: 1790726750 NPI: 1851497507 37315 Harvest Ave 42553 N Ridge Rd Ste 8 1815 Cooper Foster Park Rd Avon, OH 44011 Elyria, OH 44035 Amherst, OH 44001

(440) 934-2131 EB, P, R, RE, T (440) 324-4488 E, P, R, RE, T (440) 960-2824 EB, IB, P, R, RE, Mo,We - 9:00 AM - 6:30 PM Mo,Tu,Th - 1:00 PM - 6:30 PM T Tu,Th - 10:00 AM - 3:00 PM We - 9:00 AM - 5:00 PM Languages Spoken: Fr - 9:00 AM - 6:00 PM Fr - 10:00 AM - 2:00 PM Provider: Spanish Sa - 9:00 AM - 10:00 AM Cultural Competency: Y Interpreter: Spanish Ages: 0-99 Web address: www.elyriachiropract Mo,We,Fr - 9:00 AM - 6:30 PM Hospital Affiliations: or.com Tu,Th - 9:00 AM - 12:30 PM Cleveland Clinic Foundation Ages: 0-99 Sa - 9:00 AM - 1:00 PM Lakewood Hospital Cultural Competency: Y Cleveland Clinic Lakewood Van Skyhock, Jason, DC, (M) Web address: www.amherstchirocar Lutheran Hospital Group Name: Universal e.com Treatment & Recovery Center Ages: 0-99 Valentine, David S, DC, (M) Provider ID: 006443519002 Group Name: Lorain County NPI: 1093029639 Chiropractic 42553 N Ridge Rd Ste 8 Dermatology

Provider ID: 003252063002 Elyria, OH 44035 Members may self-refer to these NPI: 1083927388 (440) 324-4488 E, P, R, RE, T providers.

1100 N Abbe Rd Ste C Mo - 2:00 PM - 6:00 PM Elyria, OH 44035 Tu,Th - 1:00 PM - 6:00 PM Bergfeld, Wilma F, MD, (F), B Group Name: Cleveland Clinic (440) 366-0042 EB, IB, P, R Fr - 10:00 AM - 2:00 PM Mo-Fr - 9:00 AM - 6:00 PM Web address: elyriachiropractor.co Foundation Ages: 0-99 m Provider ID: 001200869001 Ages: 0-99 NPI: 1013972207 303 Chestnut Commons Dr Elyria, OH 44035

(440) 366-9444 EB, P, R Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hillcrest Hospital Fairview Hospital Lakewood Hospital Cleveland Clinic Lakewood Euclid Hospital Marymount Hospital Lutheran Hospital

375

Ohio - Lorain Specialists Bergfeld, Wilma F, MD, (F), B Bergfeld, Wilma F, MD, (F), B Bergfeld, Wilma F, MD, (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 001200869001 Provider ID: 001200869001 Provider ID: 001200869001 NPI: 1013972207 NPI: 1013972207 NPI: 1013972207 36901 American Way 5700 Cooper Foster Park Rd W 33100 Cleveland Clinic Blvd Avon, OH 44011 Lorain, OH 44053

Avon, OH 44011 (440) 930-6200 E, EB, IB, P, R (440) 204-7400 EB, IB, P, R, RE, T

(440) 695-4000 EB, P, R Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital Hillcrest Hospital Hillcrest Hospital Fairview Hospital Fairview Hospital Fairview Hospital Lakewood Hospital Lakewood Hospital Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Lakewood Euclid Hospital Euclid Hospital Euclid Hospital Marymount Hospital Marymount Hospital Marymount Hospital Lutheran Hospital Lutheran Hospital Lutheran Hospital Bergfeld, Wilma F, MD, (F), B Cevasco, Nathaniel C, MD, (M), B Bergfeld, Wilma F, MD, (F), B Group Name: Cleveland Clinic Group Name: Dermatology Group Name: Cleveland Clinic Foundation Partners Foundation Provider ID: 001200869001 Provider ID: 003154524002 Provider ID: 001200869001 NPI: 1013972207 NPI: 1477746881 NPI: 1013972207 450 Avon Belden Rd 36701 American Way Ste 3 33300 Cleveland Clinic Blvd Avon Lake, OH 44012 Avon, OH 44011

Avon, OH 44011 (440) 930-6800 EB, P, R (440) 937-4951 EB, IB, P, PL, R,

(440) 695-5000 EB, P, R Cultural Competency: Y RE, T Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Hillcrest Hospital Cleveland Clinic Foundation Hillcrest Hospital Fairview Hospital Fairview Hospital Lakewood Hospital Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Euclid Hospital Euclid Hospital Marymount Hospital Marymount Hospital Lutheran Hospital Lutheran Hospital

376

Specialists Ohio - Lorain Gould, Jennifer W, MD, (F), B Lucas, Jennifer L, MD, (F), B Poblete-Lopez, Christine M, MD, Group Name: Dermatology Group Name: Cleveland Clinic (F), B Partners Foundation Group Name: Cleveland Clinic Provider ID: 002856100001 Provider ID: 003064206001 Foundation NPI: 1851398507 NPI: 1265616882 Provider ID: 002040062001 36701 American Way Ste 3 33100 Cleveland Clinic Blvd NPI: 1114957255 Avon, OH 44011 Avon, OH 44011 5700 Cooper Foster Park Rd W

(440) 937-4951 EB, IB, P, PL, R, (440) 695-4000 EB, P, R Lorain, OH 44053

RE, T Ages: 0-99 (216) 445-3643 EB, IB, P, R, RE, T Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Firelands Regional Medical Ctr Paul, Rosanne M, DO, (F), B Fisher-titus Medical Center Group Name: Dermatology Riley, Kathryn L, MD, (F), B Partners Group Name: Cleveland Clinic Henry, Cynthia L, DO, (F), B Provider ID: 006438054001 Foundation Group Name: UPCP NPI: 1588907711 Provider ID: 006495759001 Provider ID: 002580422002 36701 American Way Ste 3 NPI: 1538502463 NPI: 1225027337 Avon, OH 44011 5172 Leavitt Rd

2535 Hale St Ste A (440) 937-4951 EB, IB, P, PL, R, Lorain, OH 44053

Avon, OH 44011 RE, T (440) 282-7420 EB, P, R

(440) 934-8858 EB, P, R Mo-Th - 8:00 AM - 5:00 PM Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Fr - 8:00 AM - 3:00 PM Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Fairview Hospital Lake Health St John Medical Center Poblete-Lopez, Christine M, MD, Secrist, John G, MD, (M), B (F), B Group Name: Cleveland Clinic Janik, Matthew, MD, (M), B Group Name: Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Provider ID: 000111587001 Foundation Provider ID: 002040062001 NPI: 1134186570 Provider ID: 003208286001 NPI: 1114957255 303 Chestnut Commons Dr NPI: 1679786420 33100 Cleveland Clinic Blvd Elyria, OH 44035

5700 Cooper Foster Park Rd W Avon, OH 44011 (440) 366-9444 EB, P, R

Lorain, OH 44053 (440) 695-4000 EB, P, R Sa - 8:00 AM - 12:00 PM

(440) 204-7200 EB, IB, P, R, RE, T Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation University Hospitals Elyria Hospital Affiliations: Medical Ctr Cleveland Clinic Foundation Uh Elyria Medical Center Metrohealth Medical Center Cleveland Clinic Foundation

377

Ohio - Lorain Specialists Secrist, John G, MD, (M), B Fairview Hospital Elsheikh, Sahar A, MD, (F) Group Name: Cleveland Clinic Group Name: UPCP Foundation Provider ID: 007178179001 Provider ID: 000111587001 Endocrinology NPI: 1518378850

NPI: 1134186570 Members may self-refer to these 32800 Lorain Rd Ste 2100 5172 Leavitt Rd providers. North Ridgeville, OH 44039

Lorain, OH 44053 (440) 250-8660 EB, P, R Borst, Kevin L, DO, (M), B (440) 282-7420 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Group Name: Cleveland Clinic Ages: 0-99 Hospital Affiliations: Foundation University Hospitals Elyria Provider ID: 003194173001 Hamaty, Marwan, MD, (M), B Medical Ctr NPI: 1982818506 Group Name: Cleveland Clinic Uh Elyria Medical Center 33100 Cleveland Clinic Blvd Foundation Metrohealth Medical Center Avon, OH 44011 Provider ID: 001919185002 Cleveland Clinic Foundation (440) 695-4000 EB, P, R NPI: 1124095146 Cultural Competency: Y 33100 Cleveland Clinic Blvd Vij, Alok, MD, (M), B Ages: 0-99 Avon, OH 44011 Hospital Affiliations: Group Name: Cleveland Clinic (216) 444-2200 EB, P, R Foundation Cleveland Clinic Foundation Cultural Competency: Y Provider ID: 005692090001 Fairview Hospital Ages: 0-99 NPI: 1851682900 Lakewood Hospital Hospital Affiliations: 33100 Cleveland Clinic Blvd Cleveland Clinic Lakewood St Cloud Hospital Avon, OH 44011 Centracare - St Cloud Hospital Borst, Kevin L, DO, (M), B (440) 695-4000 EB, P, R Cleveland Clinic Foundation Accepting Existing Patients Only Group Name: Cleveland Clinic Fairview Hospital Ages: 0-99 Foundation Lakewood Hospital Hospital Affiliations: Provider ID: 003194173001 Cleveland Clinic Lakewood Cleveland Clinic Foundation NPI: 1982818506 Cleveland Clinic Avon Hospital Fairview Hospital 450 Avon Belden Rd Avon Lake, OH 44012 Hamaty, Marwan, MD, (M), B Vlastaris, Catherine A, MD, (F), B (440) 930-6800 EB, P, R Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cultural Competency: Y Foundation Foundation Ages: 0-99 Provider ID: 001919185002 Provider ID: 001832310002 Hospital Affiliations: NPI: 1124095146 NPI: 1407803042 Cleveland Clinic Foundation 33300 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd Fairview Hospital Avon, OH 44011 Lakewood Hospital Avon, OH 44011 (440) 695-5000 EB, P, R Cleveland Clinic Lakewood (440) 695-4000 EB, P, R Cultural Competency: Y Languages Spoken: Ages: 0-99 Provider: Greek Hospital Affiliations: Ages: 0-99 St Cloud Hospital Hospital Affiliations: Centracare - St Cloud Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation

378

Specialists Ohio - Lorain Fairview Hospital Jeet, Anant, MD, (M), B Hospital Affiliations: Lakewood Hospital Group Name: Mercy Health Cleveland Clinic Foundation Cleveland Clinic Lakewood Physicians Lorain Fairview Hospital Cleveland Clinic Avon Hospital Provider ID: 001964762002 Cleveland Clinic Avon Hospital NPI: 1790759900 Jeet, Anant, MD, (M), B 3600 Kolbe Rd Ste 109 Patel, Rahul A, MD, (M), B Group Name: Mercy Health Lorain, OH 44053 Group Name: Cleveland Clinic

Physicians Lorain (440) 960-3304 Foundation Provider ID: 001964762002 Languages Spoken: Provider ID: 005965752004 NPI: 1790759900 Provider: Hindi NPI: 1699901926 1813 Nagel Rd Ste 500 Accepting Existing Patients Only 5700 Cooper Foster Park Rd W Avon, OH 44011 Ages: 0-99 Lorain, OH 44053

(440) 960-3304 EB, P, R, RE, T Hospital Affiliations: (440) 204-7400 EB, IB, P, R, RE, T Languages Spoken: Mercy Regional Medical Center Languages Spoken: Provider: Hindi Communtiy Health Partners Rgnl Provider: Spanish Accepting Existing Patients Only Mdcl Ctr Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Lashin, Ossama M, MD, (M), B Fairview Hospital Mercy Regional Medical Center Group Name: Cleveland Clinic Metrohealth Medical Center Communtiy Health Partners Rgnl Foundation Cleveland Clinic Foundation Mdcl Ctr Provider ID: 002996367001 Cleveland Clinic Avon Hospital NPI: 1851507586 Jeet, Anant, MD, (M), B 5700 Cooper Foster Park Rd W Peechakara, Seenia V, MD, (F), B Group Name: Mercy Health Lorain, OH 44053 Group Name: Cleveland Clinic

Physicians Lorain (440) 204-7400 EB, IB, P, R, RE, T Foundation Provider ID: 001964762002 Sa - 8:00 AM - 12:00 PM Provider ID: 003054249001 NPI: 1790759900 Cultural Competency: Y NPI: 1235302829 224 W Lorain St Ste 100 Ages: 0-99 33100 Cleveland Clinic Blvd Oberlin, OH 44074 Hospital Affiliations: Avon, OH 44011

(440) 960-3304 E, EB, P, R, RE, Cleveland Clinic Foundation (440) 695-4000 EB, P, R S, T Fairview Hospital Cultural Competency: Y Languages Spoken: Cleveland Clinic Avon Hospital Ages: 0-99 Provider: Hindi Hospital Affiliations: Accepting Existing Patients Only Nyalakonda, Kavita, MD, (F), B Metrohealth Medical Center Ages: 0-99 Group Name: Cleveland Clinic Cleveland Clinic Foundation Hospital Affiliations: Foundation Fairview Hospital Mercy Regional Medical Center Provider ID: 003194571001 Lakewood Hospital Communtiy Health Partners Rgnl NPI: 1437276250 Cleveland Clinic Lakewood Mdcl Ctr 33100 Cleveland Clinic Blvd Cleveland Clinic Avon Hospital Avon, OH 44011

(440) 695-4000 EB, P, R Cultural Competency: Y Ages: 0-99

379

Ohio - Lorain Specialists Sabbagh, Ahmad F, MD, (M), B Shewmon, David A, MD, (M), B Cleveland Clinic Foundation Group Name: Idealcare Group Name: Cleveland Clinic Fairview Hospital Provider ID: 003152911008 Foundation Lakewood Hospital NPI: 1528180825 Provider ID: 001124195001 Cleveland Clinic Lakewood 33100 Cleveland Clinic Blvd NPI: 1295787406 Medina Hospital Avon, OH 44011 33100 Cleveland Clinic Blvd Cleveland Clinic Avon Hospital

(419) 502-9200 EB, P, R Avon, OH 44011

Ages: 0-99 (216) 444-2200 EB, P, R Hospital Affiliations: Ages: 0-99 Family Practice

Bethesda Hospital Hospital Affiliations: Members may self-refer to these Firelands Regional Medical Ctr Wooster Community Hospital providers.

Boulder Community Hospital Serhal, Dina I, MD, (F), B Cleveland Clinic Foundation Abushukur, Muawia, MD, (M), B Group Name: Cleveland Clinic Fairview Hospital Group Name: Mercy Medical Foundation Longmont United Hospital Partners Provider ID: 002244452001 Provider ID: 002919861005 NPI: 1467528745 Whitmer, Dorota A, MD, (F), B NPI: 1720297211 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic 3500 Kolbe Rd Avon, OH 44011 Foundation Lorain, OH 44053 (440) 934-1470 EB, P, R (440) 695-4000 EB, P, R Provider ID: 003353510003 Cultural Competency: Y NPI: 1528232998 Ages: 0-99 Ages: 0-99 33100 Cleveland Clinic Blvd Hospital Affiliations: Hospital Affiliations: Avon, OH 44011 Mercy Regional Medical Center

Cleveland Clinic Foundation (216) 444-2200 EB, P, R Ages: 0-99 Abushukur, Muawia, MD, (M), B Serhal, Dina I, MD, (F), B Hospital Affiliations: Group Name: Mercy Medical Group Name: Cleveland Clinic Cleveland Clinic Foundation Partners Foundation Fairview Hospital Provider ID: 002919861007 Provider ID: 002244452001 Lakewood Hospital NPI: 1720297211 NPI: 1467528745 Cleveland Clinic Lakewood 3600 Kolbe Rd Ste 011 5700 Cooper Foster Park Rd W Medina Hospital Lorain, OH 44053 Lorain, OH 44053 Cleveland Clinic Avon Hospital (440) 222-4003 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM (440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y Whitmer, Dorota A, MD, (F), B Ages: 0-99 Ages: 0-99 Group Name: Cleveland Clinic Hospital Affiliations: Hospital Affiliations: Foundation Mercy Regional Medical Center Cleveland Clinic Foundation Provider ID: 003353510003 NPI: 1528232998 33300 Cleveland Clinic Blvd Avon, OH 44011

(440) 695-5000 EB, P, R Ages: 0-99 Hospital Affiliations:

380

Specialists Ohio - Lorain Abushukur, Muawia, MD, (M), B Uh Regional Hospitals Iqbal, Sabahat K, MD, (F) Group Name: Mercy Medical St John Medical Center Group Name: Community Partners Uh Cleveland Medical Center Hospitalists Provider ID: 002919861004 Uh Parma Medical Center Provider ID: 002946590002 NPI: 1720297211 University Hospitals Parma NPI: 1508814021 3700 Kolbe Rd Medical Ctr 3700 Kolbe Rd Lorain, OH 44053 Univ Hospitals Ahuja Med Ctr Lorain, OH 44053

(440) 934-1470 EB, G, IB, P, PL, Areas of Expertise: MAT1 (440) 542-5000 EB, G, IB, P, PL, R, RE, S, T R, RE, S, T Ages: 0-99 Iqbal, Sabahat K, MD, (F) Languages Spoken: Hospital Affiliations: Group Name: Community Provider: Punjabi, Urdu Mercy Regional Medical Center Hospitalists Cultural Competency: Y Provider ID: 002946590002 Ages: 0-99 Abushukur, Muawia, MD, (M), B NPI: 1508814021 Hospital Affiliations: Group Name: Mercy Medical 254 Cleveland Ave Uh Geauga Medical Center Partners Amherst, OH 44001 University Hospitals Geauga

Provider ID: 002919861006 (440) 542-5000 EB, P, R Medical Ctr NPI: 1720297211 Languages Spoken: Uh Regional Hospitals 41201 Schadden Rd Provider: Punjabi, Urdu St John Medical Center Elyria, OH 44035 Staff: Spanish Uh Cleveland Medical Center

(440) 222-4003 EB, IB, P, R Cultural Competency: Y Uh Parma Medical Center Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 University Hospitals Parma Ages: 0-99 Hospital Affiliations: Medical Ctr Hospital Affiliations: Uh Geauga Medical Center Univ Hospitals Ahuja Med Ctr Mercy Regional Medical Center University Hospitals Geauga Areas of Expertise: MAT1 Medical Ctr Iqbal, Sabahat K, MD, (F) Uh Regional Hospitals Iqbal, Sabahat K, MD, (F) Group Name: Community St John Medical Center Group Name: Community Hospitalists Uh Cleveland Medical Center Hospitalists Provider ID: 002946590002 Uh Parma Medical Center Provider ID: 002946590002 NPI: 1508814021 University Hospitals Parma NPI: 1508814021 200 W Lorain St Medical Ctr 630 E River St Oberlin, OH 44074 Univ Hospitals Ahuja Med Ctr Elyria, OH 44035

(440) 542-5000 EB, IB, P, R, RE, (440) 542-5000 EB, P, R S, T Languages Spoken: Languages Spoken: Provider: Punjabi, Urdu Provider: Punjabi, Urdu Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Uh Geauga Medical Center Uh Geauga Medical Center University Hospitals Geauga University Hospitals Geauga Medical Ctr Medical Ctr Uh Regional Hospitals

381

Ohio - Lorain Specialists

St John Medical Center Skef, Suzan, MD, (F), B Uh Cleveland Medical Center Group Name: Community Gastroenterology

Uh Parma Medical Center Hospitalists Members may self-refer to these University Hospitals Parma Provider ID: 006208235001 providers.

Medical Ctr NPI: 1427312107 Univ Hospitals Ahuja Med Ctr 3700 Kolbe Rd Armitage, Sherry L, NP, (F) Areas of Expertise: MAT1 Lorain, OH 44053 Group Name: UPCP Provider ID: 005204411005 (440) 542-5000 EB, G, IB, P, PL, Skef, Suzan, MD, (F), B R, RE, S, T NPI: 1033519178 Group Name: Community Languages Spoken: 125 E Broad St Ste 322 Hospitalists Provider: Arabic, Spanish Elyria, OH 44035 Provider ID: 006208235001 Ages: 0-99 (440) 406-5500 NPI: 1427312107 Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM 200 W Lorain St Magee Womens Hospital Of Cultural Competency: Y Oberlin, OH 44074 Upmc Ages: 18-99 Hospital Affiliations: (440) 542-5000 EB, IB, P, R, RE, Upmc St Margaret Hsp S, T Areas of Expertise: CIL University Hospitals Elyria Languages Spoken: Medical Ctr Provider: Arabic, Spanish Skef, Suzan, MD, (F), B Uh Elyria Medical Center Ages: 0-99 Group Name: Community St John Medical Center Hospital Affiliations: Hospitalists Magee Womens Hospital Of Provider ID: 006208235001 Armitage, Sherry L, NP, (F) Upmc NPI: 1427312107 Group Name: UPCP Upmc St Margaret Hsp 630 E River St Provider ID: 005204411002 Areas of Expertise: CIL Elyria, OH 44035 NPI: 1033519178 590 N Leavitt Rd (440) 542-5000 E, EB, G, IB, P, Skef, Suzan, MD, (F), B PL, R, RE, S, T Amherst, OH 44001 Group Name: Community Languages Spoken: (440) 934-2650 EB, P, R Hospitalists Provider: Arabic, Spanish Mo-Fr - 8:03 AM - 4:30 PM Provider ID: 006208235001 Ages: 0-99 Cultural Competency: Y NPI: 1427312107 Hospital Affiliations: Ages: 18-99 254 Cleveland Ave Magee Womens Hospital Of Hospital Affiliations: Amherst, OH 44001 Upmc University Hospitals Elyria Medical Ctr (440) 542-5000 EB, P, R Upmc St Margaret Hsp Languages Spoken: Areas of Expertise: CIL Uh Elyria Medical Center Provider: Arabic, Spanish St John Medical Center Ages: 0-99 Hospital Affiliations: Magee Womens Hospital Of Upmc Upmc St Margaret Hsp Areas of Expertise: CIL

382

Specialists Ohio - Lorain Asaad, Imad, MD, (M), B Chowdhry, Saleem, MD, (M), B Confer, Bradley D, DO, (M), B Group Name: Cleveland Clinic Group Name: University Primary Group Name: Community Foundation Care Practices Hospitalists Provider ID: 006140196003 Provider ID: 005719192001 Provider ID: 003355494004 NPI: 1669725057 NPI: 1104087865 NPI: 1518132612 33300 Cleveland Clinic Blvd 125 E Broad St Ste 101 200 W Lorain St Avon, OH 44011 Elyria, OH 44035 Oberlin, OH 44074

(800) 223-2273 EB, P, R (440) 827-5296 E, EB, IB, P, R (440) 542-5000 EB, IB, P, R, RE, Ages: 0-99 S, T Hospital Affiliations: Languages Spoken: Ages: 0-99 Fairview Hospital Provider: Hindi Hospital Affiliations: Cleveland Clinic Foundation Cultural Competency: Y Geisinger Lewistown Hospital Cleveland Clinic Avon Hospital Ages: 0-99 Geisinger Medical Center Hospital Affiliations: Jersey Shore Hospital Blades, Edmond W, MD, (M), B Cleveland Clinic Foundation Medina Hospital Group Name: Cleveland Clinic Euclid Hospital Geisinger - Holy Spirit Hospital Foundation Marymount Hospital Penn State Health Holy Spirit Provider ID: 000621188003 St John Medical Center Medical Ce NPI: 1245258680 Uh Cleveland Medical Center Geisinger Wyoming Valley Med 33300 Cleveland Clinic Blvd Ctr Avon, OH 44011 Chowdhry, Saleem, MD, (M), B Geisinger Community Medical Group Name: University Primary (440) 695-5000 EB, P, R Center Cultural Competency: Y Care Practices Ages: 0-99 Provider ID: 005719192001 Confer, Bradley D, DO, (M), B Hospital Affiliations: NPI: 1104087865 Group Name: Community University Hospitals Elyria 32800 Lorain Rd Ste 2300 Hospitalists Medical Ctr North Ridgeville, OH 44039 Provider ID: 003355494004 Uh Elyria Medical Center (440) 827-5296 EB, P, R NPI: 1518132612 Cleveland Clinic Foundation Languages Spoken: 254 Cleveland Ave Fairview Hospital Provider: Hindi Amherst, OH 44001 Mo-Fr - 8:30 AM - 4:30 PM Lakewood Hospital (440) 542-5000 EB, P, R Cleveland Clinic Lakewood Cultural Competency: Y Ages: 0-99 St John Medical Center Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Geisinger Lewistown Hospital Cleveland Clinic Foundation Geisinger Medical Center Euclid Hospital Jersey Shore Hospital Marymount Hospital Medina Hospital St John Medical Center Geisinger - Holy Spirit Hospital Uh Cleveland Medical Center Penn State Health Holy Spirit Medical Ce Geisinger Wyoming Valley Med Ctr Geisinger Community Medical

383

Ohio - Lorain Specialists Center Ctr Medical Ctr Geisinger Community Medical Dlp Marquette General Hospital Confer, Bradley D, DO, (M), B Center Group Name: Community Hosmer, Amy E, MD, (F) Hospitalists Harris, Craig K, MD, (M), B Group Name: University Provider ID: 003355494004 Group Name: University Primary Hospitals Medical Group NPI: 1518132612 Care Practices Provider ID: 006103250004 3700 Kolbe Rd Provider ID: 000013358003 NPI: 1326368283 Lorain, OH 44053 NPI: 1407877707 32800 Lorain Rd Ste 2300

(440) 542-5000 EB, G, IB, P, PL, 32800 Lorain Rd Ste 2300 North Ridgeville, OH 44039

R, RE, S, T North Ridgeville, OH 44039 (440) 406-5500 EB, P, R

Ages: 0-99 (440) 328-3400 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Geisinger Lewistown Hospital Hospital Affiliations: St John Medical Center Geisinger Medical Center Cleveland Clinic Foundation Jersey Shore Hospital Fairview Hospital Hosmer, Amy E, MD, (F) Medina Hospital Lakewood Hospital Group Name: University Geisinger - Holy Spirit Hospital Cleveland Clinic Lakewood Hospitals Medical Group Penn State Health Holy Spirit St John Medical Center Provider ID: 006103250004 Medical Ce Cleveland Clinic Avon Hospital NPI: 1326368283 Geisinger Wyoming Valley Med 32800 Lorain Rd Ste 2400 Ctr Hayne, Gregory W, MD, (M), B North Ridgeville, OH 44039

Geisinger Community Medical Group Name: Nicholas (440) 406-5500 EB, P, R Center Jarmoszuk Md Ages: 0-99 Provider ID: 001305591002 Hospital Affiliations: Confer, Bradley D, DO, (M), B NPI: 1457325946 St John Medical Center Group Name: Community 3600 Kolbe Rd Ste 109 Hospitalists Lorain, OH 44053 Issa, Khaled, MD, (M), B

Provider ID: 003355494004 (440) 282-1360 EB, P, PL, R, RE, Group Name: Cleveland Clinic NPI: 1518132612 T Foundation 630 E River St Languages Spoken: Provider ID: 001396692004 Elyria, OH 44035 Provider: German NPI: 1801818646

(440) 542-5000 EB, P, R Staff: Spanish 33300 Cleveland Clinic Blvd Ages: 0-99 Mo-Fr - 8:00 AM - 4:00 PM Avon, OH 44011

Hospital Affiliations: Cultural Competency: Y (440) 695-5000 EB, P, R Geisinger Lewistown Hospital Does Not Accept New Patients Cultural Competency: Y Geisinger Medical Center Ages: 0-99 Web address: www.northphiogi.co Jersey Shore Hospital Hospital Affiliations: m Medina Hospital Mclaren Oakland Ages: 0-99 Geisinger - Holy Spirit Hospital Springfield Regional Medical Ctr Hospital Affiliations: Penn State Health Holy Spirit Metrohealth Medical Center Metrohealth Medical Center Medical Ce Uh Parma Medical Center Cleveland Clinic Foundation Geisinger Wyoming Valley Med University Hospitals Parma Fairview Hospital

384

Specialists Ohio - Lorain Lakewood Hospital Jain, Alok K, MD, (M), B Khallafi, Hicham, MD, (M), B Cleveland Clinic Lakewood Group Name: Mercy Health Group Name: Mercy Health St John Medical Center Physicians Lorain Physicians Lorain Provider ID: 003066465002 Provider ID: 003481519004 Jain, Alok K, MD, (M), B NPI: 1811190382 NPI: 1669640165 Group Name: Mercy Health 5077 Waterford Dr Ste 305 224 W Lorain St Ste 100 Physicians Lorain Sheffield Village, OH 44035 Oberlin, OH 44074

Provider ID: 003066465002 (440) 934-7979 E, EB, IB, P, R, (440) 960-4416 E, EB, P, R, RE, NPI: 1811190382 RE, S, T S, T 3600 Kolbe Rd Ste 19 Languages Spoken: Languages Spoken: Lorain, OH 44053 Provider: Hindi, Spanish Provider: Arabic

(440) 960-6431 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Languages Spoken: Cultural Competency: Y Hospital Affiliations: Provider: Hindi, Spanish Ages: 0-99 Metrohealth Medical Center Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Adventhealth Orlando Cultural Competency: Y Metrohealth Medical Center Mercy Regional Medical Center Ages: 0-99 Mercy Regional Medical Center Communtiy Health Partners Rgnl Hospital Affiliations: Communtiy Health Partners Rgnl Mdcl Ctr Metrohealth Medical Center Mdcl Ctr Mercy Regional Medical Center Khallafi, Hicham, MD, (M), B Communtiy Health Partners Rgnl Khallafi, Hicham, MD, (M), B Group Name: Mercy Health Mdcl Ctr Group Name: Mercy Health Physicians Lorain Physicians Lorain Provider ID: 003481519004 Jain, Alok K, MD, (M), B Provider ID: 003481519004 NPI: 1669640165 Group Name: Mercy Health NPI: 1669640165 3600 Kolbe Rd Physicians Lorain 1813 Nagel Rd Ste 500 Lorain, OH 44053

Provider ID: 003066465002 Avon, OH 44011 (888) 696-3541 EB, P, R

NPI: 1811190382 (440) 960-4416 EB, P, R, RE, T Languages Spoken: 3700 Kolbe Rd Languages Spoken: Provider: Arabic Lorain, OH 44053 Provider: Arabic Ages: 0-99

(440) 960-4416 EB, G, IB, P, R, Ages: 0-99 Hospital Affiliations: RE, S, T Hospital Affiliations: Metrohealth Medical Center Languages Spoken: Metrohealth Medical Center Adventhealth Orlando Provider: Hindi, Spanish Adventhealth Orlando Mercy Regional Medical Center Cultural Competency: Y Mercy Regional Medical Center Communtiy Health Partners Rgnl Ages: 0-99 Communtiy Health Partners Rgnl Mdcl Ctr Hospital Affiliations: Mdcl Ctr Metrohealth Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

385

Ohio - Lorain Specialists Khallafi, Hicham, MD, (M), B Khallafi, Hicham, MD, (M), B Leone, Pamela J, MD, (F) Group Name: Mercy Health Group Name: Mercy Health Group Name: Cleveland Clinic Physicians Lorain Physicians Lorain Foundation Provider ID: 003481519004 Provider ID: 003481519004 Provider ID: 007468571001 NPI: 1669640165 NPI: 1669640165 NPI: 1194136226 3600 Kolbe Rd Ste 019 5077 Waterford Dr Ste 305 5700 Cooper Foster Park Rd W Lorain, OH 44053 Sheffield Village, OH 44035 Lorain, OH 44053

(440) 960-7277 EB, P, R (440) 960-4416 E, EB, IB, P, R, (440) 204-7400 EB, IB, P, R, RE, T Languages Spoken: RE, S, T Ages: 0-99 Provider: Arabic Languages Spoken: Hospital Affiliations: Web address: www.fhtransplant.co Provider: Arabic Cleveland Clinic Foundation m Mo-Su - 8:00 AM - 5:00 PM Ages: 0-99 Web address: www.fhtransplant.co Lisi, James E, MD, (M), B Hospital Affiliations: m Group Name: North Coast Metrohealth Medical Center Ages: 0-99 Gastroenterology Adventhealth Orlando Hospital Affiliations: Provider ID: 001208090001 Mercy Regional Medical Center Metrohealth Medical Center NPI: 1023101391 Communtiy Health Partners Rgnl Adventhealth Orlando 125 E Broad St Ste 114 Mdcl Ctr Mercy Regional Medical Center Elyria, OH 44035

Communtiy Health Partners Rgnl (440) 329-5943 EB, P, R Khallafi, Hicham, MD, (M), B Mdcl Ctr Mo-Fr - 9:00 AM - 5:00 PM Group Name: Mercy Health Sa,Su - 8:00 AM - 12:00 PM Physicians Lorain Khallafi, Hicham, MD, (M), B Cultural Competency: Y Provider ID: 003481519004 Group Name: Mercy Health Ages: 0-99 NPI: 1669640165 Physicians Lorain Hospital Affiliations: 3700 Kolbe Rd Provider ID: 003481519004 University Hospitals Elyria Lorain, OH 44053 NPI: 1669640165 Medical Ctr

(440) 960-4416 EB, G, IB, P, R, 5319 Hoag Dr Uh Elyria Medical Center RE, S, T Sheffield Village, OH 44035 Fairview Hospital

Languages Spoken: (440) 930-6050 E, EB, IB, P, R, St John Medical Center Provider: Arabic RE, S, T Cleveland Clinic Avon Hospital Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Arabic Mok, Shaffer R, MD, (M), B Metrohealth Medical Center Web address: www.fhtransplant.co Group Name: University Adventhealth Orlando m Hospitals Medical Group Mercy Regional Medical Center Ages: 0-99 Provider ID: 006354106002 Communtiy Health Partners Rgnl Hospital Affiliations: NPI: 1275878787 Mdcl Ctr Metrohealth Medical Center 32800 Lorain Rd Ste 2300 Adventhealth Orlando North Ridgeville, OH 44039

Mercy Regional Medical Center (440) 406-5500 EB, P, R Communtiy Health Partners Rgnl Ages: 0-99 Mdcl Ctr Hospital Affiliations: University Hospitals Elyria

386

Specialists Ohio - Lorain Medical Ctr Putka, Brian S, MD, (M), B Razack, Abdul T, MD, (M), B Uh Elyria Medical Center Group Name: University Primary Group Name: Mercy Health St John Medical Center Care Practices Physicians Lorain Uh Cleveland Medical Center Provider ID: 002321249002 Provider ID: 000794223003 NPI: 1346284890 NPI: 1144294406 Mok, Shaffer R, MD, (M), B 32800 Lorain Rd Ste 2300 224 W Lorain St Ste 100 Group Name: University North Ridgeville, OH 44039 Oberlin, OH 44074

Hospitals Medical Group (440) 406-5500 EB, P, R (440) 960-4416 E, EB, P, R, RE, Provider ID: 006354106002 Mo-Fr - 8:30 AM - 4:30 PM S, T NPI: 1275878787 Cultural Competency: Y Mo-Su - 8:00 AM - 5:00 PM 32800 Lorain Rd Ste 2400 Ages: 0-99 Cultural Competency: Y North Ridgeville, OH 44039 Hospital Affiliations: Accepting Existing Patients Only

(440) 406-5500 EB, P, R University Hospitals Elyria Ages: 0-99 Ages: 0-99 Medical Ctr Hospital Affiliations: Hospital Affiliations: Uh Elyria Medical Center University Hospitals Elyria University Hospitals Elyria Metrohealth Medical Center Medical Ctr Medical Ctr Cleveland Clinic Foundation Uh Elyria Medical Center Uh Elyria Medical Center South Pointe Hospital Mercy Allen Hospital St John Medical Center Lakewood Hospital Mercy Regional Medical Center Uh Cleveland Medical Center Cleveland Clinic Lakewood Communtiy Health Partners Rgnl Euclid Hospital Mdcl Ctr Putka, Brian S, MD, (M), B Group Name: University Primary Putka, Brian S, MD, (M), B Razack, Abdul T, MD, (M), B Care Practices Group Name: Cleveland Clinic Group Name: Mercy Health Provider ID: 002321249002 Foundation Physicians Lorain NPI: 1346284890 Provider ID: 002321249001 Provider ID: 000794223003 125 E Broad St Ste 322 NPI: 1346284890 NPI: 1144294406 Elyria, OH 44035 5700 Cooper Foster Park Rd W 3700 Kolbe Rd

(440) 406-5500 EB, P, R Lorain, OH 44053 Lorain, OH 44053

Mo-Fr - 8:30 AM - 4:30 PM (440) 204-7400 EB, IB, P, R, RE, T (440) 960-4416 EB, G, IB, P, R, Cultural Competency: Y Cultural Competency: Y RE, S, T Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Accepting Existing Patients Only University Hospitals Elyria University Hospitals Elyria Ages: 0-99 Medical Ctr Medical Ctr Hospital Affiliations: Uh Elyria Medical Center Uh Elyria Medical Center University Hospitals Elyria Metrohealth Medical Center Metrohealth Medical Center Medical Ctr Cleveland Clinic Foundation Cleveland Clinic Foundation Uh Elyria Medical Center South Pointe Hospital South Pointe Hospital Mercy Allen Hospital Lakewood Hospital Lakewood Hospital Mercy Regional Medical Center Cleveland Clinic Lakewood Cleveland Clinic Lakewood Communtiy Health Partners Rgnl Euclid Hospital Euclid Hospital Mdcl Ctr

387

Ohio - Lorain Specialists

Shatnawei, Abdullah S, MD, (M), Shatnawei, Abdullah S, MD, (M), B B General Surgery

Group Name: Cleveland Clinic Group Name: Cleveland Clinic Members may self-refer to these Foundation Foundation providers.

Provider ID: 002568623001 Provider ID: 002568623001 NPI: 1518948785 NPI: 1518948785 Andrasko, James J, MD, (M), B 303 Chestnut Commons Dr 5700 Cooper Foster Park Rd W Group Name: Mercy Health Elyria, OH 44035 Lorain, OH 44053 Physicians Lorain Provider ID: 000086685001 (440) 366-9444 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T Languages Spoken: Languages Spoken: NPI: 1700850534 Provider: Arabic Provider: Arabic 224 W Lorain St Ste 100 Ages: 0-99 Ages: 0-99 Oberlin, OH 44074 Hospital Affiliations: Hospital Affiliations: (440) 960-4522 E, EB, P, R, RE, Cleveland Clinic Foundation Cleveland Clinic Foundation S, T Fairview Hospital Fairview Hospital Cultural Competency: Y Lakewood Hospital Lakewood Hospital Ages: 0-99 Cleveland Clinic Lakewood Cleveland Clinic Lakewood Hospital Affiliations: Lutheran Hospital Lutheran Hospital Mercy Allen Hospital St John Medical Center St John Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Shatnawei, Abdullah S, MD, (M), Mdcl Ctr B General Practice Amherst Hospital

Group Name: Cleveland Clinic Members may self-refer to these Foundation Andrasko, James J, MD, (M), B providers. Group Name: Mercy Health Provider ID: 002568623001 NPI: 1518948785 Castle, Lon W, MD, (M) Physicians Lorain 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic Provider ID: 000086685001 Avon, OH 44011 Foundation NPI: 1700850534 Provider ID: 001178916001 3600 Kolbe Rd Ste 203 (440) 695-4000 EB, P, R Languages Spoken: NPI: 1609818731 Lorain, OH 44053 Provider: Arabic 33100 Cleveland Clinic Blvd (440) 960-4522 EB, P, R Ages: 0-99 Avon, OH 44011 Mo-Fr - 8:30 AM - 5:00 PM Hospital Affiliations: (440) 695-4000 EB, P, R Cultural Competency: Y Cleveland Clinic Foundation Cultural Competency: Y Ages: 0-99 Fairview Hospital Ages: 0-99 Hospital Affiliations: Lakewood Hospital Hospital Affiliations: Mercy Allen Hospital Cleveland Clinic Lakewood Cleveland Clinic Foundation Mercy Regional Medical Center Lutheran Hospital Fairview Hospital Communtiy Health Partners Rgnl St John Medical Center Lakewood Hospital Mdcl Ctr Cleveland Clinic Lakewood Amherst Hospital Lutheran Hospital Cleveland Clinic Avon Hospital

388

Specialists Ohio - Lorain Andrasko, James J, MD, (M), B Hospital Affiliations: Lutheran Hospital Group Name: Mercy Health University Hospitals Elyria St John Medical Center Physicians Lorain Medical Ctr Uh Cleveland Medical Center Provider ID: 000086685001 Uh Elyria Medical Center Southwest General Hospital NPI: 1700850534 Sts Mary & Elizabeth Hosp Texas Vista Medical Center 5319 Hoag Dr Uofl Health Mary And Elizabeth Cleveland Clinic Avon Hospital Sheffield Village, OH 44035 Hospital

(440) 930-6050 E, EB, IB, P, R, Mercy Regional Medical Center Costin, John A, MD, (M), B RE, S, T Communtiy Health Partners Rgnl Group Name: Cleveland Clinic Cultural Competency: Y Mdcl Ctr Foundation Ages: 0-99 Provider ID: 002795797001 Hospital Affiliations: Capizzani, Tony R, MD, (M), B NPI: 1841314317 Mercy Allen Hospital Group Name: Cleveland Clinic 303 Chestnut Commons Dr Mercy Regional Medical Center Foundation Elyria, OH 44035

Communtiy Health Partners Rgnl Provider ID: 003058741001 (440) 366-9444 EB, P, R Mdcl Ctr NPI: 1205035888 Sa - 8:00 AM - 12:00 PM Amherst Hospital 33300 Cleveland Clinic Blvd Cultural Competency: Y Avon, OH 44011 Ages: 0-99

Augustin, Toms, MD, (M), B (440) 695-5000 EB, P, R Hospital Affiliations: Group Name: Cleveland Clinic Cultural Competency: Y Cleveland Clinic Foundation Foundation Ages: 0-99 Lakewood Hospital Provider ID: 003332597001 Hospital Affiliations: Cleveland Clinic Lakewood NPI: 1285821322 Borgess Medical Center Cleveland Clinic Avon Hospital 33100 Cleveland Clinic Blvd Ascension Borgess Hospital Avon, OH 44011 Akron General Medical Ctr Costin, John A, MD, (M), B

(440) 695-4000 EB, P, R Cleveland Clinic Foundation Group Name: Cleveland Clinic Ages: 18-99 Hillcrest Hospital Foundation Hospital Affiliations: South Pointe Hospital Provider ID: 002795797001 Cleveland Clinic Foundation Euclid Hospital NPI: 1841314317 Fairview Hospital Marymount Hospital 33100 Cleveland Clinic Blvd Ms Hershey Medical Center Avon, OH 44011

Lutheran Hospital Champagne, Bradley J, MD, (M), (440) 695-4000 EB, P, R B Cultural Competency: Y Brown, Joanna K, MD, (F), B Group Name: Cleveland Clinic Ages: 0-99 Group Name: UPCP Foundation Hospital Affiliations: Provider ID: 002923590002 Provider ID: 002579681003 Cleveland Clinic Foundation NPI: 1639384985 NPI: 1154357085 Lakewood Hospital 125 E Broad St Ste 201 33100 Cleveland Clinic Blvd Cleveland Clinic Lakewood Elyria, OH 44035 Avon, OH 44011 Cleveland Clinic Avon Hospital

(440) 326-5420 E, EB, G, IB, P, R (440) 673-0100 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99

389

Ohio - Lorain Specialists Costin, John A, MD, (M), B Hospital Affiliations: Elgudin, Yakov L, MD, (M), B Group Name: Cleveland Clinic Cleveland Clinic Foundation Group Name: University Foundation Lakewood Hospital Hospitals Medical Group Provider ID: 002795797001 Cleveland Clinic Lakewood Provider ID: 002457876002 NPI: 1841314317 Cleveland Clinic Avon Hospital NPI: 1730107996 33300 Cleveland Clinic Blvd 125 E Broad St Ste 101 Avon, OH 44011 Debroy, Meelie A, MD, (F), B Elyria, OH 44035

(440) 695-5000 EB, P, R Group Name: University (216) 844-4004 E, EB, IB, P, R Cultural Competency: Y Hospitals Medical Group Ages: 0-99 Provider ID: 002235449003 Languages Spoken: Hospital Affiliations: NPI: 1528099959 Provider: Russian Cleveland Clinic Foundation 630 E River St Ste 101 Mo-Fr - 8:30 AM - 4:30 PM Lakewood Hospital Elyria, OH 44035 Cultural Competency: Y Ages: 0-99 Cleveland Clinic Lakewood (440) 328-3410 EB, P, R Cleveland Clinic Avon Hospital Ages: 0-99 Hospital Affiliations: Hospital Affiliations: University Hospitals Elyria Costin, John A, MD, (M), B Umdnj University Hsp Newark Medical Ctr Group Name: Cleveland Clinic Uh Cleveland Medical Center Uh Elyria Medical Center Foundation Ut Southwestern University Southwest General Health Center Provider ID: 002795797001 Hospital St John Medical Center NPI: 1841314317 Robert Wood Johnson Univ Hosp Uh Cleveland Medical Center 450 Avon Belden Rd Ut Southwestern Univ Hosp- Zale Uh Parma Medical Center Avon Lake, OH 44012 Liphsy University Hospitals Parma Medical Ctr (440) 930-6800 EB, P, R Sa - 8:00 AM - 12:00 PM Dubchuk, Vladimir, MD, (M), B Univ Hospitals Ahuja Med Ctr Cultural Competency: Y Group Name: University Primary Ages: 0-99 Care Practices Han, Samuel, MD, (M) Hospital Affiliations: Provider ID: 002436118001 Group Name: University Primary Cleveland Clinic Foundation NPI: 1669577870 Care Practices Lakewood Hospital 5319 Hoag Dr Ste 100a Provider ID: 005806112002 Cleveland Clinic Lakewood Sheffield Village, OH 44035 NPI: 1609165927 125 E Broad St Ste 101 Cleveland Clinic Avon Hospital (440) 934-7990 EB, P, R Languages Spoken: Elyria, OH 44035 Costin, John A, MD, (M), B Provider: Polish, Russian, (440) 827-5982 E, EB, IB, P, R Group Name: Cleveland Clinic Ukrainian Ages: 0-99 Foundation Mo-Fr - 8:30 AM - 4:30 PM

Provider ID: 002795797001 Ages: 0-99 NPI: 1841314317 Hospital Affiliations: 5700 Cooper Foster Park Rd W Southwest General Health Center Lorain, OH 44053 St John Medical Center

(440) 204-7400 EB, IB, P, R, RE, T Uh Cleveland Medical Center Cultural Competency: Y Ages: 0-99

390

Specialists Ohio - Lorain Harth, Karem C, MD, (F), B Uh Geauga Medical Center Lai, Ching Feng, DO, (M), B Group Name: University University Hospitals Geauga Group Name: Cleveland Clinic Hospitals Medical Group Medical Ctr Foundation Provider ID: 005814709001 St John Medical Center Provider ID: 003710697001 NPI: 1982806873 Uh Cleveland Medical Center NPI: 1568627081 630 E River St 5700 Cooper Foster Park Rd W Elyria, OH 44035 Lai, Ching Feng, DO, (M), B Lorain, OH 44053

(216) 844-3800 E, EB, G, IB, P, Group Name: Cleveland Clinic (440) 204-7400 EB, IB, P, R, RE, T PL, R, RE, S, T Foundation Cultural Competency: Y Languages Spoken: Provider ID: 003710697001 Ages: 0-99 Provider: Spanish NPI: 1568627081 Hospital Affiliations: Staff: Spanish 33100 Cleveland Clinic Blvd Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM Avon, OH 44011 Lakewood Hospital

Cultural Competency: Y (440) 695-4000 EB, P, R Cleveland Clinic Lakewood Ages: 0-99 Cultural Competency: Y Medina Hospital Hospital Affiliations: Ages: 0-99 Uh Geauga Medical Center Hospital Affiliations: Malaya, Ramon M, MD, (M), B University Hospitals Geauga Cleveland Clinic Foundation Group Name: Cleveland Clinic Medical Ctr Lakewood Hospital Foundation University Hospitals Elyria Cleveland Clinic Lakewood Provider ID: 002830935001 Medical Ctr Medina Hospital NPI: 1730171752 Uh Elyria Medical Center 33100 Cleveland Clinic Blvd Uh Regional Hospitals Lai, Ching Feng, DO, (M), B Avon, OH 44011

University Hospitals Conneaut Group Name: Cleveland Clinic (440) 695-4000 EB, P, R Medical Ce Foundation Ages: 0-99 Uh Conneaut Medical Center Provider ID: 003710697001 Hospital Affiliations: Uh Cleveland Medical Center NPI: 1568627081 Jackson Purchase Medl Cntr 33300 Cleveland Clinic Blvd Baptist Health Lexington Kazi, Daanish A, DO, (M), B Avon, OH 44011 Cleveland Clinic Foundation

Group Name: University Primary (440) 695-5000 EB, P, R Lakewood Hospital Care Practices Cultural Competency: Y Cleveland Clinic Lakewood Provider ID: 003622828010 Ages: 0-99 Georgetown Community Hosp NPI: 1801003124 Hospital Affiliations: 1480 Center Rd Ste B Cleveland Clinic Foundation Malaya, Ramon M, MD, (M), B Avon, OH 44011 Lakewood Hospital Group Name: Cleveland Clinic

(440) 827-5299 E, EB, G, P, R, Cleveland Clinic Lakewood Foundation RE, S, T Medina Hospital Provider ID: 002830935001 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1730171752 Web address: amyt@physiciansupp 33300 Cleveland Clinic Blvd ort.comcastbiz.net Avon, OH 44011

Ages: 18-99 (440) 695-5000 EB, P, R Hospital Affiliations: Ages: 0-99 Holy Rosary Healthcare Hospital Affiliations:

391

Ohio - Lorain Specialists Jackson Purchase Medl Cntr Otoole, John, MD, (M) Hospital Affiliations: Baptist Health Lexington Group Name: Community Cleveland Clinic Foundation Cleveland Clinic Foundation Hospitalists Fairview Hospital Lakewood Hospital Provider ID: 001571177003 Mercy Regional Medical Center Cleveland Clinic Lakewood NPI: 1922048057 Communtiy Health Partners Rgnl Georgetown Community Hosp 630 E River St Mdcl Ctr Elyria, OH 44035

Otoole, John, MD, (M) (440) 542-5000 EB, P, R Patel, Mita S, MD, (F), B Group Name: Community Ages: 0-99 Group Name: Mercy Health Hospitalists Physicians Lorain Provider ID: 001571177003 Patel, Mita S, MD, (F), B Provider ID: 003355826003 NPI: 1922048057 Group Name: Mercy Health NPI: 1780837880 200 W Lorain St Physicians Lorain 5054 Waterford Dr Oberlin, OH 44074 Provider ID: 003355826003 Sheffield Village, OH 44035

(440) 542-5000 EB, IB, P, R, RE, NPI: 1780837880 (440) 934-8344 EB, P, R S, T 1813 Nagel Rd Ste 500 Languages Spoken: Ages: 0-99 Avon, OH 44011 Provider: Gujarati, Hindi

(440) 324-0400 EB, P, R, RE, T Staff: Gujarati, Hindi Otoole, John, MD, (M) Languages Spoken: Interpreter: Gujarati, Hindi Group Name: Community Provider: Gujarati, Hindi Cultural Competency: Y Hospitalists Cultural Competency: Y Ages: 0-99 Provider ID: 001571177003 Ages: 0-99 Hospital Affiliations: NPI: 1922048057 Hospital Affiliations: Cleveland Clinic Foundation 254 Cleveland Ave Cleveland Clinic Foundation Fairview Hospital Amherst, OH 44001 Fairview Hospital Mercy Regional Medical Center

(440) 542-5000 EB, P, R Mercy Regional Medical Center Communtiy Health Partners Rgnl Ages: 0-99 Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr Otoole, John, MD, (M) Patel, Mita S, MD, (F), B Group Name: Community Patel, Mita S, MD, (F), B Group Name: Mercy Health Hospitalists Group Name: Mercy Health Physicians Lorain Provider ID: 001571177003 Physicians Lorain Provider ID: 003355826003 NPI: 1922048057 Provider ID: 003355826003 NPI: 1780837880 3700 Kolbe Rd NPI: 1780837880 5940 Oak Point Rd Lorain, OH 44053 41201 Schadden Rd Lorain, OH 44053

(440) 542-5000 EB, G, IB, P, PL, Elyria, OH 44035 (440) 988-3705 RE, T

R, RE, S, T (440) 934-8344 EB, IB, P, R Languages Spoken: Ages: 0-99 Languages Spoken: Provider: Gujarati, Hindi Provider: Gujarati, Hindi Staff: Gujarati, Hindi Staff: Gujarati, Hindi Interpreter: Gujarati, Hindi Interpreter: Gujarati, Hindi Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations:

392

Specialists Ohio - Lorain Cleveland Clinic Foundation Radford, Diane M, MD, (F), B Sayon, Abraham, MD, (M), B Fairview Hospital Group Name: Cleveland Clinic Group Name: UPCP Mercy Regional Medical Center Foundation Provider ID: 005149571001 Communtiy Health Partners Rgnl Provider ID: 000892083005 NPI: 1104088285 Mdcl Ctr NPI: 1154305753 133 E Broad St 33300 Cleveland Clinic Blvd Elyria, OH 44035

Peters, Erica E, MD, (F), B Avon, OH 44011 (440) 328-3415 EB, P, R

Group Name: Cleveland Clinic (440) 695-4000 EB, P, R Mo-Fr - 8:00 AM - 4:30 PM Foundation Cultural Competency: Y Ages: 0-99 Provider ID: 003710626001 Ages: 0-99 Hospital Affiliations: NPI: 1902056617 Hospital Affiliations: University Hospitals Elyria 303 Chestnut Commons Dr Missouri Baptist Medical Center Medical Ctr Elyria, OH 44035 Mercy Hospital St Louis Uh Elyria Medical Center

(440) 366-9444 EB, P, R Cleveland Clinic Foundation Uh Parma Medical Center Cultural Competency: Y Hillcrest Hospital University Hospitals Parma Ages: 0-99 Fairview Hospital Medical Ctr Hospital Affiliations: Ssm Health St Marys Hospital St Swedishamerican Hospital Cleveland Clinic Foundation Louis Areas of Expertise: MAT1 Hillcrest Hospital Barnes-jewish West Cnty Hospit Lakewood Hospital Barnes-jewish Hospital Sayon, Abraham, MD, (M), B Cleveland Clinic Lakewood Group Name: UPCP Cleveland Clinic Avon Hospital Sayon, Abraham, MD, (M), B Provider ID: 005149571001 Group Name: UPCP NPI: 1104088285 Peters, Erica E, MD, (F), B Provider ID: 005149571001 32800 Lorain Rd Ste 1100 Group Name: Cleveland Clinic NPI: 1104088285 North Ridgeville, OH 44039

Foundation 125 E Broad St Ste 201 (440) 328-3415 EB, P, R, RE, T Provider ID: 003710626001 Elyria, OH 44035 Mo-Fr - 8:00 AM - 4:30 PM NPI: 1902056617 (440) 328-3415 E, EB, G, IB, P, R 5700 Cooper Foster Park Rd W Ages: 0-99 Lorain, OH 44053 Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 University Hospitals Elyria (440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y Hospital Affiliations: Medical Ctr Ages: 0-99 University Hospitals Elyria Uh Elyria Medical Center Hospital Affiliations: Medical Ctr Uh Parma Medical Center Cleveland Clinic Foundation Uh Elyria Medical Center University Hospitals Parma Hillcrest Hospital Uh Parma Medical Center Medical Ctr Lakewood Hospital University Hospitals Parma Swedishamerican Hospital Cleveland Clinic Lakewood Medical Ctr Areas of Expertise: MAT1 Cleveland Clinic Avon Hospital Swedishamerican Hospital Areas of Expertise: MAT1

393

Ohio - Lorain Specialists Sayon, Abraham, MD, (M), B Seidu, Saada A, MD, (F) Lakewood Hospital Group Name: UPCP Group Name: UPCP Cleveland Clinic Lakewood Provider ID: 005149571001 Provider ID: 006211917001 Lutheran Hospital NPI: 1104088285 NPI: 1316232861 St John Medical Center 630 E River St 133 E Broad St Elyria, OH 44035 Elyria, OH 44035 Warner, Keith M, MD, (M), B

(440) 328-3415 EB, P, R (440) 328-3415 EB, P, R Group Name: Northeast Surg Mo-Fr - 8:00 AM - 4:30 PM Languages Spoken: Assoc Of Ohio Ages: 0-99 Provider: Hausa Provider ID: 000542459003 Hospital Affiliations: Ages: 0-99 NPI: 1265436729 University Hospitals Elyria Hospital Affiliations: 125 E Broad St Ste 219 Medical Ctr University Hospitals Elyria Elyria, OH 44035

Uh Elyria Medical Center Medical Ctr (440) 326-5250 EB, P, R Uh Parma Medical Center Uh Elyria Medical Center Mo-Fr - 9:00 AM - 5:00 PM University Hospitals Parma Ages: 0-99 Medical Ctr Seidu, Saada A, MD, (F) Hospital Affiliations: Swedishamerican Hospital Group Name: UPCP University Hospitals Elyria Areas of Expertise: MAT1 Provider ID: 006211917001 Medical Ctr NPI: 1316232861 Uh Elyria Medical Center Seidu, Saada A, MD, (F) 32800 Lorain Rd Ste 1100 Uh Regional Hospital - Bedford Group Name: UPCP North Ridgeville, OH 44039 Campus

Provider ID: 006211917001 (440) 329-2800 EB, P, R, RE, T South Pointe Hospital NPI: 1316232861 St John Medical Center 125 E Broad St Ste 201 Languages Spoken: St Vincent Charity Medical Center Elyria, OH 44035 Provider: Hausa St Josephs Medical Center Mo-Fr - 8:00 AM - 4:30 PM (440) 328-3415 E, EB, G, IB, P, R Ages: 0-99 Warren, Robert C, MD, (M), B Languages Spoken: Hospital Affiliations: Group Name: Lake Erie Surgical Provider: Hausa University Hospitals Elyria Associates Mo-Fr - 8:30 AM - 4:30 PM Medical Ctr Provider ID: 001318505003 Ages: 0-99 Uh Elyria Medical Center NPI: 1710964143 Hospital Affiliations: 5077 Waterford Dr Ste 305 University Hospitals Elyria Taylor, Michael D, MD, (M), B Sheffield Village, OH 44035 Medical Ctr Group Name: Cleveland Clinic (440) 934-7979 E, EB, IB, P, R, Uh Elyria Medical Center Foundation RE, S, T Provider ID: 002568700001 Languages Spoken: NPI: 1447226154 Staff: Spanish 33300 Cleveland Clinic Blvd Tu,Th - 8:00 AM - 3:45 PM Avon, OH 44011 Cultural Competency: Y (440) 695-5000 EB, P, R Does Not Accept New Patients Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation University Hospitals Elyria Fairview Hospital

394

Specialists Ohio - Lorain

Medical Ctr Cleveland Clinic Foundation Uh Elyria Medical Center Beaumont Hospital Troy Gynecology

St John Medical Center All female members are allowed to Mercy Regional Medical Center self-refer to certified nurse Communtiy Health Partners Rgnl Gynecologic Oncology midwives (CNMs), obstetricians and Mdcl Ctr All female members are allowed to gynecologists on UnitedHealthcare self-refer to certified nurse Community Plan's provider panel. Warren, Robert C, MD, (M), B midwives (CNMs), obstetricians and In addition female members are also Group Name: University Primary gynecologists on UnitedHealthcare allowed to self-refer to women's Care Practices Community Plan's provider panel. health specialists on Provider ID: 001318505007 In addition female members are also UnitedHealthcare Community NPI: 1710964143 allowed to self-refer to women's Plan's panel for routine and 630 E River St Ste 101 health specialists on preventative health care services if Elyria, OH 44035 UnitedHealthcare Community their PCP is not a women's health (440) 328-3450 EB, P, R Plan's panel for routine and specialist. For a list of women's Cultural Competency: Y preventative health care services if health specialists on Ages: 0-99 their PCP is not a women's health UnitedHealthcare Community Hospital Affiliations: specialist. For a list of women's Plan's panel, please call University Hospitals Elyria health specialists on 1.877-542-9236; Relay: 711.

Medical Ctr UnitedHealthcare Community Bacevice, Anthony E, MD, (M) Uh Elyria Medical Center Plan's panel, please call St John Medical Center Group Name: UPCP 1.877-542-9236; Relay: 711. Provider ID: 000125032003 Mercy Regional Medical Center Communtiy Health Partners Rgnl Al-Hilli, Mariam M, MD, (F), B NPI: 1598714388 Mdcl Ctr Group Name: Cleveland Clinic 125 E Broad St Ste 218 Foundation Elyria, OH 44035

Provider ID: 005161649005 (440) 329-7310 E, EB, G, IB, P, Geriatrics NPI: 1881843027 R, RE 33100 Cleveland Clinic Blvd Languages Spoken: Members may self-refer to these Avon, OH 44011 Provider: Lithuanian providers. (440) 695-4000 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Voytas, John D, MD , (M), B Ages: 0-99 Cultural Competency: Y Group Name: Cleveland Clinic Hospital Affiliations: Ages: 0-99 Foundation Akron General Medical Ctr Hospital Affiliations: Provider ID: 000632260003 Cleveland Clinic Foundation University Hospitals Elyria NPI: 1689634784 Hillcrest Hospital Medical Ctr 1130 Tower Blvd Ste B Fairview Hospital Uh Elyria Medical Center Lorain, OH 44052 Cleveland Clinic Avon Hospital Fairview Hospital

(440) 989-4874 E, EB, IB, P, R Lakewood Hospital Ages: 0-99 Cleveland Clinic Lakewood Hospital Affiliations: St John Medical Center Beaumont Hospital Royal Oak William Beaumont Hospital-royal Oak

395

Ohio - Lorain Specialists

Bacevice, Anthony E, MD, (M) Childs, Dylan, MD, (M) Group Name: UPCP Group Name: Community Hematology

Provider ID: 000125032003 Hospitalists Prior authorization is required to NPI: 1598714388 Provider ID: 006250847002 obtain some covered services from 1997 Healthway Dr Ste 203 NPI: 1083925705 these providers. You will not be Avon, OH 44011 254 Cleveland Ave covered for those services without (440) 988-6884 EB, IB, P, R, RE, Amherst, OH 44001 such approval by UnitedHealthcare T (440) 542-5000 EB, P, R Community Plan. Please see your Languages Spoken: Ages: 0-99 member handbook, or call Member Provider: Lithuanian Hospital Affiliations: Services for details.

Mo-Fr - 8:30 AM - 4:30 PM Southwest General Health Center Cultural Competency: Y Regency Hospital Of Cleveland Haddad, Abdo, MD, (M), B Ages: 0-99 West Group Name: Cleveland Clinic Hospital Affiliations: Foundation University Hospitals Elyria Childs, Dylan, MD, (M) Provider ID: 003019388003 Medical Ctr Group Name: Community NPI: 1467480871 Uh Elyria Medical Center Hospitalists 303 Chestnut Commons Dr Fairview Hospital Provider ID: 006250847002 Elyria, OH 44035 Lakewood Hospital NPI: 1083925705 (440) 366-9444 EB, P, R Cleveland Clinic Lakewood 3700 Kolbe Rd Cultural Competency: Y St John Medical Center Lorain, OH 44053 Ages: 0-99 Hospital Affiliations: (440) 542-5000 EB, G, IB, P, PL, R, RE, S, T Cleveland Clinic Foundation Hand Surgery Ages: 0-99 Fairview Hospital

Members may self-refer to these Hospital Affiliations: Southwest General Health Center Haddad, Abdo, MD, (M), B providers. Group Name: Cleveland Clinic Regency Hospital Of Cleveland Childs, Dylan, MD, (M) West Foundation Group Name: Community Provider ID: 003019388003 Hospitalists Childs, Dylan, MD, (M) NPI: 1467480871 Provider ID: 006250847002 Group Name: Community 33100 Cleveland Clinic Blvd NPI: 1083925705 Hospitalists Avon, OH 44011 200 W Lorain St Provider ID: 006250847002 (440) 695-4000 EB, P, R Oberlin, OH 44074 NPI: 1083925705 Cultural Competency: Y (440) 542-5000 EB, IB, P, R, RE, 630 E River St Ages: 0-99 S, T Elyria, OH 44035 Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation (440) 542-5000 EB, P, R Hospital Affiliations: Ages: 0-99 Fairview Hospital Southwest General Health Center Hospital Affiliations: Regency Hospital Of Cleveland Southwest General Health Center West Regency Hospital Of Cleveland West

396

Specialists Ohio - Lorain

Haddad, Abdo, MD, (M), B Alvarez, Adriana L, MD, (F) Group Name: Cleveland Clinic Hematology/Oncology Group Name: Cleveland Clinic

Foundation Prior authorization is required to Foundation Provider ID: 003019388003 obtain some covered services from Provider ID: 001176078006 NPI: 1467480871 these providers. You will not be NPI: 1588847156 33300 Cleveland Clinic Blvd covered for those services without 33100 Cleveland Clinic Blvd Avon, OH 44011 such approval by UnitedHealthcare Avon, OH 44011 (440) 695-5000 EB, P, R Community Plan. Please see your (440) 695-4310 EB, IB, P, R Cultural Competency: Y member handbook, or call Member Ages: 0-99 Ages: 0-99 Services for details. Hospital Affiliations:

Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Agwa, Eberechi S, MD, (F), B Cleveland Clinic Foundation Fairview Hospital Group Name: Cleveland Clinic Hillcrest Hospital Foundation Euclid Hospital Haddad, Abdo, MD, (M), B Provider ID: 006076402001 Lutheran Hospital Group Name: Cleveland Clinic NPI: 1285864470 Medina Hospital Foundation 33100 Cleveland Clinic Blvd Iredell Memorial Hospital Provider ID: 003019388003 Avon, OH 44011 North Carolina Baptist Hospital NPI: 1467480871 (440) 695-4000 EB, P, R 450 Avon Belden Rd Ages: 18-99 Alvarez, Adriana L, MD, (F) Avon Lake, OH 44012 Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation (440) 930-6800 EB, P, R Foundation Cultural Competency: Y South Pointe Hospital Provider ID: 001176078003 Ages: 0-99 Euclid Hospital NPI: 1588847156 Hospital Affiliations: Marymount Hospital 5700 Cooper Foster Park Rd W Cleveland Clinic Foundation Lorain, OH 44053 Agwa, Eberechi S, MD, (F), B Fairview Hospital (440) 695-4310 EB, IB, P, R, RE, T Group Name: Cleveland Clinic Ages: 0-99 Haddad, Abdo, MD, (M), B Foundation Hospital Affiliations: Group Name: Cleveland Clinic Provider ID: 006076402001 Fairview Hospital Foundation NPI: 1285864470 Cleveland Clinic Foundation Provider ID: 003019388003 5700 Cooper Foster Park Rd W Hillcrest Hospital NPI: 1467480871 Lorain, OH 44053 Euclid Hospital 5700 Cooper Foster Park Rd W (440) 204-4100 EB, IB, P, R, RE, T Lutheran Hospital Lorain, OH 44053 Ages: 18-99 Medina Hospital Hospital Affiliations: (440) 204-7400 EB, IB, P, R, RE, T Iredell Memorial Hospital Mo-Fr - 8:00 AM - 4:30 PM Cleveland Clinic Foundation North Carolina Baptist Hospital Cultural Competency: Y South Pointe Hospital Ages: 0-99 Euclid Hospital Hospital Affiliations: Marymount Hospital Cleveland Clinic Foundation Fairview Hospital

397

Ohio - Lorain Specialists Daw, Hamed, MD, (M), B Eicher, Donald M, MD, (M), B Haines, Brian P, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 001982246001 Provider ID: 002292881002 Provider ID: 007466156001 NPI: 1467404533 NPI: 1588669113 NPI: 1316365372 33300 Cleveland Clinic Blvd 33300 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd Avon, OH 44011 Avon, OH 44011 Avon, OH 44011

(440) 695-5000 EB, P, R (440) 695-5000 EB, P, R (440) 695-4000 EB, P, R Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Union Hospital Association Lutheran Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Lakewood Hospital Aultman Hospital Haines, Brian P, MD, (M), B Cleveland Clinic Lakewood Fairview Hospital Group Name: Cleveland Clinic Lutheran Hospital Mercy Medical Center Foundation Cleveland Clinic Mercy Hospital Provider ID: 007466156001 Eicher, Donald M, MD, (M), B Lakewood Hospital NPI: 1316365372 Group Name: Cleveland Clinic Cleveland Clinic Lakewood 33300 Cleveland Clinic Blvd Foundation Avon, OH 44011

Provider ID: 002292881002 Eicher, Donald M, MD, (M), B (440) 695-5000 EB, P, R NPI: 1588669113 Group Name: Cleveland Clinic Ages: 0-99 33100 Cleveland Clinic Blvd Foundation Hospital Affiliations: Avon, OH 44011 Provider ID: 002292881002 Cleveland Clinic Foundation

(440) 695-4000 EB, P, R NPI: 1588669113 Lutheran Hospital Cultural Competency: Y 5700 Cooper Foster Park Rd W Ages: 0-99 Lorain, OH 44053 Litam, Patrick P, MD, (M)

Hospital Affiliations: (440) 204-7873 EB, IB, P, R, RE, T Group Name: American Oncology Union Hospital Association Mo-Fr - 8:00 AM - 4:30 PM Partners Cleveland Clinic Foundation Cultural Competency: Y Provider ID: 001426764002 Aultman Hospital Ages: 0-99 NPI: 1447203054 Fairview Hospital Hospital Affiliations: 41201 Schadden Rd Ste 2 Mercy Medical Center Union Hospital Association Elyria, OH 44035

Cleveland Clinic Mercy Hospital Cleveland Clinic Foundation (440) 324-0401 E, EB, G, IB, P, Lakewood Hospital Aultman Hospital PL, R, RE, S, T Cleveland Clinic Lakewood Fairview Hospital Mo-Fr - 8:30 AM - 4:00 PM Mercy Medical Center Cultural Competency: Y Cleveland Clinic Mercy Hospital Ages: 0-99 Lakewood Hospital Hospital Affiliations: Cleveland Clinic Lakewood University Hospitals Elyria Medical Ctr Uh Elyria Medical Center Mercy Regional Medical Center

398

Specialists Ohio - Lorain Communtiy Health Partners Rgnl Maiti, Baidehi, MD, (F), B Hospital Affiliations: Mdcl Ctr Group Name: Cleveland Clinic Uh Cleveland Medical Center Foundation Univ Hospitals Ahuja Med Ctr Maiti, Baidehi, MD, (F), B Provider ID: 005059107001 Group Name: Cleveland Clinic NPI: 1255580932 Metheny, Leland L, MD, (M), B Foundation 5700 Cooper Foster Park Rd W Group Name: Community Provider ID: 005059107001 Lorain, OH 44053 Hospitalists

NPI: 1255580932 (440) 204-7873 EB, IB, P, R, RE, T Provider ID: 005726627002 33100 Cleveland Clinic Blvd Mo-Fr - 8:00 AM - 4:30 PM NPI: 1336303817 Avon, OH 44011 Cultural Competency: Y 3700 Kolbe Rd

(440) 695-4320 EB, P, R Ages: 0-99 Lorain, OH 44053

Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: (440) 542-5000 EB, G, IB, P, PL, Cultural Competency: Y Cleveland Clinic Foundation R, RE, S, T Ages: 0-99 South Pointe Hospital Cultural Competency: Y Hospital Affiliations: Euclid Hospital Ages: 0-99 Cleveland Clinic Foundation Marymount Hospital Hospital Affiliations: South Pointe Hospital Lutheran Hospital Uh Cleveland Medical Center Euclid Hospital Univ Hospitals Ahuja Med Ctr Marymount Hospital Metheny, Leland L, MD, (M), B Lutheran Hospital Group Name: Community Metheny, Leland L, MD, (M), B Hospitalists Group Name: Community Maiti, Baidehi, MD, (F), B Provider ID: 005726627002 Hospitalists Group Name: Cleveland Clinic NPI: 1336303817 Provider ID: 005726627002 Foundation 200 W Lorain St NPI: 1336303817 Provider ID: 005059107001 Oberlin, OH 44074 630 E River St

NPI: 1255580932 (440) 542-5000 EB, IB, P, R, RE, Elyria, OH 44035

33300 Cleveland Clinic Blvd S, T (440) 542-5000 EB, P, R Avon, OH 44011 Cultural Competency: Y Cultural Competency: Y

(440) 695-5000 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Uh Cleveland Medical Center Uh Cleveland Medical Center Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation South Pointe Hospital Metheny, Leland L, MD, (M), B Euclid Hospital Group Name: Community Marymount Hospital Hospitalists Lutheran Hospital Provider ID: 005726627002 NPI: 1336303817 254 Cleveland Ave Amherst, OH 44001

(440) 542-5000 EB, P, R Cultural Competency: Y Ages: 0-99

399

Ohio - Lorain Specialists Misbah, Seema A, MD, (F), B Sidloski, Jay E, DO, (M) Abushukur, Muawia, MD, (M), B Group Name: Cleveland Clinic Group Name: American Oncology Group Name: Mercy Medical Foundation Partners Partners Provider ID: 002927570001 Provider ID: 002394577002 Provider ID: 002919861007 NPI: 1376755041 NPI: 1912950502 NPI: 1720297211 33100 Cleveland Clinic Blvd 41201 Schadden Rd Ste 2 3600 Kolbe Rd Ste 011 Avon, OH 44011 Elyria, OH 44035 Lorain, OH 44053

(440) 695-4000 EB, P, R (440) 324-0401 E, EB, G, IB, P, (440) 222-4003 EB, P, R Mo-Fr - 8:00 AM - 4:30 PM PL, R, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Mo-Fr - 8:30 AM - 4:00 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Mercy Regional Medical Center Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital University Hospitals Elyria Abushukur, Muawia, MD, (M), B Lakewood Hospital Medical Ctr Group Name: Mercy Medical Cleveland Clinic Lakewood Uh Elyria Medical Center Partners Lutheran Hospital Mercy Regional Medical Center Provider ID: 002919861004 Communtiy Health Partners Rgnl NPI: 1720297211 Misbah, Seema A, MD, (F), B Mdcl Ctr 3700 Kolbe Rd Group Name: Cleveland Clinic Lorain, OH 44053

Foundation (440) 934-1470 EB, G, IB, P, PL, Provider ID: 002927570001 Hospice & Palliative Medicine R, RE, S, T NPI: 1376755041 Abushukur, Muawia, MD, (M), B Ages: 0-99 33300 Cleveland Clinic Blvd Group Name: Mercy Medical Hospital Affiliations: Avon, OH 44011 Partners Mercy Regional Medical Center (440) 695-5000 EB, P, R Provider ID: 002919861005 Cultural Competency: Y NPI: 1720297211 Abushukur, Muawia, MD, (M), B Ages: 0-99 3500 Kolbe Rd Group Name: Mercy Medical Hospital Affiliations: Lorain, OH 44053 Partners

Cleveland Clinic Foundation (440) 934-1470 EB, P, R Provider ID: 002919861006 Fairview Hospital Ages: 0-99 NPI: 1720297211 Lakewood Hospital Hospital Affiliations: 41201 Schadden Rd Cleveland Clinic Lakewood Mercy Regional Medical Center Elyria, OH 44035 Lutheran Hospital (440) 222-4003 EB, IB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Mercy Regional Medical Center

400

Specialists Ohio - Lorain

Alvarez, Adriana L, MD, (F), B Richards, Kathryn E, MD, (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Internal Medicine

Foundation Foundation Prior authorization is required to Provider ID: 001176078006 Provider ID: 003687029002 obtain some covered services from NPI: 1588847156 NPI: 1649598061 these providers. You will not be 33100 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd covered for those services without Avon, OH 44011 Avon, OH 44011 such approval by UnitedHealthcare (440) 695-4310 EB, IB, P, R (440) 695-4000 EB, P, R Community Plan. Please see your Ages: 0-99 Ages: 0-99 member handbook, or call Member Hospital Affiliations: Hospital Affiliations: Services for details.

Fairview Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Marymount Hospital Alalwani, Mohamed, MD, (M), B Hillcrest Hospital Medina Hospital Group Name: University Euclid Hospital Hospitals Medical Group Lutheran Hospital Richards, Kathryn E, MD, (F), B Provider ID: 005184269006 Medina Hospital Group Name: Cleveland Clinic NPI: 1013297225 Iredell Memorial Hospital Foundation 630 E River St North Carolina Baptist Hospital Provider ID: 003687029002 Elyria, OH 44035 NPI: 1649598061 (440) 329-7500 EB, P, R Alvarez, Adriana L, MD, (F), B 5700 Cooper Foster Park Rd W Ages: 0-99 Group Name: Cleveland Clinic Lorain, OH 44053 Hospital Affiliations: Cleveland Clinic Foundation Foundation (440) 204-4100 EB, IB, P, R, RE, T Provider ID: 001176078003 Ages: 0-99 Fairview Hospital NPI: 1588847156 Hospital Affiliations: Medina Hospital 5700 Cooper Foster Park Rd W Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Lorain, OH 44053 Marymount Hospital Ballin, Mitchell I, MD, (M), B (440) 695-4310 EB, IB, P, R, RE, T Medina Hospital Ages: 0-99 Group Name: Community Hospital Affiliations: Hospitalists Fairview Hospital Provider ID: 002475804003 Cleveland Clinic Foundation NPI: 1104866565 Hillcrest Hospital 200 W Lorain St Euclid Hospital Oberlin, OH 44074 Lutheran Hospital (440) 542-5000 EB, IB, P, R, RE, Medina Hospital S, T Iredell Memorial Hospital Ages: 0-99 North Carolina Baptist Hospital Hospital Affiliations: St Ritas Medical Center Lake Health University Of Toledo Medical Center Cleveland Clinic Foundation Mayo Regional Hospital Northern Light Mayo Hospital

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Ohio - Lorain Specialists Uh Regional Hospitals Hospital Affiliations: Uh Cleveland Medical Center Ballin, Mitchell I, MD, (M), B Doctors Hospital Group Name: Community Ballin, Mitchell I, MD, (M), B Hospitalists Biggs, Ariel J, MD, (F), B Group Name: Community Provider ID: 002475804003 Group Name: Community Hospitalists NPI: 1104866565 Hospitalists Provider ID: 002475804003 630 E River St Provider ID: 005392312003 NPI: 1104866565 Elyria, OH 44035 NPI: 1316239916

254 Cleveland Ave (440) 542-5000 EB, P, R 3700 Kolbe Rd Amherst, OH 44001 Ages: 0-99 Lorain, OH 44053

(440) 542-5000 EB, P, R Hospital Affiliations: (440) 542-5000 EB, G, IB, P, PL, Ages: 0-99 St Ritas Medical Center R, RE, S, T Hospital Affiliations: Lake Health Ages: 0-99 St Ritas Medical Center University Of Toledo Medical Hospital Affiliations: Lake Health Center Doctors Hospital University Of Toledo Medical Cleveland Clinic Foundation Center Mayo Regional Hospital Biggs, Ariel J, MD, (F), B Cleveland Clinic Foundation Northern Light Mayo Hospital Group Name: Community Mayo Regional Hospital Uh Regional Hospitals Hospitalists Northern Light Mayo Hospital Uh Cleveland Medical Center Provider ID: 005392312003 Uh Regional Hospitals NPI: 1316239916 Uh Cleveland Medical Center Biggs, Ariel J, MD, (F), B 630 E River St Group Name: Community Elyria, OH 44035

Ballin, Mitchell I, MD, (M), B Hospitalists (440) 542-5000 EB, P, R Group Name: Community Provider ID: 005392312003 Ages: 0-99 Hospitalists NPI: 1316239916 Hospital Affiliations: Provider ID: 002475804003 200 W Lorain St Doctors Hospital NPI: 1104866565 Oberlin, OH 44074

3700 Kolbe Rd (440) 542-5000 EB, IB, P, R, RE, Bolla, Ravisankar R, MD, (M), B Lorain, OH 44053 S, T Group Name: Cleveland Clinic

(440) 542-5000 EB, G, IB, P, PL, Ages: 0-99 Foundation R, RE, S, T Hospital Affiliations: Provider ID: 001023282002 Ages: 0-99 Doctors Hospital NPI: 1730156993 Hospital Affiliations: 33300 Cleveland Clinic Blvd St Ritas Medical Center Biggs, Ariel J, MD, (F), B Avon, OH 44011

Lake Health Group Name: Community (440) 695-5000 EB, P, R University Of Toledo Medical Hospitalists Languages Spoken: Center Provider ID: 005392312003 Provider: Hindi Cleveland Clinic Foundation NPI: 1316239916 Ages: 0-99 Mayo Regional Hospital 254 Cleveland Ave Hospital Affiliations: Northern Light Mayo Hospital Amherst, OH 44001 Cleveland Clinic Foundation

Uh Regional Hospitals (440) 542-5000 EB, P, R Fairview Hospital Uh Cleveland Medical Center Ages: 0-99 Lutheran Hospital

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Specialists Ohio - Lorain Southwest General Health Center Chacko, Paul, MD, (M), B Chacko, Paul, MD, (M), B St John Medical Center Group Name: Community Group Name: Community Cleveland Clinic Avon Hospital Hospitalists Hospitalists Provider ID: 002772223001 Provider ID: 002772223001 Castle, Lon W, MD, (M), B NPI: 1932253200 NPI: 1932253200 Group Name: Cleveland Clinic 254 Cleveland Ave 630 E River St Foundation Amherst, OH 44001 Elyria, OH 44035

Provider ID: 001178916001 (440) 542-5000 EB, P, R (440) 542-5000 EB, P, R NPI: 1609818731 Languages Spoken: Ages: 0-99 33100 Cleveland Clinic Blvd Staff: Spanish Hospital Affiliations: Avon, OH 44011 Ages: 0-99 University Medical Center-mesabi

(440) 695-4000 EB, P, R Hospital Affiliations: University Of Toledo Medical Cultural Competency: Y University Medical Center-mesabi Center Ages: 0-99 University Of Toledo Medical Borgess Medical Center Hospital Affiliations: Center Ascension Borgess Hospital Cleveland Clinic Foundation Borgess Medical Center St Lukes Hospital Fairview Hospital Ascension Borgess Hospital Lakewood Hospital St Lukes Hospital Chan, Amanda M, MD, (F), B Cleveland Clinic Lakewood Group Name: Community Lutheran Hospital Chacko, Paul, MD, (M), B Hospitalists Cleveland Clinic Avon Hospital Group Name: Community Provider ID: 006250814002 Hospitalists NPI: 1669746939 Chacko, Paul, MD, (M), B Provider ID: 002772223001 200 W Lorain St Group Name: Community NPI: 1932253200 Oberlin, OH 44074

Hospitalists 3700 Kolbe Rd (440) 542-5000 EB, IB, P, R, RE, Provider ID: 002772223001 Lorain, OH 44053 S, T

NPI: 1932253200 (440) 542-5000 EB, G, IB, P, PL, Ages: 0-99 200 W Lorain St R, RE, S, T Oberlin, OH 44074 Ages: 0-99 Chan, Amanda M, MD, (F), B

(440) 542-5000 EB, IB, P, R, RE, Hospital Affiliations: Group Name: Community S, T University Medical Center-mesabi Hospitalists Ages: 0-99 University Of Toledo Medical Provider ID: 006250814002 Hospital Affiliations: Center NPI: 1669746939 University Medical Center-mesabi Borgess Medical Center 254 Cleveland Ave University Of Toledo Medical Ascension Borgess Hospital Amherst, OH 44001

Center St Lukes Hospital (440) 542-5000 EB, P, R Borgess Medical Center Ages: 0-99 Ascension Borgess Hospital St Lukes Hospital

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Ohio - Lorain Specialists Chan, Amanda M, MD, (F), B Chand, Prakash, MD, (M), B Chand, Prakash, MD, (M), B Group Name: Community Group Name: Community Group Name: Community Hospitalists Hospitalists Hospitalists Provider ID: 006250814002 Provider ID: 004047807005 Provider ID: 004047807005 NPI: 1669746939 NPI: 1275812497 NPI: 1275812497 3700 Kolbe Rd 254 Cleveland Ave 630 E River St Lorain, OH 44053 Amherst, OH 44001 Elyria, OH 44035

(440) 542-5000 EB, G, IB, P, PL, (440) 542-5000 EB, P, R (440) 542-5000 EB, P, R R, RE, S, T Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Chan, Amanda M, MD, (F), B Wooster Community Hospital Wooster Community Hospital Group Name: Community University Hospitals Elyria University Hospitals Elyria Hospitalists Medical Ctr Medical Ctr Provider ID: 006250814002 Uh Elyria Medical Center Uh Elyria Medical Center NPI: 1669746939 Knox Community Hospital Knox Community Hospital 630 E River St South Pointe Hospital South Pointe Hospital Elyria, OH 44035 Fisher-titus Medical Center Fisher-titus Medical Center

(440) 542-5000 EB, P, R Ages: 0-99 Chand, Prakash, MD, (M), B Cheres, Christ-Roi, MD, (M), B Group Name: Community Group Name: Community Chand, Prakash, MD, (M), B Hospitalists Hospitalists Group Name: Community Provider ID: 004047807005 Provider ID: 003475706004 Hospitalists NPI: 1275812497 NPI: 1356502074 Provider ID: 004047807005 3700 Kolbe Rd 200 W Lorain St NPI: 1275812497 Lorain, OH 44053 Oberlin, OH 44074

200 W Lorain St (440) 542-5000 EB, G, IB, P, PL, (440) 542-5000 EB, IB, P, R, RE, Oberlin, OH 44074 R, RE, S, T S, T

(440) 542-5000 EB, IB, P, R, RE, Cultural Competency: Y Languages Spoken: S, T Ages: 0-99 Provider: French, Spanish, Cultural Competency: Y Hospital Affiliations: Haitian; Haitian Creole Ages: 0-99 Wooster Community Hospital Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Hospital Affiliations: Wooster Community Hospital Medical Ctr Uh Geauga Medical Center University Hospitals Elyria Uh Elyria Medical Center University Hospitals Geauga Medical Ctr Knox Community Hospital Medical Ctr Uh Elyria Medical Center South Pointe Hospital Uh Parma Medical Center Knox Community Hospital Fisher-titus Medical Center University Hospitals Parma South Pointe Hospital Medical Ctr Fisher-titus Medical Center Areas of Expertise: E112

404

Specialists Ohio - Lorain Cheres, Christ-Roi, MD, (M), B Cheres, Christ-Roi, MD, (M), B Esho, Adetokunbo O, MD, (M), B Group Name: Community Group Name: Community Group Name: Community Hospitalists Hospitalists Hospitalists Provider ID: 003475706004 Provider ID: 003475706004 Provider ID: 002360374001 NPI: 1356502074 NPI: 1356502074 NPI: 1730139338 254 Cleveland Ave 630 E River St 200 W Lorain St Amherst, OH 44001 Elyria, OH 44035 Oberlin, OH 44074

(440) 542-5000 EB, P, R (440) 542-5000 EB, P, R (440) 542-5000 EB, IB, P, R, RE, Languages Spoken: Languages Spoken: S, T Provider: French, Spanish, Provider: French, Spanish, Ages: 0-99 Haitian; Haitian Creole Haitian; Haitian Creole Hospital Affiliations: Ages: 0-99 Ages: 0-99 Uh Geauga Medical Center Hospital Affiliations: Hospital Affiliations: University Hospitals Geauga Uh Geauga Medical Center Uh Geauga Medical Center Medical Ctr University Hospitals Geauga University Hospitals Geauga Cleveland Clinic Foundation Medical Ctr Medical Ctr Hillcrest Hospital Uh Parma Medical Center Uh Parma Medical Center Southwest General Health Center University Hospitals Parma University Hospitals Parma Univ Hospitals Ahuja Med Ctr Medical Ctr Medical Ctr Areas of Expertise: E112 Areas of Expertise: E112 Esho, Adetokunbo O, MD, (M), B Group Name: Community Cheres, Christ-Roi, MD, (M), B Daw, Hamed, MD, (M), B Hospitalists Group Name: Community Group Name: Cleveland Clinic Provider ID: 002360374001 Hospitalists Foundation NPI: 1730139338 Provider ID: 003475706004 Provider ID: 001982246001 254 Cleveland Ave NPI: 1356502074 NPI: 1467404533 Amherst, OH 44001

3700 Kolbe Rd 33300 Cleveland Clinic Blvd (440) 542-5000 EB, P, R Lorain, OH 44053 Avon, OH 44011 Ages: 0-99

(440) 542-5000 EB, G, IB, P, PL, (440) 695-5000 EB, P, R Hospital Affiliations: R, RE, S, T Cultural Competency: Y Uh Geauga Medical Center Languages Spoken: Ages: 0-99 University Hospitals Geauga Provider: French, Spanish, Hospital Affiliations: Medical Ctr Haitian; Haitian Creole Fairview Hospital Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Hillcrest Hospital Hospital Affiliations: Lakewood Hospital Southwest General Health Center Uh Geauga Medical Center Cleveland Clinic Lakewood Univ Hospitals Ahuja Med Ctr University Hospitals Geauga Lutheran Hospital Medical Ctr Uh Parma Medical Center University Hospitals Parma Medical Ctr

405

Ohio - Lorain Specialists Esho, Adetokunbo O, MD, (M), B Ezell, Joshua E, DO, (M), B Ezell, Joshua E, DO, (M), B Group Name: Community Group Name: Community Group Name: Community Hospitalists Hospitalists Hospitalists Provider ID: 002360374001 Provider ID: 006126954003 Provider ID: 006126954003 NPI: 1730139338 NPI: 1851632806 NPI: 1851632806 3700 Kolbe Rd 200 W Lorain St 630 E River St Lorain, OH 44053 Oberlin, OH 44074 Elyria, OH 44035

(440) 542-5000 EB, G, IB, P, PL, (440) 542-5000 EB, IB, P, R, RE, (440) 542-5000 EB, P, R R, RE, S, T S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Riverside Methodist Hospital Uh Geauga Medical Center Riverside Methodist Hospital Overland Park Rgnl Med Ctr University Hospitals Geauga Overland Park Rgnl Med Ctr Medical Ctr Gopal, Naveen, MD, (M), B Cleveland Clinic Foundation Ezell, Joshua E, DO, (M), B Group Name: Community Hillcrest Hospital Group Name: Community Hospitalists Southwest General Health Center Hospitalists Provider ID: 003514261001 Univ Hospitals Ahuja Med Ctr Provider ID: 006126954003 NPI: 1346479623 NPI: 1851632806 200 W Lorain St Esho, Adetokunbo O, MD, (M), B 254 Cleveland Ave Oberlin, OH 44074

Group Name: Community Amherst, OH 44001 (440) 542-5000 EB, IB, P, R, RE,

Hospitalists (440) 542-5000 EB, P, R S, T Provider ID: 002360374001 Ages: 0-99 Languages Spoken: NPI: 1730139338 Hospital Affiliations: Provider: Hindi, Kannada, 630 E River St Riverside Methodist Hospital Telugu Elyria, OH 44035 Overland Park Rgnl Med Ctr Cultural Competency: Y

(440) 542-5000 EB, P, R Ages: 0-99 Ages: 0-99 Ezell, Joshua E, DO, (M), B Hospital Affiliations: Hospital Affiliations: Group Name: Community University Hospitals Elyria Uh Geauga Medical Center Hospitalists Medical Ctr University Hospitals Geauga Provider ID: 006126954003 Uh Elyria Medical Center Medical Ctr NPI: 1851632806 University Med Ctr Of Southern Cleveland Clinic Foundation 3700 Kolbe Rd Nevada Hillcrest Hospital Lorain, OH 44053 Firelands Regional Medical Ctr

Southwest General Health Center (440) 542-5000 EB, G, IB, P, PL, Uh Parma Medical Center Univ Hospitals Ahuja Med Ctr R, RE, S, T University Hospitals Parma Ages: 0-99 Medical Ctr Hospital Affiliations: Areas of Expertise: MAT1 Riverside Methodist Hospital Overland Park Rgnl Med Ctr

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Specialists Ohio - Lorain Gopal, Naveen, MD, (M), B University Med Ctr Of Southern Greenfield, Daniel J, MD, (F), B Group Name: Community Nevada Group Name: Community Hospitalists Firelands Regional Medical Ctr Hospitalists Provider ID: 003514261001 Uh Parma Medical Center Provider ID: 003643233001 NPI: 1346479623 University Hospitals Parma NPI: 1063673002 254 Cleveland Ave Medical Ctr 200 W Lorain St Amherst, OH 44001 Areas of Expertise: MAT1 Oberlin, OH 44074

(440) 542-5000 EB, P, R (440) 542-5000 EB, IB, P, R, RE, Languages Spoken: Gopal, Naveen, MD, (M), B S, T Provider: Hindi, Kannada, Group Name: Community Cultural Competency: Y Telugu Hospitalists Ages: 0-99 Cultural Competency: Y Provider ID: 003514261001 Hospital Affiliations: Ages: 0-99 NPI: 1346479623 University Hospitals Elyria Hospital Affiliations: 630 E River St Medical Ctr University Hospitals Elyria Elyria, OH 44035 Uh Elyria Medical Center

Medical Ctr (440) 542-5000 EB, P, R St John Medical Center Uh Elyria Medical Center Languages Spoken: University Med Ctr Of Southern Provider: Hindi, Kannada, Greenfield, Daniel J, MD, (F), B Nevada Telugu Group Name: Community Firelands Regional Medical Ctr Cultural Competency: Y Hospitalists Uh Parma Medical Center Ages: 0-99 Provider ID: 003643233001 University Hospitals Parma Hospital Affiliations: NPI: 1063673002 Medical Ctr University Hospitals Elyria 254 Cleveland Ave Areas of Expertise: MAT1 Medical Ctr Amherst, OH 44001

Uh Elyria Medical Center (440) 542-5000 EB, P, R Gopal, Naveen, MD, (M), B University Med Ctr Of Southern Cultural Competency: Y Group Name: Community Nevada Ages: 0-99 Hospitalists Firelands Regional Medical Ctr Hospital Affiliations: Provider ID: 003514261001 Uh Parma Medical Center University Hospitals Elyria NPI: 1346479623 University Hospitals Parma Medical Ctr 3700 Kolbe Rd Medical Ctr Uh Elyria Medical Center Lorain, OH 44053 Areas of Expertise: MAT1 St John Medical Center

(440) 542-5000 EB, G, IB, P, PL, R, RE, S, T Languages Spoken: Provider: Hindi, Kannada, Telugu Cultural Competency: Y Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Medical Ctr Uh Elyria Medical Center

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Ohio - Lorain Specialists Greenfield, Daniel J, MD, (F), B Hospital Affiliations: Guerini, Debra S, MD, (F) Group Name: Community Uh Geauga Medical Center Group Name: Community Hospitalists University Hospitals Geauga Hospitalists Provider ID: 003643233001 Medical Ctr Provider ID: 001243203003 NPI: 1063673002 Ashtabula County Med Center NPI: 1013985605 3700 Kolbe Rd 630 E River St Lorain, OH 44053 Guerini, Debra S, MD, (F) Elyria, OH 44035

(440) 542-5000 EB, G, IB, P, PL, Group Name: Community (440) 542-5000 EB, P, R R, RE, S, T Hospitalists Ages: 0-99 Cultural Competency: Y Provider ID: 001243203003 Hospital Affiliations: Ages: 0-99 NPI: 1013985605 Uh Geauga Medical Center Hospital Affiliations: 254 Cleveland Ave University Hospitals Geauga University Hospitals Elyria Amherst, OH 44001 Medical Ctr

Medical Ctr (440) 542-5000 EB, P, R Ashtabula County Med Center Uh Elyria Medical Center Ages: 0-99 St John Medical Center Hospital Affiliations: Harris, Craig K, MD, (M), B Uh Geauga Medical Center Group Name: University Primary Greenfield, Daniel J, MD, (F), B University Hospitals Geauga Care Practices Group Name: Community Medical Ctr Provider ID: 000013358003 Hospitalists Ashtabula County Med Center NPI: 1407877707 Provider ID: 003643233001 32800 Lorain Rd Ste 2300 NPI: 1063673002 Guerini, Debra S, MD, (F) North Ridgeville, OH 44039

630 E River St Group Name: Community (440) 328-3400 EB, P, R Elyria, OH 44035 Hospitalists Ages: 0-99

(440) 542-5000 EB, P, R Provider ID: 001243203003 Hospital Affiliations: Cultural Competency: Y NPI: 1013985605 Cleveland Clinic Foundation Ages: 0-99 3700 Kolbe Rd Fairview Hospital Hospital Affiliations: Lorain, OH 44053 Lakewood Hospital

University Hospitals Elyria (440) 542-5000 EB, G, IB, P, PL, Cleveland Clinic Lakewood Medical Ctr R, RE, S, T St John Medical Center Uh Elyria Medical Center Ages: 0-99 Cleveland Clinic Avon Hospital St John Medical Center Hospital Affiliations: Uh Geauga Medical Center Guerini, Debra S, MD, (F) University Hospitals Geauga Group Name: Community Medical Ctr Hospitalists Ashtabula County Med Center Provider ID: 001243203003 NPI: 1013985605 200 W Lorain St Oberlin, OH 44074

(440) 542-5000 EB, IB, P, R, RE, S, T Ages: 0-99

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Specialists Ohio - Lorain Issa, Khaled, MD, (M), B Kang, Harleen, MD, (F) Kumar, Vikramjeet, MD, (M) Group Name: Cleveland Clinic Group Name: Community Group Name: Vikram Kumar Md Foundation Hospitalists Provider ID: 002006978006 Provider ID: 001396692004 Provider ID: 003550157007 NPI: 1841271269 NPI: 1801818646 NPI: 1144514647 673 E River St 33300 Cleveland Clinic Blvd 3700 Kolbe Rd Elyria, OH 44035

Avon, OH 44011 Lorain, OH 44053 (440) 322-0872 EB, P, PL, R, RE,

(440) 695-5000 EB, P, R (440) 542-5000 EB, G, IB, P, PL, T Cultural Competency: Y R, RE, S, T Languages Spoken: Web address: www.northphiogi.co Ages: 0-99 Provider: Hindi m Mo-Th - 9:00 AM - 5:00 PM Ages: 0-99 Kang, Harleen, MD, (F) Fr - 9:00 AM - 6:30 PM Hospital Affiliations: Group Name: Community Cultural Competency: Y Metrohealth Medical Center Hospitalists Ages: 0-99 Cleveland Clinic Foundation Provider ID: 003550157007 Hospital Affiliations: Fairview Hospital NPI: 1144514647 University Hospitals Elyria Lakewood Hospital 630 E River St Medical Ctr Cleveland Clinic Lakewood Elyria, OH 44035 Uh Elyria Medical Center

St John Medical Center (440) 542-5000 EB, P, R Cleveland Clinic Foundation Ages: 0-99 Fairview Hospital Kang, Harleen, MD, (F) Lakewood Hospital Group Name: Community Khader, Safwan, MD, (F) Cleveland Clinic Lakewood Hospitalists Group Name: University University Of Cincinnati Medical Provider ID: 003550157007 Hospitals Medical Group Center NPI: 1144514647 Provider ID: 005225866003 Cleveland Clinic Avon Hospital 200 W Lorain St NPI: 1144501594 Oberlin, OH 44074 630 E River St Ledvin, Veronica, MD, (F), B

(440) 542-5000 EB, IB, P, R, RE, Elyria, OH 44035 Group Name: Community

S, T (440) 329-7500 E, EB, G, IB, P, Hospitalists Ages: 0-99 PL, R, RE, S, T Provider ID: 002684260006 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1467462507 Kang, Harleen, MD, (F) Ages: 0-99 200 W Lorain St Group Name: Community Hospital Affiliations: Oberlin, OH 44074

Hospitalists Ochsner Medical Center At Baton (440) 542-5000 EB, IB, P, R, RE, Provider ID: 003550157007 Rouge S, T NPI: 1144514647 Uh Regional Hospitals Languages Spoken: 254 Cleveland Ave Firelands Regional Medical Ctr Provider: Russian Amherst, OH 44001 St John Medical Center Ages: 0-99

(440) 542-5000 EB, P, R Uh Cleveland Medical Center Hospital Affiliations: Ages: 0-99 Rapides Regional Medical Cente Penn Highlands Dubois Ephrata Community Hospital Geisinger - Holy Spirit Hospital Penn State Health Holy Spirit

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Ohio - Lorain Specialists Medical Ce Medical Ce Lindbloom, Kristopher, DO, (M), Pinnacle Health Hospitals Pinnacle Health Hospitals B Upmc Pinnacle Hospitals Upmc Pinnacle Hospitals Group Name: Community Lower Bucks Hospital Lower Bucks Hospital Hospitalists Provider ID: 003559744002 Ledvin, Veronica, MD, (F), B Ledvin, Veronica, MD, (F), B NPI: 1568635423 Group Name: Community Group Name: Community 254 Cleveland Ave Hospitalists Hospitalists Amherst, OH 44001

Provider ID: 002684260006 Provider ID: 002684260006 (440) 542-5000 EB, P, R NPI: 1467462507 NPI: 1467462507 Ages: 0-99 254 Cleveland Ave 630 E River St Areas of Expertise: MAT1 Amherst, OH 44001 Elyria, OH 44035

(440) 542-5000 EB, P, R (440) 542-5000 EB, P, R Lindbloom, Kristopher, DO, (M), Languages Spoken: Languages Spoken: B Provider: Russian Provider: Russian Group Name: Community Ages: 0-99 Ages: 0-99 Hospitalists Hospital Affiliations: Hospital Affiliations: Provider ID: 003559744002 Penn Highlands Dubois Penn Highlands Dubois NPI: 1568635423 Ephrata Community Hospital Ephrata Community Hospital 3700 Kolbe Rd Geisinger - Holy Spirit Hospital Geisinger - Holy Spirit Hospital Lorain, OH 44053

Penn State Health Holy Spirit Penn State Health Holy Spirit (440) 542-5000 EB, G, IB, P, PL, Medical Ce Medical Ce R, RE, S, T Pinnacle Health Hospitals Pinnacle Health Hospitals Ages: 0-99 Upmc Pinnacle Hospitals Upmc Pinnacle Hospitals Areas of Expertise: MAT1 Lower Bucks Hospital Lower Bucks Hospital Lindbloom, Kristopher, DO, (M), Ledvin, Veronica, MD, (F), B Lindbloom, Kristopher, DO, (M), B Group Name: Community B Group Name: Community Hospitalists Group Name: Community Hospitalists Provider ID: 002684260006 Hospitalists Provider ID: 003559744002 NPI: 1467462507 Provider ID: 003559744002 NPI: 1568635423 3700 Kolbe Rd NPI: 1568635423 630 E River St Lorain, OH 44053 200 W Lorain St Elyria, OH 44035

(440) 542-5000 EB, G, IB, P, PL, Oberlin, OH 44074 (440) 542-5000 EB, P, R

R, RE, S, T (440) 542-5000 EB, IB, P, R, RE, Ages: 0-99 Languages Spoken: S, T Areas of Expertise: MAT1 Provider: Russian Ages: 0-99 Ages: 0-99 Areas of Expertise: MAT1 Hospital Affiliations: Penn Highlands Dubois Ephrata Community Hospital Geisinger - Holy Spirit Hospital Penn State Health Holy Spirit

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Specialists Ohio - Lorain Maditz, Rhyan, DO, (M) Massouh, Rafik, MD, (M), B Lakewood Hospital Group Name: Cleveland Clinic Group Name: Community Cleveland Clinic Lakewood Foundation Hospitalists Firelands Regional Medical Ctr Provider ID: 007469416001 Provider ID: 002176576001 Southwest General Health Center NPI: 1699156976 NPI: 1639274038 Areas of Expertise: MAT1 33100 Cleveland Clinic Blvd 254 Cleveland Ave Avon, OH 44011 Amherst, OH 44001 Massouh, Rafik, MD, (M), B

(440) 695-4000 EB, IB, P, R (440) 542-5000 EB, P, R Group Name: Community Ages: 0-99 Languages Spoken: Hospitalists Provider: Arabic Provider ID: 002176576001 Massouh, Rafik, MD, (M), B Ages: 0-99 NPI: 1639274038 Group Name: Community Hospital Affiliations: 630 E River St Hospitalists Uh Geauga Medical Center Elyria, OH 44035

Provider ID: 002176576001 University Hospitals Geauga (440) 542-5000 EB, P, R NPI: 1639274038 Medical Ctr Languages Spoken: 200 W Lorain St University Hospitals Elyria Provider: Arabic Oberlin, OH 44074 Medical Ctr Ages: 0-99

(440) 542-5000 EB, IB, P, R, RE, Uh Elyria Medical Center Hospital Affiliations: S, T Lakewood Hospital Uh Geauga Medical Center Languages Spoken: Cleveland Clinic Lakewood University Hospitals Geauga Provider: Arabic Firelands Regional Medical Ctr Medical Ctr Ages: 0-99 Southwest General Health Center University Hospitals Elyria Hospital Affiliations: Areas of Expertise: MAT1 Medical Ctr Uh Geauga Medical Center Uh Elyria Medical Center University Hospitals Geauga Massouh, Rafik, MD, (M), B Lakewood Hospital Medical Ctr Group Name: Community Cleveland Clinic Lakewood University Hospitals Elyria Hospitalists Firelands Regional Medical Ctr Medical Ctr Provider ID: 002176576001 Southwest General Health Center Uh Elyria Medical Center NPI: 1639274038 Areas of Expertise: MAT1 Lakewood Hospital 3700 Kolbe Rd Cleveland Clinic Lakewood Lorain, OH 44053 Mclean, Shoghi M, MD, (M), B

Firelands Regional Medical Ctr (440) 542-5000 EB, G, IB, P, PL, Group Name: Community Southwest General Health Center R, RE, S, T Hospitalists Areas of Expertise: MAT1 Languages Spoken: Provider ID: 002561123002 Provider: Arabic NPI: 1659454320 Ages: 0-99 200 W Lorain St Hospital Affiliations: Oberlin, OH 44074

Uh Geauga Medical Center (440) 542-5000 EB, IB, P, R, RE, University Hospitals Geauga S, T Medical Ctr Languages Spoken: University Hospitals Elyria Provider: Spanish Medical Ctr Ages: 0-99 Uh Elyria Medical Center Hospital Affiliations:

411

Ohio - Lorain Specialists Metrohealth Medical Center Mclean, Shoghi M, MD, (M), B Morra, Nariman K, MD, (F), B Areas of Expertise: MAT1 Group Name: Community Group Name: Community Hospitalists Hospitalists Mclean, Shoghi M, MD, (M), B Provider ID: 002561123002 Provider ID: 002927792001 Group Name: Community NPI: 1659454320 NPI: 1902060783 Hospitalists 630 E River St 254 Cleveland Ave Provider ID: 002561123002 Elyria, OH 44035 Amherst, OH 44001

NPI: 1659454320 (440) 542-5000 EB, P, R (440) 542-5000 EB, P, R 254 Cleveland Ave Languages Spoken: Languages Spoken: Amherst, OH 44001 Provider: Spanish Provider: Arabic

(440) 542-5000 EB, P, R Ages: 0-99 Staff: Spanish Languages Spoken: Hospital Affiliations: Ages: 0-99 Provider: Spanish Metrohealth Medical Center Hospital Affiliations: Ages: 0-99 Areas of Expertise: MAT1 Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital Metrohealth Medical Center Morra, Nariman K, MD, (F), B Medina Hospital Areas of Expertise: MAT1 Group Name: Community Southwest General Health Center Hospitalists St John Medical Center Mclean, Shoghi M, MD, (M), B Provider ID: 002927792001 Group Name: Community NPI: 1902060783 Morra, Nariman K, MD, (F), B Hospitalists 200 W Lorain St Group Name: Community Provider ID: 002561123002 Oberlin, OH 44074 Hospitalists

NPI: 1659454320 (440) 542-5000 EB, IB, P, R, RE, Provider ID: 002927792001 3700 Kolbe Rd S, T NPI: 1902060783 Lorain, OH 44053 Languages Spoken: 3700 Kolbe Rd

(440) 542-5023 EB, G, IB, P, PL, Provider: Arabic Lorain, OH 44053

R, RE, S, T Ages: 0-99 (440) 542-5000 EB, G, IB, P, PL, Languages Spoken: Hospital Affiliations: R, RE, S, T Provider: Spanish Cleveland Clinic Foundation Languages Spoken: Ages: 0-99 Fairview Hospital Provider: Arabic Hospital Affiliations: Medina Hospital Ages: 0-99 Metrohealth Medical Center Southwest General Health Center Hospital Affiliations: Areas of Expertise: MAT1 St John Medical Center Cleveland Clinic Foundation Fairview Hospital Medina Hospital Southwest General Health Center St John Medical Center

412

Specialists Ohio - Lorain Morra, Nariman K, MD, (F), B Erie County Medical Center Uh Regional Hospital - Bedford Group Name: Community Campus Hospitalists Nanjunde Gowda, Madan Kumar, Hillcrest Hospital Provider ID: 002927792001 MD, (M) South Pointe Hospital NPI: 1902060783 Group Name: Community Euclid Hospital 630 E River St Hospitalists Uh Regional Hospitals Elyria, OH 44035 Provider ID: 003658496001 St Vincent Charity Medical Center

(440) 542-5000 EB, P, R NPI: 1548413230 Uh Parma Medical Center Languages Spoken: 3700 Kolbe Rd University Hospitals Parma Provider: Arabic Lorain, OH 44053 Medical Ctr

Ages: 0-99 (440) 542-5000 EB, G, IB, P, PL, Areas of Expertise: MAT1 Hospital Affiliations: R, RE, S, T Cleveland Clinic Foundation Ages: 0-99 Newman, Georgia L, MD, (F), B Fairview Hospital Hospital Affiliations: Group Name: Community Medina Hospital Erie County Medical Center Hospitalists Southwest General Health Center Provider ID: 000554848002 St John Medical Center Nanjunde Gowda, Madan Kumar, NPI: 1194716555 MD, (M) 200 W Lorain St Nanjunde Gowda, Madan Kumar, Group Name: Community Oberlin, OH 44074

MD, (M) Hospitalists (440) 542-5000 EB, IB, P, R, RE, Group Name: Community Provider ID: 003658496001 S, T Hospitalists NPI: 1548413230 Ages: 0-99 Provider ID: 003658496001 630 E River St Hospital Affiliations: NPI: 1548413230 Elyria, OH 44035 Mercy Allen Hospital

200 W Lorain St (440) 542-5000 EB, P, R Oberlin, OH 44074 Ages: 0-99 Newman, Georgia L, MD, (F), B

(440) 542-5000 EB, IB, P, R, RE, Hospital Affiliations: Group Name: Community S, T Erie County Medical Center Hospitalists Ages: 0-99 Provider ID: 000554848002 Hospital Affiliations: Natesan, Corattur, MD, (M), B NPI: 1194716555 Erie County Medical Center Group Name: Fortaleza LLC 254 Cleveland Ave Provider ID: 002498595005 Amherst, OH 44001

Nanjunde Gowda, Madan Kumar, NPI: 1790770568 (440) 542-5000 EB, P, R MD, (M) 41641 N Ridge Rd Ste B Ages: 0-99 Group Name: Community Elyria, OH 44035 Hospital Affiliations:

Hospitalists (440) 324-7406 EB, G, IB, P, PL, Mercy Allen Hospital Provider ID: 003658496001 R, RE, T NPI: 1548413230 Languages Spoken: 254 Cleveland Ave Provider: Tamil Amherst, OH 44001 Mo-Fr - 8:00 AM - 6:00 PM

(440) 542-5000 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations:

413

Ohio - Lorain Specialists Newman, Georgia L, MD, (F), B Peterson, Nicolle L, DO, (F), B Group Name: Community Peterson, Nicolle L, DO, (F), B Group Name: Community Hospitalists Group Name: Community Hospitalists Provider ID: 000554848002 Hospitalists Provider ID: 005469215002 NPI: 1194716555 Provider ID: 005469215002 NPI: 1063709715 3700 Kolbe Rd NPI: 1063709715 630 E River St Lorain, OH 44053 200 W Lorain St Elyria, OH 44035

(440) 542-5000 EB, G, IB, P, PL, Oberlin, OH 44074 (440) 542-5000 EB, P, R

R, RE, S, T (440) 542-5000 EB, IB, P, R, RE, Ages: 0-99 Ages: 0-99 S, T Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Nebraska Medical Center Mercy Allen Hospital Hospital Affiliations: Nebraska Medical Center Pop, Stefan C, MD, (M) Newman, Georgia L, MD, (F), B Group Name: Community Group Name: Community Peterson, Nicolle L, DO, (F), B Hospitalists Hospitalists Group Name: Community Provider ID: 003559690003 Provider ID: 000554848002 Hospitalists NPI: 1962645366 NPI: 1194716555 Provider ID: 005469215002 200 W Lorain St 630 E River St NPI: 1063709715 Oberlin, OH 44074

Elyria, OH 44035 254 Cleveland Ave (440) 542-5000 EB, IB, P, R, RE,

(440) 542-5000 EB, P, R Amherst, OH 44001 S, T

Ages: 0-99 (440) 542-5000 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Areas of Expertise: MAT1 Mercy Allen Hospital Hospital Affiliations: Nebraska Medical Center Pop, Stefan C, MD, (M) Nukta, Emad M, MD, (M), B Group Name: Community Group Name: Cleveland Clinic Peterson, Nicolle L, DO, (F), B Hospitalists Foundation Group Name: Community Provider ID: 003559690003 Provider ID: 000869642003 Hospitalists NPI: 1962645366 NPI: 1922051937 Provider ID: 005469215002 254 Cleveland Ave 33300 Cleveland Clinic Blvd NPI: 1063709715 Amherst, OH 44001

Avon, OH 44011 3700 Kolbe Rd (440) 542-5000 EB, P, R

(440) 695-5000 EB, P, R Lorain, OH 44053 Ages: 0-99

Languages Spoken: (440) 542-5000 EB, G, IB, P, PL, Areas of Expertise: MAT1 Provider: Arabic, French R, RE, S, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Nebraska Medical Center Fairview Hospital Lakewood Hospital Cleveland Clinic Lakewood Southwest General Health Center St John Medical Center

414

Specialists Ohio - Lorain Pop, Stefan C, MD, (M) Pope, Douglas A, MD, (M), B Fairfield Medical Center Group Name: Community Group Name: Community Areas of Expertise: E112, E160 Hospitalists Hospitalists Provider ID: 003559690003 Provider ID: 001734630001 Potluri, Satish B, MD, (M), B NPI: 1962645366 NPI: 1093786857 Group Name: Community 3700 Kolbe Rd 254 Cleveland Ave Hospitalists Lorain, OH 44053 Amherst, OH 44001 Provider ID: 002816482004

(440) 542-5000 EB, G, IB, P, PL, (440) 542-5000 EB, P, R NPI: 1144427824 R, RE, S, T Ages: 0-99 200 W Lorain St Ages: 0-99 Hospital Affiliations: Oberlin, OH 44074

Areas of Expertise: MAT1 Nationwide Children's Hospital (440) 542-5000 EB, IB, P, R, RE, Nationwide Childrens Hospital S, T Pop, Stefan C, MD, (M) Fairfield Medical Center Web address: www.austinregionalcl Group Name: Community Areas of Expertise: E112, E160 inic.com Hospitalists Ages: 0-99 Provider ID: 003559690003 Pope, Douglas A, MD, (M), B Hospital Affiliations: NPI: 1962645366 Group Name: Community Howard County General Hospital 630 E River St Hospitalists Ascension Seton Medical Center Elyria, OH 44035 Provider ID: 001734630001 Austin

(440) 542-5000 EB, P, R NPI: 1093786857 Seton Highland Lakes Hosp Ages: 0-99 3700 Kolbe Rd Ascension Seton Highland Lakes Areas of Expertise: MAT1 Lorain, OH 44053 Ascension Seton Northwest

(440) 542-5000 EB, G, IB, P, PL, Ascension Seton Hays Pope, Douglas A, MD, (M), B R, RE, S, T Group Name: Community Ages: 0-99 Potluri, Satish B, MD, (M), B Hospitalists Hospital Affiliations: Group Name: Community Provider ID: 001734630001 Nationwide Children's Hospital Hospitalists NPI: 1093786857 Nationwide Childrens Hospital Provider ID: 002816482004 200 W Lorain St Fairfield Medical Center NPI: 1144427824 Oberlin, OH 44074 Areas of Expertise: E112, E160 254 Cleveland Ave

(440) 542-5000 EB, IB, P, R, RE, Amherst, OH 44001

S, T Pope, Douglas A, MD, (M), B (440) 542-5000 EB, P, R Ages: 0-99 Group Name: Community Web address: www.austinregionalcl Hospital Affiliations: Hospitalists inic.com Nationwide Children's Hospital Provider ID: 001734630001 Ages: 0-99 Nationwide Childrens Hospital NPI: 1093786857 Hospital Affiliations: Fairfield Medical Center 630 E River St Howard County General Hospital Areas of Expertise: E112, E160 Elyria, OH 44035 Ascension Seton Medical Center

(440) 542-5000 EB, P, R Austin Ages: 0-99 Seton Highland Lakes Hosp Hospital Affiliations: Ascension Seton Highland Lakes Nationwide Children's Hospital Ascension Seton Northwest Nationwide Childrens Hospital Ascension Seton Hays

415

Ohio - Lorain Specialists Rutledge, Ethan B, DO, (M), B Potluri, Satish B, MD, (M), B Group Name: Community Rutledge, Ethan B, DO, (M), B Group Name: Community Hospitalists Group Name: Community Hospitalists Provider ID: 004129045001 Hospitalists Provider ID: 002816482004 NPI: 1508156696 Provider ID: 004129045001 NPI: 1144427824 200 W Lorain St NPI: 1508156696 3700 Kolbe Rd Oberlin, OH 44074 630 E River St

Lorain, OH 44053 (440) 542-5000 EB, IB, P, R, RE, Elyria, OH 44035

(440) 542-5000 EB, G, IB, P, PL, S, T (440) 542-5000 EB, P, R R, RE, S, T Ages: 0-99 Ages: 0-99 Web address: www.austinregionalcl Hospital Affiliations: Hospital Affiliations: inic.com Tennova Healthcare Cleveland Tennova Healthcare Cleveland Ages: 0-99 Select Specialty Hosp Columbus Select Specialty Hosp Columbus Hospital Affiliations: Doctors Hospital Doctors Hospital Howard County General Hospital Ascension Seton Medical Center Rutledge, Ethan B, DO, (M), B Sandhu, Harkeet S, MD, (M), B Austin Group Name: Community Group Name: UPCP Seton Highland Lakes Hosp Hospitalists Provider ID: 003096060002 Ascension Seton Highland Lakes Provider ID: 004129045001 NPI: 1366649261 Ascension Seton Northwest NPI: 1508156696 254 Cleveland Ave Ste 101 Ascension Seton Hays 254 Cleveland Ave Amherst, OH 44001

Amherst, OH 44001 (440) 329-2800 EB, G, P, PL, R,

Potluri, Satish B, MD, (M), B (440) 542-5000 EB, P, R RE, S, T Group Name: Community Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospitalists Hospital Affiliations: Ages: 0-99 Provider ID: 002816482004 Tennova Healthcare Cleveland Hospital Affiliations: NPI: 1144427824 Select Specialty Hosp Columbus University Hospitals Elyria 630 E River St Doctors Hospital Medical Ctr Elyria, OH 44035 Uh Elyria Medical Center

(440) 542-5000 EB, P, R Rutledge, Ethan B, DO, (M), B Cleveland Clinic Foundation Web address: www.austinregionalcl Group Name: Community inic.com Hospitalists Sandhu, Harkeet S, MD, (M), B Ages: 0-99 Provider ID: 004129045001 Group Name: UPCP Hospital Affiliations: NPI: 1508156696 Provider ID: 003096060002 Howard County General Hospital 3700 Kolbe Rd NPI: 1366649261 Ascension Seton Medical Center Lorain, OH 44053 32800 Lorain Rd Ste 1100

Austin (440) 542-5000 EB, G, IB, P, PL, North Ridgeville, OH 44039

Seton Highland Lakes Hosp R, RE, S, T (440) 329-2800 EB, P, R, RE, T Ascension Seton Highland Lakes Ages: 0-99 Ascension Seton Northwest Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Ascension Seton Hays Tennova Healthcare Cleveland Ages: 0-99 Select Specialty Hosp Columbus Hospital Affiliations: Doctors Hospital University Hospitals Elyria Medical Ctr

416

Specialists Ohio - Lorain Uh Elyria Medical Center Seffo, Firas, MD, (M), B Areas of Expertise: MAT1 Cleveland Clinic Foundation Group Name: Community Hospitalists Seffo, Firas, MD, (M), B Sandhu, Harkeet S, MD, (M), B Provider ID: 002434997003 Group Name: Continuum Group Name: UPCP NPI: 1366440778 Healthcare Group Provider ID: 003096060002 200 W Lorain St Provider ID: 002434997011 NPI: 1366649261 Oberlin, OH 44074 NPI: 1366440778

5001 Transportation Dr (440) 542-5000 EB, IB, P, R, RE, 3650 Beavercrest Dr Sheffield Village, OH 44054 S, T Lorain, OH 44053

(440) 329-2800 EB, P, R, RE Languages Spoken: (440) 542-9171 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Provider: Arabic Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Arabic Hospital Affiliations: Hospital Affiliations: Ages: 0-99 University Hospitals Elyria University Hospitals Elyria Hospital Affiliations: Medical Ctr Medical Ctr University Hospitals Elyria Uh Elyria Medical Center Uh Elyria Medical Center Medical Ctr Cleveland Clinic Foundation Euclid Hospital Uh Elyria Medical Center Southwest General Health Center Euclid Hospital Sandhu, Harkeet S, MD, (M), B Uh Parma Medical Center Southwest General Health Center Group Name: UPCP University Hospitals Parma Uh Parma Medical Center Provider ID: 003096060002 Medical Ctr University Hospitals Parma NPI: 1366649261 Areas of Expertise: MAT1 Medical Ctr 5001 Transportation Dr Ste 100 Areas of Expertise: MAT1 Sheffield Village, OH 44054 Seffo, Firas, MD, (M), B

(440) 329-2800 EB, P, R, RE Group Name: Community Seffo, Firas, MD, (M), B Mo-Fr - 8:30 AM - 4:30 PM Hospitalists Group Name: Community Ages: 0-99 Provider ID: 002434997003 Hospitalists Hospital Affiliations: NPI: 1366440778 Provider ID: 002434997003 University Hospitals Elyria 254 Cleveland Ave NPI: 1366440778 Medical Ctr Amherst, OH 44001 3700 Kolbe Rd

Uh Elyria Medical Center (440) 542-5000 EB, P, R Lorain, OH 44053

Cleveland Clinic Foundation Languages Spoken: (440) 542-5000 EB, G, IB, P, PL, Provider: Arabic R, RE, S, T Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Arabic University Hospitals Elyria Ages: 0-99 Medical Ctr Hospital Affiliations: Uh Elyria Medical Center University Hospitals Elyria Euclid Hospital Medical Ctr Southwest General Health Center Uh Elyria Medical Center Uh Parma Medical Center Euclid Hospital University Hospitals Parma Southwest General Health Center Medical Ctr Uh Parma Medical Center

417

Ohio - Lorain Specialists University Hospitals Parma Uh Elyria Medical Center Longmont United Hospital Medical Ctr Mercy Regional Medical Center Areas of Expertise: MAT1 Communtiy Health Partners Rgnl Thiruchelvam, Nirosshan, MD, Mdcl Ctr (M) Seffo, Firas, MD, (M), B Areas of Expertise: MAT1 Group Name: Cleveland Clinic Group Name: Community Foundation Hospitalists Shah, Bharat C, MD, (M), B Provider ID: 005967792001 Provider ID: 002434997003 Group Name: Comprehensive NPI: 1912262866 NPI: 1366440778 Pain Care Center 33100 Cleveland Clinic Blvd 630 E River St Provider ID: 000831924001 Avon, OH 44011

Elyria, OH 44035 NPI: 1548264179 (440) 695-4000

(440) 542-5000 EB, P, R 4804 Leavitt Rd Ste A Ages: 0-99 Languages Spoken: Lorain, OH 44053 Hospital Affiliations:

Provider: Arabic (440) 989-2066 EB, G, P, R, RE, Cleveland Clinic Foundation Ages: 0-99 T Hospital Affiliations: Languages Spoken: Thiruchelvam, Nirosshan, MD, University Hospitals Elyria Provider: Gujarati (M) Medical Ctr Mo-Fr - 8:30 AM - 5:00 PM Group Name: Cleveland Clinic Uh Elyria Medical Center Cultural Competency: Y Foundation Euclid Hospital Ages: 0-99 Provider ID: 005967792001 Southwest General Health Center Hospital Affiliations: NPI: 1912262866 Uh Parma Medical Center University Hospitals Elyria 33300 Cleveland Clinic Blvd University Hospitals Parma Medical Ctr Avon, OH 44011

Medical Ctr Uh Elyria Medical Center (440) 695-5000 EB, P, R Areas of Expertise: MAT1 Mercy Regional Medical Center Ages: 0-99 Communtiy Health Partners Rgnl Hospital Affiliations: Shah, Bharat C, MD, (M), B Mdcl Ctr Cleveland Clinic Foundation Group Name: Comprehensive Areas of Expertise: MAT1 Pain Care Center Wang, Kai, MD, (M), B Provider ID: 000831924001 Shewmon, David A, MD, (M), B Group Name: Community NPI: 1548264179 Group Name: Cleveland Clinic Hospitalists 4804 Leavitt Rd Foundation Provider ID: 003681051001 Lorain, OH 44053 Provider ID: 001124195001 NPI: 1467682518

(440) 989-2066 EB, G, IB, P, R, NPI: 1295787406 200 W Lorain St RE, T 33100 Cleveland Clinic Blvd Oberlin, OH 44074

Languages Spoken: Avon, OH 44011 (440) 542-5000 EB, IB, P, R, RE,

Provider: Gujarati (216) 444-2200 EB, P, R S, T Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Cultural Competency: Y Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Ages: 0-99 Wooster Community Hospital Hospital Affiliations: Hospital Affiliations: Boulder Community Hospital Cleveland Clinic Foundation University Hospitals Elyria Cleveland Clinic Foundation Uh Cleveland Medical Center Medical Ctr Fairview Hospital Univ Hospitals Ahuja Med Ctr

418

Specialists Ohio - Lorain Areas of Expertise: MAT1 Wang, Kai, MD, (M), B Ware, Charles F, MD, (M) Group Name: Community Group Name: Community Wang, Kai, MD, (M), B Hospitalists Hospitalists Group Name: Community Provider ID: 003681051001 Provider ID: 005927306005 Hospitalists NPI: 1467682518 NPI: 1528355922 Provider ID: 003681051001 630 E River St 3700 Kolbe Rd NPI: 1467682518 Elyria, OH 44035 Lorain, OH 44053

254 Cleveland Ave (440) 542-5000 EB, P, R (440) 542-5000 EB, G, IB, P, PL, Amherst, OH 44001 Cultural Competency: Y R, RE, S, T

(440) 542-5000 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Mount Carmel Medical Center Hospital Affiliations: Uh Cleveland Medical Center Mercy Medical Center Cleveland Clinic Foundation Univ Hospitals Ahuja Med Ctr Uh Cleveland Medical Center Areas of Expertise: MAT1 Ware, Charles F, MD, (M) Univ Hospitals Ahuja Med Ctr Group Name: Community Areas of Expertise: MAT1 Ware, Charles F, MD, (M) Hospitalists Group Name: Community Provider ID: 005927306005 Wang, Kai, MD, (M), B Hospitalists NPI: 1528355922 Group Name: Community Provider ID: 005927306005 630 E River St Hospitalists NPI: 1528355922 Elyria, OH 44035

Provider ID: 003681051001 200 W Lorain St (440) 542-5000 EB, P, R NPI: 1467682518 Oberlin, OH 44074 Ages: 0-99

3700 Kolbe Rd (440) 542-5000 EB, IB, P, R, RE, Hospital Affiliations: Lorain, OH 44053 S, T Mount Carmel Medical Center

(440) 542-5000 EB, G, IB, P, PL, Ages: 0-99 Mercy Medical Center R, RE, S, T Hospital Affiliations: Cultural Competency: Y Mount Carmel Medical Center Wendschuh, Philip D, MD, (M), B Ages: 0-99 Mercy Medical Center Group Name: North Ohio Heart Hospital Affiliations: Provider ID: 001071622001 Cleveland Clinic Foundation Ware, Charles F, MD, (M) NPI: 1548249741 Uh Cleveland Medical Center Group Name: Community 3600 Kolbe Rd Ste 127 Univ Hospitals Ahuja Med Ctr Hospitalists Lorain, OH 44053

Areas of Expertise: MAT1 Provider ID: 005927306005 (440) 414-9200 EB, P, R, RE, T NPI: 1528355922 Ages: 0-99 254 Cleveland Ave Hospital Affiliations: Amherst, OH 44001 University Hospitals Elyria

(440) 542-5000 EB, P, R Medical Ctr Ages: 0-99 Uh Elyria Medical Center Hospital Affiliations: Lakewood Hospital Mount Carmel Medical Center Cleveland Clinic Lakewood Mercy Medical Center Mercy Allen Hospital St John Medical Center

419

Ohio - Lorain Specialists Mercy Regional Medical Center Zraik, Bassem, MD, (M), B Communtiy Health Partners Rgnl Zang, Jie, MD, (F) Group Name: University Mdcl Ctr Group Name: Community Hospitals Medical Group Hospitalists Provider ID: 005187336007 Zang, Jie, MD, (F) Provider ID: 002815102007 NPI: 1548542491 Group Name: Community NPI: 1710048293 630 E River St Hospitalists 3700 Kolbe Rd Elyria, OH 44035

Provider ID: 002815102007 Lorain, OH 44053 (440) 329-7500 EB, P, R

NPI: 1710048293 (440) 542-5000 EB, G, IB, P, PL, Mo-Fr - 8:30 AM - 4:30 PM 200 W Lorain St R, RE, S, T Ages: 0-99 Oberlin, OH 44074 Languages Spoken: Hospital Affiliations:

(440) 542-5000 EB, IB, P, R, RE, Provider: Chinese Summa Health System S, T Cultural Competency: Y Fairview Hospital Languages Spoken: Ages: 0-99 Mercy Medical Center Provider: Chinese Hospital Affiliations: Cleveland Clinic Mercy Hospital Cultural Competency: Y Union Hospital Euclid Hospital Ages: 0-99 Summa Barberton Citizens Lutheran Hospital Hospital Affiliations: Summa Health System Summa Barberton Citizens Union Hospital Southwest General Health Center Summa Barberton Citizens Areas of Expertise: MAT1 Zuberi, Mussaret A, MD, (M), B Summa Health System Group Name: Community Southwest General Health Center Zang, Jie, MD, (F) Hospitalists Areas of Expertise: MAT1 Group Name: Community Provider ID: 001112797007 Hospitalists NPI: 1639123409 Zang, Jie, MD, (F) Provider ID: 002815102007 200 W Lorain St Group Name: Community NPI: 1710048293 Oberlin, OH 44074

Hospitalists 630 E River St (440) 542-5000 EB, IB, P, R, RE, Provider ID: 002815102007 Elyria, OH 44035 S, T

NPI: 1710048293 (440) 542-5000 EB, P, R Ages: 0-99 254 Cleveland Ave Languages Spoken: Hospital Affiliations: Amherst, OH 44001 Provider: Chinese University Hospitals Elyria

(440) 542-5000 EB, P, R Cultural Competency: Y Medical Ctr Languages Spoken: Ages: 0-99 Uh Elyria Medical Center Provider: Chinese Hospital Affiliations: Springfield Regional Medical Ctr Staff: Spanish Union Hospital Fairfield Medical Center Cultural Competency: Y Summa Barberton Citizens Fort Hamilton Hospital Ages: 0-99 Summa Health System Banner Estrella Medical Center Hospital Affiliations: Southwest General Health Center Union Hospital Areas of Expertise: MAT1 Summa Barberton Citizens Summa Health System Southwest General Health Center Areas of Expertise: MAT1

420

Specialists Ohio - Lorain Zuberi, Mussaret A, MD, (M), B Zuberi, Mussaret A, MD, (M), B Group Name: Community Group Name: Community Chapa, Jeff B, MD, (M), B Hospitalists Hospitalists Group Name: Cleveland Clinic Provider ID: 001112797007 Provider ID: 001112797007 Foundation NPI: 1639123409 NPI: 1639123409 Provider ID: 002098187001 254 Cleveland Ave 630 E River St NPI: 1730160037 Amherst, OH 44001 Elyria, OH 44035 33100 Cleveland Clinic Blvd

(440) 542-5000 EB, P, R (440) 542-5000 EB, P, R Avon, OH 44011

Ages: 0-99 Ages: 0-99 (440) 695-4000 EB, P, R Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y University Hospitals Elyria University Hospitals Elyria Ages: 0-99 Medical Ctr Medical Ctr Does Not Accept Male Patients Uh Elyria Medical Center Uh Elyria Medical Center Hospital Affiliations: Springfield Regional Medical Ctr Springfield Regional Medical Ctr Wooster Community Hospital Fairfield Medical Center Fairfield Medical Center Akron General Medical Ctr Fort Hamilton Hospital Fort Hamilton Hospital Cleveland Clinic Foundation Banner Estrella Medical Center Banner Estrella Medical Center Hillcrest Hospital Fairview Hospital Zuberi, Mussaret A, MD, (M), B Lakewood Hospital Group Name: Community Maternal & Fetal Medicine Cleveland Clinic Lakewood

Hospitalists Members may self-refer to these Marymount Hospital Provider ID: 001112797007 providers. Areas of Expertise: MAT1

NPI: 1639123409 3700 Kolbe Rd Chapa, Jeff B, MD, (M), B Khoury, Fadi R, MD, (M), B Lorain, OH 44053 Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation (440) 542-5000 EB, G, IB, P, PL, Foundation R, RE, S, T Provider ID: 002098187001 Provider ID: 001930555001 Ages: 0-99 NPI: 1730160037 NPI: 1780692483 Hospital Affiliations: 303 Chestnut Commons Dr 303 Chestnut Commons Dr University Hospitals Elyria Elyria, OH 44035 Elyria, OH 44035 (440) 366-9444 EB, P, R Medical Ctr (440) 366-9444 EB, P, R Uh Elyria Medical Center Cultural Competency: Y Languages Spoken: Springfield Regional Medical Ctr Ages: 0-99 Provider: Arabic Fairfield Medical Center Does Not Accept Male Patients Cultural Competency: Y Fort Hamilton Hospital Hospital Affiliations: Ages: 0-99 Banner Estrella Medical Center Wooster Community Hospital Hospital Affiliations: Akron General Medical Ctr Akron General Medical Ctr Cleveland Clinic Foundation Metrohealth Medical Center Hillcrest Hospital Cleveland Clinic Foundation Fairview Hospital Fairview Hospital Lakewood Hospital Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Marymount Hospital Medina Hospital Areas of Expertise: MAT1

421

Ohio - Lorain Specialists St John Medical Center Moodley, Sangithan J, MD, (M), Perni, Uma C, MD, (F), B B Group Name: Cleveland Clinic Khoury, Fadi R, MD, (M), B Group Name: Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Provider ID: 002131094001 Foundation Provider ID: 000288958001 NPI: 1356317218 Provider ID: 001930555001 NPI: 1386697472 33100 Cleveland Clinic Blvd NPI: 1780692483 33100 Cleveland Clinic Blvd Avon, OH 44011

33100 Cleveland Clinic Blvd Avon, OH 44011 (440) 695-4000 EB, P, R

Avon, OH 44011 (440) 695-4000 EB, P, R Languages Spoken:

(440) 695-4000 EB, P, R Cultural Competency: Y Provider: Telugu Languages Spoken: Ages: 0-99 Cultural Competency: Y Provider: Arabic Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Akron General Medical Ctr Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Akron General Medical Ctr Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Akron General Medical Ctr Medina Hospital Hillcrest Hospital Metrohealth Medical Center Fairview Hospital Cleveland Clinic Foundation Perni, Uma C, MD, (F), B Lakewood Hospital Fairview Hospital Group Name: Cleveland Clinic Cleveland Clinic Lakewood Lakewood Hospital Foundation Marymount Hospital Cleveland Clinic Lakewood Provider ID: 002131094001 Jamaica Hospital Medina Hospital NPI: 1356317218 Areas of Expertise: MAT1 St John Medical Center 303 Chestnut Commons Dr Elyria, OH 44035 Shah, Yogesh G, MD, (M), B

Moodley, Sangithan J, MD, (M), (440) 366-9444 EB, P, R Group Name: Cleveland Clinic B Languages Spoken: Foundation Group Name: Cleveland Clinic Provider: Telugu Provider ID: 000451206001 Foundation Cultural Competency: Y NPI: 1114023652 Provider ID: 000288958001 Ages: 0-99 303 Chestnut Commons Dr NPI: 1386697472 Hospital Affiliations: Elyria, OH 44035

303 Chestnut Commons Dr Akron General Medical Ctr (440) 366-9444 EB, P, R Elyria, OH 44035 Cleveland Clinic Foundation Languages Spoken:

(440) 366-9444 EB, P, R Hillcrest Hospital Provider: Gujarati, Hindi, Cultural Competency: Y Fairview Hospital Marathi Ages: 0-99 Lakewood Hospital Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Lakewood Ages: 0-99 Akron General Medical Ctr Marymount Hospital Hospital Affiliations: Cleveland Clinic Foundation Jamaica Hospital Wooster Community Hospital Fairview Hospital Areas of Expertise: MAT1 Cleveland Clinic Foundation Medina Hospital Fairview Hospital Medina Hospital

422

Specialists Ohio - Lorain Shah, Yogesh G, MD, (M), B Singh, Katherine A, MD, (F), B Ashai, Nuzhat I, MD, (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 000451206001 Provider ID: 002939297001 Provider ID: 005971800001 NPI: 1114023652 NPI: 1396948501 NPI: 1073626529 33100 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd Avon, OH 44011 Avon, OH 44011 Avon, OH 44011

(440) 695-4000 EB, P, R (440) 695-4000 EB, P, R (216) 444-6768 EB, P, R Languages Spoken: Cultural Competency: Y Cultural Competency: Y Provider: Gujarati, Hindi, Ages: 0-99 Ages: 0-99 Marathi Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Wooster Community Hospital Cleveland Clinic Foundation Ages: 0-99 Akron General Medical Ctr Fairview Hospital Hospital Affiliations: Metrohealth Medical Center Cleveland Clinic Avon Hospital Wooster Community Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital Ashai, Nuzhat I, MD, (F), B Fairview Hospital Fairview Hospital Group Name: Cleveland Clinic Medina Hospital Marymount Hospital Foundation Medina Hospital Provider ID: 005971800001 Singh, Katherine A, MD, (F), B Areas of Expertise: MAT1 NPI: 1073626529 Group Name: Cleveland Clinic 33300 Cleveland Clinic Blvd Foundation Avon, OH 44011 Nephrology Provider ID: 002939297001 (440) 695-5000 EB, P, R

NPI: 1396948501 Members may self-refer to these Cultural Competency: Y 303 Chestnut Commons Dr providers. Ages: 0-99

Elyria, OH 44035 Hospital Affiliations: Ashai, Nuzhat I, MD, (F), B (440) 366-9444 EB, P, R Cleveland Clinic Foundation Cultural Competency: Y Group Name: Cleveland Clinic Fairview Hospital Ages: 0-99 Foundation Cleveland Clinic Avon Hospital Hospital Affiliations: Provider ID: 005971800001 Wooster Community Hospital NPI: 1073626529 Deitzer, Diana L, DO, (F), B Akron General Medical Ctr 303 Chestnut Commons Dr Group Name: Cleveland Clinic Metrohealth Medical Center Elyria, OH 44035 Foundation Cleveland Clinic Foundation (216) 444-6768 EB, P, R Provider ID: 003495298001 Hillcrest Hospital Cultural Competency: Y NPI: 1669645362 Fairview Hospital Ages: 0-99 33100 Cleveland Clinic Blvd Marymount Hospital Hospital Affiliations: Avon, OH 44011 Cleveland Clinic Foundation Medina Hospital (216) 444-6771 EB, P, R Areas of Expertise: MAT1 Fairview Hospital Cultural Competency: Y Cleveland Clinic Avon Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital

423

Ohio - Lorain Specialists Fatica, Richard A, MD, (M), B Fawzy, Ahmed M, MD, (M), B Deitzer, Diana L, DO, (F), B Group Name: Cleveland Clinic Group Name: North Coast Group Name: Cleveland Clinic Foundation Nephrology Foundation Provider ID: 001989966001 Provider ID: 002136751001 Provider ID: 003495298001 NPI: 1447366174 NPI: 1285664607 NPI: 1669645362 33100 Cleveland Clinic Blvd 1480 Center Rd Ste B 33300 Cleveland Clinic Blvd Avon, OH 44011 Avon, OH 44011

Avon, OH 44011 (440) 695-4000 EB, P, R (440) 323-3574 E, EB, G, P, R,

(440) 695-5000 EB, P, R Ages: 0-99 RE, S, T Cultural Competency: Y Hospital Affiliations: Languages Spoken: Ages: 0-99 Cleveland Clinic Foundation Provider: Arabic, French Hospital Affiliations: Fairview Hospital Th - 9:00 AM - 12:00 PM Cleveland Clinic Foundation Marymount Hospital Cultural Competency: Y Fairview Hospital Cleveland Clinic Avon Hospital Ages: 0-99 Hospital Affiliations: Dhayanandhan, Christi P, MD, Fatica, Richard A, MD, (M), B University Hospitals Elyria (F), B Group Name: Cleveland Clinic Medical Ctr Group Name: Cleveland Clinic Foundation Uh Elyria Medical Center Foundation Provider ID: 001989966001 Akron General Medical Ctr Provider ID: 003702586004 NPI: 1447366174 Fairview Hospital NPI: 1639330608 33300 Cleveland Clinic Blvd South Pointe Hospital 33100 Cleveland Clinic Blvd Avon, OH 44011 Lakewood Hospital

Avon, OH 44011 (440) 695-5000 EB, P, R Cleveland Clinic Lakewood

(440) 695-4000 EB, P, R Ages: 0-99 Euclid Hospital Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Maditz, Rhyan, DO, (M) Washington Hospital Fairview Hospital Group Name: Cleveland Clinic Upmc Mercy Marymount Hospital Foundation Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Provider ID: 007469416001 Fairview Hospital NPI: 1699156976 South Pointe Hospital 33100 Cleveland Clinic Blvd Washington Health System Avon, OH 44011

Greene (440) 695-4000 EB, IB, P, R Cleveland Clinic Avon Hospital Ages: 0-99

424

Specialists Ohio - Lorain Nadkarni, Vivek, MD, (M), B Cleveland Clinic Lakewood Nanjunde Gowda, Madan Kumar, Group Name: North Coast Euclid Hospital MD, (M), B Nephrology Group Name: Community Provider ID: 002548288003 Nadkarni, Vivek, MD, (M), B Hospitalists NPI: 1598791238 Group Name: North Coast Provider ID: 003658496001 100 Copr Fstr Park Rd Ste 1 Nephrology NPI: 1548413230 Amherst, OH 44001 Provider ID: 002548288001 254 Cleveland Ave

(440) 282-5701 E, EB, G, IB, P, NPI: 1598791238 Amherst, OH 44001

R, RE, S, T 1480 Center Rd Ste B (440) 542-5000 EB, P, R Mo-Th - 8:30 AM - 5:00 PM Avon, OH 44011 Ages: 0-99

Fr - 8:30 AM - 2:00 PM (440) 323-3574 E, EB, G, P, R, Hospital Affiliations: Cultural Competency: Y RE, S, T Erie County Medical Center Ages: 18-99 Th - 9:00 AM - 12:00 PM Hospital Affiliations: Cultural Competency: Y Nanjunde Gowda, Madan Kumar, University Hospitals Elyria Ages: 18-99 MD, (M), B Medical Ctr Hospital Affiliations: Group Name: Community Uh Elyria Medical Center University Hospitals Elyria Hospitalists Akron General Medical Ctr Medical Ctr Provider ID: 003658496001 Fairview Hospital Uh Elyria Medical Center NPI: 1548413230 South Pointe Hospital Akron General Medical Ctr 3700 Kolbe Rd Lakewood Hospital Fairview Hospital Lorain, OH 44053

Cleveland Clinic Lakewood South Pointe Hospital (440) 542-5000 EB, G, IB, P, PL, Euclid Hospital Lakewood Hospital R, RE, S, T Cleveland Clinic Lakewood Ages: 0-99 Nadkarni, Vivek, MD, (M), B Euclid Hospital Hospital Affiliations: Group Name: North Coast Erie County Medical Center Nephrology Nanjunde Gowda, Madan Kumar, Provider ID: 002548288001 MD, (M), B Nanjunde Gowda, Madan Kumar, NPI: 1598791238 Group Name: Community MD, (M), B 1170 E Broad St Ste 102 Hospitalists Group Name: Community Elyria, OH 44035 Provider ID: 003658496001 Hospitalists

(440) 323-3574 EB, IB, P, R, RE, NPI: 1548413230 Provider ID: 003658496001 S, T 200 W Lorain St NPI: 1548413230 Cultural Competency: Y Oberlin, OH 44074 630 E River St

Ages: 18-99 (440) 542-5000 EB, IB, P, R, RE, Elyria, OH 44035

Hospital Affiliations: S, T (440) 542-5000 EB, P, R University Hospitals Elyria Ages: 0-99 Ages: 0-99 Medical Ctr Hospital Affiliations: Hospital Affiliations: Uh Elyria Medical Center Erie County Medical Center Erie County Medical Center Akron General Medical Ctr Fairview Hospital South Pointe Hospital Lakewood Hospital

425

Ohio - Lorain Specialists Simon, James F, MD, (M), B Sodeinde, Adedeji, MD, (M), B Hillcrest Hospital Group Name: Cleveland Clinic Group Name: North Coast Fairview Hospital Foundation Nephrology South Pointe Hospital Provider ID: 002784952001 Provider ID: 006888545003 Lakewood Hospital NPI: 1346231180 NPI: 1982047205 Cleveland Clinic Lakewood 33100 Cleveland Clinic Blvd 1480 Center Rd Ste B Marymount Hospital Avon, OH 44011 Avon, OH 44011 Lutheran Hospital

(440) 695-4000 EB, P, R (440) 323-3574 E, EB, G, P, R, Cultural Competency: Y RE, S, T Bej, Mark D, MD, (M), B Ages: 0-99 Th - 9:00 AM - 12:00 PM Group Name: Northern Oh Hospital Affiliations: Ages: 0-99 Medical Specialist Cleveland Clinic Foundation Provider ID: 001122193001 Fairview Hospital Taliercio, Jonathan J, DO, (M), B NPI: 1427040914 Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic 224 W Lorain St Ste 500 Foundation Oberlin, OH 44074

Sodeinde, Adedeji, MD, (M), B Provider ID: 003208668001 (440) 776-7030 EB, P, R, RE, T Group Name: North Coast NPI: 1861664161 Mo,We,Fr - 8:00 AM - 4:00 PM Nephrology 33100 Cleveland Clinic Blvd Ages: 0-99 Provider ID: 006888545002 Avon, OH 44011 Hospital Affiliations:

NPI: 1982047205 (440) 695-4000 EB, P, R University Hospitals Elyria 100 Copr Fstr Park Rd Ste 1 Cultural Competency: Y Medical Ctr Amherst, OH 44001 Ages: 0-99 Uh Elyria Medical Center

(440) 282-5701 E, EB, G, IB, P, Hospital Affiliations: Cleveland Clinic Foundation R, RE, S, T Cleveland Clinic Foundation Mercy Allen Hospital Ages: 0-99 Fairview Hospital Cleveland Clinic Avon Hospital Bej, Mark D, MD, (M), B Sodeinde, Adedeji, MD, (M), B Group Name: Northern Oh Group Name: North Coast Medical Specialist Nephrology Neurology Provider ID: 001122193001

Provider ID: 006888545001 Members may self-refer to these NPI: 1427040914 NPI: 1982047205 providers. 5319 Hoag Dr Ste 111

1170 E Broad St Ste 102 Sheffield Village, OH 44035 Alexopoulos, Andreas V, MD, Elyria, OH 44035 (440) 934-2272 EB, P, R, RE, T (M), B (440) 323-3574 EB, IB, P, R, RE, Web address: nomshealthcare.com S, T Group Name: Cleveland Clinic Ages: 0-99 Mo-Th - 8:30 AM - 5:00 PM Foundation Hospital Affiliations: Fr - 8:30 AM - 1:00 PM Provider ID: 002503660001 University Hospitals Elyria Ages: 0-99 NPI: 1659354462 Medical Ctr 33300 Cleveland Clinic Blvd Uh Elyria Medical Center Avon, OH 44011 Cleveland Clinic Foundation (440) 695-5000 EB, P, R Mercy Allen Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

426

Specialists Ohio - Lorain Boutros, Dina Y, MD, (F), B Burgess, Richard C, MD, (M) Cleveland Clinic Lakewood Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Ghosh, Debabrata, MD, (M), B Provider ID: 002073736001 Provider ID: 001200995001 Group Name: Neurology Center NPI: 1295732352 NPI: 1003852757 Provider ID: 002659408004 33100 Cleveland Clinic Blvd 33300 Cleveland Clinic Blvd NPI: 1356446595 Avon, OH 44011 Avon, OH 44011 673 E River St

(440) 695-4000 EB, P, R (440) 695-5000 EB, P, R Elyria, OH 44035

Languages Spoken: Ages: 0-99 (440) 323-6422 EB, P, PL, R, RE, Staff: Arabic, French, Italian Hospital Affiliations: T Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Medina Hospital Hospital Affiliations: Fairview Hospital Cleveland Clinic Avon Hospital Wooster Community Hospital Akron General Medical Ctr Cleveland Clinic Foundation Joint Township Dist Memrl Hsp Cardona, Luzma M, MD, (F), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Gostkowski, Michal, DO, (M), B South Pointe Hospital Foundation Group Name: Cleveland Clinic Lakewood Hospital Provider ID: 003091631001 Foundation Cleveland Clinic Lakewood NPI: 1821137837 Provider ID: 003249318001 Medina Hospital 33300 Cleveland Clinic Blvd NPI: 1386827715 Avon, OH 44011 33100 Cleveland Clinic Blvd

Boutros, Dina Y, MD, (F), B (440) 695-5000 EB, P, R Avon, OH 44011

Group Name: Cleveland Clinic Ages: 0-99 (440) 695-4000 EB, P, R Foundation Hospital Affiliations: Cultural Competency: Y Provider ID: 002073736001 Cleveland Clinic Foundation Ages: 0-99 NPI: 1295732352 Lakewood Hospital Hospital Affiliations: 5700 Cooper Foster Park Rd W Cleveland Clinic Lakewood Cleveland Clinic Foundation Lorain, OH 44053 Brigham & Womens Hospital Fairview Hospital

(440) 204-7400 EB, IB, P, R, RE, T Cleveland Clinic Avon Hospital Lakewood Hospital Languages Spoken: Cleveland Clinic Lakewood Staff: Arabic, French, Italian Conway, Devon S, MD, (M), B Cleveland Clinic Avon Hospital Ages: 0-99 Group Name: Cleveland Clinic Hospital Affiliations: Foundation Fairview Hospital Provider ID: 003303625001 Akron General Medical Ctr NPI: 1477767432 Joint Township Dist Memrl Hsp 33100 Cleveland Clinic Blvd Cleveland Clinic Foundation Avon, OH 44011

South Pointe Hospital (440) 695-4000 EB, P, R Lakewood Hospital Cultural Competency: Y Cleveland Clinic Lakewood Ages: 0-99 Medina Hospital Hospital Affiliations: Cleveland Clinic Foundation Lakewood Hospital

427

Ohio - Lorain Specialists Mahajan, Darshan, MD, (M), B Mercy Home Health Care Mays, Mary Ann Y, MD, (F), B Group Name: Neurology Center Group Name: Cleveland Clinic Provider ID: 000966471001 Mahajan, Supriya M, MD, (F), B Foundation NPI: 1871568881 Group Name: Neurology Center Provider ID: 001821017001 3600 Kolbe Rd Ste 208 Provider ID: 006541632001 NPI: 1043274681 Lorain, OH 44053 NPI: 1881956670 33100 Cleveland Clinic Blvd

(440) 989-6422 EB, P, PL, R, RE, 3600 Kolbe Rd Ste 208 Avon, OH 44011

T Lorain, OH 44053 (440) 695-4000 EB, P, R

Languages Spoken: (440) 323-6422 EB, P, PL, R, RE, Ages: 0-99 Provider: Hindi, Punjabi T Hospital Affiliations: Cultural Competency: Y Tu,Th - 8:30 AM - 11:30 AM Fairview Hospital Web address: www.ncioh.com Ages: 0-99 Wooster Community Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: University Hospitals Elyria Hillcrest Hospital University Hospitals Elyria Medical Ctr Euclid Hospital Medical Ctr Uh Elyria Medical Center Cleveland Clinic Avon Hospital Uh Elyria Medical Center Uh Cleveland Medical Center St John Medical Center Mercy Regional Medical Center Najm, Imad M, MD, (M), B Mercy Med Ctr Hh & Hospice Communtiy Health Partners Rgnl Group Name: Cleveland Clinic Mercy Home Health Care Mdcl Ctr Foundation Areas of Expertise: MAT1 Provider ID: 001476823001 Mahajan, Supriya M, MD, (F), B NPI: 1841236858 Mahajan, Darshan, MD, (M), B Group Name: Neurology Center 33300 Cleveland Clinic Blvd Group Name: Neurology Center Provider ID: 006541632001 Avon, OH 44011

Provider ID: 000966471001 NPI: 1881956670 (440) 695-5000 EB, P, R NPI: 1871568881 673 E River St Ages: 0-99 673 E River St Elyria, OH 44035 Hospital Affiliations:

Elyria, OH 44035 (440) 323-6422 EB, P, PL, R, RE, Metrohealth Medical Center

(440) 323-6422 EB, P, PL, R, RE, T Cleveland Clinic Foundation T Mo - 1:30 PM - 4:30 PM Hillcrest Hospital Languages Spoken: Tu,We - 8:30 AM - 3:30 PM Fairview Hospital Provider: Hindi, Punjabi Th - 8:30 AM - 3:00 PM Lakewood Hospital Mo-Tu - 8:00 AM - 12:30 PM Fr - 8:30 AM - 11:30 AM Cleveland Clinic Lakewood We,Fr - 8:00 AM - 5:00 PM Ages: 0-99 Lutheran Hospital Th - 12:30 PM - 5:00 PM Hospital Affiliations: Medina Hospital Cultural Competency: Y University Hospitals Elyria Ages: 0-99 Medical Ctr Hospital Affiliations: Uh Elyria Medical Center University Hospitals Elyria Uh Cleveland Medical Center Medical Ctr Mercy Regional Medical Center Uh Elyria Medical Center Communtiy Health Partners Rgnl St John Medical Center Mdcl Ctr Mercy Med Ctr Hh & Hospice

428

Specialists Ohio - Lorain Patel, Dhruv R, MD, (M), B Punia, Vineet, MD, (M), B Stojic, Andrey S, MD, (M), B Group Name: Mercy Health Group Name: Cleveland Clinic Group Name: Cleveland Clinic Physicians Lorain Foundation Foundation Provider ID: 001219807003 Provider ID: 006121783001 Provider ID: 002816461001 NPI: 1699740613 NPI: 1205154754 NPI: 1043343312 1813 Nagel Rd Ste 500 33300 Cleveland Clinic Blvd 33300 Cleveland Clinic Blvd Avon, OH 44011 Avon, OH 44011 Avon, OH 44011

(440) 222-4661 EB, P, R, RE, T (440) 695-5000 EB, P, R (440) 695-5000 EB, P, R Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Gujarati, Hindi Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Cleveland Clinic Foundation Ages: 18-99 Medina Hospital Hillcrest Hospital Hospital Affiliations: Cleveland Clinic Avon Hospital South Pointe Hospital University Hospitals Elyria Lakewood Hospital Medical Ctr Sabharwal, Vivek M, MD, (M) Cleveland Clinic Lakewood Uh Elyria Medical Center Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital St John Medical Center Foundation Mercy Regional Medical Center Provider ID: 002191902002 Sundararajan, Sophia N, MD, (F), Communtiy Health Partners Rgnl NPI: 1497710230 B Mdcl Ctr 33300 Cleveland Clinic Blvd Group Name: University Avon, OH 44011 Hospitals Medical Group

Patel, Dhruv R, MD, (M), B (216) 491-6000 Provider ID: 002147901002 Group Name: Mercy Health Ages: 0-99 NPI: 1639197031 Physicians Lorain Hospital Affiliations: 630 E River St Provider ID: 001219807003 Cleveland Clinic Foundation Elyria, OH 44035

NPI: 1699740613 Hillcrest Hospital (216) 844-8934 E, EB, G, IB, P, 3600 Kolbe Rd Ste 223 Fairview Hospital PL, R, RE, S, T Lorain, OH 44053 South Pointe Hospital Mo-Fr - 8:00 AM - 4:30 PM

(440) 222-4661 E, EB, P, R, RE, Lakewood Hospital Cultural Competency: Y S, T Cleveland Clinic Lakewood Ages: 0-99 Languages Spoken: Marymount Hospital Hospital Affiliations: Provider: Gujarati, Hindi Lutheran Hospital Uh Geauga Medical Center Cultural Competency: Y University Hospitals Geauga Ages: 18-99 Siddiqi, Ahmad, MD, (M), B Medical Ctr Hospital Affiliations: Group Name: University Primary University Hospitals Conneaut University Hospitals Elyria Care Practices Medical Ce Medical Ctr Provider ID: 007291588001 Uh Conneaut Medical Center Uh Elyria Medical Center NPI: 1841532264 Geneva General Hospital St John Medical Center 5001 Transportation Dr Ste 201 Uh Cleveland Medical Center Mercy Regional Medical Center Sheffield Village, OH 44054 Uh Parma Medical Center

Communtiy Health Partners Rgnl (216) 844-2724 EB, P, R University Hospitals Parma Mdcl Ctr Ages: 0-99 Medical Ctr

429

Ohio - Lorain Specialists Ui, Jennifer, MD, (F), B Ui, Jennifer, MD, (F), B Vincent, Christopher M, DO, (M), Group Name: Cleveland Clinic Group Name: Cleveland Clinic B Foundation Foundation Group Name: Cleveland Clinic Provider ID: 002940332001 Provider ID: 002940332001 Foundation NPI: 1225207194 NPI: 1225207194 Provider ID: 002686202005 33100 Cleveland Clinic Blvd 445 Avon Belden Rd Ste B4 NPI: 1811903990 Avon, OH 44011 Avon Lake, OH 44012 33100 Cleveland Clinic Blvd

(440) 695-4000 EB, P, R (440) 930-6800 EB, P, R Avon, OH 44011

Languages Spoken: Languages Spoken: (440) 695-4000 EB, IB, P, R Provider: Arabic Provider: Arabic Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 18-99 Ages: 18-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Ohio State University Hospital Lakewood Hospital Lakewood Hospital Grady Memorial Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Cleveland Clinic Avon Hospital South Pointe Hospital Euclid Hospital Ui, Jennifer, MD, (F), B Ui, Jennifer, MD, (F), B Marymount Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Lutheran Hospital Foundation Foundation Provider ID: 002940332001 Provider ID: 002940332001 Vincent, Christopher M, DO, (M), NPI: 1225207194 NPI: 1225207194 B 33300 Cleveland Clinic Blvd 450 Avon Belden Rd Group Name: Cleveland Clinic Avon, OH 44011 Avon Lake, OH 44012 Foundation

(440) 695-5000 EB, P, R (440) 930-6800 EB, P, R Provider ID: 002686202005 Languages Spoken: Languages Spoken: NPI: 1811903990 Provider: Arabic Provider: Arabic 450 Avon Belden Rd Cultural Competency: Y Cultural Competency: Y Avon Lake, OH 44012

Ages: 18-99 Ages: 18-99 (440) 930-6800 EB, P, R, RE, T Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Cleveland Clinic Foundation Ages: 18-99 Lakewood Hospital Lakewood Hospital Hospital Affiliations: Cleveland Clinic Lakewood Cleveland Clinic Lakewood Fairview Hospital Cleveland Clinic Avon Hospital Cleveland Clinic Avon Hospital Ohio State University Hospital Grady Memorial Hospital Cleveland Clinic Foundation South Pointe Hospital Euclid Hospital Marymount Hospital Lutheran Hospital

430

Specialists Ohio - Lorain

Supan, Alexis W, RD, (F) Nutritionist (Reg Dietician) Group Name: Cleveland Clinic Oncology

Czerwony, Beth A, RD, (F) Foundation Prior authorization is required to Group Name: Cleveland Clinic Provider ID: 007592372001 obtain some covered services from Foundation NPI: 1821360991 these providers. You will not be Provider ID: 003670762001 5172 Leavitt Rd covered for those services without NPI: 1790967156 Lorain, OH 44053 such approval by UnitedHealthcare 33100 Cleveland Clinic Blvd (440) 282-7420 EB, P, R Community Plan. Please see your Avon, OH 44011 Ages: 0-99 member handbook, or call Member (440) 695-4000 EB, P, R Hospital Affiliations: Services for details.

Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Dergham, Bachar, MD, (M), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Occupational Therapy Foundation Ilic, Mira S, RD, (F) Wirth, Michelle K, OTR, (F) Provider ID: 001927760001 Group Name: Cleveland Clinic Group Name: Building Blocks NPI: 1013016930 Foundation Therapy 5700 Cooper Foster Park Rd W Provider ID: 003670945001 Provider ID: 007120210003 Lorain, OH 44053 NPI: 1689637845 NPI: 1356877567 (440) 878-2500 EB, IB, P, R, RE, T 5700 Cooper Foster Park Rd W 36711 American Way Cultural Competency: Y Lorain, OH 44053 Avon, OH 44011 Ages: 0-99 Hospital Affiliations: (440) 207-7400 EB, IB, P, R, RE, T (216) 282-1234 EB, P, R Cultural Competency: Y Ages: 0-21 Cleveland Clinic Foundation Ages: 0-99 Hillcrest Hospital Hospital Affiliations: South Pointe Hospital Cleveland Clinic Foundation Euclid Hospital Marymount Hospital Schreiner, Jessica L, MD, (F), B Group Name: Cleveland Clinic Escuro, Ruben S, MD, (M), B Foundation Group Name: American Oncology Provider ID: 006538314001 Partners NPI: 1114318029 Provider ID: 000086613002 33300 Cleveland Clinic Blvd NPI: 1194777292 Avon, OH 44011 41201 Schadden Rd Ste 2 Elyria, OH 44035 (440) 695-5000 EB, P, R Ages: 0-99 (440) 324-0401 E, EB, G, IB, P, PL, R, RE, S, T Mo-Fr - 8:30 AM - 4:00 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Medical Ctr Uh Elyria Medical Center

431

Ohio - Lorain Specialists Mercy Regional Medical Center Upmc Presbyterian Shadyside Communtiy Health Partners Rgnl Mdcl Ctr Orthopaedic Surgery Davis, Alan W, MD, (M), B

Members may self-refer to these Group Name: Cleveland Clinic Kantharaj, Belagodu, MD, (M), B providers. Foundation

Group Name: American Oncology Provider ID: 000759182001 Partners Cheng, Christina W, MD, (F) NPI: 1447214895 Provider ID: 000086614002 Group Name: University 33100 Cleveland Clinic Blvd NPI: 1982656005 Hospitals Medical Group Avon, OH 44011 Provider ID: 006459608004 41201 Schadden Rd Ste 2 (440) 695-4000 EB, P, R Elyria, OH 44035 NPI: 1053600742 Cultural Competency: Y 32800 Lorain Rd Ste 1100 (440) 324-0401 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T North Ridgeville, OH 44039 Hospital Affiliations: Mo-Fr - 8:30 AM - 4:00 PM (216) 844-3941 EB, P, R, RE, T Cleveland Clinic Foundation Cultural Competency: Y Languages Spoken: Fairview Hospital Ages: 0-99 Provider: Cantonese Lakewood Hospital Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Lakewood University Hospitals Elyria Ages: 0-99 Marymount Hospital Medical Ctr Hospital Affiliations: Lutheran Hospital Uh Elyria Medical Center Harborview Medical Center Southwest General Health Center Mercy Regional Medical Center St John Medical Center St John Medical Center Communtiy Health Partners Rgnl Uh Cleveland Medical Center Mdcl Ctr Rainbow Babies & Childrens Deswart, Robert J, MD, (M), B Hosp Group Name: Orthopaedic Litam, Patrick P, MD, (M), B University Of Washington Associates Group Name: American Oncology Medical Ctr Provider ID: 001262108003 Partners Univ Hospitals Ahuja Med Ctr NPI: 1598773913 Provider ID: 001426764002 1502 Travelers Point NPI: 1447203054 Cotman, Steven J, MD, (M) Avon, OH 44011 41201 Schadden Rd Ste 2 Group Name: Orthopaedic (440) 892-1440 EB, P, PL, R, RE, Elyria, OH 44035 Associates T (440) 324-0401 E, EB, G, IB, P, Provider ID: 007178028005 Languages Spoken: PL, R, RE, S, T NPI: 1568881332 Provider: Dutch, French, German Mo-Fr - 8:30 AM - 4:00 PM 1502 Travelers Point Mo-Fr - 8:00 AM - 4:30 PM Cultural Competency: Y Avon, OH 44011 Ages: 0-99 Ages: 0-99 Hospital Affiliations: (440) 892-1440 EB, P, PL, R, RE, Hospital Affiliations: T Fairview Hospital University Hospitals Elyria Mo-Fr - 8:00 AM - 4:30 PM Lakewood Hospital Medical Ctr Ages: 0-99 Cleveland Clinic Lakewood Uh Elyria Medical Center Hospital Affiliations: St John Medical Center Mercy Regional Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr

432

Specialists Ohio - Lorain Deswart, Robert J, MD, (M), B Elyaderani, Mehrun, MD, (M), B Gavlak, Gerald E, PA, (M) Group Name: Mercy Health Group Name: Orthopaedic Group Name: UPCP Physicians Lorain Associates Provider ID: 002633664003 Provider ID: 001262108004 Provider ID: 002009852001 NPI: 1003929381 NPI: 1598773913 NPI: 1235147604 32800 Lorain Rd Ste 1100 224 W Lorain St 1502 Travelers Point North Ridgeville, OH 44039

Oberlin, OH 44074 Avon, OH 44011 (440) 329-2800 EB, P, R, RE, T

(440) 222-4970 EB, P, R (440) 892-1440 EB, P, PL, R, RE, Languages Spoken: T Mo-Fr - 8:30 AM - 4:30 PM Provider: Dutch, French, German Mo-Fr - 8:00 AM - 4:30 PM Web address: www.zotecmmp.com Mo-Su - 8:00 AM - 5:00 PM Ages: 0-99 Ages: 18-99 Does Not Accept New Patients Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Fairview Hospital University Hospitals Elyria Hospital Affiliations: Lakewood Hospital Medical Ctr Fairview Hospital Cleveland Clinic Lakewood Uh Elyria Medical Center Lakewood Hospital St John Medical Center Broward Health Medical Center Cleveland Clinic Lakewood Holy Cross Hospital St John Medical Center Gavlak, Gerald E, PA, (M) Broward Health Imperial Point Group Name: UPCP Southwest General Health Center Deswart, Robert J, MD, (M), B Provider ID: 002633664003 St John Medical Center Group Name: Mercy Health NPI: 1003929381 Physicians Lorain 254 Cleveland Ave Ste 101 Gavlak, Gerald E, PA, (M) Provider ID: 001262108004 Amherst, OH 44001 Group Name: UPCP Provider ID: 002633664003 NPI: 1598773913 (440) 329-2800 EB, G, P, PL, R, 3600 Kolbe Rd Ste 100 RE, S, T NPI: 1003929381 Lorain, OH 44053 Mo-Fr - 8:30 AM - 4:30 PM 3700 Kolbe Rd (440) 222-4970 Web address: www.zotecmmp.com Lorain, OH 44053 Languages Spoken: Ages: 18-99 (440) 329-2800 EB, P, R Provider: Dutch, French, German Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Does Not Accept New Patients University Hospitals Elyria Web address: www.zotecmmp.com Ages: 0-99 Medical Ctr Ages: 18-99 Hospital Affiliations: Uh Elyria Medical Center Hospital Affiliations: Fairview Hospital Broward Health Medical Center University Hospitals Elyria Lakewood Hospital Holy Cross Hospital Medical Ctr Cleveland Clinic Lakewood Broward Health Imperial Point Uh Elyria Medical Center St John Medical Center Southwest General Health Center Broward Health Medical Center St John Medical Center Holy Cross Hospital Broward Health Imperial Point Southwest General Health Center St John Medical Center

433

Ohio - Lorain Specialists Gavlak, Gerald E, PA, (M) George, Joseph W, MD, (M), B Cleveland Clinic Foundation Group Name: UPCP Group Name: Cleveland Clinic Fairview Hospital Provider ID: 002633664003 Foundation Sharp Memorial Hospital NPI: 1003929381 Provider ID: 002818074001 Marymount Hospital 5001 Transportation Dr Ste 100 NPI: 1700084795 Ccf Children's Hosp/rehab Sheffield Village, OH 44054 33100 Cleveland Clinic Blvd Fallbrook Hospital

(440) 329-2800 EB, P, R, RE Avon, OH 44011

Mo-Fr - 8:30 AM - 4:30 PM (440) 695-4000 EB, P, R Goodwin, Ryan C, MD, (M), B Web address: www.zotecmmp.com Ages: 0-99 Group Name: Cleveland Clinic Ages: 18-99 Hospital Affiliations: Foundation Hospital Affiliations: Cleveland Clinic Foundation Provider ID: 002392125001 University Hospitals Elyria Lakewood Hospital NPI: 1205891470 Medical Ctr Cleveland Clinic Lakewood 5700 Cooper Foster Park Rd W Uh Elyria Medical Center Lutheran Hospital Lorain, OH 44053

Broward Health Medical Center Cleveland Clinic Avon Hospital (440) 985-3113 EB, IB, P, R, RE, T Holy Cross Hospital Cultural Competency: Y Broward Health Imperial Point George, Joseph W, MD, (M), B Ages: 18-99 Southwest General Health Center Group Name: Cleveland Clinic Hospital Affiliations: St John Medical Center Foundation Cleveland Clinic Foundation Provider ID: 002818074001 Fairview Hospital Gavlak, Gerald E, PA, (M) NPI: 1700084795 Sharp Memorial Hospital Group Name: UPCP 33300 Cleveland Clinic Blvd Marymount Hospital Provider ID: 002633664003 Avon, OH 44011 Ccf Children's Hosp/rehab

NPI: 1003929381 (440) 695-5000 EB, P, R Fallbrook Hospital 630 E River St Ages: 0-99 Elyria, OH 44035 Hospital Affiliations: Hoashi, Jane S, MD, (F)

(440) 329-2800 EB, P, R Cleveland Clinic Foundation Group Name: Xcell Medical Mo-Fr - 8:30 AM - 4:30 PM Lakewood Hospital Group Web address: www.zotecmmp.com Cleveland Clinic Lakewood Provider ID: 003778621003 Ages: 18-99 Lutheran Hospital NPI: 1821376559 Hospital Affiliations: Cleveland Clinic Avon Hospital 710 Leona St University Hospitals Elyria Elyria, OH 44035

Medical Ctr Goodwin, Ryan C, MD, (M), B (440) 324-0092 EB, IB, P, R, RE, Uh Elyria Medical Center Group Name: Cleveland Clinic T Broward Health Medical Center Foundation Languages Spoken: Holy Cross Hospital Provider ID: 002392125001 Provider: Spanish Broward Health Imperial Point NPI: 1205891470 Mo,We,Th - 9:00 AM - 6:00 PM Southwest General Health Center 33100 Cleveland Clinic Blvd Tu - 2:00 PM - 6:00 PM St John Medical Center Avon, OH 44011 Fr - 9:00 AM - 12:00 PM

(440) 695-4000 EB, P, R Web address: www.xcellmedicalgro Cultural Competency: Y up.com Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations:

434

Specialists Ohio - Lorain Cleveland Clinic Foundation Kolczun, Michael C, MD, (M), B Krebs, Viktor E, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Horwood, Raymond L, MD, (M), Foundation Foundation B Provider ID: 000738007001 Provider ID: 001821119001 Group Name: Orthopaedic NPI: 1285699496 NPI: 1538136965 Associates 33300 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd Provider ID: 000010148001 Avon, OH 44011 Avon, OH 44011

NPI: 1437167871 (440) 695-5000 EB, P, R (440) 695-4000 EB, P, R 1502 Travelers Point Cultural Competency: Y Ages: 0-99 Avon, OH 44011 Web address: www.clevelandclinic. Hospital Affiliations:

(440) 892-1440 EB, P, PL, R, RE, org Cleveland Clinic Foundation T Ages: 0-99 Lutheran Hospital Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Web address: www.oaidocs.com University Hospitals Elyria Lew, Michael M, MD, (M), B Ages: 0-99 Medical Ctr Group Name: Orthopaedic Hospital Affiliations: Uh Elyria Medical Center Associates Fairview Hospital Cleveland Clinic Foundation Provider ID: 001333092001 Lakewood Hospital Lakewood Hospital NPI: 1619985090 Cleveland Clinic Lakewood Cleveland Clinic Lakewood 1502 Travelers Point St John Medical Center Lutheran Hospital Avon, OH 44011

(440) 892-1440 EB, P, PL, R, RE, Horwood, Raymond L, MD, (M), Kolczun, Michael C, MD, (M), B T B Group Name: Cleveland Clinic Mo-Fr - 8:00 AM - 4:30 PM Group Name: Mercy Health Foundation Ages: 0-99 Physicians Lorain Provider ID: 000738007001 Hospital Affiliations: Provider ID: 000010148002 NPI: 1285699496 Fairview Hospital NPI: 1437167871 5700 Cooper Foster Park Rd W Lakewood Hospital 3600 Kolbe Rd Ste 100 Lorain, OH 44053 Cleveland Clinic Lakewood

Lorain, OH 44053 (440) 985-3113 EB, IB, P, R, RE, T St John Medical Center (440) 222-4970 Cultural Competency: Y Web address: www.oaidocs.com Web address: www.clevelandclinic. Lew, Michael M, MD, (M), B Ages: 0-99 org Group Name: Mercy Health Hospital Affiliations: Ages: 0-99 Physicians Lorain Fairview Hospital Hospital Affiliations: Provider ID: 001333092002 Lakewood Hospital University Hospitals Elyria NPI: 1619985090 Cleveland Clinic Lakewood Medical Ctr 3600 Kolbe Rd Ste 100 St John Medical Center Uh Elyria Medical Center Lorain, OH 44053 Cleveland Clinic Foundation (440) 222-4970 Lakewood Hospital Web address: www.oaidocs.com Cleveland Clinic Lakewood Does Not Accept New Patients Lutheran Hospital Ages: 0-99 Hospital Affiliations: Fairview Hospital

435

Ohio - Lorain Specialists Lakewood Hospital Maheshwer, Conjeevaram, MD, Marsh, David G, MD, (M), B Cleveland Clinic Lakewood (M), B Group Name: University Primary St John Medical Center Group Name: Mercy Health Care Practices Physicians Lorain Provider ID: 003575505002 Lowry, Joseph M, DO, (M), B Provider ID: 002187310002 NPI: 1720239395 Group Name: Orthopaedic NPI: 1588672851 254 Cleveland Ave Ste 101 Associates 3600 Kolbe Rd Ste 100 Amherst, OH 44001

Provider ID: 003066243001 Lorain, OH 44053 (440) 329-2800 EB, G, P, PL, R, NPI: 1457521494 (440) 222-4970 RE, S, T 1502 Travelers Point Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Avon, OH 44011 Provider: Tamil Ages: 0-99

(440) 892-1440 EB, P, PL, R, RE, Web address: www.oaidocs.com Hospital Affiliations: T Does Not Accept New Patients University Hospitals Elyria Languages Spoken: Ages: 0-99 Medical Ctr Staff: Spanish Hospital Affiliations: Uh Elyria Medical Center Mo-Fr - 8:00 AM - 4:30 PM Fairview Hospital Mercy Allen Hospital Ages: 0-99 Lakewood Hospital St John Medical Center Hospital Affiliations: Cleveland Clinic Lakewood Mercy Regional Medical Center Fairview Hospital St John Medical Center Communtiy Health Partners Rgnl Lakewood Hospital Mdcl Ctr Cleveland Clinic Lakewood Mandel, Irwin M, MD, (M), B St John Medical Center Group Name: Orthopaedic Marsh, David G, MD, (M), B Associates Group Name: University Primary Lowry, Joseph M, DO, (M), B Provider ID: 002196736001 Care Practices Group Name: Mercy Health NPI: 1245248558 Provider ID: 003575505002 Physicians Lorain 1502 Travelers Point NPI: 1720239395 Provider ID: 003066243003 Avon, OH 44011 319 W Lorain St

NPI: 1457521494 (440) 892-1440 EB, P, PL, R, RE, Oberlin, OH 44074

3600 Kolbe Rd Ste 100 T (440) 329-2800 EB, P, R, RE, T Lorain, OH 44053 Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM (440) 222-4970 Ages: 0-99 Ages: 0-99 Web address: www.oaidocs.com Hospital Affiliations: Hospital Affiliations: Does Not Accept New Patients Fairview Hospital University Hospitals Elyria Ages: 0-99 Lakewood Hospital Medical Ctr Hospital Affiliations: Cleveland Clinic Lakewood Uh Elyria Medical Center Fairview Hospital St John Medical Center Mercy Allen Hospital Lakewood Hospital St John Medical Center Cleveland Clinic Lakewood Mercy Regional Medical Center St John Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

436

Specialists Ohio - Lorain Marsh, David G, MD, (M), B Marsh, David G, MD, (M), B Martinez, Manuel A, MD, (M), B Group Name: University Primary Group Name: University Primary Group Name: Orthopaedic Care Practices Care Practices Associates Provider ID: 003575505002 Provider ID: 003575505002 Provider ID: 000010149001 NPI: 1720239395 NPI: 1720239395 NPI: 1497763890 32800 Lorain Rd Ste 1100 5001 Transportation Dr Ste 100 32800 Lorain Rd # 1100 North Ridgeville, OH 44039 Sheffield Village, OH 44054 North Ridgeville, OH 44039

(440) 329-2800 EB, P, R, RE, T (440) 329-2800 EB, P, R, RE (440) 892-1440 EB, P, R, RE, T Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Languages Spoken: Ages: 0-99 Hospital Affiliations: Provider: Spanish Hospital Affiliations: University Hospitals Elyria Mo - 1:00 PM - 5:00 PM University Hospitals Elyria Medical Ctr Fr - 8:30 AM - 12:30 PM Medical Ctr Uh Elyria Medical Center Web address: www.oaidocs.com Uh Elyria Medical Center Mercy Allen Hospital Ages: 0-99 Mercy Allen Hospital St John Medical Center Hospital Affiliations: St John Medical Center Mercy Regional Medical Center Fairview Hospital Mercy Regional Medical Center Communtiy Health Partners Rgnl Lakewood Hospital Communtiy Health Partners Rgnl Mdcl Ctr Cleveland Clinic Lakewood Mdcl Ctr St John Medical Center Martinez, Manuel A, MD, (M), B Marsh, David G, MD, (M), B Group Name: Orthopaedic Martinez, Manuel A, MD, (M), B Group Name: University Primary Associates Group Name: Mercy Health Care Practices Provider ID: 000010149001 Physicians Lorain Provider ID: 003575505002 NPI: 1497763890 Provider ID: 000010149002 NPI: 1720239395 1502 Travelers Point NPI: 1497763890 3700 Kolbe Rd Avon, OH 44011 3600 Kolbe Rd Ste 100 Lorain, OH 44053 Lorain, OH 44053 (440) 892-1440 EB, P, PL, R, RE, (440) 329-2800 EB, G, IB, P, R, T (440) 222-4970 RE, S, T Languages Spoken: Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Provider: Spanish Provider: Spanish Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Web address: www.oaidocs.com Hospital Affiliations: Web address: www.oaidocs.com Accepting Existing Patients Only University Hospitals Elyria Ages: 0-99 Ages: 0-99 Medical Ctr Hospital Affiliations: Hospital Affiliations: Uh Elyria Medical Center Fairview Hospital Fairview Hospital Mercy Allen Hospital Lakewood Hospital Lakewood Hospital St John Medical Center Cleveland Clinic Lakewood Cleveland Clinic Lakewood Mercy Regional Medical Center St John Medical Center St John Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

437

Ohio - Lorain Specialists Matko, Andrew J, DO, (M), B Matko, Andrew J, DO, (M), B Matko, Andrew J, DO, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 002793848002 Provider ID: 002793848002 Provider ID: 002793848002 NPI: 1538296041 NPI: 1538296041 NPI: 1538296041 303 Chestnut Commons Dr 450 Avon Belden Rd 5800 Cooper Foster Park Rd W Elyria, OH 44035 Avon Lake, OH 44012 Lorain, OH 44053

(440) 366-9444 EB, P, R (440) 930-6800 EB, P, R (440) 204-7800 EB, P, R Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Lakewood Hospital Lakewood Hospital Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Lakewood Lutheran Hospital Lutheran Hospital Lutheran Hospital Medina Hospital Medina Hospital Medina Hospital Mercy Allen Hospital Mercy Allen Hospital Mercy Allen Hospital Mercy Regional Medical Center Mercy Regional Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr Mdcl Ctr

Matko, Andrew J, DO, (M), B Matko, Andrew J, DO, (M), B Mccoy, Brett W, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: University Primary Foundation Foundation Care Practices Provider ID: 002793848002 Provider ID: 002793848002 Provider ID: 003489796004 NPI: 1538296041 NPI: 1538296041 NPI: 1659527679 33100 Cleveland Clinic Blvd 5275 N Abbe Rd 254 Cleveland Ave Ste 101 Avon, OH 44011 Sheffield Village, OH 44035 Amherst, OH 44001

(440) 695-4000 EB, P, R (440) 204-7800 EB, P, R (440) 329-2800 EB, G, P, PL, R, Cultural Competency: Y Cultural Competency: Y RE, S, T Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Lakewood Hospital Lakewood Hospital Cleveland Clinic Foundation Cleveland Clinic Lakewood Cleveland Clinic Lakewood Fairview Hospital Lutheran Hospital Lutheran Hospital Marymount Hospital Medina Hospital Medina Hospital Lutheran Hospital Mercy Allen Hospital Mercy Allen Hospital Uh Parma Medical Center Mercy Regional Medical Center Mercy Regional Medical Center University Hospitals Parma Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Medical Ctr Mdcl Ctr Mdcl Ctr

438

Specialists Ohio - Lorain Mccoy, Brett W, MD, (M), B Molloy, Robert M, MD, (M), B Orr, Robert D, MD, (M), B Group Name: University Primary Group Name: Cleveland Clinic Group Name: Cleveland Clinic Care Practices Foundation Foundation Provider ID: 003489796004 Provider ID: 002571760001 Provider ID: 002296218001 NPI: 1659527679 NPI: 1104840933 NPI: 1720043565 319 W Lorain St 33100 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd Oberlin, OH 44074 Avon, OH 44011 Avon, OH 44011

(440) 329-2800 EB, P, R, RE, T (440) 695-4000 EB, P, R (440) 695-4000 EB, P, R Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Lutheran Hospital Lutheran Hospital Marymount Hospital New England Baptist Hospital Lutheran Hospital Popa, Matthew A, MD, (M), B Uh Parma Medical Center Mutnal, Amar B, MD, (M), B Group Name: UPCP University Hospitals Parma Group Name: Northern Oh Provider ID: 003675265004 Medical Ctr Medical Specialist NPI: 1265694194 Provider ID: 005461459002 224 W Lorain St Mccoy, Brett W, MD, (M), B NPI: 1790999415 Oberlin, OH 44074

Group Name: University Primary 5319 Hoag Dr Ste 210c (440) 329-2800 EB, P, PL, R, RE, Care Practices Sheffield Village, OH 44035 T

Provider ID: 003489796004 (419) 626-6161 E, EB, G, IB, P, Mo-Fr - 8:30 AM - 4:30 PM NPI: 1659527679 PL, R Ages: 0-99 5001 Transportation Dr Ste 100 Ages: 0-99 Hospital Affiliations: Sheffield Village, OH 44054 Hospital Affiliations: Marion General Hospital

(440) 329-2800 EB, P, R, RE St Vincent Charity Medical Center Chatham Hospital Cultural Competency: Y Ashtabula County Med Center Uh Cleveland Medical Center Ages: 0-99 High Point Reg Health System Hospital Affiliations: Mutnal, Amar B, MD, (M), B Univ Of North Carolina Hospitals Cleveland Clinic Foundation Group Name: Northern Oh Univ Hospitals Ahuja Med Ctr Fairview Hospital Medical Specialist Marymount Hospital Provider ID: 005461459002 Popa, Matthew A, MD, (M), B Lutheran Hospital NPI: 1790999415 Group Name: UPCP Uh Parma Medical Center 5319 Hoag Dr Ste 240c Provider ID: 003675265004 University Hospitals Parma Sheffield Village, OH 44035 NPI: 1265694194

Medical Ctr (440) 387-4607 EB, P, R 254 Cleveland Ave Ste 101 Ages: 0-99 Amherst, OH 44001

Hospital Affiliations: (440) 329-2800 EB, G, P, PL, R, St Vincent Charity Medical Center RE, S, T Ashtabula County Med Center Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations:

439

Ohio - Lorain Specialists Marion General Hospital Popa, Matthew A, MD, (M), B Roberts, Jeffrey J, MD, (M), B Chatham Hospital Group Name: UPCP Group Name: Mercy Health Uh Cleveland Medical Center Provider ID: 003675265004 Physicians Lorain High Point Reg Health System NPI: 1265694194 Provider ID: 001240074005 Univ Of North Carolina Hospitals 5001 Transportation Dr Ste 100 NPI: 1679581060 Univ Hospitals Ahuja Med Ctr Sheffield Village, OH 44054 3600 Kolbe Rd Ste 100

(440) 329-2800 EB, P, R, RE Lorain, OH 44053 Popa, Matthew A, MD, (M), B Mo-Fr - 8:30 AM - 4:30 PM (440) 222-4970 Group Name: UPCP Ages: 0-99 Web address: www.oaidocs.com Provider ID: 003675265004 Hospital Affiliations: Does Not Accept New Patients NPI: 1265694194 Marion General Hospital Ages: 0-99 32800 Lorain Rd Ste 1100 Chatham Hospital Hospital Affiliations: North Ridgeville, OH 44039 Uh Cleveland Medical Center Metrohealth Medical Center

(440) 329-2800 EB, P, R, RE, T High Point Reg Health System Fairview Hospital Univ Of North Carolina Hospitals Lakewood Hospital Mo-Fr - 8:30 AM - 4:30 PM Univ Hospitals Ahuja Med Ctr Cleveland Clinic Lakewood Ages: 0-99 St John Medical Center Hospital Affiliations: Roberts, Jeffrey J, MD, (M), B Marion General Hospital Group Name: Orthopaedic Sabo, Frank M, MD, (M), B Chatham Hospital Associates Group Name: Cleveland Clinic Uh Cleveland Medical Center Provider ID: 001240074004 Foundation High Point Reg Health System NPI: 1679581060 Provider ID: 001781954001 Univ Of North Carolina Hospitals 1502 Travelers Point NPI: 1063417251 Univ Hospitals Ahuja Med Ctr Avon, OH 44011 303 Chestnut Commons Dr

(440) 892-1440 EB, P, PL, R, RE, Elyria, OH 44035 Popa, Matthew A, MD, (M), B T (440) 366-9444 EB, P, R Group Name: UPCP Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Provider ID: 003675265004 Ages: 0-99 Hospital Affiliations: NPI: 1265694194 Hospital Affiliations: Cleveland Clinic Foundation 5001 Transportation Dr Metrohealth Medical Center Lakewood Hospital Sheffield Village, OH 44054 Fairview Hospital Cleveland Clinic Lakewood (440) 329-2800 EB, P, R, RE Lakewood Hospital Lutheran Hospital Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Lakewood Mercy Regional Medical Center Ages: 0-99 St John Medical Center Communtiy Health Partners Rgnl Hospital Affiliations: Mdcl Ctr Marion General Hospital Chatham Hospital Uh Cleveland Medical Center High Point Reg Health System Univ Of North Carolina Hospitals Univ Hospitals Ahuja Med Ctr

440

Specialists Ohio - Lorain Sabo, Frank M, MD, (M), B Sabo, Frank M, MD, (M), B Sandhu, Harkeet S, MD, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: UPCP Foundation Foundation Provider ID: 003096060002 Provider ID: 001781954001 Provider ID: 001781954001 NPI: 1366649261 NPI: 1063417251 NPI: 1063417251 254 Cleveland Ave Ste 101 33100 Cleveland Clinic Blvd 5334 Meadow Lane Ct Amherst, OH 44001

Avon, OH 44011 Sheffield Village, OH 44035 (440) 329-2800 EB, G, P, PL, R,

(440) 695-4000 EB, P, R (440) 934-5454 EB, P, R RE, S, T Ages: 0-99 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Lakewood Hospital Lakewood Hospital University Hospitals Elyria Cleveland Clinic Lakewood Cleveland Clinic Lakewood Medical Ctr Lutheran Hospital Lutheran Hospital Uh Elyria Medical Center Mercy Regional Medical Center Mercy Regional Medical Center Cleveland Clinic Foundation Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr Sandhu, Harkeet S, MD, (M) Group Name: UPCP Sabo, Frank M, MD, (M), B Sabo, Frank M, MD, (M), B Provider ID: 003096060002 Group Name: Cleveland Clinic Group Name: Cleveland Clinic NPI: 1366649261 Foundation Foundation 32800 Lorain Rd Ste 1100 Provider ID: 001781954001 Provider ID: 001781954001 North Ridgeville, OH 44039

NPI: 1063417251 NPI: 1063417251 (440) 329-2800 EB, P, R, RE, T 450 Avon Belden Rd 5800 Cooper Foster Park Rd W Avon Lake, OH 44012 Lorain, OH 44053 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 (440) 930-6800 EB, P, R (440) 204-7800 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: University Hospitals Elyria Cleveland Clinic Foundation Cleveland Clinic Foundation Medical Ctr Lakewood Hospital Lakewood Hospital Uh Elyria Medical Center Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Foundation Lutheran Hospital Lutheran Hospital Mercy Regional Medical Center Mercy Regional Medical Center Sandhu, Harkeet S, MD, (M) Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Group Name: UPCP Mdcl Ctr Mdcl Ctr Provider ID: 003096060002 NPI: 1366649261 5001 Transportation Dr Sheffield Village, OH 44054

(440) 329-2800 EB, P, R, RE Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Medical Ctr

441

Ohio - Lorain Specialists Uh Elyria Medical Center Serna, Alfred, MD, (M), B Serna, Alfred, MD, (M), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Sandhu, Harkeet S, MD, (M) Provider ID: 001569696001 Provider ID: 001569696001 Group Name: UPCP NPI: 1649235193 NPI: 1649235193 Provider ID: 003096060002 33300 Cleveland Clinic Blvd 5700 Cooper Foster Park Rd W NPI: 1366649261 Avon, OH 44011 Lorain, OH 44053

5001 Transportation Dr Ste 100 (440) 695-5000 EB, P, R (440) 985-3113 EB, IB, P, R, RE, T Sheffield Village, OH 44054 Ages: 0-99 Ages: 0-99

(440) 329-2800 EB, P, R, RE Hospital Affiliations: Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM University Hospitals Elyria University Hospitals Elyria Ages: 0-99 Medical Ctr Medical Ctr Hospital Affiliations: Uh Elyria Medical Center Uh Elyria Medical Center University Hospitals Elyria Cleveland Clinic Foundation Cleveland Clinic Foundation Medical Ctr Lakewood Hospital Lakewood Hospital Uh Elyria Medical Center Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Foundation Lutheran Hospital Lutheran Hospital Mercy Regional Medical Center Mercy Regional Medical Center Serna, Alfred, MD, (M), B Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Group Name: Cleveland Clinic Mdcl Ctr Mdcl Ctr Foundation Provider ID: 001569696001 Serna, Alfred, MD, (M), B Serna, Alfred, MD, (M), B NPI: 1649235193 Group Name: Cleveland Clinic Group Name: Cleveland Clinic 33100 Cleveland Clinic Blvd Foundation Foundation Avon, OH 44011 Provider ID: 001569696001 Provider ID: 001569696001

(440) 695-4000 EB, P, R NPI: 1649235193 NPI: 1649235193 Ages: 0-99 5275 N Abbe Rd 5800 Cooper Foster Park Rd W Hospital Affiliations: Sheffield Village, OH 44035 Lorain, OH 44053

University Hospitals Elyria (440) 204-7800 EB, P, R (440) 985-3113 EB, P, R Medical Ctr Ages: 0-99 Ages: 0-99 Uh Elyria Medical Center Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation University Hospitals Elyria University Hospitals Elyria Lakewood Hospital Medical Ctr Medical Ctr Cleveland Clinic Lakewood Uh Elyria Medical Center Uh Elyria Medical Center Lutheran Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Mercy Regional Medical Center Lakewood Hospital Lakewood Hospital Communtiy Health Partners Rgnl Cleveland Clinic Lakewood Cleveland Clinic Lakewood Mdcl Ctr Lutheran Hospital Lutheran Hospital Mercy Regional Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr

442

Specialists Ohio - Lorain Shapiro, David B, MD, (M), B Shapiro, David B, MD, (M), B Shapiro, David B, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 000985844001 Provider ID: 000985844001 Provider ID: 000985844001 NPI: 1356306682 NPI: 1356306682 NPI: 1356306682 303 Chestnut Commons Dr 33300 Cleveland Clinic Blvd 5275 N Abbe Rd Elyria, OH 44035 Avon, OH 44011 Sheffield Village, OH 44035

(440) 366-9444 EB, P, R (440) 695-5000 EB, P, R (440) 204-7800 EB, P, R Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 18-99 Ages: 18-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Fairview Hospital Fairview Hospital Lakewood Hospital Lakewood Hospital Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Lakewood Lutheran Hospital Lutheran Hospital Lutheran Hospital

Shapiro, David B, MD, (M), B Shapiro, David B, MD, (M), B Shapiro, David B, MD, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 000985844001 Provider ID: 000985844001 Provider ID: 000985844001 NPI: 1356306682 NPI: 1356306682 NPI: 1356306682 33100 Cleveland Clinic Blvd 450 Avon Belden Rd 5700 Cooper Foster Park Rd W Avon, OH 44011 Avon Lake, OH 44012 Lorain, OH 44053

(440) 695-4000 EB, P, R (440) 930-6800 EB, P, R (440) 985-3113 EB, IB, P, R, RE, T Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 18-99 Ages: 18-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Fairview Hospital Fairview Hospital Lakewood Hospital Lakewood Hospital Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Lakewood Lutheran Hospital Lutheran Hospital Lutheran Hospital

443

Ohio - Lorain Specialists Shapiro, David B, MD, (M), B Stanfield, William B, MD, (M), B Stanfield, William B, MD, (M), B Group Name: Cleveland Clinic Group Name: UPCP Group Name: UPCP Foundation Provider ID: 001752255002 Provider ID: 001752255002 Provider ID: 000985844001 NPI: 1093792889 NPI: 1093792889 NPI: 1356306682 319 W Lorain St 3700 Kolbe Rd 5800 Cooper Foster Park Rd W Oberlin, OH 44074 Lorain, OH 44053

Lorain, OH 44053 (440) 329-2800 EB, P, R, RE, T (440) 329-2800 EB, P, R

(440) 985-3113 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Ages: 18-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation University Hospitals Elyria University Hospitals Elyria Fairview Hospital Medical Ctr Medical Ctr Lakewood Hospital Uh Elyria Medical Center Uh Elyria Medical Center Cleveland Clinic Lakewood Mercy Allen Hospital Mercy Allen Hospital Lutheran Hospital St John Medical Center St John Medical Center Mercy Regional Medical Center Mercy Regional Medical Center Stanfield, William B, MD, (M), B Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Group Name: UPCP Mdcl Ctr Mdcl Ctr Provider ID: 001752255002 NPI: 1093792889 Stanfield, William B, MD, (M), B Stanfield, William B, MD, (M), B 254 Cleveland Ave Ste 101 Group Name: UPCP Group Name: UPCP Amherst, OH 44001 Provider ID: 001752255002 Provider ID: 001752255002

(440) 329-2800 EB, G, P, PL, R, NPI: 1093792889 NPI: 1093792889 RE, S, T 32800 Lorain Rd Ste 1100 5001 Transportation Dr Mo-Fr - 8:30 AM - 4:30 PM North Ridgeville, OH 44039 Sheffield Village, OH 44054

Cultural Competency: Y (440) 329-2800 EB, P, R, RE, T (440) 329-2800 EB, P, R, RE Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y University Hospitals Elyria Cultural Competency: Y Ages: 0-99 Medical Ctr Ages: 0-99 Hospital Affiliations: Uh Elyria Medical Center Hospital Affiliations: University Hospitals Elyria Mercy Allen Hospital University Hospitals Elyria Medical Ctr St John Medical Center Medical Ctr Uh Elyria Medical Center Mercy Regional Medical Center Uh Elyria Medical Center Mercy Allen Hospital Communtiy Health Partners Rgnl Mercy Allen Hospital St John Medical Center Mdcl Ctr St John Medical Center Mercy Regional Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mdcl Ctr

444

Specialists Ohio - Lorain Stanfield, William B, MD, (M), B Templeton, Jesse E, MD, (M), B Zanotti, Robert M, MD, (M), B Group Name: UPCP Group Name: Orthopaedic Group Name: University Primary Provider ID: 001752255002 Associates Care Practices NPI: 1093792889 Provider ID: 003118032001 Provider ID: 001752250002 5001 Transportation Dr Ste 100 NPI: 1790974350 NPI: 1124005939 Sheffield Village, OH 44054 1502 Travelers Point 254 Cleveland Ave Ste 101

(440) 329-2800 EB, P, R, RE Avon, OH 44011 Amherst, OH 44001

Mo-Fr - 8:30 AM - 4:30 PM (440) 892-1440 EB, P, PL, R, RE, (440) 329-2800 EB, G, P, PL, R, Cultural Competency: Y T RE, S, T Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Mo,Tu,Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Web address: www.oaidocs.com We,Th - 8:00 AM - 5:00 PM University Hospitals Elyria Ages: 0-99 Cultural Competency: Y Medical Ctr Hospital Affiliations: Web address: center4orthopedics.co Uh Elyria Medical Center Fairview Hospital m Mercy Allen Hospital Lakewood Hospital Ages: 18-99 St John Medical Center Cleveland Clinic Lakewood Hospital Affiliations: Mercy Regional Medical Center St John Medical Center University Hospitals Elyria Communtiy Health Partners Rgnl Medical Ctr Mdcl Ctr Templeton, Jesse E, MD, (M), B Uh Elyria Medical Center Group Name: Mercy Health Mercy Allen Hospital Strimbu, Victor P, MD, (M), B Physicians Lorain St John Medical Center Group Name: Orthopaedic Provider ID: 003118032004 Uh Cleveland Medical Center Associates NPI: 1790974350 Mercy Regional Medical Center Provider ID: 000891352001 3600 Kolbe Rd Ste 100 Communtiy Health Partners Rgnl NPI: 1174531404 Lorain, OH 44053 Mdcl Ctr 1502 Travelers Point (440) 222-4970 Avon, OH 44011 Web address: www.oaidocs.com Zanotti, Robert M, MD, (M), B

(440) 892-1440 EB, P, PL, R, RE, Does Not Accept New Patients Group Name: University Primary T Ages: 0-99 Care Practices Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Provider ID: 001752250002 Ages: 0-99 Fairview Hospital NPI: 1124005939 Hospital Affiliations: Lakewood Hospital 319 W Lorain St Fairview Hospital Cleveland Clinic Lakewood Oberlin, OH 44074

Lakewood Hospital St John Medical Center (440) 329-2800 EB, P, R, RE, T Cleveland Clinic Lakewood Mo,Tu,Th,Fr - 8:30 AM - 4:30 PM St John Medical Center We - 8:00 AM - 5:00 PM Cultural Competency: Y Ages: 18-99 Hospital Affiliations: University Hospitals Elyria Medical Ctr Uh Elyria Medical Center Mercy Allen Hospital

445

Ohio - Lorain Specialists St John Medical Center Hospital Affiliations: Mehta, Govindram K, MD, (M), B Uh Cleveland Medical Center University Hospitals Elyria Group Name: Govind K Mehta M Mercy Regional Medical Center Medical Ctr D Inc Communtiy Health Partners Rgnl Uh Elyria Medical Center Provider ID: 000112901002 Mdcl Ctr Mercy Allen Hospital NPI: 1225131634 St John Medical Center 125 E Broad St Ste 219 Zanotti, Robert M, MD, (M), B Uh Cleveland Medical Center Elyria, OH 44035

Group Name: University Primary Mercy Regional Medical Center (440) 329-7345 EB, P, R Care Practices Communtiy Health Partners Rgnl Languages Spoken: Provider ID: 001752250002 Mdcl Ctr Provider: Gujarati, Hindi NPI: 1124005939 Cultural Competency: Y 5001 Transportation Dr Ages: 0-99 Sheffield Village, OH 44054 Otolaryngology Hospital Affiliations:

(440) 329-2800 EB, P, R, RE Members may self-refer to these University Hospitals Elyria Mo,Th - 8:00 AM - 5:00 PM providers. Medical Ctr

Tu,We,Fr - 8:30 AM - 4:30 PM Uh Elyria Medical Center Cultural Competency: Y Guay, Marc E, MD, (M), B Mercy Regional Medical Center Ages: 18-99 Group Name: University Primary Communtiy Health Partners Rgnl Hospital Affiliations: Care Practices Mdcl Ctr University Hospitals Elyria Provider ID: 001328508002 Medical Ctr NPI: 1770682973 Mourany, Adnan E, MD, (M), B Uh Elyria Medical Center 5001 Transportation Dr Ste 200 Group Name: Cleveland Clinic Mercy Allen Hospital Sheffield Village, OH 44054 Foundation St John Medical Center (440) 328-3444 EB, P, R Provider ID: 000610397004 Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM NPI: 1952320178 Mercy Regional Medical Center Cultural Competency: Y 303 Chestnut Commons Dr Communtiy Health Partners Rgnl Web address: www.entallergyhealth Elyria, OH 44035 .com Mdcl Ctr (440) 366-9444 EB, P, R Ages: 0-99 Languages Spoken: Zanotti, Robert M, MD, (M), B Hospital Affiliations: Provider: Arabic Group Name: University Primary Fairview Hospital Cultural Competency: Y Care Practices Medina Hospital Ages: 0-99 Provider ID: 001752250002 Southwest General Health Center Hospital Affiliations: NPI: 1124005939 St John Medical Center Metrohealth Medical Center 5001 Transportation Dr Ste 100 Uh Parma Medical Center Cleveland Clinic Foundation Sheffield Village, OH 44054 University Hospitals Parma Fairview Hospital Medical Ctr (440) 329-2800 EB, P, R, RE Lakewood Hospital Mo,Th - 8:00 AM - 5:00 PM Rainbow Babies & Childrens Cleveland Clinic Lakewood Tu,We,Fr - 8:30 AM - 4:30 PM Hosp St John Medical Center Cultural Competency: Y Web address: center4orthopedics.co m Ages: 18-99

446

Specialists Ohio - Lorain

Querubin, Renato D, MD, (M) Cleveland Clinic Lakewood Group Name: Mercy Health Pain Management Marymount Hospital

Physicians Lorain Prior authorization is required to Lutheran Hospital Provider ID: 000180677003 obtain some covered services from Areas of Expertise: MAT1 NPI: 1245297928 these providers. You will not be 3600 Kolbe Rd Ste 206 covered for those services without Choi, Charles I, MD, (M), B Lorain, OH 44053 such approval by UnitedHealthcare Group Name: Neurospinecare (440) 282-7600 E, EB, IB, P, R, Community Plan. Please see your Provider ID: 001569709002 RE, S, T member handbook, or call Member NPI: 1154391639 Languages Spoken: Services for details. 5319 Hoag Dr Ste 100

Provider: Filipino, Spanish Sheffield Village, OH 44035 Abraham, Benjamin, MD, (M), B Ages: 0-99 (440) 930-6015 EB, IB, P, R, RE, Hospital Affiliations: Group Name: Cleveland Clinic T University Hospitals Elyria Foundation Languages Spoken: Medical Ctr Provider ID: 003335646001 Provider: Korean Uh Elyria Medical Center NPI: 1922265099 Mo-Th - 8:00 AM - 5:30 PM Mercy Allen Hospital 303 Chestnut Commons Dr Fr - 8:00 AM - 5:00 PM Mercy Regional Medical Center Elyria, OH 44035 Ages: 16-99 Communtiy Health Partners Rgnl (440) 366-9444 EB, P, R Hospital Affiliations: Mdcl Ctr Cultural Competency: Y Fairview Hospital Ages: 0-99 Querubin, Renato D, MD, (M) Hospital Affiliations: Costandi, Shrif J, MD, (M), B Group Name: Querubin Renato D Cleveland Clinic Foundation Group Name: Cleveland Clinic Provider ID: 000180677002 Fairview Hospital Foundation NPI: 1245297928 Lakewood Hospital Provider ID: 003510697001 3600 Kolbe Rd Ste 222 Cleveland Clinic Lakewood NPI: 1811284458 Lorain, OH 44053 Marymount Hospital 33300 Cleveland Clinic Blvd Lutheran Hospital (440) 282-7600 E, EB, G, IB, P, Avon, OH 44011 Areas of Expertise: MAT1 R, RE, S, T (440) 695-5000 EB, P, R Languages Spoken: Cultural Competency: Y Provider: Filipino, Spanish Abraham, Benjamin, MD, (M), B Ages: 0-99 Mo-Fr - 9:00 AM - 4:00 PM Group Name: Cleveland Clinic Hospital Affiliations: Ages: 0-99 Foundation Cleveland Clinic Foundation Hospital Affiliations: Provider ID: 003335646001 Fairview Hospital University Hospitals Elyria NPI: 1922265099 Cleveland Clinic Avon Hospital Medical Ctr 33100 Cleveland Clinic Blvd Uh Elyria Medical Center Avon, OH 44011 Mercy Allen Hospital (440) 695-4000 EB, P, R Mercy Regional Medical Center Cultural Competency: Y Communtiy Health Partners Rgnl Ages: 0-99 Mdcl Ctr Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Lakewood Hospital

447

Ohio - Lorain Specialists Costandi, Shrif J, MD, (M), B Hospital Affiliations: Cleveland Clinic Lakewood Group Name: Cleveland Clinic Cleveland Clinic Foundation Marymount Hospital Foundation Fairview Hospital Lutheran Hospital Provider ID: 003510697001 Lakewood Hospital Medina Hospital NPI: 1811284458 Cleveland Clinic Lakewood 450 Avon Belden Rd Marymount Hospital Grimm, Kenneth, DO, (M), B Avon Lake, OH 44012 Lutheran Hospital Group Name: Cleveland Clinic

(440) 695-4000 EB, P, R Foundation Cultural Competency: Y Girgis, Girgis Emil E, DO, (M), B Provider ID: 001830504001 Ages: 0-99 Group Name: Cleveland Clinic NPI: 1811952377 Hospital Affiliations: Foundation 5700 Cooper Foster Park Rd W Cleveland Clinic Foundation Provider ID: 002853368001 Lorain, OH 44053

Fairview Hospital NPI: 1982892493 (440) 204-7400 EB, IB, P, R, RE, T Cleveland Clinic Avon Hospital 5700 Cooper Foster Park Rd W Cultural Competency: Y Lorain, OH 44053 Ages: 0-99

Daoud, Emad W, MD, (M), B (440) 204-7400 EB, IB, P, R, RE, T Hospital Affiliations: Group Name: Cleveland Clinic Cultural Competency: Y Cleveland Clinic Foundation Foundation Ages: 0-99 Fairview Hospital Provider ID: 001460125001 Hospital Affiliations: Lakewood Hospital NPI: 1346204740 University Hospitals Elyria Cleveland Clinic Lakewood 5334 Meadow Lane Ct Medical Ctr Marymount Hospital Sheffield Village, OH 44035 Uh Elyria Medical Center Lutheran Hospital

(440) 934-5454 EB, P, R Cleveland Clinic Foundation Medina Hospital Cultural Competency: Y Hillcrest Hospital Ages: 0-99 Fairview Hospital Gupta, Parshotam C, MD, (M) Hospital Affiliations: Lakewood Hospital Group Name: Neurospinecare Cleveland Clinic Foundation Cleveland Clinic Lakewood Provider ID: 001851127003 Fairview Hospital Marymount Hospital NPI: 1194773242 Lakewood Hospital 5319 Hoag Dr Ste 100 Cleveland Clinic Lakewood Grimm, Kenneth, DO, (M), B Sheffield Village, OH 44035

Marymount Hospital Group Name: Cleveland Clinic (440) 930-6015 EB, IB, P, R, RE, Lutheran Hospital Foundation T Provider ID: 001830504001 Languages Spoken: Daoud, Emad W, MD, (M), B NPI: 1811952377 Provider: Hindi, Punjabi Group Name: Cleveland Clinic 33100 Cleveland Clinic Blvd Mo-Th - 8:00 AM - 5:30 PM Foundation Avon, OH 44011 Fr - 8:00 AM - 5:00 PM

Provider ID: 001460125001 (440) 695-4000 EB, P, R Sa - 8:00 AM - 12:00 PM NPI: 1346204740 Cultural Competency: Y Ages: 16-99 5700 Cooper Foster Park Rd W Ages: 0-99 Hospital Affiliations: Lorain, OH 44053 Hospital Affiliations: University Hospitals Elyria

(440) 204-7400 EB, IB, P, R, RE, T Cleveland Clinic Foundation Medical Ctr Cultural Competency: Y Fairview Hospital Uh Elyria Medical Center Ages: 0-99 Lakewood Hospital Mercy Regional Medical Center

448

Specialists Ohio - Lorain Communtiy Health Partners Rgnl Mercy Regional Medical Center Yonan, Sameh R, MD, (M), B Mdcl Ctr Communtiy Health Partners Rgnl Group Name: Comprehensive Mdcl Ctr Pain Care Center Malak, Osama A, MD, (M), B Areas of Expertise: MAT1 Provider ID: 002594563001 Group Name: Comprehensive NPI: 1013092147 Pain Care Center Shah, Bharat C, MD, (M), B 224 W Lorain St Ste 500 Provider ID: 001976684001 Group Name: Comprehensive Oberlin, OH 44074

NPI: 1245218775 Pain Care Center (440) 776-7030 EB, P, R, RE, T 4804 Leavitt Rd Ste A Provider ID: 000831924001 Tu - 9:30 AM - 4:30 PM Lorain, OH 44053 NPI: 1548264179 Ages: 0-99

(440) 989-2066 EB, G, P, R, RE, 4804 Leavitt Rd Ste A Hospital Affiliations: T Lorain, OH 44053 University Hospitals Elyria

Languages Spoken: (440) 989-2066 EB, G, P, R, RE, Medical Ctr Provider: Arabic T Uh Elyria Medical Center Mo-Fr - 8:30 AM - 5:00 PM Languages Spoken: Cleveland Clinic Foundation Ages: 0-99 Provider: Gujarati St Joseph Health Center Hospital Affiliations: Mo-Fr - 8:30 AM - 5:00 PM St Joseph Health Centeral University Hospitals Elyria Cultural Competency: Y St Joseph Warren Hospital Medical Ctr Ages: 0-99 Mercy Regional Medical Center Uh Elyria Medical Center Hospital Affiliations: Communtiy Health Partners Rgnl Mercy Regional Medical Center University Hospitals Elyria Mdcl Ctr Communtiy Health Partners Rgnl Medical Ctr Mdcl Ctr Uh Elyria Medical Center Yonan, Sameh R, MD, (M), B Areas of Expertise: MAT1 Mercy Regional Medical Center Group Name: Comprehensive Communtiy Health Partners Rgnl Pain Care Center Shah, Bharat C, MD, (M), B Mdcl Ctr Provider ID: 002594563001 Group Name: Comprehensive Areas of Expertise: MAT1 NPI: 1013092147 Pain Care Center 224 W Lorain St Ste C Provider ID: 000831924001 Thomas, Santhosh A, DO, (M), B Oberlin, OH 44074

NPI: 1548264179 Group Name: Cleveland Clinic (440) 776-7030 E, EB, IB, P, R 4804 Leavitt Rd Foundation Tu - 8:00 AM - 5:00 PM Lorain, OH 44053 Provider ID: 002033196001 Ages: 0-99

(440) 989-2066 EB, G, IB, P, R, NPI: 1285723205 Hospital Affiliations: RE, T 33100 Cleveland Clinic Blvd University Hospitals Elyria Languages Spoken: Avon, OH 44011 Medical Ctr

Provider: Gujarati (440) 695-4000 EB, P, R Uh Elyria Medical Center Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Cleveland Clinic Foundation Cultural Competency: Y Ages: 0-99 St Joseph Health Center Ages: 0-99 Hospital Affiliations: St Joseph Health Centeral Hospital Affiliations: Cleveland Clinic Foundation St Joseph Warren Hospital University Hospitals Elyria Cleveland Clinic Avon Hospital Mercy Regional Medical Center Medical Ctr Communtiy Health Partners Rgnl Uh Elyria Medical Center Mdcl Ctr

449

Ohio - Lorain Specialists Areas of Expertise: MAT1 Euclid Hospital Ghaffari, Saman, DO, (M), B Cleveland Clinic Avon Hospital Group Name: Post Acute Yonan, Sameh R, MD, (M), B Physicians Of Ohio Group Name: Comprehensive Baig, Mirza I, MD, (M), B Provider ID: 002905863001 Pain Care Center Group Name: Baig Mirza I NPI: 1134245913 Provider ID: 002594563001 Provider ID: 001168777004 33355 Health Campus Blvd NPI: 1013092147 NPI: 1831166040 Avon, OH 44011

4804 Leavitt Rd Ste A 5320 Hoag Dr Ste C (877) 749-7428 EB, P, R Lorain, OH 44053 Sheffield Village, OH 44035 Languages Spoken:

(440) 989-2066 EB, G, P, R, RE, (440) 476-5295 EB, P, R, RE, T Provider: Spanish T Mo-Fr - 9:30 AM - 4:30 PM Ages: 0-99 Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Ages: 0-99 Eastside Medical Center Hospital Affiliations: Hospital Affiliations: Southern Regional Med Ctr University Hospitals Elyria Cleveland Clinic Foundation Medical Ctr Fairview Hospital Holiday, Joanne M, MD, (F), B Uh Elyria Medical Center Lakewood Hospital Group Name: Mercy Health Cleveland Clinic Foundation Cleveland Clinic Lakewood Physicians Lorain St Joseph Health Center Uh Regional Hospitals Provider ID: 003572924002 St Joseph Health Centeral Southwest General Health Center NPI: 1023209244 St Joseph Warren Hospital Uh Cleveland Medical Center 5319 Hoag Dr Ste 100 Mercy Regional Medical Center Sheffield Village, OH 44035

Communtiy Health Partners Rgnl Dapul, Geraldine P, MD, (F), B (440) 930-6015 EB, IB, P, R, RE, Mdcl Ctr Group Name: Cleveland Clinic T Areas of Expertise: MAT1 Foundation Ages: 16-99 Provider ID: 005596354003 Hospital Affiliations: NPI: 1417268509 University Hospitals Elyria Physical Medicine And 33300 Cleveland Clinic Blvd Medical Ctr Rehabilitation / Physiatry Avon, OH 44011 Uh Elyria Medical Center

Aguilera, Richard, MD, (M), B (440) 695-5000 EB, P, R Mercy Regional Medical Center Group Name: Cleveland Clinic Ages: 18-99 Communtiy Health Partners Rgnl Foundation Hospital Affiliations: Mdcl Ctr Provider ID: 003355230001 Cleveland Clinic Foundation NPI: 1538348909 Unity Hospital Of Rochester 33300 Cleveland Clinic Blvd Avon, OH 44011

(440) 695-5000 EB, P, R Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Lakewood Hospital Cleveland Clinic Lakewood

450

Specialists Ohio - Lorain Kumar, Sanjay, DO, (M), B Mathur, Sunjay, MD, (M), B Hospital Affiliations: Group Name: Neurospinecare Group Name: Mercy Health Cleveland Clinic Foundation Provider ID: 002521041002 Physicians Lorain NPI: 1740267244 Provider ID: 005089460003 Mendis, Phillip G, DO, (M), B 5319 Hoag Dr Ste 100 NPI: 1093045346 Group Name: Cleveland Clinic Sheffield Village, OH 44035 5319 Hoag Dr Ste 100 Foundation

(440) 930-6015 EB, IB, P, R, RE, Sheffield Village, OH 44035 Provider ID: 007470600001

T (440) 930-6015 NPI: 1952795924 Languages Spoken: Ages: 16-99 5700 Cooper Foster Park Rd W Provider: Spanish Hospital Affiliations: Lorain, OH 44053

Mo-Th - 8:00 AM - 5:30 PM University Hospitals Elyria (440) 204-7400 EB, IB, P, R, RE, T Fr - 8:00 AM - 5:00 PM Medical Ctr Ages: 18-99 Web address: www.neurospinecare. Uh Elyria Medical Center Hospital Affiliations: com Mercy Regional Medical Center Cleveland Clinic Foundation Ages: 16-99 Communtiy Health Partners Rgnl Hospital Affiliations: Mdcl Ctr Nair, Priti, MD, (F), B University Hospitals Elyria Group Name: Priti Nair Md Medical Ctr Mathur, Sunjay, MD, (M), B Provider ID: 001729077003 Uh Elyria Medical Center Group Name: Mercy Health NPI: 1619961588 Mercy Regional Medical Center Physicians Lorain 320 Hoag Dr Ste C Communtiy Health Partners Rgnl Provider ID: 005089460003 Sheffield Village, OH 44035

Mdcl Ctr NPI: 1093045346 (440) 695-8478 EB, P, R 5319 Hoag Dr Ste 115 Ages: 0-99 Lee, John J, MD, (M), B Sheffield Village, OH 44035 Hospital Affiliations: Group Name: Cleveland Clinic (888) 696-3541 Lakewood Hospital Foundation Ages: 16-99 Cleveland Clinic Lakewood Provider ID: 003063471001 Hospital Affiliations: St John Medical Center NPI: 1073731410 University Hospitals Elyria Uh Cleveland Medical Center 33355 Health Campus Blvd Medical Ctr Avon, OH 44011 Uh Elyria Medical Center Nair, Priti, MD, (F), B

(440) 937-9099 EB, P, R Mercy Regional Medical Center Group Name: Priti Nair Md Cultural Competency: Y Communtiy Health Partners Rgnl Provider ID: 001729077003 Ages: 18-99 Mdcl Ctr NPI: 1619961588 Hospital Affiliations: 5320 Hoag Dr Ste C Cleveland Clinic Foundation Mendis, Phillip G, DO, (M), B Sheffield Village, OH 44035

Fairview Hospital Group Name: Cleveland Clinic (440) 695-8478 EB, P, R, RE, T Lakewood Hospital Foundation Ages: 0-99 Cleveland Clinic Lakewood Provider ID: 007470600001 Hospital Affiliations: Euclid Hospital NPI: 1952795924 Lakewood Hospital Lutheran Hospital 5334 Meadow Lane Ct Cleveland Clinic Lakewood Sheffield Village, OH 44035 St John Medical Center

(440) 934-5454 EB, P, R Uh Cleveland Medical Center Ages: 18-99

451

Ohio - Lorain Specialists Pastoriza, Sarah, DO, (F), B Robles, George A, MD, (M), B Villarosa, Leonardo L, MD, (M), Group Name: University Primary Group Name: University Primary B Care Practices Care Practices Group Name: Cleveland Clinic Provider ID: 007363285001 Provider ID: 007016671001 Foundation NPI: 1184042814 NPI: 1255741021 Provider ID: 003285007003 37900 Chester Rd 630 E River St NPI: 1174716351 Avon, OH 44011 Elyria, OH 44035 33100 Cleveland Clinic Blvd

(440) 695-7100 EB, P, R (440) 329-7500 EB, P, R Avon, OH 44011

Languages Spoken: Ages: 0-99 (440) 695-4000 EB, IB, P, R Provider: Spanish Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Scullin, Heather R, DO, (F), B Hospital Affiliations: Ages: 0-99 Group Name: Mercy Health Cleveland Clinic Foundation Physicians Lorain Vidant Medical Center Reddy, Anantha B, MD, (M), B Provider ID: 001420110002 Group Name: Cleveland Clinic NPI: 1285608539 Villarosa, Leonardo L, MD, (M), Foundation 3700 Kolbe Rd B Provider ID: 001891478001 Lorain, OH 44053 Group Name: Cleveland Clinic

NPI: 1124082110 (440) 960-3470 EB, G, IB, P, PL, Foundation 33300 Cleveland Clinic Blvd R, RE, S, T Provider ID: 003285007003 Avon, OH 44011 Cultural Competency: Y NPI: 1174716351

(440) 695-5000 EB, P, R Ages: 0-99 33355 Health Campus Blvd Cultural Competency: Y Hospital Affiliations: Avon, OH 44011

Ages: 0-99 Mercy Regional Medical Center (216) 636-5860 EB, P, R Hospital Affiliations: Communtiy Health Partners Rgnl Ages: 0-99 Cleveland Clinic Foundation Mdcl Ctr Hospital Affiliations: Lutheran Hospital Cleveland Clinic Foundation Thomas, Santhosh A, DO, (M), B Vidant Medical Center Robles, George A, MD, (M), B Group Name: Cleveland Clinic Group Name: University Primary Foundation Care Practices Provider ID: 002033196001 Provider ID: 007016671001 NPI: 1285723205 NPI: 1255741021 33100 Cleveland Clinic Blvd 37900 Chester Rd Avon, OH 44011

Avon, OH 44011 (440) 695-4000 EB, P, R

(440) 695-7100 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Avon Hospital

452

Specialists Ohio - Lorain

Higgins, Sally, PT, (F) Poludniak, Brian L, PT, (M) Physical Therapy Group Name: Jaworski Physical Group Name: Health Solution

Prior authorization is required to Therapy Center Of Lorain obtain some covered services from Provider ID: 002704385002 Provider ID: 003570154002 these providers. You will not be NPI: 1760444236 NPI: 1598086332 covered for those services without 137 Winckles St 1980 Cooper Foster Park Rd W #a such approval by UnitedHealthcare Elyria, OH 44035 Lorain, OH 44053 Community Plan. Please see your (440) 366-5993 E, EB, G, IB, P, (440) 282-7246 P, R, RE member handbook, or call Member PL, R, RE, S, T Mo,We,Th - 8:30 AM - 6:00 PM Services for details. Mo,We,Th - 8:00 AM - 7:00 PM Tu - 2:00 PM - 6:00 PM

Tu - 8:00 AM - 4:30 PM Fr - 8:30 AM - 1:00 PM Comer, Daniel F, PT, (M) Fr - 8:00 AM - 12:00 PM Cultural Competency: Y Group Name: Orthopaedic Ages: 0-99 Ages: 0-99 Associates Provider ID: 002787407001 Kucharski, Jason, PT, (M) Schmitt, Heather E, PT, (F) NPI: 1700817624 Group Name: Total Joint Rehab Group Name: University 1502 Travelers Point Provider ID: 003555477001 Hospitals Medical Group Avon, OH 44011 NPI: 1619966637 Provider ID: 007611512001 (440) 808-5727 EB, P, PL, R, RE, 34143 Center Ridge Rd NPI: 1427645225 T North Ridgeville, OH 44039 319 W Lorain St Mo-Th - 8:00 AM - 7:00 PM (440) 327-0299 E, EB, IB, P, R, Oberlin, OH 44074 Fr - 8:00 AM - 5:00 PM RE, S, T (440) 329-7814 EB, P, R, RE, T Sa - 8:00 AM - 12:00 PM Mo,Th - 9:00 AM - 7:30 PM Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Tu - 10:00 AM - 6:30 PM Ages: 0-99 Fr - 9:00 AM - 6:00 PM Dusenbury, Kevin S, PT, (M) Cultural Competency: Y Shah, Karan S, PT, (M) Group Name: Neurospinecare Web address: www.totaljointrehab.c Group Name: Montgomery Provider ID: 002687072002 om Chiropractic Center NPI: 1295841716 Ages: 0-99 Provider ID: 007644127001 5319 Hoag Dr Ste 100 NPI: 1235735119 Sheffield Village, OH 44035 Mccreedy, William H, PT, (M) 684 Avon Belden Rd (440) 930-6015 EB, IB, P, R, RE, Group Name: Functional Physical Avon Lake, OH 44012 T Therapy (440) 930-5537 EB, IB, P, R Mo-Th - 8:00 AM - 5:30 PM Provider ID: 005147352001 Languages Spoken: Fr - 8:00 AM - 5:00 PM NPI: 1801900667 Provider: Gujarati Ages: 16-99 129 S Main St Staff: Gujarati Oberlin, OH 44074 Mo,We - 9:00 AM - 6:00 PM

(440) 775-0200 EB, P, R, RE, T Th - 8:00 AM - 5:00 PM Mo-Fr - 9:00 AM - 6:00 PM Ages: 0-99 Ages: 0-99

453

Ohio - Lorain Specialists Zahn, John C, PT, (M) Cleveland Clinic Foundation Borthwick, Diann E, PA, (F) Group Name: P T Services Fairview Hospital Group Name: Cleveland Clinic Rehabilitation South Pointe Hospital Foundation Provider ID: 005721242002 Euclid Hospital Provider ID: 003399939002 NPI: 1154427458 Marymount Hospital NPI: 1003876483 805 Patriot Dr Ste H Medina Hospital 33100 Cleveland Clinic Blvd Wellington, OH 44090 Cleveland Clinic Avon Hospital Avon, OH 44011

(440) 647-0107 EB, P, R (440) 695-4600 EB, P, R Languages Spoken: Blesse Hampton, Laura C, PA, (F) Ages: 0-99 Provider: American Sign Group Name: Cleveland Clinic Hospital Affiliations: Language Foundation Cleveland Clinic Foundation Staff: American Sign Language Provider ID: 003108336002 Hillcrest Hospital Ages: 0-99 NPI: 1568607950 Marymount Hospital 33300 Cleveland Clinic Blvd Avon, OH 44011 Bunch, Amy L, PA, (F) Physician Assistant (440) 695-5000 EB, P, R Group Name: Cleveland Clinic Bernhardt, Richard L, PA, (M) Ages: 0-99 Foundation Group Name: Cleveland Clinic Hospital Affiliations: Provider ID: 005273869002 Foundation Cleveland Clinic Foundation NPI: 1568409621 Provider ID: 003270079002 Lakewood Hospital 33100 Cleveland Clinic Blvd NPI: 1376876268 Cleveland Clinic Lakewood Avon, OH 44011 33100 Cleveland Clinic Blvd Uh Cleveland Medical Center (440) 695-4600 EB, P, R Avon, OH 44011 University Of Cincinnati Medical Ages: 0-99

(440) 695-4600 EB, P, R Center Hospital Affiliations: Ages: 0-99 Cleveland Clinic Avon Hospital Cleveland Clinic Foundation Hospital Affiliations: Euclid Hospital Cleveland Clinic Foundation Bodie, Michelle E, PA, (F) Marymount Hospital Fairview Hospital Group Name: Dermatology Lakewood Hospital Partners Byrnes, Tara A, PA, (F) Cleveland Clinic Lakewood Provider ID: 002674180001 Group Name: Cleveland Clinic Lutheran Hospital NPI: 1376541938 Foundation Cleveland Clinic Avon Hospital 36701 American Way # 3 Provider ID: 006609350001 Avon, OH 44011 NPI: 1346750700 Berry-Tripp, Rebecca J, PA, (F) (440) 937-4951 E, EB, P, R 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic Ages: 0-99 Avon, OH 44011 Foundation Hospital Affiliations: (440) 695-4600 EB, P, R Provider ID: 006078128001 H B Magruder Memorial Hospital Ages: 0-99 NPI: 1194170514 Hospital Affiliations: 33300 Cleveland Clinic Blvd Cleveland Clinic Foundation Avon, OH 44011 Hillcrest Hospital

(440) 695-5000 EB, P, R South Pointe Hospital Ages: 0-99 Euclid Hospital Hospital Affiliations: Marymount Hospital

454

Specialists Ohio - Lorain Hospital Affiliations: D'alessandro, Nicole H, PA, (F) Crowell, Caitlin L, PA, (F) Mercy Regional Medical Center Group Name: Cleveland Clinic Group Name: Mercy Health Communtiy Health Partners Rgnl Foundation Physicians Lorain Mdcl Ctr Provider ID: 006610620001 Provider ID: 005236060001 NPI: 1467962878 NPI: 1003174905 Czajka, Michael A, PA, (M) 33100 Cleveland Clinic Blvd 3600 Kolbe Rd Ste 227 Group Name: Cleveland Clinic Avon, OH 44011

Lorain, OH 44053 Foundation (440) 695-4600 EB, P, R

(440) 222-4272 E, EB, IB, P, R, Provider ID: 006008830001 Ages: 0-99 RE, S, T NPI: 1831591791 Hospital Affiliations: Accepting Existing Patients Only 33100 Cleveland Clinic Blvd Cleveland Clinic Foundation Ages: 0-99 Avon, OH 44011 Hillcrest Hospital

Hospital Affiliations: (440) 685-4000 EB, P, R South Pointe Hospital Mercy Regional Medical Center Cultural Competency: Y Euclid Hospital Communtiy Health Partners Rgnl Ages: 0-99 Marymount Hospital Mdcl Ctr Hospital Affiliations: Cleveland Clinic Avon Hospital Cleveland Clinic Foundation Crowell, Caitlin L, PA, (F) Cleveland Clinic Avon Hospital Domaleczny, Erica R, PA, (F) Group Name: Mercy Health Areas of Expertise: E020, E070, Group Name: Cleveland Clinic Physicians Lorain E112, E160, E165 Foundation Provider ID: 005236060001 Provider ID: 006514439001 NPI: 1003174905 Czajka, Michael A, PA, (M) NPI: 1770003824 5077 Waterford Dr Ste 305 Group Name: Cleveland Clinic 33100 Cleveland Clinic Blvd Sheffield Village, OH 44035 Foundation Avon, OH 44011

(440) 960-4416 E, EB, IB, P, R, Provider ID: 006008830001 (440) 695-4600 EB, P, R RE, S, T NPI: 1831591791 Ages: 0-99 Accepting Existing Patients Only 33300 Cleveland Clinic Blvd Hospital Affiliations: Ages: 0-99 Avon, OH 44011 Akron General Medical Ctr

Hospital Affiliations: (440) 695-5000 EB, P, R Cleveland Clinic Foundation Mercy Regional Medical Center Cultural Competency: Y Hillcrest Hospital Communtiy Health Partners Rgnl Web address: http://www.cleveland South Pointe Hospital Mdcl Ctr clinic.org Ages: 0-99 Dombrowski, Michael A, PA, (M) Crowell, Caitlin L, PA, (F) Hospital Affiliations: Group Name: Cleveland Clinic Group Name: Mercy Health Cleveland Clinic Foundation Foundation Physicians Lorain Cleveland Clinic Avon Hospital Provider ID: 003565244001 Provider ID: 005236060001 Areas of Expertise: E020, E070, NPI: 1699869271 NPI: 1003174905 E112, E160, E165 33100 Cleveland Clinic Blvd 630 E River St Avon, OH 44011

Elyria, OH 44035 (440) 695-4189 EB, P, R

(440) 989-3801 EB, P, R Cultural Competency: Y Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Hospital Affiliations:

455

Ohio - Lorain Specialists Cleveland Clinic Foundation Jacobson, David A, PA, (M) Hillcrest Hospital Fairview Hospital Group Name: Cleveland Clinic South Pointe Hospital Marymount Hospital Foundation Marymount Hospital Lutheran Hospital Provider ID: 003662305003 Cleveland Clinic Avon Hospital NPI: 1760443659 Kraus, Sara K, PA, (F) 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic Gable, Richard N, PA, (M) Avon, OH 44011 Foundation

Group Name: Cleveland Clinic (440) 695-4600 EB, P, R Provider ID: 006111937001 Foundation Cultural Competency: Y NPI: 1881044345 Provider ID: 005339740002 Ages: 0-99 33100 Cleveland Clinic Blvd NPI: 1881955045 Hospital Affiliations: Avon, OH 44011

33100 Cleveland Clinic Blvd Cleveland Clinic Foundation (440) 695-4600 EB, P, R Avon, OH 44011 Lakewood Hospital Ages: 0-99

(440) 695-4600 EB, P, R Cleveland Clinic Lakewood Hospital Affiliations: Cultural Competency: Y Euclid Hospital Cleveland Clinic Foundation Ages: 0-99 Lutheran Hospital Hillcrest Hospital Hospital Affiliations: Euclid Hospital Metrohealth Medical Center Kerns, Kaitlin E, PA, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Krolik, Eric W, PA, (M) Hillcrest Hospital Foundation Group Name: Cleveland Clinic Euclid Hospital Provider ID: 006286172001 Foundation Marymount Hospital NPI: 1396291019 Provider ID: 006595968003 Lutheran Hospital 33100 Cleveland Clinic Blvd NPI: 1033638697 Avon, OH 44011 33100 Cleveland Clinic Blvd

Jackson, Lauren E, PA, (F) (440) 695-4600 EB, P, R Avon, OH 44011

Group Name: Cleveland Clinic Ages: 0-99 (440) 695-4600 EB, P, R Foundation Hospital Affiliations: Ages: 0-99 Provider ID: 006615014001 Cleveland Clinic Foundation Hospital Affiliations: NPI: 1902325244 Fairview Hospital Cleveland Clinic Foundation 33100 Cleveland Clinic Blvd Lutheran Hospital Hillcrest Hospital Avon, OH 44011 Cleveland Clinic Avon Hospital Euclid Hospital

(440) 695-4600 EB, P, R Marymount Hospital Ages: 0-99 Konieczny, Carly A, PA, (F) Lutheran Hospital Hospital Affiliations: Group Name: Cleveland Clinic Medina Hospital Cleveland Clinic Foundation Foundation Cleveland Clinic Avon Hospital Hillcrest Hospital Provider ID: 006654549001 South Pointe Hospital NPI: 1831613462 Euclid Hospital 33100 Cleveland Clinic Blvd Marymount Hospital Avon, OH 44011

Cleveland Clinic Avon Hospital (440) 695-4600 EB, P, R Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

456

Specialists Ohio - Lorain Kufahl, Christine, PA, (F) Langford, Benjamin A, PA, (M) Levandovski, Yelena, PA, (F) Group Name: Mercy Health Group Name: Cleveland Clinic Group Name: Rakesh Ranjan Md Physicians Lorain Foundation And Assoc Provider ID: 007564967001 Provider ID: 006397628002 Provider ID: 007123114002 NPI: 1790302008 NPI: 1043751001 NPI: 1366907891 3600 Kolbe Rd Ste 223 303 Chestnut Commons Dr 347 Midway Blvd Ste 210 Lorain, OH 44053 Elyria, OH 44035 Elyria, OH 44035

(440) 222-4661 E, EB, P, R, RE, (440) 366-9444 EB, P, R (440) 324-5555 EB, P, R, RE, S, S, T Ages: 0-99 T Ages: 0-99 Hospital Affiliations: Mo-Fr - 9:00 AM - 5:30 PM Cleveland Area Hospital Ages: 0-99 Kulkarni, Geeta, PA, (F) Cleveland Clinic Foundation Areas of Expertise: MAT1 Group Name: Cleveland Clinic Fairview Hospital Foundation Marymount Hospital Marvin, Alisa F, PA, (F) Provider ID: 003553590001 Lutheran Hospital Group Name: Cleveland Clinic NPI: 1528302767 Cleveland Clinic Avon Hospital Foundation 303 Chestnut Commons Dr Provider ID: 004473768001 Elyria, OH 44035 Langford, Benjamin A, PA, (M) NPI: 1699190942

(440) 366-9444 EB, P, R Group Name: Cleveland Clinic 303 Chestnut Commons Dr Ages: 0-99 Foundation Elyria, OH 44035

Hospital Affiliations: Provider ID: 006397628002 (440) 366-9444 EB, P, R Cleveland Clinic Foundation NPI: 1043751001 Ages: 0-99 Hillcrest Hospital 5700 Cooper Foster Park Rd W Hospital Affiliations: Fairview Hospital Lorain, OH 44053 Cleveland Clinic Foundation

Cleveland Clinic Avon Hospital (440) 204-7400 EB, IB, P, R, RE, T Fairview Hospital Ages: 0-99 Lutheran Hospital Kulkarni, Geeta, PA, (F) Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Area Hospital Marvin, Alisa F, PA, (F) Foundation Cleveland Clinic Foundation Group Name: Cleveland Clinic Provider ID: 003553590001 Fairview Hospital Foundation NPI: 1528302767 Marymount Hospital Provider ID: 004473768001 5700 Cooper Foster Park Rd W Lutheran Hospital NPI: 1699190942 Lorain, OH 44053 Cleveland Clinic Avon Hospital 33100 Cleveland Clinic Blvd

(440) 204-7400 EB, IB, P, R, RE, T Avon, OH 44011

Ages: 0-99 (440) 695-4000 EB, P, R Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hillcrest Hospital Cleveland Clinic Foundation Fairview Hospital Fairview Hospital Cleveland Clinic Avon Hospital Lutheran Hospital

457

Ohio - Lorain Specialists Marvin, Alisa F, PA, (F) Micklewright, Sarah E, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Pagliaccio, Lynn M, PA, (F) Foundation Foundation Group Name: Cleveland Clinic Provider ID: 004473768001 Provider ID: 006008515001 Foundation NPI: 1699190942 NPI: 1154776623 Provider ID: 003559910001 5700 Cooper Foster Park Rd W 33100 Cleveland Clinic Blvd NPI: 1003862319 Lorain, OH 44053 Avon, OH 44011 33100 Cleveland Clinic Blvd

(440) 204-7400 EB, IB, P, R, RE, T (440) 695-4000 EB, P, R Avon, OH 44011

Ages: 0-99 Ages: 0-99 (440) 695-4000 EB, P, R Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Lutheran Hospital Morrow, Paul M, PA, (M) Lutheran Hospital Group Name: Cleveland Clinic Medina Hospital Meyers, Farzana A, PA, (F) Foundation Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Provider ID: 005162323002 Foundation NPI: 1942247630 Pagliaccio, Lynn M, PA, (F) Provider ID: 003566798001 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic NPI: 1346236817 Avon, OH 44011 Foundation

303 Chestnut Commons Dr (440) 695-4600 EB, P, R Provider ID: 003559910001 Elyria, OH 44035 Ages: 0-99 NPI: 1003862319

(440) 366-9444 EB, P, R Hospital Affiliations: 33300 Cleveland Clinic Blvd Ages: 0-99 Cleveland Clinic Foundation Avon, OH 44011

Hospital Affiliations: Lutheran Hospital (440) 695-5000 EB, P, R Cleveland Clinic Foundation Medina Hospital Ages: 0-99 Cleveland Clinic Avon Hospital Hospital Affiliations: Meyers, Farzana A, PA, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Moyer, Michelle J, PA, (F) Lutheran Hospital Foundation Group Name: Cleveland Clinic Medina Hospital Provider ID: 003566798001 Foundation Cleveland Clinic Avon Hospital NPI: 1346236817 Provider ID: 005059268004 5700 Cooper Foster Park Rd W NPI: 1740203074 Patel, Karen K, PA, (F) Lorain, OH 44053 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic

(440) 204-7400 EB, IB, P, R, RE, T Avon, OH 44011 Foundation

Ages: 0-99 (440) 695-4600 EB, P, R Provider ID: 003240736002 Hospital Affiliations: Cultural Competency: Y NPI: 1104134121 Cleveland Clinic Foundation Ages: 0-99 33100 Cleveland Clinic Blvd Hospital Affiliations: Avon, OH 44011

Ohio State University Hospital (440) 695-4600 EB, P, R Cleveland Clinic Foundation Ages: 0-99 Euclid Hospital Hospital Affiliations: Marymount Hospital Cleveland Clinic Foundation Medina Hospital Lutheran Hospital

458

Specialists Ohio - Lorain Medina Hospital Beaumont Hospital Royal Oak Sadid, Sandra, PA, (F) Uh Cleveland Medical Center William Beaumont Hospital-royal Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital Oak Foundation Cleveland Clinic Foundation Provider ID: 003362507003 Patterson, Sean D, PA, (M) Hillcrest Hospital NPI: 1982927760 Group Name: Cleveland Clinic Fairview Hospital 36901 American Way Foundation Beumont Hospital Avon, OH 44011

Provider ID: 003182785027 (440) 930-6200 EB, P, R NPI: 1326085341 Rowe, Michael E, PA, (M) Cultural Competency: Y 33100 Cleveland Clinic Blvd Group Name: Cleveland Clinic Ages: 0-99 Avon, OH 44011 Foundation Hospital Affiliations:

(440) 695-4600 EB, P, R Provider ID: 005787002001 Akron General Medical Ctr Ages: 0-99 NPI: 1013291244 Cleveland Clinic Foundation Hospital Affiliations: 33100 Cleveland Clinic Blvd Cleveland Clinic Foundation Avon, OH 44011 Schaberl, Marissa M, PA, (F)

Euclid Hospital (440) 695-4000 EB, P, R Group Name: Cleveland Clinic Cultural Competency: Y Foundation Pesek, Jeffrey S, PA, (M) Ages: 0-99 Provider ID: 006361603001 Group Name: Cleveland Clinic Hospital Affiliations: NPI: 1720520554 Foundation Cleveland Clinic Foundation 33100 Cleveland Clinic Blvd Provider ID: 005162354002 Hillcrest Hospital Avon, OH 44011

NPI: 1649225087 Fairview Hospital (440) 695-4600 EB, P, R 33100 Cleveland Clinic Blvd Cleveland Clinic Avon Hospital Ages: 0-99 Avon, OH 44011 Hospital Affiliations:

(440) 695-4600 EB, P, R Rupprecht, Christopher C, PA, Cleveland Clinic Foundation Ages: 0-99 (M) Fairview Hospital Hospital Affiliations: Group Name: Cleveland Clinic Marymount Hospital Cleveland Clinic Foundation Foundation Lutheran Hospital Euclid Hospital Provider ID: 006008427014 Medina Hospital NPI: 1134586928 Cleveland Clinic Avon Hospital Richardson, Jennifer L, PA, (F) 33300 Cleveland Clinic Blvd Group Name: Mercy Health Avon, OH 44011 Schaberl, Marissa M, PA, (F)

Physicians Lorain (440) 695-4600 EB, P, R Group Name: Cleveland Clinic Provider ID: 006652951004 Ages: 0-99 Foundation NPI: 1962929364 Hospital Affiliations: Provider ID: 006361603001 3600 Kolbe Rd Ste 210 Cleveland Clinic Foundation NPI: 1720520554 Lorain, OH 44053 Marymount Hospital 33300 Cleveland Clinic Blvd

(440) 960-4023 EB, P, R, RE, T Avon, OH 44011

Languages Spoken: (440) 695-5000 EB, P, R Provider: Spanish Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Metrohealth Medical Center Fairview Hospital

459

Ohio - Lorain Specialists Marymount Hospital Shaw, Leslie A, PA, (F) Stevens, Brian S, PA, (M) Lutheran Hospital Group Name: UPCP Group Name: Mercy Health Medina Hospital Provider ID: 003671934003 Physicians Lorain Cleveland Clinic Avon Hospital NPI: 1275783912 Provider ID: 002641404002 32800 Lorain Rd Ste 2300 NPI: 1245288158 Schmitz, Leah M, PA, (F) North Ridgeville, OH 44039 3600 Kolbe Rd Ste 109

Group Name: Cleveland Clinic (440) 406-5500 EB, P, R Lorain, OH 44053

Foundation Mo-Fr - 8:30 AM - 4:30 PM (440) 960-3304 Provider ID: 003003557002 Ages: 0-99 Cultural Competency: Y NPI: 1952366213 Hospital Affiliations: Ages: 18-99 33300 Cleveland Clinic Blvd Cleveland Clinic Foundation Hospital Affiliations: Avon, OH 44011 Fairview Hospital Mercy Allen Hospital

(440) 695-5000 EB, P, R St John Medical Center Mercy Regional Medical Center Ages: 0-99 Cleveland Clinic Avon Hospital Communtiy Health Partners Rgnl Hospital Affiliations: Mdcl Ctr Cleveland Clinic Foundation Sipus, Jenna C, PA, (F) Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Turley, Dale R, PA, (M) Foundation Group Name: Cleveland Clinic Schuerger, Nathan D, PA, (M) Provider ID: 003390714002 Foundation Group Name: Mercy Health NPI: 1306128301 Provider ID: 003085173001 Physicians Lorain 33300 Cleveland Clinic Blvd NPI: 1194709857 Provider ID: 007063102002 Avon, OH 44011 33100 Cleveland Clinic Blvd

NPI: 1679039788 (440) 695-5000 EB, P, R Avon, OH 44011

3600 Kolbe Rd Ste 100 Languages Spoken: (440) 695-4000 EB, P, R Lorain, OH 44053 Provider: Spanish Cultural Competency: Y (440) 222-4970 Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Metrohealth Medical Center Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Albany Medical Center Hospital Marymount Hospital Schuerger, Nathan D, PA, (M) Fairview Hospital Group Name: Mercy Health Marymount Hospital Tuttle, Nicholas J, PA, (M) Physicians Lorain Lutheran Hospital Group Name: Cleveland Clinic Provider ID: 007063102002 Medina Hospital Foundation NPI: 1679039788 Cleveland Clinic Avon Hospital Provider ID: 006398685001 3700 Kolbe Rd NPI: 1275073793 Lorain, OH 44053 303 Chestnut Commons Dr

(440) 233-1003 EB, G, IB, P, R, Elyria, OH 44035

RE, S, T (330) 344-1799 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital

460

Specialists Ohio - Lorain Lutheran Hospital Lakewood Hospital Fairview Hospital Cleveland Clinic Lakewood Roswell Park Cancer Institute Valentino, Cassandra L, PA, (F) Euclid Hospital Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Lutheran Hospital Foundation Medina Hospital Djohan, Risal S, MD, (M), B Provider ID: 006514384001 Group Name: Cleveland Clinic NPI: 1861913451 Foundation 33100 Cleveland Clinic Blvd Plastic Surgery Provider ID: 002220245001

Avon, OH 44011 Prior authorization is required to NPI: 1477517183 (440) 695-4600 EB, P, R obtain some covered services from 5700 Cooper Foster Park Rd W Ages: 0-99 these providers. You will not be Lorain, OH 44053 Hospital Affiliations: covered for those services without (440) 204-7400 EB, IB, P, R, RE, T Cleveland Clinic Foundation such approval by UnitedHealthcare Cultural Competency: Y Hillcrest Hospital Community Plan. Please see your Ages: 0-99 Fairview Hospital member handbook, or call Member Hospital Affiliations: Services for details. Cleveland Clinic Foundation

Weddle, Justin L, PA, (M) Hillcrest Hospital Group Name: Cleveland Clinic Bernard, Steven L, MD, (M), B Fairview Hospital Foundation Group Name: Cleveland Clinic Roswell Park Cancer Institute Provider ID: 006271102001 Foundation Cleveland Clinic Avon Hospital NPI: 1316491160 Provider ID: 001211356002 33100 Cleveland Clinic Blvd NPI: 1215967732 Khouri, Joseph S, MD, (M), B Avon, OH 44011 33100 Cleveland Clinic Blvd Group Name: University Avon, OH 44011 (440) 695-4600 EB, P, R Hospitals Medical Group Ages: 0-99 (440) 695-4000 EB, P, R Provider ID: 006954561001 Hospital Affiliations: Ages: 0-99 NPI: 1629377130 Cleveland Clinic Foundation Hospital Affiliations: 630 E River St Hillcrest Hospital Cleveland Clinic Foundation Elyria, OH 44035 Roswell Park Cancer Institute Euclid Hospital (440) 446-8600 E, EB, G, IB, P, Cleveland Clinic Avon Hospital PL, R, RE, S, T Yarosh, Michael J, PA, (M) Mo-Fr - 8:30 AM - 4:30 PM Group Name: Cleveland Clinic Djohan, Risal S, MD, (M), B Ages: 18-99 Foundation Group Name: Cleveland Clinic Provider ID: 002537171002 Foundation Levy, Edward A, MD, (M), B NPI: 1881662609 Provider ID: 002220245001 Group Name: Cleveland Clinic 33100 Cleveland Clinic Blvd NPI: 1477517183 Foundation Avon, OH 44011 33100 Cleveland Clinic Blvd Provider ID: 001258208002 Avon, OH 44011 (440) 695-4600 EB, P, R NPI: 1851372072 Ages: 0-99 (440) 695-4000 EB, P, R 33100 Cleveland Clinic Blvd Hospital Affiliations: Cultural Competency: Y Avon, OH 44011 Ages: 0-99 Cleveland Clinic Foundation (440) 695-4000 EB, P, R Hillcrest Hospital Hospital Affiliations: Cultural Competency: Y Fairview Hospital Cleveland Clinic Foundation Ages: 0-99 Hillcrest Hospital

461

Ohio - Lorain Specialists Hospital Affiliations: Papay, Francis A, MD, (M), B University Hospitals Elyria Cleveland Clinic Foundation Group Name: Cleveland Clinic Medical Ctr Fairview Hospital Foundation Uh Elyria Medical Center Lakewood Hospital Provider ID: 000897022001 Cleveland Clinic Foundation Cleveland Clinic Lakewood NPI: 1083679823 Fairview Hospital Cleveland Clinic Avon Hospital 33100 Cleveland Clinic Blvd Lakewood Hospital Avon, OH 44011 Cleveland Clinic Lakewood

Marfori, Norberto R, MD, (M), B (440) 695-4000 EB, P, R St John Medical Center Group Name: North Coast Plastic Cultural Competency: Y Mercy Regional Medical Center Surgery Ages: 0-99 Provider ID: 000087187001 Hospital Affiliations: Poblete, J Vicente P, MD, (M), B NPI: 1437118692 Cleveland Clinic Foundation Group Name: Cleveland Clinic 4520 Oberlin Ave Fairview Hospital Foundation Lorain, OH 44053 Provider ID: 001393697002

(440) 282-4232 E, EB, P, R Papay, Francis A, MD, (M), B NPI: 1215999537 Ages: 0-99 Group Name: Cleveland Clinic 33100 Cleveland Clinic Blvd Hospital Affiliations: Foundation Avon, OH 44011

Mercy Allen Hospital Provider ID: 000897022001 (440) 695-4000 EB, P, R NPI: 1083679823 Languages Spoken: Novotny, David A, MD, (M), B 33300 Cleveland Clinic Blvd Provider: Filipino Group Name: Novotny David A Avon, OH 44011 Cultural Competency: Y

Provider ID: 001285116001 (440) 695-5000 EB, P, R Ages: 0-99 NPI: 1295844777 Cultural Competency: Y Hospital Affiliations: 36855 American Way Ste 2d Ages: 0-99 University Hospitals Elyria Avon, OH 44011 Hospital Affiliations: Medical Ctr

(440) 934-2770 EB, P, R Cleveland Clinic Foundation Uh Elyria Medical Center Mo-Fr - 9:00 AM - 5:00 PM Fairview Hospital Cleveland Clinic Foundation Cultural Competency: Y Fairview Hospital Ages: 0-99 Poblete, J Vicente P, MD, (M), B Lakewood Hospital Hospital Affiliations: Group Name: Aesthetics Within Cleveland Clinic Lakewood Southwest General Health Center Provider ID: 001393697001 St John Medical Center St John Medical Center NPI: 1215999537 Mercy Regional Medical Center Uh Parma Medical Center 32730 Walker Rd Ste F1 University Hospitals Parma Avon Lake, OH 44012

Medical Ctr (440) 930-8187 EB, P, R Areas of Expertise: E112 Languages Spoken: Provider: Filipino Staff: Filipino Cultural Competency: Y Web address: www.accentuatewithi n.com Ages: 0-99 Hospital Affiliations:

462

Specialists Ohio - Lorain Poblete, J Vicente P, MD, (M), B St John Medical Center Uh Cleveland Medical Center Group Name: Cleveland Clinic Mercy Regional Medical Center Mercy Regional Medical Center Foundation Communtiy Health Partners Rgnl Provider ID: 001393697002 Poblete, J Vicente P, MD, (M), B Mdcl Ctr NPI: 1215999537 Group Name: Cleveland Clinic 33300 Cleveland Clinic Blvd Foundation Reyes, Roland J, MD, (M), B Avon, OH 44011 Provider ID: 001393697002 Group Name: UPCP

(440) 695-5000 EB, P, R NPI: 1215999537 Provider ID: 001206019002 Languages Spoken: 5172 Leavitt Rd NPI: 1427035427 Provider: Filipino Lorain, OH 44053 630 East River St

Cultural Competency: Y (440) 366-9444 EB, P, R Elyria, OH 44035

Ages: 0-99 Languages Spoken: (440) 988-6880 E, EB, G, IB, P, Hospital Affiliations: Provider: Filipino R, RE University Hospitals Elyria Cultural Competency: Y Languages Spoken: Medical Ctr Ages: 0-99 Interpreter: Medical Interp Uh Elyria Medical Center Hospital Affiliations: Vendor Cleveland Clinic Foundation University Hospitals Elyria Mo-Fr - 8:30 AM - 4:30 PM Fairview Hospital Medical Ctr Cultural Competency: Y Lakewood Hospital Uh Elyria Medical Center Ages: 0-99 Cleveland Clinic Lakewood Cleveland Clinic Foundation Hospital Affiliations: St John Medical Center Fairview Hospital University Hospitals Elyria Mercy Regional Medical Center Lakewood Hospital Medical Ctr Cleveland Clinic Lakewood Uh Elyria Medical Center Poblete, J Vicente P, MD, (M), B St John Medical Center St Johns Medical Center Group Name: Cleveland Clinic Mercy Regional Medical Center St John Medical Center Foundation Uh Cleveland Medical Center Provider ID: 001393697002 Reyes, Roland J, MD, (M), B Mercy Regional Medical Center NPI: 1215999537 Group Name: UPCP Communtiy Health Partners Rgnl 450 Avon Belden Rd Provider ID: 001206019002 Mdcl Ctr Avon Lake, OH 44012 NPI: 1427035427

(440) 930-6800 EB, P, R 1997 Healthway Dr Ste 203 Ringel, Roman A, MD, (M), B Languages Spoken: Avon, OH 44011 Group Name: Ringel Roman A

Provider: Filipino (440) 988-6880 EB, IB, P, R, RE, Provider ID: 000086966002 Cultural Competency: Y T NPI: 1912993064 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM 3600 Kolbe Rd Ste 222 Hospital Affiliations: Cultural Competency: Y Lorain, OH 44053

University Hospitals Elyria Ages: 0-99 (440) 282-3128 E, EB, G, IB, P, Medical Ctr Hospital Affiliations: R, RE, S, T Uh Elyria Medical Center University Hospitals Elyria Ages: 0-99 Cleveland Clinic Foundation Medical Ctr Hospital Affiliations: Fairview Hospital Uh Elyria Medical Center Southwest General Health Center Lakewood Hospital St Johns Medical Center Mercy Regional Medical Center Cleveland Clinic Lakewood St John Medical Center Communtiy Health Partners Rgnl

463

Ohio - Lorain Specialists Mdcl Ctr Mdcl Ctr Cann, John E, DPM, (M), B Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Foundation Podiatry Cann, John E, DPM, (M), B Provider ID: 000998206001

Members may self-refer to these Group Name: Cleveland Clinic NPI: 1467415299 providers. Foundation 5800 Cooper Foster Park Rd W

Provider ID: 000998206001 Lorain, OH 44053 Cann, John E, DPM, (M), B NPI: 1467415299 (440) 985-3113 EB, P, R Group Name: Cleveland Clinic 5334 Meadow Lane Ct Cultural Competency: Y Foundation Sheffield Village, OH 44035 Ages: 0-99 Provider ID: 000998206001 (440) 934-5454 EB, P, R Hospital Affiliations: NPI: 1467415299 Cultural Competency: Y Cleveland Clinic Foundation 303 Chestnut Commons Dr Ages: 0-99 Fairview Hospital Elyria, OH 44035 Hospital Affiliations: Lakewood Hospital (440) 366-9444 EB, P, R Cleveland Clinic Foundation Cleveland Clinic Lakewood Cultural Competency: Y Fairview Hospital Mercy Regional Medical Center Ages: 0-99 Lakewood Hospital Communtiy Health Partners Rgnl Hospital Affiliations: Cleveland Clinic Lakewood Mdcl Ctr Cleveland Clinic Foundation Mercy Regional Medical Center Cleveland Clinic Avon Hospital Fairview Hospital Communtiy Health Partners Rgnl Lakewood Hospital Mdcl Ctr Costaras, George, DPM, (M), B Cleveland Clinic Lakewood Cleveland Clinic Avon Hospital Group Name: Elyria Foot Clinic Mercy Regional Medical Center Provider ID: 000679643001 Communtiy Health Partners Rgnl Cann, John E, DPM, (M), B NPI: 1902886054 Mdcl Ctr Group Name: Cleveland Clinic 1170 E Broad St Ste 104 Cleveland Clinic Avon Hospital Foundation Elyria, OH 44035

Provider ID: 000998206001 (440) 366-6029 EB, IB, P, R, RE, Cann, John E, DPM, (M), B NPI: 1467415299 T Group Name: Cleveland Clinic 5700 Cooper Foster Park Rd W Web address: www.elyriafootclinic. Foundation Lorain, OH 44053 com Provider ID: 000998206001 (440) 985-3113 EB, IB, P, R, RE, T Ages: 0-99 NPI: 1467415299 Cultural Competency: Y Hospital Affiliations: 33100 Cleveland Clinic Blvd Ages: 0-99 University Hospitals Elyria Avon, OH 44011 Hospital Affiliations: Medical Ctr (440) 695-4000 EB, P, R Cleveland Clinic Foundation Uh Elyria Medical Center Cultural Competency: Y Fairview Hospital Fairview Hospital Ages: 0-99 Lakewood Hospital St John Medical Center Hospital Affiliations: Cleveland Clinic Lakewood Cleveland Clinic Foundation Mercy Regional Medical Center Fairview Hospital Communtiy Health Partners Rgnl Lakewood Hospital Mdcl Ctr Cleveland Clinic Lakewood Cleveland Clinic Avon Hospital Mercy Regional Medical Center Communtiy Health Partners Rgnl

464

Specialists Ohio - Lorain Debarr, Colleen M, DPM, (F), B Demou, Constantina S, DPM, (F) Mdcl Ctr Group Name: Cleveland Clinic Group Name: Vermilion Foot & Foundation Ankle Clinic Gerhard, John P, DPM, (M), B Provider ID: 000946674002 Provider ID: 002225944002 Group Name: Neurospinecare NPI: 1104800515 NPI: 1235106436 Provider ID: 005231102001 5172 Leavitt Rd 516 Vintage Pt NPI: 1407135494 Lorain, OH 44053 Avon Lake, OH 44012 5319 Hoag Dr Ste 100

(440) 282-7420 EB, P, R (440) 930-2503 EB, P, R, RE, T Sheffield Village, OH 44035

Cultural Competency: Y Languages Spoken: (440) 930-6015 EB, IB, P, R, RE, Ages: 0-99 Provider: Spanish T Hospital Affiliations: Mo-Fr - 9:00 AM - 5:00 PM Languages Spoken: Cleveland Clinic Foundation Ages: 0-99 Staff: Spanish Fairview Hospital Hospital Affiliations: Mo-Fr - 8:00 AM - 5:30 PM St John Medical Center Mercy Regional Medical Center Web address: www.neurospinecare. Gwinnett Hospital System Communtiy Health Partners Rgnl com Northside Hospital Gwinnett Mdcl Ctr Ages: 16-99 Cleveland Clinic Avon Hospital Specialty Hospital/lorain Hospital Affiliations: University Hospitals Elyria Debarr, Colleen M, DPM, (F), B Friedman, Roger L, DPM, (M), B Medical Ctr Group Name: Cleveland Clinic Group Name: Advanced Foot Uh Elyria Medical Center Foundation Care & Laser Center Northwestern Medicine Mchenry Provider ID: 000946674002 Provider ID: 000020247001 Hospital NPI: 1104800515 NPI: 1205899887 Advocate Good Shepherd Hospital 5334 Meadow Lane Ct 5321 Meadow Lane Ct St John Medical Center Sheffield Village, OH 44035 Sheffield Village, OH 44035 Mercy Regional Medical Center

(440) 934-5454 EB, P, R (440) 934-8444 EB, P, R Communtiy Health Partners Rgnl Cultural Competency: Y Languages Spoken: Mdcl Ctr Ages: 0-99 Provider: Spanish Hospital Affiliations: Staff: Spanish Gould, Mark D, DPM, (M), B Cleveland Clinic Foundation Mo,Tu,Th - 9:00 AM - 4:30 PM Group Name: Avon Lake Fairview Hospital We - 9:00 AM - 5:00 PM Podiatry St John Medical Center Fr - 9:00 AM - 1:00 PM Provider ID: 000696989001 Gwinnett Hospital System Web address: www.rogerfriedman.c NPI: 1740257302 Northside Hospital Gwinnett om 32730 Walker Rd Bldg I Ste 3 Cleveland Clinic Avon Hospital Ages: 0-99 Avon Lake, OH 44012

Hospital Affiliations: (440) 933-4021 EB, P, R University Hospitals Elyria Mo - 10:00 AM - 6:30 PM Medical Ctr Tu - 1:00 PM - 5:00 PM Uh Elyria Medical Center We - 9:00 AM - 5:00 PM Mercy Allen Hospital Fr - 9:00 AM - 1:00 PM St John Medical Center Ages: 0-99 Mercy Regional Medical Center Hospital Affiliations: Communtiy Health Partners Rgnl St John Medical Center

465

Ohio - Lorain Specialists Herbert, Christopher W, DPM, Herbert, Christopher W, DPM, Gould, Mark D, DPM, (M), B (M), B (M), B Group Name: Avon Lake Group Name: Cleveland Clinic Group Name: Cleveland Clinic Podiatry Foundation Foundation Provider ID: 000696989001 Provider ID: 001430646004 Provider ID: 001430646004 NPI: 1740257302 NPI: 1902860463 NPI: 1902860463 32730 Walker Rd Ste I3 33100 Cleveland Clinic Blvd 5334 Meadow Lane Ct Avon Lake, OH 44012 Avon, OH 44011 Sheffield Village, OH 44035

(440) 933-4021 EB, P, R, RE, T (440) 695-4000 EB, P, R (440) 934-5454 EB, P, R Mo - 10:00 AM - 7:00 PM Mo-Fr - 8:00 AM - 5:30 PM Mo-Fr - 8:00 AM - 5:30 PM Tu - 1:00 PM - 5:00 PM Ages: 0-99 Ages: 0-99 We - 9:00 AM - 5:00 PM Hospital Affiliations: Hospital Affiliations: Fr - 9:00 AM - 1:00 PM Cleveland Clinic Foundation Cleveland Clinic Foundation Ages: 0-99 Fairview Hospital Fairview Hospital Hospital Affiliations: Lakewood Hospital Lakewood Hospital St John Medical Center Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Avon Hospital Cleveland Clinic Avon Hospital Herbert, Christopher W, DPM, (M), B Herbert, Christopher W, DPM, Herbert, Christopher W, DPM, Group Name: Cleveland Clinic (M), B (M), B Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Provider ID: 001430646004 Foundation Foundation NPI: 1902860463 Provider ID: 001430646004 Provider ID: 001430646004 303 Chestnut Commons Dr NPI: 1902860463 NPI: 1902860463 Elyria, OH 44035 450 Avon Belden Rd 5700 Cooper Foster Park Rd W

(440) 366-9444 EB, P, R Avon Lake, OH 44012 Lorain, OH 44053

Mo-Fr - 8:00 AM - 5:30 PM (440) 930-6800 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T Ages: 0-99 Mo-Fr - 8:00 AM - 5:30 PM Mo-Fr - 8:00 AM - 5:30 PM Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Lakewood Hospital Fairview Hospital Fairview Hospital Cleveland Clinic Lakewood Lakewood Hospital Lakewood Hospital Cleveland Clinic Avon Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Avon Hospital Cleveland Clinic Avon Hospital

466

Specialists Ohio - Lorain Herbert, Christopher W, DPM, Hintz, David J, DPM, (M) Hosking, Jill K, DPM, (F), B (M), B Group Name: Lorain County Group Name: Advanced Podiatry Group Name: Cleveland Clinic Health & Dentis Center Foundation Provider ID: 000115556002 Provider ID: 001802428001 Provider ID: 001430646004 NPI: 1619078755 NPI: 1144216672 NPI: 1902860463 3745 Grove Ave 4751 Oberlin Ave Ste 3 5800 Cooper Foster Park Rd W Lorain, OH 44055 Lorain, OH 44053

Lorain, OH 44053 (440) 240-1655 E, EB, G, IB, P, (440) 282-1312 EB, P, R, RE

(216) 204-7400 EB, P, R PL, R, RE, S, T Mo-Fr - 9:00 AM - 5:30 PM Mo-Fr - 8:00 AM - 5:30 PM Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Web address: www.advancedpodiatr Hospital Affiliations: University Hospitals Elyria ycenter.com Cleveland Clinic Foundation Medical Ctr Ages: 0-99 Fairview Hospital Uh Elyria Medical Center Hospital Affiliations: Lakewood Hospital University Hospitals Elyria Cleveland Clinic Lakewood Hintz, David J, DPM, (M) Medical Ctr Cleveland Clinic Avon Hospital Group Name: Lorain County Uh Elyria Medical Center Health & Dentis Mercy Regional Medical Center Hintz, David J, DPM, (M) Provider ID: 000115556002 Communtiy Health Partners Rgnl Group Name: Lorain County NPI: 1619078755 Mdcl Ctr Health & Dentis 412 E River St Provider ID: 000115556002 Elyria, OH 44035 Johnson, Tanya N, DPM, (F), B

NPI: 1619078755 (440) 240-1655 EB, G, IB, P, PL, Group Name: Cleveland Clinic 1205 Broadway R, RE, S, T Foundation Lorain, OH 44052 Languages Spoken: Provider ID: 002087628004

(440) 240-1655 EB, G, IB, P, PL, Staff: Spanish NPI: 1992899413 R, RE, S, T Mo,Tu,Th,Fr - 8:00 AM - 4:30 PM 303 Chestnut Commons Dr Tu,Th - 1:00 PM - 5:00 PM We - 8:00 AM - 7:30 PM Elyria, OH 44035

We - 8:00 AM - 12:00 PM Ages: 0-99 (440) 366-9444 EB, P, R Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: University Hospitals Elyria Ages: 0-99 University Hospitals Elyria Medical Ctr Hospital Affiliations: Medical Ctr Uh Elyria Medical Center Cleveland Clinic Foundation Uh Elyria Medical Center Huron Hospital

467

Ohio - Lorain Specialists Johnson, Tanya N, DPM, (F), B Mccarty, Brendan C, DPM, (M) Pham, Thuan V, DPM, (M), B Group Name: Cleveland Clinic Group Name: Mccarty Family Group Name: Cleveland Clinic Foundation Foot & Ankle Foundation Provider ID: 002087628004 Provider ID: 005146235001 Provider ID: 002672162002 NPI: 1992899413 NPI: 1235420456 NPI: 1073522454 33100 Cleveland Clinic Blvd 3600 Kolbe Rd Ste 105 303 Chestnut Commons Dr Avon, OH 44011 Lorain, OH 44053 Elyria, OH 44035

(440) 695-4000 EB, P, R (440) 732-0801 EB, P, R, RE, T (440) 366-9444 EB, P, R Cultural Competency: Y Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 18-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Huron Hospital Mercy Regional Medical Center Cleveland Clinic Avon Hospital Communtiy Health Partners Rgnl Johnson, Tanya N, DPM, (F), B Mdcl Ctr Pham, Thuan V, DPM, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Nichelson, Kimberly M, DPM, (F) Foundation Provider ID: 002087628004 Group Name: Advanced Foot Provider ID: 002672162002 NPI: 1992899413 Care & Laser Center NPI: 1073522454 450 Avon Belden Rd Provider ID: 006074759001 33100 Cleveland Clinic Blvd Avon Lake, OH 44012 NPI: 1538504360 Avon, OH 44011

(440) 930-6800 EB, P, R 5321 Meadow Lane Ct (440) 695-4000 EB, P, R Cultural Competency: Y Sheffield Village, OH 44035 Cultural Competency: Y

Ages: 0-99 (440) 934-8444 EB, P, R Ages: 18-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Huron Hospital St John Medical Center Cleveland Clinic Avon Hospital

Johnson, Tanya N, DPM, (F), B Ouhadi, Stephanie M, DPM, (F) Pham, Thuan V, DPM, (M), B Group Name: Cleveland Clinic Group Name: Ouhadi Stephanie Group Name: Cleveland Clinic Foundation M Foundation Provider ID: 002087628004 Provider ID: 005272270003 Provider ID: 002672162002 NPI: 1992899413 NPI: 1235433558 NPI: 1073522454 5800 Cooper Foster Park Rd W 4560 Oberlin Ave Ste 1 450 Avon Belden Rd Lorain, OH 44053 Lorain, OH 44053 Avon Lake, OH 44012

(440) 204-7800 EB, P, R (440) 282-7386 EB, P, R (440) 930-6800 EB, P, R Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 0-99 Ages: 18-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Huron Hospital Cleveland Clinic Avon Hospital

468

Specialists Ohio - Lorain Pham, Thuan V, DPM, (M), B Rowland, Joy W, DPM, (F) White, Robert J, DPM, (M), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Ankle And Foot Foundation Foundation Clinic Provider ID: 002672162002 Provider ID: 001853845001 Provider ID: 002025680001 NPI: 1073522454 NPI: 1457590010 NPI: 1093884033 5800 Cooper Foster Park Rd W 450 Avon Belden Rd 37452 Colorado Ave Lorain, OH 44053 Avon Lake, OH 44012 Avon, OH 44011

(440) 204-7800 EB, P, R (440) 930-6800 EB, P, R (440) 934-1469 EB, P, R, RE, T Cultural Competency: Y Ages: 0-99 Languages Spoken: Ages: 18-99 Hospital Affiliations: Provider: Spanish Hospital Affiliations: Cleveland Clinic Foundation Mo-Th - 9:00 AM - 5:00 PM Cleveland Clinic Foundation Fr - 9:00 AM - 4:30 PM Cleveland Clinic Avon Hospital Rowland, Joy W, DPM, (F) Web address: anklefootclinic.net Group Name: Cleveland Clinic Ages: 0-99 Rowland, Joy W, DPM, (F) Foundation Hospital Affiliations: Group Name: Cleveland Clinic Provider ID: 001853845001 University Hospitals Elyria Foundation NPI: 1457590010 Medical Ctr Provider ID: 001853845001 5275 N Abbe Rd Uh Elyria Medical Center NPI: 1457590010 Sheffield Village, OH 44035 Cleveland Clinic Foundation

303 Chestnut Commons Dr (216) 445-7050 EB, P, R Community Memorial Hospital Elyria, OH 44035 Ages: 0-99 Mercy Regional Medical Center

(440) 366-9444 EB, P, R Hospital Affiliations: Communtiy Health Partners Rgnl Ages: 0-99 Cleveland Clinic Foundation Mdcl Ctr Hospital Affiliations: Institute For Orthopaedic Surgery Cleveland Clinic Foundation Rowland, Joy W, DPM, (F) Group Name: Cleveland Clinic White, Robert J, DPM, (M), B Rowland, Joy W, DPM, (F) Foundation Group Name: Ankle And Foot Group Name: Cleveland Clinic Provider ID: 001853845001 Clinic Foundation NPI: 1457590010 Provider ID: 002025680001 Provider ID: 001853845001 5800 Cooper Foster Park Rd W NPI: 1093884033 NPI: 1457590010 Lorain, OH 44053 4789 Leavitt Rd Ste B

33100 Cleveland Clinic Blvd (440) 204-7800 EB, P, R Lorain, OH 44053

Avon, OH 44011 Ages: 0-99 (440) 246-1200 EB, P, R, RE, T

(440) 695-4000 EB, P, R Hospital Affiliations: Languages Spoken: Ages: 0-99 Cleveland Clinic Foundation Provider: Spanish Hospital Affiliations: Mo - 10:00 AM - 6:00 PM Cleveland Clinic Foundation Tu,We,Th - 9:00 AM - 5:00 PM Fr - 9:00 AM - 4:00 PM Web address: anklefootclinic.net Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Medical Ctr

469

Ohio - Lorain Specialists Uh Elyria Medical Center Cleveland Clinic Foundation Marymount Hospital Cleveland Clinic Foundation Hillcrest Hospital Lutheran Hospital Community Memorial Hospital South Pointe Hospital Medina Hospital Mercy Regional Medical Center Euclid Hospital Communtiy Health Partners Rgnl Marymount Hospital Jesudoss, Rajinish S, MD, (M), B Mdcl Ctr Lutheran Hospital Group Name: Community Institute For Orthopaedic Surgery Medina Hospital Hospitalists Provider ID: 005354081002 Ghobrial, Michael M, MD, (M), B NPI: 1235443409 Pulmonary Medicine Group Name: Community 200 W Lorain St

Members may self-refer to these Hospitalists Oberlin, OH 44074 providers. Provider ID: 005518690003 (440) 542-5000 EB, IB, P, R, RE,

NPI: 1669727582 S, T Ghobrial, Michael M, MD, (M), B 3700 Kolbe Rd Ages: 0-99 Group Name: Community Lorain, OH 44053 Hospitalists (440) 542-5000 EB, G, IB, P, PL, Jesudoss, Rajinish S, MD, (M), B Provider ID: 005518690003 R, RE, S, T Group Name: Community NPI: 1669727582 Ages: 0-99 Hospitalists 200 W Lorain St Hospital Affiliations: Provider ID: 005354081002 Oberlin, OH 44074 Fairview Hospital NPI: 1235443409 (440) 542-5000 EB, IB, P, R, RE, Cleveland Clinic Foundation 254 Cleveland Ave S, T Hillcrest Hospital Amherst, OH 44001 Ages: 0-99 South Pointe Hospital (440) 542-5000 EB, P, R Hospital Affiliations: Euclid Hospital Ages: 0-99 Fairview Hospital Marymount Hospital Cleveland Clinic Foundation Lutheran Hospital Jesudoss, Rajinish S, MD, (M), B Hillcrest Hospital Medina Hospital Group Name: Community South Pointe Hospital Hospitalists Euclid Hospital Ghobrial, Michael M, MD, (M), B Provider ID: 005354081002 Marymount Hospital Group Name: Community NPI: 1235443409 Lutheran Hospital Hospitalists 3700 Kolbe Rd Medina Hospital Provider ID: 005518690003 Lorain, OH 44053

NPI: 1669727582 (440) 542-5000 EB, G, IB, P, PL, Ghobrial, Michael M, MD, (M), B 630 E River St R, RE, S, T Group Name: Community Elyria, OH 44035 Ages: 0-99 Hospitalists (440) 542-5000 EB, P, R Provider ID: 005518690003 Ages: 0-99 NPI: 1669727582 Hospital Affiliations: 254 Cleveland Ave Fairview Hospital Amherst, OH 44001 Cleveland Clinic Foundation (440) 542-5000 EB, P, R Hillcrest Hospital Ages: 0-99 South Pointe Hospital Hospital Affiliations: Euclid Hospital Fairview Hospital

470

Specialists Ohio - Lorain Jesudoss, Rajinish S, MD, (M), B Uh Elyria Medical Center Communtiy Health Partners Rgnl Group Name: Community Mercy Regional Medical Center Mdcl Ctr Hospitalists Communtiy Health Partners Rgnl Provider ID: 005354081002 Mdcl Ctr Makadia, Ashok P, MD, (M), B NPI: 1235443409 Group Name: Mercy Health 630 E River St Makadia, Ashok P, MD, (M), B Physicians Lorain Elyria, OH 44035 Group Name: Mercy Health Provider ID: 001878960002

(440) 542-5000 EB, P, R Physicians Lorain NPI: 1013912211 Ages: 0-99 Provider ID: 001878960002 3600 Kolbe Rd Ste 227 NPI: 1013912211 Lorain, OH 44053

Khan, Safdar G, MD, (M), B 224 W Lorain St (440) 960-6431 E, EB, IB, P, R, Group Name: Cleveland Clinic Oberlin, OH 44074 RE, S, T

Foundation (440) 960-6431 EB, P, PL, R, RE, Languages Spoken: Provider ID: 003029786001 T Provider: Gujarati, Hindi NPI: 1467693317 Languages Spoken: Ages: 18-99 33300 Cleveland Clinic Blvd Provider: Gujarati, Hindi Hospital Affiliations: Avon, OH 44011 Mo-Su - 8:00 AM - 5:00 PM University Hospitals Elyria

(440) 695-5000 EB, P, R Ages: 18-99 Medical Ctr Ages: 0-99 Hospital Affiliations: Uh Elyria Medical Center Hospital Affiliations: University Hospitals Elyria Mercy Regional Medical Center Cleveland Clinic Foundation Medical Ctr Communtiy Health Partners Rgnl Fairview Hospital Uh Elyria Medical Center Mdcl Ctr Owensboro Health Regional Mercy Regional Medical Center Hospital Communtiy Health Partners Rgnl Ramadugu, Ashok, MD, (M), B Lutheran Hospital Mdcl Ctr Group Name: Chest Physicians Medina Hospital Provider ID: 001839829001 Cleveland Clinic Avon Hospital Makadia, Ashok P, MD, (M), B NPI: 1063417269 Group Name: Mercy Health 661 E River St Ste B Makadia, Ashok P, MD, (M), B Physicians Lorain Elyria, OH 44035

Group Name: Mercy Health Provider ID: 001878960002 (440) 323-0082 EB, P, R, RE, T Physicians Lorain NPI: 1013912211 Provider ID: 001878960002 3600 Kolbe Rd Ste 205 Mo-Fr - 9:00 AM - 5:00 PM NPI: 1013912211 Lorain, OH 44053 Ages: 0-99 Hospital Affiliations: 1813 Nagle Rd Ste 500 (440) 960-6431 EB, P, R Avon, OH 44011 Languages Spoken: University Hospitals Elyria Medical Ctr (440) 960-6431 EB, P, PL, R, RE, Provider: Gujarati, Hindi T Mo-Fr - 8:30 AM - 5:00 PM Uh Elyria Medical Center Languages Spoken: Ages: 18-99 Mercy Regional Medical Center Provider: Gujarati, Hindi Hospital Affiliations: Communtiy Health Partners Rgnl Ages: 18-99 University Hospitals Elyria Mdcl Ctr Hospital Affiliations: Medical Ctr Specialty Hospital/lorain University Hospitals Elyria Uh Elyria Medical Center Medical Ctr Mercy Regional Medical Center

471

Ohio - Lorain Specialists Rutledge, Ethan B, DO, (M), B Hospital Affiliations: Group Name: Community Rutledge, Ethan B, DO, (M), B University Hospitals Elyria Hospitalists Group Name: Community Medical Ctr Provider ID: 004129045001 Hospitalists Areas of Expertise: CIL NPI: 1508156696 Provider ID: 004129045001 200 W Lorain St NPI: 1508156696 Strack, Leanne K, DO, (F), B Oberlin, OH 44074 630 E River St Group Name: Mercy Health

(440) 542-5000 EB, IB, P, R, RE, Elyria, OH 44035 Physicians Lorain

S, T (440) 542-5000 EB, P, R Provider ID: 003175894004 Ages: 0-99 Ages: 0-99 NPI: 1982653432 Hospital Affiliations: Hospital Affiliations: 3600 Kolbe Rd Ste 227 Tennova Healthcare Cleveland Tennova Healthcare Cleveland Lorain, OH 44053

Select Specialty Hosp Columbus Select Specialty Hosp Columbus (440) 960-6431 EB, P, R Doctors Hospital Doctors Hospital Ages: 18-99 Hospital Affiliations: Rutledge, Ethan B, DO, (M), B Salem, Bashar, MD, (M), B Firelands Regional Medical Ctr Group Name: Community Group Name: Community Hospitalists Hospitalists Strack, Leanne K, DO, (F), B Provider ID: 004129045001 Provider ID: 002731591007 Group Name: Mercy Health NPI: 1508156696 NPI: 1841306958 Physicians Lorain 254 Cleveland Ave 630 E River St Provider ID: 003175894004 Amherst, OH 44001 Elyria, OH 44035 NPI: 1982653432

(440) 542-5000 EB, P, R (440) 542-5000 EB, P, R 3700 Kolbe Rd Ages: 0-99 Cultural Competency: Y Lorain, OH 44053

Hospital Affiliations: Ages: 0-99 (888) 696-3541 EB, G, IB, P, R, Tennova Healthcare Cleveland Hospital Affiliations: RE, S, T Select Specialty Hosp Columbus Fairview Hospital Ages: 18-99 Doctors Hospital Lutheran Hospital Hospital Affiliations: Southwest General Health Center Firelands Regional Medical Ctr Rutledge, Ethan B, DO, (M), B St John Medical Center Group Name: Community Suri, Anu, MD, (F), B Hospitalists Singh, Chandra M, MD, (F), B Group Name: Cleveland Clinic Provider ID: 004129045001 Group Name: Respiratory & Foundation NPI: 1508156696 Sleep Disorders Consultant Provider ID: 003214869001 3700 Kolbe Rd Provider ID: 002206150001 NPI: 1104025303 Lorain, OH 44053 NPI: 1639158256 33100 Cleveland Clinic Blvd

(440) 542-5000 EB, G, IB, P, PL, 125 E Broad St Ste 119 Avon, OH 44011

R, RE, S, T Elyria, OH 44035 (440) 695-4000 EB, P, R

Ages: 0-99 (440) 329-7397 E, EB, G, IB, P, Cultural Competency: Y Hospital Affiliations: PL, R, RE, T Ages: 0-99 Tennova Healthcare Cleveland Mo-Fr - 9:00 AM - 4:00 PM Hospital Affiliations: Select Specialty Hosp Columbus Cultural Competency: Y Cleveland Clinic Foundation Doctors Hospital Ages: 0-99 Fairview Hospital

472

Specialists Ohio - Lorain Lutheran Hospital Thiruchelvam, Nirosshan, MD, Zaizafoun, Manaf, MD, (M), B Ccf Children's Hosp/rehab (M) Group Name: Mercy Health Medina Hospital Group Name: Cleveland Clinic Physicians Lorain Foundation Provider ID: 002929196003 Suri, Anu, MD, (F), B Provider ID: 005967792001 NPI: 1174787972 Group Name: Cleveland Clinic NPI: 1912262866 254 Cleveland Ave Foundation 33300 Cleveland Clinic Blvd Amherst, OH 44001

Provider ID: 003214869001 Avon, OH 44011 (440) 960-6431 EB, P, R

NPI: 1104025303 (440) 695-5000 EB, P, R Languages Spoken: 33300 Cleveland Clinic Blvd Ages: 0-99 Provider: Arabic Avon, OH 44011 Hospital Affiliations: Staff: Arabic

(440) 695-5000 EB, P, R Cleveland Clinic Foundation Ages: 18-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Zaizafoun, Manaf, MD, (M), B Rainy Lake Medical Center Hospital Affiliations: Group Name: Mercy Health Uh Regional Hospitals Cleveland Clinic Foundation Physicians Lorain St Marys Medical Center Fairview Hospital Provider ID: 002929196003 St Josephs Medical Center Lutheran Hospital NPI: 1174787972 Eh St Josephs Medical Center Ccf Children's Hosp/rehab 1813 Nagel Rd Ste 500 Uh Cleveland Medical Center Medina Hospital Avon, OH 44011 Southern Ohio Medical Center

(440) 960-6431 EB, P, R, RE, T Mercy Regional Medical Center Thiruchelvam, Nirosshan, MD, Languages Spoken: (M) Provider: Arabic Zaizafoun, Manaf, MD, (M), B Group Name: Cleveland Clinic Ages: 18-99 Group Name: Mercy Health Foundation Hospital Affiliations: Physicians Lorain Provider ID: 005967792001 Rainy Lake Medical Center Provider ID: 002929196003 NPI: 1912262866 Uh Regional Hospitals NPI: 1174787972 33100 Cleveland Clinic Blvd St Marys Medical Center 3600 Kolbe Rd Ste 205 Avon, OH 44011 St Josephs Medical Center Lorain, OH 44053

(440) 695-4000 Eh St Josephs Medical Center (440) 960-6431 EB, P, R Ages: 0-99 Uh Cleveland Medical Center Languages Spoken: Hospital Affiliations: Southern Ohio Medical Center Provider: Arabic Cleveland Clinic Foundation Mercy Regional Medical Center Ages: 18-99 Hospital Affiliations: Rainy Lake Medical Center Uh Regional Hospitals St Marys Medical Center St Josephs Medical Center Eh St Josephs Medical Center Uh Cleveland Medical Center Southern Ohio Medical Center Mercy Regional Medical Center

473

Ohio - Lorain Specialists Zaizafoun, Manaf, MD, (M), B Univ Hospitals Ahuja Med Ctr Manzon, Judith D, MD, (F), B Group Name: Mercy Health Group Name: Cleveland Clinic Physicians Lorain Hampole, Vagesh M, MD, (M), B Foundation Provider ID: 002929196003 Group Name: Hampole Vagesh M Provider ID: 002817967004 NPI: 1174787972 Provider ID: 000114985001 NPI: 1538368956 3600 Kolbe Rd Ste 227 NPI: 1699777102 33300 Cleveland Clinic Blvd Lorain, OH 44053 125 E Broad St Ste 215 Avon, OH 44011

(440) 960-6431 Elyria, OH 44035 (440) 695-5000 EB, P, R

Languages Spoken: (440) 329-7360 EB, P, R, RE, T Cultural Competency: Y Provider: Arabic Ages: 0-99 Ages: 18-99 Mo-Fr - 9:00 AM - 5:00 PM Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Rainy Lake Medical Center Ages: 16-99 Cleveland Clinic Avon Hospital Uh Regional Hospitals Hospital Affiliations: St Marys Medical Center University Hospitals Elyria Mathai, Susan P, MD, (F), B St Josephs Medical Center Medical Ctr Group Name: Cleveland Clinic Eh St Josephs Medical Center Uh Elyria Medical Center Foundation Uh Cleveland Medical Center Mercy Regional Medical Center Provider ID: 002369045001 Southern Ohio Medical Center Communtiy Health Partners Rgnl NPI: 1598865743 Mercy Regional Medical Center Mdcl Ctr 33100 Cleveland Clinic Blvd Avon, OH 44011

Manzon, Judith D, MD, (F), B (440) 695-4000 EB, P, R Rheumatology Group Name: Cleveland Clinic Cultural Competency: Y Foundation Members may self-refer to these Ages: 0-99 Provider ID: 002817967002 providers. Hospital Affiliations: NPI: 1538368956 Cleveland Clinic Foundation Brooks, Elizabeth B, MD, (F), B 33100 Cleveland Clinic Blvd Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Avon, OH 44011 Foundation (440) 695-4000 EB, P, R Tsai, Margaret, MD, (F), B Provider ID: 001985739003 Cultural Competency: Y Group Name: Cleveland Clinic NPI: 1205858792 Ages: 0-99 Foundation 33100 Cleveland Clinic Blvd Hospital Affiliations: Provider ID: 002909719001 Avon, OH 44011 Cleveland Clinic Foundation NPI: 1114146693 (216) 386-5530 EB, IB, P, R Cleveland Clinic Avon Hospital 33100 Cleveland Clinic Blvd Cultural Competency: Y Avon, OH 44011 Ages: 0-99 (440) 695-4000 EB, P, R Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99 Hillcrest Hospital Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Uh Cleveland Medical Center Cleveland Clinic Avon Hospital Umass Memorial Medical Center Rainbow Babies & Childrens Hosp

474

Specialists Ohio - Lorain

Tsai, Margaret, MD, (F), B Ramadugu, Ashok, MD, (M), B Group Name: Cleveland Clinic Sleep Medicine Group Name: Chest Physicians

Foundation Prior authorization is required to Provider ID: 001839829001 Provider ID: 002909719001 obtain some covered services from NPI: 1063417269 NPI: 1114146693 these providers if a sleep study is 661 E River St Ste B 5700 Cooper Foster Park Rd W performed at a outpatient sleep Elyria, OH 44035 Lorain, OH 44053 study center or an ambulatory sleep (440) 323-0082 EB, P, R, RE, T (440) 204-7400 EB, IB, P, R, RE, T center. You will not be covered for Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y those services without such Ages: 0-99 Ages: 0-99 approval by UnitedHealthcare Hospital Affiliations: Hospital Affiliations: Community Plan. Please see your University Hospitals Elyria Cleveland Clinic Foundation member handbook, or call Member Medical Ctr Cleveland Clinic Avon Hospital Services for details. Uh Elyria Medical Center

Ungprasert, Patompong, MD, Kazaglis, Louis D, MD, (M), B Mercy Regional Medical Center (M), B Group Name: Cleveland Clinic Communtiy Health Partners Rgnl Group Name: Cleveland Clinic Foundation Mdcl Ctr Foundation Provider ID: 003670614007 Specialty Hospital/lorain Provider ID: 005161784001 NPI: 1477889798 NPI: 1316234115 33300 Cleveland Clinic Blvd Avon, OH 44011 Speech Pathology

33300 Cleveland Clinic Avon, OH 44011 (440) 695-5000 EB, P, R Bunsey, Deborah A, SLP, (F) Web address: www.allinahealth.org Group Name: Easter Seals (440) 695-5000 EB, P, R Ages: 0-99 Ages: 0-99 Northern Ohio Hospital Affiliations: Provider ID: 003721263002 Mchs Mankato NPI: 1689633166 Cleveland Clinic Foundation 1915 N Ridge Rd E Medina Hospital Lorain, OH 44055

M Health Fairview St. John's (440) 838-0990 EB, P, R Hospital Mo-Fr - 8:30 AM - 5:00 PM M Health Fairview St John's Ages: 0-99 Hospital M Health Fairview Bethesda Feig, Lauren E, SLP, (F) Hospital Group Name: Building Blocks M Health Fairview St Josephs Therapy Hospital Provider ID: 007120204003 Healtheast St Josephs Hospital NPI: 1881169423 36711 American Way Avon, OH 44011

(216) 282-1234 EB, P, R Ages: 0-21

475

Ohio - Lorain Specialists

Feig, Lauren E, SLP, (F) Univ Hospitals Ahuja Med Ctr Group Name: Building Blocks Thoracic Cardiovascular Surg Therapy Elgudin, Yakov L, MD, (M), B Park, Soon J, MD, (M), B Provider ID: 007120204001 Group Name: University Group Name: University NPI: 1881169423 Hospitals Medical Group Hospitals Medical Group 38530 Chester Rd Provider ID: 002457876002 Provider ID: 002003213001 Avon, OH 44011 NPI: 1730107996 NPI: 1891716544 (216) 282-1234 E, EB, IB, P, R 125 E Broad St Ste 101 630 E River St Ages: 0-21 Elyria, OH 44035 Elyria, OH 44035

(216) 844-4004 E, EB, IB, P, R (440) 284-8600 EB, P, R Young, Mindy S, SLP, (F) Mo-Fr - 8:30 AM - 4:30 PM Group Name: Easter Seals Languages Spoken: Cultural Competency: Y Northern Ohio Provider: Russian Ages: 0-99 Provider ID: 007029542001 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: NPI: 1487781845 Cultural Competency: Y University Hospitals Elyria 2173 N Ridge Rd E Ste G Ages: 0-99 Medical Ctr Lorain, OH 44055 Hospital Affiliations: Uh Elyria Medical Center University Hospitals Elyria (440) 838-0990 EB, P, R Uh Cleveland Medical Center Ages: 0-99 Medical Ctr Rainbow Babies & Childrens Uh Elyria Medical Center Hosp Young, Mindy S, SLP, (F) Southwest General Health Center Univ Hospitals Ahuja Med Ctr Group Name: Easter Seals St John Medical Center Northern Ohio Uh Cleveland Medical Center Zolli, Alexander F, MD, (M) Provider ID: 007029542001 Uh Parma Medical Center Group Name: Center For NPI: 1487781845 University Hospitals Parma Vascular And Thoracic Med Sur 41641 N Ridge Rd Medical Ctr Provider ID: 000779065001 Elyria, OH 44035 Univ Hospitals Ahuja Med Ctr NPI: 1669589743

(440) 838-0990 EB, P, R 2173 N Ridge Rd E Ste A Ages: 0-99 Markowitz, Alan H, MD, (M), B Lorain, OH 44055 Group Name: University (440) 277-5077 EB, IB, P, R, RE, Hospitals Medical Group T Provider ID: 000213580002 Languages Spoken: NPI: 1821016916 Provider: Italian 630 E River St Staff: Italian Elyria, OH 44035 Mo,Fr - 9:00 AM - 5:00 PM (440) 284-8600 EB, P, R Tu,We - 9:00 AM - 4:00 PM Mo-Fr - 8:30 AM - 4:30 PM Th - 9:00 AM - 12:00 PM Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: University Hospitals Elyria University Hospitals Elyria Medical Ctr Medical Ctr Uh Elyria Medical Center Uh Elyria Medical Center Mercy Regional Medical Center Uh Cleveland Medical Center = Wheelchair = Provider is within one (1) mile of public transportation B = Board Certified P = Parking EB = Exterior Building IB = Interior Building R = Restroom E = Exam Room T = Exam Table/Scale/Chairs G = Gurneys & Stretchers PL = Portable Lifts RE = Radiologic Equipment S = Signage & Documents = Telehealth Services = 24-hour MMOH.21.999.01.9.005

476

Specialists Ohio - Lorain

Communtiy Health Partners Rgnl Robke, Jason M, MD, (M), B Mdcl Ctr Group Name: Mercy Health Urology

Areas of Expertise: CIL Physicians Lorain Members may self-refer to these Provider ID: 002446463003 providers.

NPI: 1841218955 Thoracic Surgery 3600 Kolbe Rd Ste 210 Avallone, Anthony N, MD, (M), B Lorain, OH 44053 Group Name: Cleveland Clinic Members may self-refer to these Foundation (440) 222-4567 EB, P, R, RE, T providers. Provider ID: 001894912001 Cultural Competency: Y Elgudin, Yakov L, MD, (M), B Accepting Existing Patients Only NPI: 1659328540 Group Name: University Ages: 0-99 33100 Cleveland Clinic Blvd Hospitals Medical Group Hospital Affiliations: Avon, OH 44011 Provider ID: 002457876002 University Hospitals Elyria (216) 444-5600 EB, P, R NPI: 1730107996 Medical Ctr Ages: 0-99 125 E Broad St Ste 101 Uh Elyria Medical Center Hospital Affiliations: Elyria, OH 44035 Southwest General Health Center Mercy Med Ctr-des Moines (216) 844-4004 E, EB, IB, P, R Uh Cleveland Medical Center Mercyone Des Moines Medical Center Languages Spoken: Sinopoli, Jillian N, DO, (F), B Iowa Lutheran Hospital Provider: Russian Wooster Community Hospital Mo-Fr - 8:30 AM - 4:30 PM Group Name: University Hospitals Medical Group Ia Methodist Medical Center Cultural Competency: Y Baptist Hospital Ages: 0-99 Provider ID: 007612222001 NPI: 1801236153 Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital University Hospitals Elyria 125 E Broad St Ste 101 Elyria, OH 44035 Medical Ctr Avallone, Anthony N, MD, (M), B (216) 844-5003 E, EB, IB, P, R Uh Elyria Medical Center Group Name: Cleveland Clinic Southwest General Health Center Mo-Fr - 8:30 AM - 4:30 PM Foundation St John Medical Center Ages: 18-99 Provider ID: 001894912001 Uh Cleveland Medical Center Hospital Affiliations: NPI: 1659328540 Uh Parma Medical Center Uh Cleveland Medical Center 33300 Cleveland Clinic Blvd University Hospitals Parma Avon, OH 44011 Medical Ctr (440) 695-5000 EB, P, R Univ Hospitals Ahuja Med Ctr Ages: 0-99 Hospital Affiliations: Mercy Med Ctr-des Moines Mercyone Des Moines Medical Center Iowa Lutheran Hospital Wooster Community Hospital Ia Methodist Medical Center Baptist Hospital Cleveland Clinic Foundation Fairview Hospital

477

Ohio - Lorain Specialists Dinchman, Kurt H, MD, (M), B Haas, Christopher A, MD, (M), B Bodner, Donald R, MD, (M), B Group Name: Mercy Health Group Name: Mercy Health Group Name: University Physicians Lorain Physicians Lorain Hospitals Medical Group Provider ID: 001113739004 Provider ID: 001867130006 Provider ID: 000621302002 NPI: 1639168552 NPI: 1073502720 NPI: 1578597175 3600 Kolbe Rd Ste 203 224 W Lorain St Ste 100 630 E River St Lorain, OH 44053 Oberlin, OH 44074

Elyria, OH 44035 (440) 960-4522 EB, P, R (440) 960-4522 E, EB, P, R, RE,

(440) 329-7500 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM S, T Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99 Ages: 0-99 Metrohealth Medical Center Hospital Affiliations: Hospital Affiliations: Lakewood Hospital Uh Cleveland Medical Center University Hospitals Elyria Cleveland Clinic Lakewood Rainbow Babies & Childrens Medical Ctr St John Medical Center Hosp Uh Elyria Medical Center Mercy Regional Medical Center Univ Hospitals Ahuja Med Ctr Metrohealth Medical Center Communtiy Health Partners Rgnl St John Medical Center Mdcl Ctr Dinchman, Kurt H, MD, (M), B Mercy Regional Medical Center Group Name: Mercy Health Communtiy Health Partners Rgnl Haas, Christopher A, MD, (M), B Physicians Lorain Mdcl Ctr Group Name: Mercy Health Provider ID: 001113739004 Physicians Lorain NPI: 1639168552 Haas, Christopher A, MD, (M), B Provider ID: 001867130006 319 W Lorain St Group Name: Mercy Health NPI: 1073502720 Oberlin, OH 44074 Physicians Lorain 3600 Kolbe Rd Ste 203

(440) 775-1881 EB, P, R, RE, T Provider ID: 001867130006 Lorain, OH 44053

Cultural Competency: Y NPI: 1073502720 (440) 960-4522 EB, P, R Accepting Existing Patients Only 1813 Nagel Rd Ste 500 Ages: 0-99 Ages: 0-99 Avon, OH 44011 Hospital Affiliations:

Hospital Affiliations: (440) 960-4522 EB, P, R, RE, T Metrohealth Medical Center University Hospitals Elyria Ages: 0-99 Lakewood Hospital Medical Ctr Hospital Affiliations: Cleveland Clinic Lakewood Uh Elyria Medical Center Metrohealth Medical Center St John Medical Center Metrohealth Medical Center Lakewood Hospital Mercy Regional Medical Center St John Medical Center Cleveland Clinic Lakewood Communtiy Health Partners Rgnl Mercy Regional Medical Center St John Medical Center Mdcl Ctr Communtiy Health Partners Rgnl Mercy Regional Medical Center Mdcl Ctr Communtiy Health Partners Rgnl Mdcl Ctr

478

Specialists Ohio - Lorain Hijaz, Adonis K, MD, (M), B Larchian, William A, MD, (M), B Ponsky, Lee E, MD, (M), B Group Name: University Group Name: University Primary Group Name: University Hospitals Medical Group Care Practices Hospitals Medical Group Provider ID: 002593805004 Provider ID: 001465565001 Provider ID: 002325213002 NPI: 1992739528 NPI: 1598729840 NPI: 1871511972 630 E River St 1268 E Broad St Ste 4 630 E River St Elyria, OH 44035 Elyria, OH 44035 Elyria, OH 44035

(440) 329-7500 EB, P, R (440) 365-1602 EB, P, R (440) 329-7500 EB, P, R Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Provider: Arabic Cultural Competency: Y Provider: Spanish Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 University Hospitals Elyria Ages: 0-99 Hospital Affiliations: Medical Ctr Hospital Affiliations: Uh Regional Hospitals Uh Elyria Medical Center Metrohealth Medical Center St John Medical Center Cleveland Clinic Foundation Uh Regional Hospital - Bedford Uh Cleveland Medical Center St John Medical Center Campus Upstate University Hosp Comm Uh Cleveland Medical Center Cleveland Clinic Foundation Campus Uh Regional Hospitals Univ Hospitals Ahuja Med Ctr Noble, Mark J, MD, (M), B Uh Cleveland Medical Center Group Name: Cleveland Clinic Univ Hospitals Ahuja Med Ctr Klatte, Paul A, MD, (M), B Foundation Group Name: University Provider ID: 000850295001 Secin, Fernando P, MD, (M) Hospitals Medical Group NPI: 1396709119 Group Name: Cleveland Clinic Provider ID: 000035277008 5700 Cooper Foster Park Rd W Foundation NPI: 1124061106 Lorain, OH 44053 Provider ID: 002561722001

32800 Lorain Rd Ste 1300 (440) 204-7400 EB, IB, P, R, RE, T NPI: 1104425545 North Ridgeville, OH 44039 Cultural Competency: Y 5700 Cooper Foster Park Rd W

(216) 844-1700 EB, P, R Ages: 0-99 Lorain, OH 44053

Cultural Competency: Y Hospital Affiliations: (440) 204-7400 EB, IB, P, R, RE, T Web address: paul.klatte@uhhospita Cleveland Clinic Foundation Ages: 0-99 ls.org Fairview Hospital Hospital Affiliations: Ages: 0-99 University Of Kansas Hospital Cleveland Clinic Foundation Hospital Affiliations: University Of Kansas Hospital Fairview Hospital Mercy Hosp Western Hills Authority Lutheran Hospital Uh Cleveland Medical Center Cleveland Clinic Avon Hospital Cleveland Clinic Avon Hospital Good Samaritan Hospital Rainbow Babies & Childrens Hosp Univ Hospitals Ahuja Med Ctr

479

Ohio - Lorain Specialists

Susan, Luay P, MD, (M), B South Pointe Hospital Group Name: Cleveland Clinic Vascular Surgery

Foundation Vasavada, Sandip P, MD, (M), B Members may self-refer to these Provider ID: 002099441001 Group Name: Cleveland Clinic providers.

NPI: 1063479772 Foundation 33100 Cleveland Clinic Blvd Provider ID: 001469893001 Bartholomew, John R, MD, (M), Avon, OH 44011 NPI: 1356306328 B Group Name: Cleveland Clinic (440) 695-4000 EB, P, R 33100 Cleveland Clinic Blvd Cultural Competency: Y Avon, OH 44011 Foundation Provider ID: 001200820002 Ages: 0-99 (440) 695-4000 EB, P, R Hospital Affiliations: Cultural Competency: Y NPI: 1902919624 Cleveland Clinic Foundation Ages: 0-99 33100 Cleveland Clinic Blvd Fairview Hospital Hospital Affiliations: Avon, OH 44011 Medina Hospital Cleveland Clinic Foundation (440) 695-4000 EB, P, R Cleveland Clinic Avon Hospital Cleveland Clinic Avon Hospital Ages: 0-99 Hospital Affiliations: Susan, Luay P, MD, (M), B Vij, Sarah L, MD, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Corso, Jorge E, MD, (M), B Provider ID: 002099441001 Provider ID: 006463892001 Group Name: Cleveland Clinic NPI: 1063479772 NPI: 1982902581 Foundation 5700 Cooper Foster Park Rd W 33100 Cleveland Clinic Blvd Provider ID: 003027926001 Lorain, OH 44053 Avon, OH 44011 NPI: 1235314329 33100 Cleveland Clinic Blvd (440) 204-7400 EB, IB, P, R, RE, T (440) 695-4000 EB, P, R Cultural Competency: Y Ages: 0-99 Avon, OH 44011 Ages: 0-99 Hospital Affiliations: (440) 695-4000 EB, P, R Hospital Affiliations: Fairview Hospital Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital Cleveland Clinic Avon Hospital Piedmont Hospital Medina Hospital Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Zell, Michael A, MD, (M), B Emory University Hospital Group Name: UPCP Midtown Ulchaker, James C, MD, (M), B Provider ID: 006006579003 Shepherd Center Group Name: Cleveland Clinic NPI: 1760860704 Cleveland Clinic Avon Hospital Foundation 1268 E Broad St Ste 4 Provider ID: 001470376001 Elyria, OH 44035

NPI: 1528023801 (216) 844-3009 EB, P, R 33100 Cleveland Clinic Blvd Ages: 0-99 Avon, OH 44011

(440) 695-4000 EB, P, R Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

480

Specialists Ohio - Lorain Droubi, Basem, MD, (M) Fendrikova Mahlay, Natalia F, Garcia, Lleowell M, MD, (M), B Group Name: Cleveland Clinic MD, (F), B Group Name: Garcia Vascular Foundation Group Name: Cleveland Clinic Surgery Cen Provider ID: 000160559001 Foundation Provider ID: 003046626005 NPI: 1811910284 Provider ID: 003112641001 NPI: 1669520912 33100 Cleveland Clinic Blvd NPI: 1396998233 3600 Kolbe Rd Ste 221 Avon, OH 44011 33100 Cleveland Clinic Blvd Lorain, OH 44053

(440) 695-4000 EB, P, R Avon, OH 44011 (440) 835-6182 EB, IB, P, R

Languages Spoken: (440) 695-4000 EB, P, R We - 1:00 PM - 4:30 PM Provider: Arabic Languages Spoken: Cultural Competency: Y Cultural Competency: Y Provider: Ukrainian, Gujarati, Ages: 0-99 Ages: 0-99 Hindi, Marathi Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Fairview Hospital Cleveland Clinic Foundation Ages: 0-99 Lakewood Hospital Fairview Hospital Hospital Affiliations: Cleveland Clinic Lakewood Lakewood Hospital Cleveland Clinic Foundation St John Medical Center Cleveland Clinic Lakewood Mercy Regional Medical Center Lutheran Hospital Fendrikova Mahlay, Natalia F, Communtiy Health Partners Rgnl St John Medical Center MD, (F), B Mdcl Ctr Group Name: Cleveland Clinic Fairview Wound Care Center Droubi, Basem, MD, (M) Foundation Group Name: Cleveland Clinic Provider ID: 003112641001 Garcia, Lleowell M, MD, (M), B Foundation NPI: 1396998233 Group Name: Garcia Vascular Provider ID: 000160559001 5700 Cooper Foster Park Rd W Surgery Cen NPI: 1811910284 Lorain, OH 44053 Provider ID: 003046626008

5700 Cooper Foster Park Rd W (440) 204-7400 EB, IB, P, R, RE, T NPI: 1669520912 Lorain, OH 44053 Languages Spoken: 3700 Kolbe Rd

(440) 204-7318 EB, IB, P, R, RE, T Provider: Ukrainian, Gujarati, Lorain, OH 44053

Languages Spoken: Hindi, Marathi (440) 960-3985 EB, G, IB, P, PL, Provider: Arabic Cultural Competency: Y R, RE, S, T Cultural Competency: Y Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital Fairview Hospital Lakewood Hospital Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Lutheran Hospital St John Medical Center St John Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr Fairview Wound Care Center

481

Ohio - Lorain Specialists Kumins, Norman H, MD, (M), B Mclaughlin, Daniel J, MD, (M), B Mclaughlin, Daniel J, MD, (M), B Group Name: University Primary Group Name: Cleveland Clinic Group Name: Cleveland Clinic Care Practices Foundation Foundation Provider ID: 001801244001 Provider ID: 000827512002 Provider ID: 000827512002 NPI: 1841266756 NPI: 1598732646 NPI: 1598732646 125 E Broad St Ste 101 33100 Cleveland Clinic Blvd 5700 Cooper Foster Park Rd W Elyria, OH 44035 Avon, OH 44011 Lorain, OH 44053

(216) 285-5188 E, EB, IB, P, R (440) 695-4000 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T Cultural Competency: Y Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Web address: sheryl.johnson@uhho Cleveland Clinic Foundation Cleveland Clinic Foundation spitals.org Fairview Hospital Fairview Hospital Ages: 0-99 Lakewood Hospital Lakewood Hospital Hospital Affiliations: Cleveland Clinic Lakewood Cleveland Clinic Lakewood Metropolitan Hosp St John Medical Center St John Medical Center Metro Health Hospital Cleveland Clinic Avon Hospital Cleveland Clinic Avon Hospital Uh Geauga Medical Center University Hospitals Geauga Mclaughlin, Daniel J, MD, (M), B Miler, Roy, MD, (M) Medical Ctr Group Name: Cleveland Clinic Group Name: Cleveland Clinic Edward Hospital Foundation Foundation Uh Regional Hospital - Bedford Provider ID: 000827512002 Provider ID: 006465239002 Campus NPI: 1598732646 NPI: 1992071161 Uh Regional Hospitals 33300 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd University Hospitals Conneaut Avon, OH 44011 Avon, OH 44011 Medical Ce (440) 695-5000 EB, P, R (440) 695-4000 EB, IB, P, R Cultural Competency: Y Ages: 0-99 Lyden, Sean P, MD, (M), B Ages: 0-99 Hospital Affiliations: Group Name: Cleveland Clinic Hospital Affiliations: Cleveland Clinic Foundation Foundation Cleveland Clinic Foundation Fairview Hospital Provider ID: 002091552001 Fairview Hospital Cleveland Clinic Avon Hospital NPI: 1962508416 Lakewood Hospital 5700 Cooper Foster Park Rd W Cleveland Clinic Lakewood Lorain, OH 44053 St John Medical Center (440) 204-7400 EB, IB, P, R, RE, T Cleveland Clinic Avon Hospital Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hillcrest Hospital Medina Hospital

482

Specialists Ohio - Medina Smolock, Christopher J, MD, (M), Sanyurah, Saad A, MD, (M), B Medina B Group Name: The Allergy And

Group Name: Cleveland Clinic Asthma Treatment Center Foundation Allergy Provider ID: 000912708001 Provider ID: 003510132001 Zacharias, Dawn M, MD, (F) NPI: 1639157852 NPI: 1336364991 Group Name: University Primary 185 Wadsworth Rd Ste H 33300 Cleveland Clinic Blvd Care Practices Wadsworth, OH 44281 Avon, OH 44011 Provider ID: 002408319001 (330) 334-6212 EB, P, PL, R, RE, (440) 695-5000 EB, P, R NPI: 1609853183 T Cultural Competency: Y 4001 Carrick Dr Ste 160 Languages Spoken: Does Not Accept New Patients Medina, OH 44256 Provider: Arabic, French

Ages: 0-99 (440) 250-5353 E, RE, S, T Mo,Fr - 9:00 AM - 5:00 PM Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Tu - 9:00 AM - 6:30 PM Cleveland Clinic Foundation Cultural Competency: Y Th - 9:00 AM - 12:00 PM Fairview Hospital Ages: 0-99 Ages: 0-99 Lutheran Hospital Hospital Affiliations: Hospital Affiliations: Medina Hospital Miami Valley Hospital Wooster Community Hospital Cleveland Clinic Avon Hospital Dayton Childrens Hospital Wadsworth Rittman Hospital Kettering Medical Center Summa Health System Smolock, Christopher J, MD, (M), Childrens Hospital Med Ctr Akron

B Medina Hospital Group Name: Cleveland Clinic Allergy & Immunology

Foundation Members may self-refer to these Sanyurah, Saad A, MD, (M), B Provider ID: 003510132001 providers. Group Name: The Allergy And

NPI: 1336364991 Asthma Treatment Center 5700 Cooper Foster Park Rd W Cain, Sheila A, MD, (F), B Provider ID: 000912708001 Lorain, OH 44053 Group Name: Cleveland Clinic NPI: 1639157852 Foundation (440) 204-7400 EB, IB, P, R, RE, T 3637 Medina Rd Ste 225 Cultural Competency: Y Provider ID: 002304110002 Medina, OH 44256 NPI: 1700841897 Does Not Accept New Patients (330) 334-6212 EB, P, PL, R Ages: 0-99 970 E Washington St Languages Spoken: Hospital Affiliations: Medina, OH 44256 Provider: Arabic, French Cleveland Clinic Foundation (330) 721-5700 EB, P, R Mo-Tu - 9:00 AM - 6:00 PM Fairview Hospital Cultural Competency: Y We,Fr - 9:00 AM - 12:00 PM Lutheran Hospital Ages: 0-99 Th - 9:00 AM - 5:00 PM Medina Hospital Hospital Affiliations: Ages: 0-99 Cleveland Clinic Avon Hospital Wooster Community Hospital Hospital Affiliations: Cleveland Clinic Foundation Wooster Community Hospital Wadsworth Rittman Hospital Summa Health System Childrens Hospital Med Ctr Akron Medina Hospital Areas of Expertise: CIL, CODT,

483

Ohio - Medina Specialists HIMP, PDB Gallion, Lorri, MA, (F) Univ Hospitals Ahuja Med Ctr Group Name: Cleveland Ent And Zacharias, Dawn M, MD, (F), B Allergy Center Elamm, Chantal A, MD, (F) Group Name: University Primary Provider ID: 003003790002 Group Name: University Care Practices NPI: 1073514634 Hospitals Medical Group Provider ID: 002408319001 970 E Washington St Ste 6a Provider ID: 003422893001 NPI: 1609853183 Medina, OH 44256 NPI: 1104017383

4001 Carrick Dr Ste 160 (330) 723-6673 EB, P, R 4001 Carrick Dr Ste 140 Medina, OH 44256 Cultural Competency: Y Medina, OH 44256

(440) 250-5353 E, RE, S, T Ages: 0-99 (330) 721-8482 E, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Cultural Competency: Y Provider: Arabic, French Ages: 0-99 Cardiology Mo-Fr - 8:30 AM - 4:30 PM

Hospital Affiliations: Members may self-refer to these Cultural Competency: Y Miami Valley Hospital providers. Ages: 0-99

Dayton Childrens Hospital Hospital Affiliations: Kettering Medical Center Defranco, Debra, NP, (F) Uh Cleveland Medical Center Group Name: UPCP Univ Hospitals Ahuja Med Ctr Provider ID: 005418946009 Audiology NPI: 1033531629 Fannin, Stephen W, MD, (M) 4001 Carrick Dr Ste 140 Group Name: Summa Physicians Prior authorization is required to Medina, OH 44256 obtain some covered services from Provider ID: 001901938001 (440) 882-0075 E, RE, S, T NPI: 1023129038 these providers. You will not be Mo-Fr - 8:30 AM - 4:30 PM covered for those services without 195 Wadsworth Rd Ages: 0-99 Wadsworth, OH 44281 such approval by UnitedHealthcare Hospital Affiliations: (330) 334-7700 E, EB, G, IB, P, Community Plan. Please see your St Vincent Charity Medical Center member handbook, or call Member PL, R, RE, S, T Uh Parma Medical Center Mo-Fr - 8:30 AM - 5:00 PM Services for details. University Hospitals Parma Cultural Competency: Y Babitt, Cindy L, MA, (F) Medical Ctr Ages: 0-99 Group Name: Cleveland Ent And Hospital Affiliations: Allergy Center Effron, Barry A, MD, (M), B Robinson Memorial Hospital Provider ID: 002797271001 Group Name: University Uh Portage Medical Center NPI: 1750382248 Hospitals Medical Group Wadsworth Rittman Hospital 970 E Washington St Ste 6a Provider ID: 000621206002 Summa Health System Medina, OH 44256 NPI: 1376569640 Akron General Medical Ctr (330) 723-6673 EB, P, R 4001 Carrick Dr Ste 140 Summa Barberton Citizens Cultural Competency: Y Medina, OH 44256 Western Reserve Hospital Ages: 0-99 (216) 844-8951 E, RE, S, T Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center

484

Specialists Ohio - Medina Fannin, Stephen W, MD, (M) Farah, Michel G, MD, (M), B Hamoud, Tamouh, MD, (M), B Group Name: Summa Physicians Group Name: University Group Name: Cleveland Clinic Provider ID: 001901938001 Hospitals Medical Group Foundation NPI: 1023129038 Provider ID: 000621210002 Provider ID: 002319564002 195 Wadsworth Rd Ste 305 NPI: 1780603563 NPI: 1689627689 Wadsworth, OH 44281 4001 Carrick Dr Ste 140 1000 E Washington St

(330) 334-7700 E, EB, G, P, R, Medina, OH 44256 Medina, OH 44256

RE, S, T (216) 844-3800 E, RE, S, T (330) 725-1000 EB, IB, P, R, RE, Cultural Competency: Y Languages Spoken: T Ages: 0-99 Provider: Arabic Languages Spoken: Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Provider: Arabic Robinson Memorial Hospital Cultural Competency: Y Ages: 0-99 Uh Portage Medical Center Ages: 0-99 Hospital Affiliations: Wadsworth Rittman Hospital Hospital Affiliations: Cleveland Clinic Foundation Summa Health System Uh Cleveland Medical Center Fairview Hospital Akron General Medical Ctr Univ Hospitals Ahuja Med Ctr Lakewood Hospital Summa Barberton Citizens Cleveland Clinic Lakewood Western Reserve Hospital Garg, Anubhav, MD, (M), B Lutheran Hospital Group Name: Partners Physician St John Medical Center Fannin, Stephen W, MD, (M) Group Mercy Regional Medical Center Group Name: Summa Physicians Provider ID: 003490476001 Communtiy Health Partners Rgnl Provider ID: 001901938001 NPI: 1427175322 Mdcl Ctr NPI: 1023129038 225 Elyria St 3780 Medina Rd Ste 240 Lodi, OH 44254 Hegde, Vinayak A, MD, (M)

Medina, OH 44256 (330) 344-7400 EB, G, IB, P, PL, Group Name: Partners Physician

(330) 376-7000 EB, P, R R, RE, S, T Group Cultural Competency: Y Languages Spoken: Provider ID: 003189361003 Ages: 0-99 Provider: Hindi NPI: 1780904425 Hospital Affiliations: Cultural Competency: Y 225 Elyria St Robinson Memorial Hospital Ages: 18-99 Lodi, OH 44254

Uh Portage Medical Center Hospital Affiliations: (330) 344-7400 EB, G, IB, P, PL, Wadsworth Rittman Hospital Akron General Medical Ctr R, RE, S, T Summa Health System St Joseph Mercy Hospital Languages Spoken: Akron General Medical Ctr University Of Michigan Medical Provider: Hindi, Marathi Summa Barberton Citizens Center Mo-Fr - 8:30 AM - 5:00 PM Western Reserve Hospital University Of Michigan Health Cultural Competency: Y System Ages: 0-99 Hospital Affiliations: Akron General Medical Ctr Lodi Community Hospital

485

Ohio - Medina Specialists Hoit, Brian D, MD, (M) Kalra, Ankur, MD, (M), B Group Name: University Group Name: University Klautky, Stephen A, MD, (M) Hospitals Medical Group Hospitals Medical Group Group Name: Summa Physicians Provider ID: 000801861002 Provider ID: 006478793001 Provider ID: 002240717004 NPI: 1225054430 NPI: 1295042539 NPI: 1356453450 4001 Carrick Dr Ste 140 4001 Carrick Dr Ste 140 3780 Medina Rd Ste 240 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(216) 844-3800 E, RE, S, T (216) 844-3800 E, RE, S, T (330) 376-7000 EB, P, R Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Akron General Medical Ctr Summa Health System University Of Cincinnati Medical Cleveland Clinic Foundation Akron General Medical Ctr Center Western Reserve Hospital Univ Hospitals Ahuja Med Ctr Klautky, Stephen A, MD, (M) Group Name: Summa Physicians Nukta, Emad M, MD, (M), B Josephson, Richard A, MD, (M), Provider ID: 002240717004 Group Name: Cleveland Clinic B NPI: 1356453450 Foundation Group Name: University 195 Wadsworth Rd Provider ID: 000869642003 Hospitals Medical Group Wadsworth, OH 44281 NPI: 1922051937

Provider ID: 000046859001 (800) 890-6357 E, EB, G, IB, P, 1000 E Washington St NPI: 1487659009 PL, R, RE, S, T Medina, OH 44256

4001 Carrick Dr Ste 140 Cultural Competency: Y (330) 725-1000 EB, IB, P, R, RE, Medina, OH 44256 Ages: 0-99 T

(216) 844-3800 E, RE, S, T Hospital Affiliations: Languages Spoken: Cultural Competency: Y Summa Health System Provider: Arabic, French Ages: 0-99 Akron General Medical Ctr Ages: 0-99 Hospital Affiliations: Western Reserve Hospital Hospital Affiliations: Summa Health System Cleveland Clinic Foundation Childrens Hospital Med Ctr Akron Klautky, Stephen A, MD, (M) Fairview Hospital Akron General Medical Ctr Group Name: Summa Physicians Lakewood Hospital Summa Barberton Citizens Provider ID: 002240717004 Cleveland Clinic Lakewood Uh Cleveland Medical Center NPI: 1356453450 Southwest General Health Center Univ Hospitals Ahuja Med Ctr 195 Wadsworth Rd Ste 305 St John Medical Center Wadsworth, OH 44281

(330) 334-7700 E, EB, G, P, R, RE, S, T Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Summa Health System Akron General Medical Ctr Western Reserve Hospital

486

Specialists Ohio - Medina Patterson, Andrew J, MD, (M) Uh Cleveland Medical Center Amory, Robert M, DO, (M), B Group Name: UPCP Uh Parma Medical Center Group Name: Cleveland Clinic Provider ID: 007487495001 University Hospitals Parma Foundation NPI: 1518387901 Medical Ctr Provider ID: 001400360003 4001 Carrick Dr Ste 140 NPI: 1013910116 Medina, OH 44256 1000 E Washington St Cardiovascular Disease (440) 882-0075 E, RE, S, T Medina, OH 44256

Mo-Fr - 8:30 AM - 4:30 PM Al-Quthami, Adeeb H, MD, (M), (330) 721-5700 EB, IB, P, R, RE, Ages: 18-99 B T Hospital Affiliations: Group Name: Partners Physician Ages: 18-99 Uh Cleveland Medical Center Group Hospital Affiliations: Uh Parma Medical Center Provider ID: 003620275003 West Virginia University Hosp University Hospitals Parma NPI: 1245483965 Cleveland Clinic Foundation Medical Ctr 225 Elyria St Fairview Hospital Lodi, OH 44254 Latrobe Area Hospital

Sabik, Ellen Mayer, MD, (F), B (330) 344-7400 EB, G, IB, P, PL, Frick Hospital & Comm Health Group Name: University R, RE, S, T Ctr Hospitals Medical Group Ages: 17-99 Medina Hospital Provider ID: 001469883003 Hospital Affiliations: Lexington Medical Center NPI: 1972696284 Cleveland Clinic Foundation Westmoreland Regional Hospital 4001 Carrick Dr Ste 140 Tufts Medical Ctr Medina, OH 44256 Amory, Robert M, DO, (M), B (216) 844-3800 E, RE, S, T Amalfitano, Michael L, DO, (M), Group Name: Cleveland Clinic Mo-Fr - 8:30 AM - 4:30 PM B Foundation Ages: 0-99 Group Name: Cleveland Clinic Provider ID: 001400360003 Hospital Affiliations: Foundation NPI: 1013910116 Wooster Community Hospital Provider ID: 001011479002 970 E Washington St Cleveland Clinic Foundation NPI: 1104827211 Medina, OH 44256 Uh Cleveland Medical Center 970 E Washington St (330) 721-5700 EB, P, R Medina, OH 44256 Mo-Fr - 8:00 AM - 4:30 PM

Williams, Barbara A, MD, (F) (330) 721-5796 EB, P, R Ages: 18-99 Group Name: University Primary Ages: 0-99 Hospital Affiliations: Care Practices Hospital Affiliations: West Virginia University Hosp Provider ID: 002028896001 Fairview Hospital Cleveland Clinic Foundation NPI: 1275565186 Cleveland Clinic Foundation Fairview Hospital 4001 Carrick Dr Ste 140 South Pointe Hospital Latrobe Area Hospital Medina, OH 44256 Ohiohealth Mansfield Hospital Frick Hospital & Comm Health (330) 721-8544 E, RE, S, T Medcentral Health System Ctr Mo-Fr - 8:30 AM - 4:30 PM Euclid Hospital Medina Hospital Cultural Competency: Y Bucyrus Community Hospital Lexington Medical Center Ages: 0-99 Marymount Hospital Westmoreland Regional Hospital Hospital Affiliations: Southwest General Health Center

487

Ohio - Medina Specialists Cunningham, Michael J, MD, Brigham & Womens Hospital Effron, Barry A, MD, (M), B (M), B Group Name: University Group Name: University Desai, Milind Y, MD, (M), B Hospitals Medical Group Hospitals Medical Group Group Name: Clinic Medical Provider ID: 000621206002 Provider ID: 001830470001 Services NPI: 1376569640 NPI: 1942229893 Provider ID: 002018313004 4001 Carrick Dr Ste 140 4001 Carrick Dr Ste 140 NPI: 1669572152 Medina, OH 44256

Medina, OH 44256 225 Elyria St (216) 844-8951 E, RE, S, T

(330) 721-8482 E, RE, S, T Lodi, OH 44254 Mo-Fr - 8:30 AM - 4:30 PM

Mo-Fr - 8:30 AM - 4:30 PM (330) 948-5531 EB, G, IB, P, PL, Cultural Competency: Y Cultural Competency: Y R, RE, S, T Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Uh Cleveland Medical Center Uh Geauga Medical Center Hospital Affiliations: Univ Hospitals Ahuja Med Ctr University Hospitals Geauga Wooster Community Hospital Medical Ctr Cleveland Clinic Foundation Elamm, Chantal A, MD, (F), B Lake Health Fairview Hospital Group Name: University Uh Regional Hospital - Bedford South Pointe Hospital Hospitals Medical Group Campus Euclid Hospital Provider ID: 003422893001 Uh Regional Hospitals Marymount Hospital NPI: 1104017383 St John Medical Center Lutheran Hospital 4001 Carrick Dr Ste 140 Uh Cleveland Medical Center Brigham & Womens Hospital Medina, OH 44256

St Vincent Charity Medical Center (330) 721-8482 E, RE, S, T Desai, Milind Y, MD, (M), B Languages Spoken: Desai, Milind Y, MD, (M), B Group Name: Cleveland Clinic Provider: Arabic, French Group Name: Clinic Medical Foundation Mo-Fr - 8:30 AM - 4:30 PM Services Provider ID: 002018313001 Cultural Competency: Y Provider ID: 002018313004 NPI: 1669572152 Ages: 0-99 NPI: 1669572152 3574 Center Rd Hospital Affiliations: 1000 E Washington St Brunswick, OH 44212 Uh Cleveland Medical Center

Medina, OH 44256 (330) 225-8886 EB, P, R Univ Hospitals Ahuja Med Ctr

(330) 725-1000 EB, IB, P, R, RE, Cultural Competency: Y T Ages: 0-99 Fannin, Stephen W, MD, (M), B Cultural Competency: Y Hospital Affiliations: Group Name: Summa Physicians Ages: 0-99 Wooster Community Hospital Provider ID: 001901938001 Hospital Affiliations: Cleveland Clinic Foundation NPI: 1023129038 Wooster Community Hospital Fairview Hospital 195 Wadsworth Rd Cleveland Clinic Foundation South Pointe Hospital Wadsworth, OH 44281

Fairview Hospital Euclid Hospital (330) 334-7700 E, EB, G, IB, P, South Pointe Hospital Marymount Hospital PL, R, RE, S, T Euclid Hospital Lutheran Hospital Mo-Fr - 8:30 AM - 5:00 PM Marymount Hospital Brigham & Womens Hospital Cultural Competency: Y Lutheran Hospital Ages: 0-99

488

Specialists Ohio - Medina Hospital Affiliations: Summa Barberton Citizens Heins, Gregory C, DO, (M), B Robinson Memorial Hospital Western Reserve Hospital Group Name: Cleveland Clinic Uh Portage Medical Center Foundation Wadsworth Rittman Hospital Farah, Michel G, MD, (M), B Provider ID: 002312449006 Summa Health System Group Name: University NPI: 1366443657 Akron General Medical Ctr Hospitals Medical Group 970 E Washington St Summa Barberton Citizens Provider ID: 000621210002 Medina, OH 44256

Western Reserve Hospital NPI: 1780603563 (330) 721-5700 EB, P, R 4001 Carrick Dr Ste 140 Ages: 0-99 Fannin, Stephen W, MD, (M), B Medina, OH 44256 Hospital Affiliations:

Group Name: Summa Physicians (216) 844-3800 E, RE, S, T Cleveland Clinic Foundation Provider ID: 001901938001 Languages Spoken: Ohiohealth Mansfield Hospital NPI: 1023129038 Provider: Arabic Medcentral Health System 195 Wadsworth Rd Ste 305 Mo-Fr - 8:30 AM - 4:30 PM Bucyrus Community Hospital Wadsworth, OH 44281 Cultural Competency: Y Medina Hospital

(330) 334-7700 E, EB, G, P, R, Ages: 0-99 RE, S, T Hospital Affiliations: Hershey, Jeffrey A, MD, (M), B Cultural Competency: Y Uh Cleveland Medical Center Group Name: Cleveland Clinic Ages: 0-99 Univ Hospitals Ahuja Med Ctr Foundation Hospital Affiliations: Provider ID: 001382387004 Robinson Memorial Hospital Hamoud, Tamouh, MD, (M), B NPI: 1740260413 Uh Portage Medical Center Group Name: Cleveland Clinic 1000 E Washington St Wadsworth Rittman Hospital Foundation Medina, OH 44256

Summa Health System Provider ID: 002319564002 (330) 725-1000 EB, IB, P, R, RE, Akron General Medical Ctr NPI: 1689627689 T Summa Barberton Citizens 1000 E Washington St Cultural Competency: Y Western Reserve Hospital Medina, OH 44256 Ages: 0-99

(330) 725-1000 EB, IB, P, R, RE, Hospital Affiliations: Fannin, Stephen W, MD, (M), B T Cleveland Clinic Foundation Group Name: Summa Physicians Languages Spoken: Medina Hospital Provider ID: 001901938001 Provider: Arabic Emory University Hospital NPI: 1023129038 Ages: 0-99 Union General Hospital 3780 Medina Rd Ste 240 Hospital Affiliations: Uh Cleveland Medical Center Medina, OH 44256 Cleveland Clinic Foundation Northside Hospital

(330) 376-7000 EB, P, R Fairview Hospital Chatuge Regional Hospital Cultural Competency: Y Lakewood Hospital Emory University Hospital Ages: 0-99 Cleveland Clinic Lakewood Midtown Hospital Affiliations: Lutheran Hospital Robinson Memorial Hospital St John Medical Center Uh Portage Medical Center Mercy Regional Medical Center Wadsworth Rittman Hospital Communtiy Health Partners Rgnl Summa Health System Mdcl Ctr Akron General Medical Ctr

489

Ohio - Medina Specialists Hershey, Jeffrey A, MD, (M), B Jain, Than M, MD, (M), B Josephson, Richard A, MD, (M), Group Name: Cleveland Clinic Group Name: Southwest General B Foundation Medical Group Group Name: University Provider ID: 001382387004 Provider ID: 000485943002 Hospitals Medical Group NPI: 1740260413 NPI: 1427085570 Provider ID: 000046859001 970 E Washington St 4065 Center Rd Ste 220 NPI: 1487659009 Medina, OH 44256 Brunswick, OH 44212 4001 Carrick Dr Ste 140

(330) 721-5700 EB, P, R (440) 816-6440 EB, IB, P, R, RE, Medina, OH 44256

Cultural Competency: Y T (216) 844-3800 E, RE, S, T Ages: 0-99 Languages Spoken: Cultural Competency: Y Hospital Affiliations: Provider: Hindi Ages: 0-99 Cleveland Clinic Foundation Cultural Competency: Y Hospital Affiliations: Medina Hospital Ages: 0-99 Summa Health System Emory University Hospital Hospital Affiliations: Childrens Hospital Med Ctr Akron Union General Hospital Fairview Hospital Akron General Medical Ctr Uh Cleveland Medical Center Medina Hospital Summa Barberton Citizens Northside Hospital Southwest General Health Center Uh Cleveland Medical Center Chatuge Regional Hospital Lodi Community Hospital Univ Hospitals Ahuja Med Ctr Emory University Hospital Midtown Jain, Than M, MD, (M), B Kaminski, Matthew A, MD, (M), Group Name: Southwest General B Hoit, Brian D, MD, (M), B Medical Group Group Name: Cleveland Clinic Group Name: University Provider ID: 000485943002 Foundation Hospitals Medical Group NPI: 1427085570 Provider ID: 003084575002 Provider ID: 000801861002 970 E Washington St Ste 2e NPI: 1821268954 NPI: 1225054430 Medina, OH 44256 970 E Washington St

4001 Carrick Dr Ste 140 (330) 722-8707 EB, IB, P, R, RE, Medina, OH 44256

Medina, OH 44256 T (330) 721-5700 EB, P, R

(216) 844-3800 E, RE, S, T Languages Spoken: Ages: 0-99 Cultural Competency: Y Provider: Hindi Hospital Affiliations: Ages: 0-99 Mo-Fr - 8:30 AM - 5:00 PM Akron General Medical Ctr Hospital Affiliations: Cultural Competency: Y Uh Regional Hospital - Bedford Uh Cleveland Medical Center Ages: 0-99 Campus University Of Cincinnati Medical Hospital Affiliations: Cleveland Clinic Foundation Center Fairview Hospital Hillcrest Hospital Univ Hospitals Ahuja Med Ctr Medina Hospital Fairview Hospital Southwest General Health Center Euclid Hospital Lodi Community Hospital Marymount Hospital Lutheran Hospital

490

Specialists Ohio - Medina Klautky, Stephen A, MD, (M), B Cleveland Clinic Foundation Group Name: Summa Physicians Laiq, Zenab, MD, (F), B Fairview Hospital Provider ID: 002240717004 Group Name: Partners Physician Lakewood Hospital NPI: 1356453450 Group Cleveland Clinic Lakewood 195 Wadsworth Rd Provider ID: 006590714001 Southwest General Health Center Wadsworth, OH 44281 NPI: 1982992673 St John Medical Center

(800) 890-6357 E, EB, G, IB, P, 225 Elyria St PL, R, RE, S, T Lodi, OH 44254 Sabik, Ellen Mayer, MD, (F), B

Cultural Competency: Y (330) 344-7400 EB, G, IB, P, PL, Group Name: University Ages: 0-99 R, RE, S, T Hospitals Medical Group Hospital Affiliations: Ages: 17-99 Provider ID: 001469883003 Summa Health System Hospital Affiliations: NPI: 1972696284 Akron General Medical Ctr Akron General Medical Ctr 4001 Carrick Dr Ste 140 Western Reserve Hospital Cleveland Clinic Foundation Medina, OH 44256

(216) 844-3800 E, RE, S, T Klautky, Stephen A, MD, (M), B Nabeel, Yassar, MD, (M), B Mo-Fr - 8:30 AM - 4:30 PM Group Name: Summa Physicians Group Name: Partners Physician Ages: 0-99 Provider ID: 002240717004 Group Hospital Affiliations: NPI: 1356453450 Provider ID: 003736676003 Wooster Community Hospital 195 Wadsworth Rd Ste 305 NPI: 1073826814 Cleveland Clinic Foundation Wadsworth, OH 44281 225 Elyria St Uh Cleveland Medical Center

(330) 334-7700 E, EB, G, P, R, Lodi, OH 44254

RE, S, T (330) 344-7400 EB, G, IB, P, PL, Sakiewicz, Andrew J, MD, (M), B Cultural Competency: Y R, RE, S, T Group Name: Cleveland Clinic Ages: 0-99 Ages: 0-99 Foundation Hospital Affiliations: Hospital Affiliations: Provider ID: 001998844003 Summa Health System Akron General Medical Ctr NPI: 1497708416 Akron General Medical Ctr U Of I Hosps & Clinics 1000 E Washington St Western Reserve Hospital U Of Iowa Hosp And Clinic Medina, OH 44256

(330) 725-1000 EB, IB, P, R, RE, Klautky, Stephen A, MD, (M), B Nukta, Emad M, MD, (M), B T Group Name: Summa Physicians Group Name: Cleveland Clinic Languages Spoken: Provider ID: 002240717004 Foundation Provider: German, Polish NPI: 1356453450 Provider ID: 000869642003 Ages: 0-99 3780 Medina Rd Ste 240 NPI: 1922051937 Hospital Affiliations: Medina, OH 44256 1000 E Washington St Cleveland Clinic Foundation

(330) 376-7000 EB, P, R Medina, OH 44256 Hillcrest Hospital

Cultural Competency: Y (330) 725-1000 EB, IB, P, R, RE, Fairview Hospital Ages: 0-99 T South Pointe Hospital Hospital Affiliations: Languages Spoken: Lakewood Hospital Summa Health System Provider: Arabic, French Cleveland Clinic Lakewood Akron General Medical Ctr Ages: 0-99 Euclid Hospital Western Reserve Hospital Hospital Affiliations: Lutheran Hospital

491

Ohio - Medina Specialists Sechler, James L, MD, (M), B Vlastaris, Anthony G, MD, (M), B Schoenhagen, Paul, MD, (M), B Group Name: University Primary Group Name: Cleveland Clinic Group Name: Clinic Medical Care Practices Foundation Services Provider ID: 000478172003 Provider ID: 001467157002 Provider ID: 002305957003 NPI: 1710921374 NPI: 1124074364 NPI: 1235194051 4001 Carrick Dr Ste 140 1000 E Washington St 1000 E Washington St Medina, OH 44256 Medina, OH 44256

Medina, OH 44256 (330) 721-8577 E, RE, S, T (330) 725-1000 EB, IB, P, R, RE,

(330) 725-1000 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM T T Cultural Competency: Y Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Greek Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Wooster Community Hospital Southwest General Health Center Hospital Affiliations: Cleveland Clinic Foundation Uh Parma Medical Center Cleveland Clinic Foundation University Hospitals Parma Hillcrest Hospital Schoenhagen, Paul, MD, (M), B Medical Ctr Fairview Hospital Group Name: Clinic Medical Regency Hospital Of Cleveland South Pointe Hospital Services East Lakewood Hospital Provider ID: 002305957003 Cleveland Clinic Lakewood NPI: 1235194051 Syed, Qarab H, MD, (M), B Euclid Hospital 225 Elyria St Group Name: Cleveland Clinic Lutheran Hospital Lodi, OH 44254 Foundation

(330) 948-5531 EB, G, IB, P, PL, Provider ID: 002472283007 Williams, Barbara A, MD, (F), B R, RE, S, T NPI: 1386624112 Group Name: University Primary Ages: 0-99 1000 E Washington St Care Practices Hospital Affiliations: Medina, OH 44256 Provider ID: 002028896001

Wooster Community Hospital (440) 878-2500 EB, IB, P, R, RE, NPI: 1275565186 Cleveland Clinic Foundation T 4001 Carrick Dr Ste 140 Languages Spoken: Medina, OH 44256

Schoenhagen, Paul, MD, (M), B Provider: Urdu, Punjabi (330) 721-8544 E, RE, S, T Group Name: Cleveland Clinic Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Foundation Hospital Affiliations: Cultural Competency: Y Provider ID: 002305957001 University Hospitals Elyria Ages: 0-99 NPI: 1235194051 Medical Ctr Hospital Affiliations: 3574 Center Rd Uh Elyria Medical Center Southwest General Health Center Brunswick, OH 44212 Akron General Medical Ctr Uh Cleveland Medical Center

(330) 225-8886 EB, P, R Cleveland Clinic Foundation Uh Parma Medical Center Accepting Existing Patients Only Hillcrest Hospital University Hospitals Parma Ages: 0-99 Fairview Hospital Medical Ctr Hospital Affiliations: South Pointe Hospital Wooster Community Hospital Euclid Hospital Cleveland Clinic Foundation

492

Specialists Ohio - Medina

Beltz, John R, DC, (M) Cardiovascular Surgery Chiropractor Group Name: Comprehensive

Colvard, Benjamin D, MD, (M) Prior authorization is required to Pain Management Specialist Group Name: University obtain some covered services from Provider ID: 001057065005 Hospitals Medical Group these providers. You will not be NPI: 1790764629 Provider ID: 007115552001 covered for those services without 3780 Medina Rd Ste 110 NPI: 1629336680 such approval by UnitedHealthcare Medina, OH 44256 4001 Carrick Dr Ste 140 Community Plan. Please see your (330) 208-2720 E, EB, G, IB, P, Medina, OH 44256 member handbook, or call Member R, S, T (216) 844-3800 E, RE, S, T Services for details. Sa - 9:00 AM - 12:00 PM

Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Web address: benjamin.colvard@uh Barnosky, John A, DC, (M) Ages: 13-99 hospitals.org Group Name: Maximum Potential Ages: 0-99 Chiropractic Brown, Dennis M, DC, (M) Hospital Affiliations: Provider ID: 007110026001 Group Name: Jefferson Park Uh Geauga Medical Center NPI: 1811485220 Spine Specialists University Hospitals Geauga 155 Northland Dr Provider ID: 003702101004 Medical Ctr Medina, OH 44256 NPI: 1720315146 Billings Clinic Hospital (330) 723-1441 P, R, RE, T 5035 Beach Rd Uh Cleveland Medical Center Mo - 8:00 AM - 6:30 PM Medina, OH 44256 Tu - 2:00 PM - 6:30 PM Rainbow Babies & Childrens (330) 903-0498 E, EB, IB, P, R, Hosp We,Fr - 8:00 AM - 5:00 PM RE, S, T Univ Hospitals Ahuja Med Ctr Th - 9:00 AM - 6:30 PM Cultural Competency: Y Sa - 9:00 AM - 11:00 AM Web address: medinasportschiropra Ages: 0-99 ctor.com Ages: 0-99 Beltz, John R, DC, (M) Group Name: Comprehensive Hamilton, Matthew D, DC, (M) Pain Management Specialist Group Name: Maximum Potential Provider ID: 001057065005 Chiropractic NPI: 1790764629 Provider ID: 003340509001 185 Wadsworth Rd NPI: 1306996178 Wadsworth, OH 44281 155 Northland Dr (330) 208-2720 E, EB, G, IB, P, Medina, OH 44256 R, S, T (330) 723-1441 P, R, RE, T Sa - 9:00 AM - 12:00 PM Mo,We - 8:00 AM - 7:00 PM Cultural Competency: Y Tu,Th - 2:00 PM - 7:00 PM Ages: 13-99 Fr - 8:00 AM - 12:00 PM Sa - 9:00 AM - 11:00 AM Web address: www.mpchiro.com Ages: 0-99

493

Ohio - Medina Specialists Hange, Kendall R, DC, (F) Kendel, James A, DC, (M) Meehan, Matthew P, DC, (M) Group Name: Maximum Potential Group Name: Medina Family Group Name: Advanced Spine Chiropractic Chiropractic Center Joint And Wellness Center Provider ID: 007509397005 Provider ID: 000485766001 Provider ID: 003301200004 NPI: 1841724283 NPI: 1194794339 NPI: 1225333933 155 Northland Dr 5019 Victor Dr Ste A 3591 Reserve Commons Dr Ste 100 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 723-1441 P, R, RE, T (330) 722-7709 EB, IB, P, R, RE, (330) 721-6504 P, R, RE, T Mo,Tu,We,Fr - 8:00 AM - 6:30 PM T Mo,Th - 8:00 AM - 6:00 PM Th - 9:00 AM - 6:30 PM Languages Spoken: Tu - 3:00 PM - 6:00 PM Sa - 9:00 AM - 11:00 AM Provider: Abkhazian We - 9:00 AM - 6:00 PM Ages: 0-99 Mo,Tu,Th - 8:30 AM - 6:30 PM Fr - 8:00 AM - 12:00 PM We,Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Herbert, Joseph J, DC, (M) Sa - 8:00 AM - 12:00 PM Ages: 0-99 Group Name: Wadsworth Ages: 0-99 Chiropractic Meehan, Matthew P, DC, (M) Provider ID: 002054398002 Marr, Matthew J, DC, (M) Group Name: Advanced Spine NPI: 1154390987 Group Name: Maximum Potential Joint And Wellness Center 200 Smokerise Dr Ste 200 Chiropractic Provider ID: 003301200004 Wadsworth, OH 44281 Provider ID: 002799229005 NPI: 1225333933

(330) 331-5320 EB, P, R, RE, T NPI: 1184751869 5020 Victor Dr Mo,Tu,Th - 8:30 AM - 6:30 PM 155 Northland Dr Medina, OH 44256

We,Fr - 8:30 AM - 5:00 PM Medina, OH 44256 (330) 721-6504 E, EB, G, IB, P,

Sa - 8:00 AM - 11:30 AM (330) 723-1441 P, R, RE, T PL, R, RE, S, T Cultural Competency: Y Mo - 8:00 AM - 7:00 PM Mo - 8:00 AM - 6:00 PM Web address: wadsworthchiro.com Tu - 1:00 PM - 7:00 PM Tu,Th - 3:00 PM - 6:00 PM Ages: 0-99 We,Fr - 8:00 AM - 5:00 PM We - 9:00 AM - 6:00 PM Th - 9:00 AM - 7:00 PM Fr - 8:00 AM - 12:00 PM Herbert, Lisa G, DC, (F) Sa - 9:00 AM - 11:00 AM Cultural Competency: Y Group Name: Wadsworth Web address: www.mpchiro.com Ages: 0-99 Chiropractic Ages: 0-99 Provider ID: 002054399002 Hospital Affiliations: Meehan, Ryan P, DC, (M) NPI: 1841269685 Uh Parma Medical Center Group Name: Jefferson Park 200 Smokerise Dr Ste 200 University Hospitals Parma Spine Specialists Wadsworth, OH 44281 Medical Ctr Provider ID: 005190347005

(330) 331-5320 EB, P, R, RE, T NPI: 1700292661 Mo,Tu,Th - 8:30 AM - 6:30 PM 3731 Stonegate Dr We,Fr - 8:30 AM - 5:00 PM Medina, OH 44256

Sa - 8:00 AM - 11:30 AM (330) 903-0498 EB, P, R Ages: 0-99 Cultural Competency: Y Ages: 0-99

494

Specialists Ohio - Medina Meehan, Ryan P, DC, (M) Pfantz, Patrick J, DC, (M) Sieniawski, Cory J, DC, (M) Group Name: Jefferson Park Group Name: Maximum Potential Group Name: Advanced Spine Spine Specialists Chiropractic Joint And Wellness Center Provider ID: 005190347003 Provider ID: 006435387004 Provider ID: 007254122002 NPI: 1700292661 NPI: 1548705312 NPI: 1114481520 5035 Beach Rd 155 Northland Dr 5020 Victor Dr Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 903-0498 E, EB, IB, P, R, (330) 723-1441 P, R, RE, T (330) 721-6504 E, EB, G, IB, P, RE, S, T Mo - 8:00 AM - 6:30 PM PL, R, RE, S, T Cultural Competency: Y Tu - 2:00 PM - 6:30 PM Languages Spoken: Ages: 0-99 We,Fr - 8:00 AM - 5:00 PM Provider: American Sign Th - 9:00 AM - 6:30 PM Language Ormsby, Thomas M, DC, (M) Sa - 9:00 AM - 11:00 AM Mo - 8:00 AM - 6:00 PM Group Name: Healthsource Of Web address: https://mpchiro.com/ Tu - 3:00 AM - 6:00 PM Brunswick Ages: 0-99 We,Th - 9:00 AM - 6:00 PM Provider ID: 002378622001 Fr - 8:00 AM - 12:00 PM NPI: 1427168384 Rutz, Jordan, DC, (M) Cultural Competency: Y 1659 Pearl Rd Group Name: Advanced Spine Web address: adv-health-medina.co Brunswick, OH 44212 Joint And Wellness Center m

(330) 220-6111 EB, P, R, RE, S, Provider ID: 007522652001 Ages: 0-99 T NPI: 1679938559 Mo,We - 8:30 AM - 6:00 PM 5020 Victor Dr Starkey, Dianne E, DC, (F) Tu - 3:00 PM - 6:00 PM Medina, OH 44256 Group Name: Karen L Lehman

Th - 10:00 AM - 6:00 PM (330) 721-6504 E, EB, G, IB, P, Dc Fr - 8:30 AM - 12:00 PM PL, R, RE, S, T Provider ID: 003664112001 Web address: www.chiropractorbru Web address: adv-health-medina.co NPI: 1457604373 nswickohio.com m 237 Leatherman Rd Ages: 0-99 Ages: 0-99 Wadsworth, OH 44281

(330) 336-2120 EB, IB, P, R, RE, Pajevic, Brian, DC, (M) T Group Name: Pajevic Mo-Th - 8:00 AM - 6:00 PM Chiropractic And Natural Health Fr - 8:00 AM - 4:00 PM Provider ID: 007019616001 Sa - 8:00 AM - 12:00 PM NPI: 1063983369 Web address: www.stanleychiroprac 740 E Washington St Ste E1 tic.com Medina, OH 44256 Ages: 0-99

(330) 435-8630 EB, P, R Ages: 0-99

495

Ohio - Medina Specialists Starkey, Patrick W, DC, (M) Barrick, Carl J, DO, (M), B Hospital Affiliations: Group Name: Karen L Lehman Group Name: Dermatologic Cleveland Clinic Foundation Dc Surgery Ctr Hillcrest Hospital Provider ID: 002579581001 Provider ID: 007179812001 Fairview Hospital NPI: 1578820460 NPI: 1679965289 Lakewood Hospital 237 Leatherman Rd 1133 Medina Rd Ste 100 Cleveland Clinic Lakewood Wadsworth, OH 44281 Medina, OH 44256 Euclid Hospital

(330) 336-2120 EB, IB, P, R, RE, (330) 239-4350 EB, P, R Marymount Hospital T Languages Spoken: Lutheran Hospital Mo,We - 8:00 AM - 6:30 PM Staff: French Tu,Th - 2:00 PM - 6:30 PM Ages: 0-99 Carroll, Bryan T, MD, (M), B Fr - 8:00 AM - 12:00 PM Group Name: University Sa - 9:00 AM - 12:00 PM Bergfeld, Wilma F, MD, (F), B Hospitals Medical Group Web address: www.stanleychiroprac Group Name: Cleveland Clinic Provider ID: 003489113003 tic.com Foundation NPI: 1609087121 Ages: 0-99 Provider ID: 001200869001 4065 Center Rd Ste 214 NPI: 1013972207 Brunswick, OH 44212

1000 E Washington St (216) 844-8200 E, EB, G, IB, P, Dermatology Medina, OH 44256 R, RE, S, T

Members may self-refer to these (330) 725-1000 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM providers. T Ages: 0-99

Cultural Competency: Y Hospital Affiliations: Aldrich, Nely Z, MD, (F), B Ages: 0-99 Sentara Rmh Medical Center Group Name: Apex Dermatology Hospital Affiliations: Magee Womens Hospital Of And Skin Surgery Cleveland Clinic Foundation Upmc Provider ID: 005742239002 Hillcrest Hospital Penn Presbyterian Medical Center NPI: 1912297490 Fairview Hospital Presbyterian Medical Center 4975 Foote Rd Ste 400 Lakewood Hospital Uh Cleveland Medical Center Medina, OH 44256 Cleveland Clinic Lakewood Rainbow Babies & Childrens (440) 646-1600 EB, P, R, RE, T Euclid Hospital Hosp Languages Spoken: Marymount Hospital Upmc Presbyterian Shadyside Provider: Spanish Lutheran Hospital Ages: 0-99 Hospital Affiliations: Bergfeld, Wilma F, MD, (F), B Uh Cleveland Medical Center Group Name: Cleveland Clinic Rainbow Babies & Childrens Foundation Hosp Provider ID: 001200869001 NPI: 1013972207 3574 Center Rd Brunswick, OH 44212

(330) 225-8886 EB, P, R Cultural Competency: Y Ages: 0-99

496

Specialists Ohio - Medina Disano, Katherine C, MD, (F), B Firelands Regional Medical Ctr Group Name: Metrohealth Fisher-titus Medical Center Paul, Rosanne M, DO, (F), B Professional Group Group Name: Dermatology Provider ID: 005789445001 Konheim, Ari L, MD, (M), B Partners NPI: 1053604207 Group Name: University Provider ID: 006438054001 1299 Industrial Pkwy N Fl 2 Hospitals Medical Group NPI: 1588907711 Brunswick, OH 44212 Provider ID: 003506339001 3780 Medina Rd Ste 240

(216) 957-1450 EB, P, R NPI: 1912161522 Medina, OH 44256

Languages Spoken: 4065 Center Rd Ste 214 (440) 238-0360 EB, P, R Provider: Spanish Brunswick, OH 44212 Cultural Competency: Y

Staff: Spanish (216) 844-8200 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 R, RE, S, T Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Popovsky, Jennifer L, MD, (F), B Metrohealth Medical Center Cultural Competency: Y Group Name: Dermatologic Ages: 0-99 Surgery Ctr Garcia-Zuazaga, Jorge A, MD, Hospital Affiliations: Provider ID: 002044824001 (M), B Uh Cleveland Medical Center NPI: 1952307324 Group Name: Apex Dermatology Rainbow Babies & Childrens 1133 Medina Rd Ste 100 And Skin Surgery Hosp Medina, OH 44256

Provider ID: 002796962001 (330) 239-4350 EB, P, R NPI: 1407979529 Mckeen, Shannon, DO, (F), B Mo-Th - 8:00 AM - 5:00 PM 4975 Foote Rd Ste 400 Group Name: Apex Dermatology Fr - 8:30 AM - 12:30 PM Medina, OH 44256 And Skin Surgery Web address: www.akronmohs.com

(440) 646-1600 EB, P, R, RE, T Provider ID: 006569926002 Ages: 0-99 Cultural Competency: Y NPI: 1093159964 Hospital Affiliations: Ages: 0-99 4975 Foote Rd Ste 400 Summa Health System Hospital Affiliations: Medina, OH 44256 Akron General Medical Ctr

Lahey Clinic Hospital (440) 646-1600 EB, P, R, RE, T Metrohealth Medical Center Lake Health Ages: 0-99 Medina Hospital Uh Regional Hospitals Uh Parma Medical Center Uh Cleveland Medical Center Moore, Brian W, MD, (M), B University Hospitals Parma Group Name: Apex Dermatology Medical Ctr Gould, Jennifer W, MD, (F), B And Skin Surgery Group Name: Dermatology Provider ID: 005140734001 Partners NPI: 1346402575 Provider ID: 002856100001 4975 Foote Rd Ste 400 NPI: 1851398507 Medina, OH 44256

3780 Medina Rd Ste 240 (440) 646-1600 EB, P, R, RE, T Medina, OH 44256 Cultural Competency: Y

(440) 238-0360 EB, P, R Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Lake Health Hospital Affiliations: Cleveland Clinic Foundation

497

Ohio - Medina Specialists

Hospital Affiliations: Hospital Affiliations: Endocrinology Summa Health System Uh Geauga Medical Center

Members may self-refer to these Akron General Medical Ctr University Hospitals Geauga providers. Cleveland Clinic Foundation Medical Ctr

Medina Hospital Lake Health Hasan, Sana, DO, (F), B Euclid Hospital Group Name: Cleveland Clinic Viswanathan, Anuradha, MD, (F) Marymount Hospital Foundation Group Name: University Medina Hospital Provider ID: 005028518002 Hospitals Medical Group Uh Parma Medical Center NPI: 1003071416 Provider ID: 003134182002 University Hospitals Parma 970 E Washington St NPI: 1225237878 Medical Ctr Medina, OH 44256 4001 Carrick Dr Ste 220 (330) 721-5700 EB, P, R Medina, OH 44256 Brin, Margarita, MD, (F), B Ages: 0-99 (216) 844-7700 EB, P, R Group Name: University Primary Hospital Affiliations: Languages Spoken: Care Practices Cleveland Clinic Foundation Provider: Hindi, Tamil Provider ID: 002683621004 Nebraska Medical Center Mo-Fr - 8:30 AM - 4:30 PM NPI: 1801905450 Medina Hospital Cultural Competency: Y 4001 Carrick Dr Ste 120 Ages: 0-99 Medina, OH 44256 Krishnamurthy, Vikram D, MD, Hospital Affiliations: (330) 721-8484 EB, P, R (M), B Robert Wood Johnson Univ Hosp Languages Spoken: Group Name: Cleveland Clinic At Hml Provider: Russian, Turkish Foundation Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 005049160001 Robert Wood Johnson Univ Hosp Ages: 0-99 NPI: 1922264191 Rainbow Babies & Childrens Hospital Affiliations: 970 E Washington St Hosp Hillcrest Hospital Medina, OH 44256 Univ Hospitals Ahuja Med Ctr South Pointe Hospital (330) 721-5700 EB, P, R Cultural Competency: Y Carnahan, Joana A, DO, (F), B Ages: 0-99 Family Practice Group Name: University Primary Hospital Affiliations: Members may self-refer to these Care Practices Cleveland Clinic Foundation Provider ID: 006704884002 Marymount Hospital providers. NPI: 1376923540 Bowers, Donald L, DO, (M) 4001 Carrick Dr Ste 120 Shewbridge, Richard K, MD, (M), Group Name: University Primary Medina, OH 44256 B Care Practices (330) 721-8484 EB, P, R Group Name: Cleveland Clinic Provider ID: 001420240011 Ages: 0-99 Foundation NPI: 1356394688 Hospital Affiliations: Provider ID: 001403083001 4001 Carrick Dr Ste 120 Novant Health Brunswick Medical NPI: 1417935263 Medina, OH 44256 Center 970 E Washington St (330) 721-8484 EB, P, R Medina, OH 44256 Mo-Fr - 8:30 AM - 4:30 PM

(330) 721-5700 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99

498

Specialists Ohio - Medina Cruz-Jaszkewicz, Natasha R, MD, Naumoff, Thomas, MD, (M), B Platz, Michelle M, MD, (F), B (F), B Group Name: University Primary Group Name: University Primary Group Name: University Primary Care Practices Care Practices Care Practices Provider ID: 000485557001 Provider ID: 002422285001 Provider ID: 002562310001 NPI: 1477560696 NPI: 1457432437 NPI: 1396798245 4001 Carrick Dr Ste 120 4001 Carrick Dr Ste 120 4001 Carrick Dr Ste 120 Medina, OH 44256 Medina, OH 44256

Medina, OH 44256 (330) 721-8484 EB, P, R (330) 721-8484 EB, P, R

(330) 721-8484 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Hospital Affiliations: Sa,Su - 10:00 AM - 10:00 PM Provider: Tagalog Mercy Medical Center Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Mercy Hospital Hospital Affiliations: Ages: 0-99 Medina Hospital Cleveland Clinic Foundation Hospital Affiliations: Uh Cleveland Medical Center Corry Memorial Hospital Patel, Darshana G, MD, (F), B Univ Hospitals Ahuja Med Ctr Group Name: University Primary Hileman, Craig M, MD, (M), B Care Practices Resnick, Lee A, MD, (M), B Group Name: University Primary Provider ID: 001904778001 Group Name: University Primary Care Practices NPI: 1790770923 Care Practices Provider ID: 002737898008 4001 Carrick Dr Ste 120 Provider ID: 001896341001 NPI: 1184738619 Medina, OH 44256 NPI: 1477659134

4001 Carrick Dr Ste 120 (330) 721-8484 EB, P, R 4001 Carrick Dr Ste 120 Medina, OH 44256 Mo-Fr - 8:30 AM - 4:30 PM Medina, OH 44256

(330) 721-8484 EB, P, R Cultural Competency: Y (330) 721-8484 EB, P, R Languages Spoken: Ages: 0-99 Languages Spoken: Provider: Spanish Hospital Affiliations: Provider: Spanish Mo-Fr - 8:30 AM - 4:30 PM Columbia St Marys Hospital Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Milwaukee Ages: 0-99 Ages: 0-99 Columbia St Mary's Hospital Hospital Affiliations: Ascension Ne Wisconsin-st Terry, Francine M, MD, (F), B Uh Geauga Medical Center Elizabeth Hosp Group Name: University Primary University Hospitals Geauga Mercy Medical Center Care Practices Medical Ctr Mercy Medical Center-oshkosh Provider ID: 002113869030 Metrohealth Medical Center Ascension All Saints Hospital NPI: 1316148299 San Francisco General Hospital Ascension Ne Wisconsin 4001 Carrick Dr Ste 120 Uh Cleveland Medical Center St Elizabeth Hospital Medina, OH 44256

(330) 721-8484 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Wadsworth Rittman Hospital Summa Health System

499

Ohio - Medina Specialists

Medical Ctr Yang, Youapa S, MD, (F) Gastroenterology

Group Name: University Primary Members may self-refer to these Del Rio, Richard A, MD, (M), B Care Practices providers. Group Name: Digestive Disease

Provider ID: 002518446006 Consultants Of Medina NPI: 1992769327 Bashour, Fadi N, MD, (M), B Provider ID: 002417145003 4001 Carrick Dr Ste 120 Group Name: Digestive Disease NPI: 1538189998 Medina, OH 44256 Consultants Of Medina 1299 Industrial Pkwy N Provider ID: 001420130001 (330) 721-8484 EB, P, R Brunswick, OH 44212 NPI: 1821022708 Mo-Fr - 8:30 AM - 4:30 PM (330) 225-6468 EB, P, R Ages: 0-99 1299 Industrial Pkwy N Languages Spoken: Hospital Affiliations: Brunswick, OH 44212 Provider: Spanish Lake Health (330) 225-6468 E, EB, G, IB, P, Staff: Arabic, Hindi, Spanish Metrohealth Medical Center R, RE, S, T Mo-Th - 8:00 AM - 5:00 PM Fairview Hospital Languages Spoken: Fr - 8:00 AM - 4:30 PM M Health Fairview St. John's Provider: Arabic Ages: 0-99 Hospital Staff: Arabic, Hindi, Spanish Hospital Affiliations: M Health Fairview St John's Mo-Th - 8:00 AM - 5:00 PM Medina Hospital Hospital Fr - 8:00 AM - 4:30 PM Southwest General Health Center M Health Fairview Bethesda Web address: www.mygidocs.com Uh Parma Medical Center Hospital Ages: 0-99 University Hospitals Parma M Health Fairview St Josephs Hospital Affiliations: Medical Ctr Hospital Medina Hospital Healtheast St Josephs Hospital Southwest General Health Center Merheb, Maya, MD, (F), B Areas of Expertise: MAT1 Uh Parma Medical Center Group Name: Digestive Disease University Hospitals Parma Consultants Of Medina Medical Ctr Provider ID: 002925173001 NPI: 1770791204 Bashour, Fadi N, MD, (M), B 1299 Industrial Pkwy N Ste 110 Group Name: Digestive Disease Brunswick, OH 44212 Consultants Of Medina (330) 225-6468 EB, G, IB, P, PL, Provider ID: 001420130001 R, RE, S, T NPI: 1821022708 Languages Spoken: 3985 Medina Rd Ste 120 Staff: Arabic Medina, OH 44256 Mo,We - 8:00 AM - 5:00 PM (330) 225-6468 EB, P, R Tu,Th - 7:30 AM - 5:00 PM Languages Spoken: Fr - 8:00 AM - 4:30 PM Provider: Arabic Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Medina Hospital Medina Hospital Southwest General Health Center Uh Parma Medical Center University Hospitals Parma

500

Specialists Ohio - Medina

Merheb, Maya, MD, (F), B Hospital Affiliations: Group Name: Digestive Disease Medina Hospital General Surgery

Consultants Of Medina Southwest General Health Center Members may self-refer to these Provider ID: 002925173001 Uh Parma Medical Center providers.

NPI: 1770791204 University Hospitals Parma 3985 Medina Rd Ste 120 Medical Ctr Bedford, Tyler M, MD, (M), B Medina, OH 44256 Group Name: Summa Physicians Provider ID: 006171187001 (330) 225-6468 EB, P, R Sharma, Bipin K, MD, (M), B Ages: 0-99 Group Name: Digestive Disease NPI: 1285927566 Hospital Affiliations: Consultants Of Medina 195 Wadsworth Rd Metrohealth Medical Center Provider ID: 000490158001 Wadsworth, OH 44281 Medina Hospital NPI: 1871523225 (330) 375-6590 E, EB, G, IB, P, 1299 Industrial Pkwy N Ste 110 PL, R, RE, S, T Myers, David B, MD, (M), B Brunswick, OH 44212 Ages: 0-99 Hospital Affiliations: Group Name: Digestive Disease (877) 891-3636 EB, G, IB, P, PL, Consultants Of Medina R, RE, S, T Summa Health System Provider ID: 001071065003 Languages Spoken: NPI: 1780618660 Provider: Hindi Bedford, Tyler M, MD, (M), B 1299 Industrial Pkwy N Ste 110 Mo-Th - 8:00 AM - 5:00 PM Group Name: Summa Physicians Brunswick, OH 44212 Fr - 8:00 AM - 4:30 PM Provider ID: 006171187001 NPI: 1285927566 (330) 225-6468 EB, G, IB, P, PL, Web address: www.mygidocs.com R, RE, S, T Ages: 0-99 3780 Medina Rd Ste 220 Mo-Th - 8:30 AM - 5:00 PM Hospital Affiliations: Medina, OH 44256 Fr - 8:00 AM - 4:30 PM Medina Hospital (330) 761-9930 E, EB, G, IB, P, Ages: 18-99 Southwest General Health Center R, RE, S, T Hospital Affiliations: Ages: 0-99 Medina Hospital Sharma, Bipin K, MD, (M), B Hospital Affiliations: Southwest General Health Center Group Name: Digestive Disease Summa Health System Uh Parma Medical Center Consultants Of Medina University Hospitals Parma Provider ID: 000490158002 Boulanger, Scott C, MD, (M), B Medical Ctr NPI: 1871523225 Group Name: University 3985 Medina Rd Ste 120 Hospitals Medical Group Myers, David B, MD, (M), B Medina, OH 44256 Provider ID: 002558029002 NPI: 1780616615 Group Name: Digestive Disease (330) 225-6468 EB, P, R Consultants Of Medina Languages Spoken: 4001 Carrick Dr Ste 220 Provider ID: 001071065004 Provider: Hindi Medina, OH 44256 NPI: 1780618660 Mo-Th - 8:00 AM - 5:00 PM (330) 721-8522 EB, P, R 3985 Medina Rd Ste 120 Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Medina, OH 44256 Ages: 0-99 Ages: 0-99 Hospital Affiliations: (330) 225-6468 EB, P, R Hospital Affiliations: Mo-Fr - 9:00 AM - 5:00 PM Medina Hospital Childrens Hospital Med Ctr Akron Web address: www.mygidocs.com Southwest General Health Center Metrohealth Medical Center Ages: 18-99 Uh Cleveland Medical Center Southwest General Hospital

501

Ohio - Medina Specialists Texas Vista Medical Center Dan, Adrian G, MD, (M), B Fenton, Andrew H, MD, (M), B Group Name: Summa Physicians Group Name: Partners Physician Brandstetter, Stephen S, MD, Provider ID: 002550692001 Group (M), B NPI: 1588634562 Provider ID: 000958233006 Group Name: Partners Physician 195 Wadsworth Rd Ste 301 NPI: 1518041565 Group Wadsworth, OH 44281 225 Elyria St

Provider ID: 006898916001 (330) 761-9930 E, EB, G, IB, P, Lodi, OH 44254

NPI: 1568737757 R, RE, S, T (330) 344-6500 EB, G, IB, P, PL, 225 Elyria St Ste 102 Languages Spoken: R, RE, S, T Lodi, OH 44254 Provider: French, Romanian Mo-Fr - 9:00 AM - 5:00 PM

(330) 344-6699 EB, P, R, RE, T Mo-Fr - 8:00 AM - 4:30 PM Cultural Competency: Y Ages: 18-99 Cultural Competency: Y Ages: 18-99 Hospital Affiliations: Ages: 18-99 Hospital Affiliations: Akron General Medical Ctr Hospital Affiliations: Akron General Medical Ctr Summa Health System Lodi Community Hospital Dan, Adrian G, MD, (M), B Cleveland Clinic Foundation Group Name: Summa Physicians Western Reserve Hospital Gulotta, Kristina D, MD, (F) Provider ID: 002550692001 Group Name: Summa Physicians NPI: 1588634562 Dan, Adrian G, MD, (M), B Provider ID: 007218526002 195 Wadsworth Rd Group Name: Summa Physicians NPI: 1396144184 Wadsworth, OH 44281 Provider ID: 002550692001 3780 Medina Rd Ste 200

(330) 761-9930 E, EB, G, IB, P, NPI: 1588634562 Medina, OH 44256 R, RE 3780 Medina Rd Ste 220 (330) 375-7494 Languages Spoken: Medina, OH 44256 Languages Spoken:

Provider: French, Romanian (330) 761-9930 E, EB, G, IB, P, Provider: Croatian, French Cultural Competency: Y R, RE, S, T Ages: 0-99 Ages: 18-99 Languages Spoken: Hospital Affiliations: Hospital Affiliations: Provider: French, Romanian Summa Health System Summa Health System Mo-Fr - 8:00 AM - 4:30 PM Akron General Medical Ctr Cleveland Clinic Foundation Cultural Competency: Y Western Reserve Hospital Ages: 18-99 Hardacre, Jeffrey M, MD, (M), B Hospital Affiliations: Group Name: University Summa Health System Hospitals Medical Group Cleveland Clinic Foundation Provider ID: 002196067003 Western Reserve Hospital NPI: 1801816566 5133 Ridge Rd Ste 5 Wadsworth, OH 44281

(216) 844-7047 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center

502

Specialists Ohio - Medina Univ Hospitals Ahuja Med Ctr Miljkovic-Goodrich, Susan M, Pozsgay, Mark, DO, (M), B MD, (F), B Group Name: Summa Physicians Miljkovic-Goodrich, Susan M, Group Name: Cleveland Clinic Provider ID: 003080592001 MD, (F), B Foundation NPI: 1194972109 Group Name: Cleveland Clinic Provider ID: 002346700002 195 Wadsworth Rd Foundation NPI: 1922087790 Wadsworth, OH 44281

Provider ID: 002346700002 970 E Washington St Ste 6c (330) 761-9930 E, EB, G, IB, P, NPI: 1922087790 Medina, OH 44256 PL, R, RE, S, T

1000 E Washington St (330) 721-7300 EB, P, R Languages Spoken: Medina, OH 44256 Languages Spoken: Provider: French, Hungarian

(330) 725-1000 EB, IB, P, R, RE, Provider: Croatian, Serbian Sa - 8:00 AM - 12:00 PM T Cultural Competency: Y Cultural Competency: Y Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Croatian, Serbian Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Summa Health System Summa Health System Ages: 0-99 Cleveland Clinic Foundation Magee Womens Hospital Of Hospital Affiliations: Medina Hospital Upmc Summa Health System Cleveland Clinic Foundation Papouras, William C, MD, (M), B Pozsgay, Mark, DO, (M), B Medina Hospital Group Name: Partners Physician Group Name: Summa Physicians Group Provider ID: 003080592001 Miljkovic-Goodrich, Susan M, Provider ID: 002103347008 NPI: 1194972109 MD, (F), B NPI: 1740230440 3780 Medina Rd Ste 220 Group Name: Cleveland Clinic 225 Elyria St Ste 102 Medina, OH 44256

Foundation Lodi, OH 44254 (330) 761-9930 E, EB, G, IB, P,

Provider ID: 002346700002 (330) 344-7200 EB, P, R, RE, T R, RE, S, T NPI: 1922087790 Languages Spoken: Languages Spoken: 3574 Center Rd Provider: Greek Provider: French, Hungarian Brunswick, OH 44212 Cultural Competency: Y Sa - 8:00 AM - 12:00 PM

(330) 225-8886 EB, P, R Ages: 18-99 Cultural Competency: Y Languages Spoken: Hospital Affiliations: Ages: 0-99 Provider: Croatian, Serbian Akron General Medical Ctr Hospital Affiliations: Cultural Competency: Y Lodi Community Hospital Summa Health System Ages: 0-99 Magee Womens Hospital Of Hospital Affiliations: Upmc Summa Health System Cleveland Clinic Foundation Medina Hospital

503

Ohio - Medina Specialists Schlueter, Martin E, MD, (M), B Hospital Affiliations: Wanek, Steven A, MD, (M), B Group Name: Summa Physicians Wadsworth Rittman Hospital Group Name: Cleveland Clinic Provider ID: 002941183004 Medina Hospital Foundation NPI: 1972776862 Western Reserve Hospital Provider ID: 002953789002 195 Wadsworth Rd Ste 301 Lodi Community Hospital NPI: 1194995480 Wadsworth, OH 44281 3574 Center Rd

(330) 753-1001 E, EB, G, IB, P, Vanfossen, Victoria L, MD, (F), B Brunswick, OH 44212

R, RE, S, T Group Name: Summa Physicians (330) 225-8886 EB, P, R Cultural Competency: Y Provider ID: 001759746002 Cultural Competency: Y Ages: 0-99 NPI: 1295734275 Ages: 0-99 Hospital Affiliations: 3780 Medina Rd Ste 200 Hospital Affiliations: Summa Health System Medina, OH 44256 Wadsworth Rittman Hospital

Summa Barberton Citizens (330) 375-7494 E, EB, G, IB, P, Akron General Medical Ctr Regency Hospital Of Akron R, RE, S, T Cleveland Clinic Foundation Areas of Expertise: MAT1 Cultural Competency: Y Medina Hospital Ages: 0-99 Schlueter, Martin E, MD, (M), B Hospital Affiliations: Wanek, Steven A, MD, (M), B Group Name: Summa Physicians Summa Health System Group Name: Cleveland Clinic Provider ID: 002941183004 Akron General Medical Ctr Foundation NPI: 1972776862 Provider ID: 002953789002 3780 Medina Rd Ste 220 Wanek, Steven A, MD, (M), B NPI: 1194995480 Medina, OH 44256 Group Name: Cleveland Clinic 970 E Washington St Ste 6c

(330) 721-4607 E, EB, G, IB, P, Foundation Medina, OH 44256

R, RE, S, T Provider ID: 002953789002 (330) 721-5700 EB, P, R Cultural Competency: Y NPI: 1194995480 Cultural Competency: Y Ages: 0-99 1000 E Washington St Ages: 0-99 Hospital Affiliations: Medina, OH 44256 Hospital Affiliations:

Summa Health System (330) 725-1000 EB, IB, P, R, RE, Wadsworth Rittman Hospital Summa Barberton Citizens T Akron General Medical Ctr Regency Hospital Of Akron Cultural Competency: Y Cleveland Clinic Foundation Areas of Expertise: MAT1 Ages: 0-99 Medina Hospital Hospital Affiliations: Unsdorfer, Gary L, DPM, (M), B Wadsworth Rittman Hospital Wang, Linda M, MD, (F), B Group Name: Agape Podiatry Akron General Medical Ctr Group Name: Cleveland Clinic Provider ID: 000490805002 Cleveland Clinic Foundation Foundation NPI: 1447247085 Medina Hospital Provider ID: 002012009005 535 E Smith Rd NPI: 1871594507 Medina, OH 44256 1000 E Washington St

(330) 725-7075 P, PL, R, RE, T Medina, OH 44256

Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM (330) 725-1000 EB, IB, P, R, RE, We - 8:00 AM - 4:30 PM T Sa - 8:00 AM - 11:00 AM Cultural Competency: Y Ages: 0-99 Ages: 0-99

504

Specialists Ohio - Medina

Hospital Affiliations: Zografakis, John G, MD, (M), B Wooster Community Hospital Group Name: Summa Physicians Gynecologic Oncology

Cleveland Clinic Foundation Provider ID: 002419524003 All female members are allowed to Aultman Orrville Hospital NPI: 1356390140 self-refer to certified nurse Medina Hospital 3780 Medina Rd Ste 220 midwives (CNMs), obstetricians and Medina, OH 44256 gynecologists on UnitedHealthcare Zografakis, John G, MD, (M), B (330) 761-9930 E, EB, G, IB, P, Community Plan's provider panel. Group Name: Summa Physicians R, RE, S, T In addition female members are also Provider ID: 002419524003 Languages Spoken: allowed to self-refer to women's NPI: 1356390140 Provider: Greek, Spanish health specialists on 195 Wadsworth Rd Cultural Competency: Y UnitedHealthcare Community Wadsworth, OH 44281 Ages: 0-99 Plan's panel for routine and (330) 761-9930 E, EB, G, IB, P, Hospital Affiliations: preventative health care services if R, RE Summa Health System their PCP is not a women's health Languages Spoken: specialist. For a list of women's Provider: Greek, Spanish health specialists on Cultural Competency: Y Geriatrics UnitedHealthcare Community Ages: 0-99 Members may self-refer to these Plan's panel, please call Hospital Affiliations: providers. 1.877-542-9236; Relay: 711.

Summa Health System Galang, Maria Angela C, MD, (F), Armstrong, Amy J, MD, (F), B Zografakis, John G, MD, (M), B B Group Name: University Group Name: Summa Physicians Group Name: Summa Physicians Hospitals Medical Group Provider ID: 002419524003 Provider ID: 005169136002 Provider ID: 003758084001 NPI: 1356390140 NPI: 1235442492 NPI: 1568606523 195 Wadsworth Rd Ste 301 3780 Medina Rd Ste 105 5133 Ridge Rd Ste 5 Wadsworth, OH 44281 Medina, OH 44256 Wadsworth, OH 44281 (330) 375-4100 E, EB, G, IB, P, (216) 844-3954 EB, P, R (330) 761-9930 E, EB, G, IB, P, R, RE, S, T R, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Greek, Spanish Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Summa Health System St John Medical Center Ages: 0-99 Willamette Valley Med Ctr Uh Cleveland Medical Center Hospital Affiliations: Areas of Expertise: E112 Summa Health System

505

Ohio - Medina Specialists Rose, Peter G, MD, (M), B Hillcrest Hospital Childrens Hospital Med Ctr Akron Group Name: Cleveland Clinic Southwest General Health Center Akron General Medical Ctr Foundation Mountainview Regional Med Ctr Provider ID: 001162554002 Crystal Clinic Orthopaedic Ctr NPI: 1972530293 Hand Surgery

1000 E Washington St Members may self-refer to these Stachowicz, Rafal Z, MD, (M) Medina, OH 44256 providers. Group Name: Crystal Clinic

(330) 725-1000 EB, IB, P, R, RE, Provider ID: 003636010001 T Klaus, Derek J, MD, (M) NPI: 1275722688 Ages: 18-99 Group Name: Summa Physicians 323 High St Ste C Hospital Affiliations: Provider ID: 006175077001 Wadsworth, OH 44281 NPI: 1972814614 Metrohealth Medical Center (330) 335-1586 EB, IB, P, PL, R, Cleveland Clinic Foundation 3780 Medina Rd Ste 200 RE, S, T Hillcrest Hospital Medina, OH 44256 Languages Spoken: Southwest General Health Center (330) 379-5051 EB, P, R Provider: Polish Cultural Competency: Y Ages: 0-99 Rose, Peter G, MD, (M), B Ages: 0-99 Hospital Affiliations: Group Name: Cleveland Clinic Hospital Affiliations: Robinson Memorial Hospital Foundation Summa Health System Uh Portage Medical Center Provider ID: 001162554002 Summa Health System NPI: 1972530293 Klaus, Derek J, MD, (M) Childrens Hospital Med Ctr Akron 3574 Center Rd Group Name: Summa Physicians Akron General Medical Ctr Brunswick, OH 44212 Provider ID: 006175077001 Western Reserve Hospital NPI: 1972814614 (330) 225-8886 EB, P, R Crystal Clinic Orthopaedic Ctr Ages: 18-99 621 School Dr Hospital Affiliations: Wadsworth, OH 44281 Metrohealth Medical Center (330) 334-0035 E, EB, G, IB, P, Cleveland Clinic Foundation R, RE, S, T Hillcrest Hospital Cultural Competency: Y Southwest General Health Center Ages: 0-99 Hospital Affiliations: Rose, Peter G, MD, (M), B Summa Health System Group Name: Cleveland Clinic Foundation Manley, Mollie O, MD, (F), B Provider ID: 001162554002 Group Name: Crystal Clinic NPI: 1972530293 Provider ID: 003824947002 970 E Washington St NPI: 1285800680 Medina, OH 44256 4975 Foote Rd Ste 100 Medina, OH 44256 (330) 721-7200 EB, P, R Ages: 18-99 (330) 721-8232 EB, IB, P, PL, R, Hospital Affiliations: RE, S, T Metrohealth Medical Center Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Summa Health System

506

Specialists Ohio - Medina

Summa Health System Abramovich, Drew K, MD, (M), B Hematology Akron General Medical Ctr Group Name: Cleveland Clinic

Prior authorization is required to Summa Barberton Citizens Foundation obtain some covered services from Uh Cleveland Medical Center Provider ID: 001973212005 these providers. You will not be Western Reserve Hospital NPI: 1851335822 covered for those services without 970 E Washington St Medina, OH 44256 such approval by UnitedHealthcare Hematology/Oncology (330) 721-5700 EB, P, R Community Plan. Please see your member handbook, or call Member Prior authorization is required to Mo-Fr - 8:00 AM - 4:30 PM Services for details. obtain some covered services from Cultural Competency: Y these providers. You will not be Ages: 0-99 Bhatt, Mukesh C, MD, (M), B Hospital Affiliations: Group Name: UPCP covered for those services without such approval by UnitedHealthcare Wadsworth Rittman Hospital Provider ID: 000935473002 Summa Health System NPI: 1326026154 Community Plan. Please see your member handbook, or call Member Akron General Medical Ctr 5133 Ridge Rd Ste 5 Cleveland Clinic Foundation Wadsworth, OH 44281 Services for details. Medina Hospital (440) 844-3951 EB, P, R, RE, T Abramovich, Drew K, MD, (M), B Summa Barberton Citizens Languages Spoken: Group Name: Wadsworth Western Reserve Hospital Provider: Gujarati, Hindi, Urdu Rittman Hospital Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 001973212001 Ali, Mir Y, MD, (M), B Cultural Competency: Y NPI: 1851335822 Group Name: Cleveland Clinic Ages: 0-99 195 Wadsworth Rd Foundation Hospital Affiliations: Wadsworth, OH 44281 Provider ID: 002392118001 Medina Hospital (330) 335-2005 E, EB, G, IB, P, NPI: 1821101981 Southwest General Health Center PL, R, RE, S, T 1000 E Washington St Uh Cleveland Medical Center Cultural Competency: Y Medina, OH 44256 Lodi Community Hospital Ages: 0-21 (330) 721-5700 EB, IB, P, R, RE, Regency Hospital Of Akron Hospital Affiliations: T Wadsworth Rittman Hospital Cultural Competency: Y Rehman, Saif U, MD, (M), B Summa Health System Ages: 21-99 Group Name: UPCP Akron General Medical Ctr Hospital Affiliations: Provider ID: 001389141003 Cleveland Clinic Foundation Cleveland Clinic Foundation NPI: 1831185875 Medina Hospital Fairview Hospital 5133 Ridge Rd Ste 5 Summa Barberton Citizens Medina Hospital Wadsworth, OH 44281 Western Reserve Hospital (330) 235-7250 EB, P, R, RE, T Languages Spoken: Provider: Hindi, Urdu Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Robinson Memorial Hospital Uh Portage Medical Center

507

Ohio - Medina Specialists Ali, Mir Y, MD, (M), B Hospital Affiliations: Group Name: Cleveland Clinic Summa Health System Mahajan, Neeraj, MD, (M), B Foundation Group Name: University Primary Provider ID: 002392118001 Clifford, Bradley T, MD, (M) Care Practices NPI: 1821101981 Group Name: Summa Physicians Provider ID: 002721422001 970 E Washington St Provider ID: 003649669001 NPI: 1194718692 Medina, OH 44256 NPI: 1346458650 5133 Ridge Rd Ste 3

(330) 721-5700 EB, P, R 3780 Medina Rd Ste 150 Wadsworth, OH 44281

Mo-Fr - 8:00 AM - 4:30 PM Medina, OH 44256 (330) 239-7250 EB, P, R

Cultural Competency: Y (330) 723-0759 E, EB, G, IB, P, Languages Spoken: Ages: 21-99 R, RE, S, T Provider: Hindi, Punjabi Hospital Affiliations: Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Hospital Affiliations: Cultural Competency: Y Fairview Hospital Summa Health System Ages: 0-99 Medina Hospital Hospital Affiliations: Cooper, Brenda W, MD, (F), B Southwest General Health Center Bhatt, Mukesh C, MD, (M) Group Name: University St John Medical Center Group Name: UPCP Hospitals Medical Group Uh Cleveland Medical Center Provider ID: 000935473002 Provider ID: 001305502002 Southwest General Hospital NPI: 1326026154 NPI: 1518986462 Texas Vista Medical Center 5133 Ridge Rd Ste 5 5133 Ridge Rd Tidelands Waccamaw Wadsworth, OH 44281 Wadsworth, OH 44281 Commnunity Hospital

(440) 844-3951 EB, P, R, RE, T (216) 844-3213 EB, P, R Univ Hospitals Ahuja Med Ctr Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Provider: Gujarati, Hindi, Urdu Cultural Competency: Y Mahajan, Neeraj, MD, (M), B Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Group Name: University Primary Cultural Competency: Y Hospital Affiliations: Care Practices Ages: 0-99 Uh Cleveland Medical Center Provider ID: 002721422001 Hospital Affiliations: Univ Hospitals Ahuja Med Ctr NPI: 1194718692 Medina Hospital 5133 Ridge Rd Ste 5 Southwest General Health Center Gallogly, Molly M, MD, (F) Wadsworth, OH 44281

Uh Cleveland Medical Center Group Name: University (330) 329-7250 EB, P, R Lodi Community Hospital Hospitals Medical Group Languages Spoken: Regency Hospital Of Akron Provider ID: 006477357001 Provider: Hindi, Punjabi NPI: 1750677613 Mo-Fr - 8:30 AM - 4:30 PM Clifford, Bradley T, MD, (M) 5133 Ridge Rd Ste 5 Cultural Competency: Y Group Name: Summa Physicians Wadsworth, OH 44281 Ages: 0-99

Provider ID: 003649669001 (216) 844-3951 EB, P, R, RE, T Hospital Affiliations: NPI: 1346458650 Mo-Fr - 8:30 AM - 4:30 PM Southwest General Health Center 3780 Medina Rd 1st Fl Ages: 0-99 St John Medical Center Medina, OH 44256 Hospital Affiliations: Uh Cleveland Medical Center

(330) 723-0597 EB, P, R Uh Cleveland Medical Center Southwest General Hospital Ages: 0-99 Univ Hospitals Ahuja Med Ctr Texas Vista Medical Center

508

Specialists Ohio - Medina Tidelands Waccamaw Misbah, Seema A, MD, (F), B Stearns, Duncan S, MD, (M) Commnunity Hospital Group Name: Cleveland Clinic Group Name: University Univ Hospitals Ahuja Med Ctr Foundation Hospitals Medical Group Provider ID: 002927570001 Provider ID: 002546420004 Masci, Paul A, DO, (M), B NPI: 1376755041 NPI: 1073563912 Group Name: Cleveland Clinic 1000 E Washington St 5133 Ridge Rd Foundation Medina, OH 44256 Wadsworth, OH 44281

Provider ID: 002520954004 (330) 721-5700 EB, IB, P, R, RE, (216) 844-8500 EB, P, R NPI: 1366408627 T Languages Spoken: 1000 E Washington St Mo-Fr - 8:00 AM - 4:30 PM Provider: Spanish Medina, OH 44256 Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM

(330) 725-1000 EB, IB, P, R, RE, Ages: 0-99 Cultural Competency: Y T Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Cleveland Clinic Foundation Hospital Affiliations: Ages: 0-99 Fairview Hospital Uh Cleveland Medical Center Hospital Affiliations: Lakewood Hospital Rainbow Babies & Childrens Wooster Community Hospital Cleveland Clinic Lakewood Hosp Cleveland Clinic Foundation Lutheran Hospital St Christophers Hosp For Children Medina Hospital Univ Hospitals Ahuja Med Ctr Misbah, Seema A, MD, (F), B Masci, Paul A, DO, (M), B Group Name: Cleveland Clinic Teston, Lois J, MD, (F), B Group Name: Cleveland Clinic Foundation Group Name: University Foundation Provider ID: 002927570001 Hospitals Medical Group Provider ID: 002520954002 NPI: 1376755041 Provider ID: 002013201001 NPI: 1366408627 970 E Washington St NPI: 1437174935 970 E Washington St Ste 6b Medina, OH 44256 5133 Ridge Rd

Medina, OH 44256 (330) 721-5700 EB, P, R Wadsworth, OH 44281

(330) 721-5856 EB, P, R Cultural Competency: Y (330) 239-7250 EB, P, R Cultural Competency: Y Ages: 0-99 Languages Spoken: Ages: 0-99 Hospital Affiliations: Provider: Spanish Hospital Affiliations: Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM Wooster Community Hospital Fairview Hospital Cultural Competency: Y Cleveland Clinic Foundation Lakewood Hospital Ages: 0-99 Medina Hospital Cleveland Clinic Lakewood Hospital Affiliations: Lutheran Hospital Uh Samaritan Medical Center Lake Health Uh Regional Hospitals Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

509

Ohio - Medina Specialists

Farah, Michel G, MD, (M), B Univ Hospitals Ahuja Med Ctr Internal Medicine Group Name: University

Prior authorization is required to Hospitals Medical Group Hoit, Brian D, MD, (M), B obtain some covered services from Provider ID: 000621210002 Group Name: University these providers. You will not be NPI: 1780603563 Hospitals Medical Group covered for those services without 4001 Carrick Dr Ste 140 Provider ID: 000801861002 such approval by UnitedHealthcare Medina, OH 44256 NPI: 1225054430 Community Plan. Please see your (216) 844-3800 E, RE, S, T 4001 Carrick Dr Ste 140 member handbook, or call Member Languages Spoken: Medina, OH 44256 Services for details. Provider: Arabic (216) 844-3800 E, RE, S, T

Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Bianco, Michael A, MD, (M), B Cultural Competency: Y Ages: 0-99 Group Name: Sam N Ghoubrial Ages: 0-99 Hospital Affiliations: Md Hospital Affiliations: Uh Cleveland Medical Center Provider ID: 000134306003 Uh Cleveland Medical Center University Of Cincinnati Medical NPI: 1740212885 Univ Hospitals Ahuja Med Ctr Center 195 Wadsworth Rd Ste 402 Univ Hospitals Ahuja Med Ctr Wadsworth, OH 44281 Galang, Maria Angela C, MD, (F), (330) 331-7207 P, R, RE, T B Josephson, Richard A, MD, (M), Mo-Fr - 8:30 AM - 4:00 PM Group Name: Summa Physicians B Cultural Competency: Y Provider ID: 005169136002 Group Name: University Web address: wadsworthmedicalcen NPI: 1235442492 Hospitals Medical Group ter.com 3780 Medina Rd Ste 105 Provider ID: 000046859001 Ages: 18-99 Medina, OH 44256 NPI: 1487659009 Hospital Affiliations: (330) 375-4100 E, EB, G, IB, P, 4001 Carrick Dr Ste 140 Wadsworth Rittman Hospital R, RE, S, T Medina, OH 44256 Summa Health System Ages: 0-99 (216) 844-3800 E, RE, S, T Summa Barberton Citizens Hospital Affiliations: Cultural Competency: Y Summa Health System Ages: 0-99 Effron, Barry A, MD, (M), B Willamette Valley Med Ctr Hospital Affiliations: Group Name: University Summa Health System Hospitals Medical Group Gallogly, Molly M, MD, (F), B Childrens Hospital Med Ctr Akron Provider ID: 000621206002 Group Name: University Akron General Medical Ctr NPI: 1376569640 Hospitals Medical Group Summa Barberton Citizens 4001 Carrick Dr Ste 140 Provider ID: 006477357001 Uh Cleveland Medical Center Medina, OH 44256 NPI: 1750677613 Univ Hospitals Ahuja Med Ctr (216) 844-8951 E, RE, S, T 5133 Ridge Rd Ste 5 Mo-Fr - 8:30 AM - 4:30 PM Wadsworth, OH 44281 Cultural Competency: Y (216) 844-3951 EB, P, R, RE, T Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Uh Cleveland Medical Center

510

Specialists Ohio - Medina Novack, Peter S, DO, (M) Rehman, Saif U, MD, (M) Teston, Lois J, MD, (F), B Group Name: A New Day Lodi Group Name: UPCP Group Name: University LLC Provider ID: 001389141003 Hospitals Medical Group Provider ID: 000877916007 NPI: 1831185875 Provider ID: 002013201001 NPI: 1205868908 5133 Ridge Rd Ste 5 NPI: 1437174935 737 Bank St Wadsworth, OH 44281 5133 Ridge Rd

Lodi, OH 44254 (330) 235-7250 EB, P, R, RE, T Wadsworth, OH 44281

(330) 636-1741 EB, P, R Languages Spoken: (330) 239-7250 EB, P, R Web address: www.galionhealth.org Provider: Hindi, Urdu Languages Spoken: Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Provider: Spanish Hospital Affiliations: Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Bucyrus Community Hospital Hospital Affiliations: Cultural Competency: Y Morrow County Hospital Robinson Memorial Hospital Ages: 0-99 Galion Community Hospital Uh Portage Medical Center Hospital Affiliations: Summa Health System Uh Samaritan Medical Center Nukta, Emad M, MD, (M), B Akron General Medical Ctr Lake Health Group Name: Cleveland Clinic Summa Barberton Citizens Uh Regional Hospitals Foundation Uh Cleveland Medical Center Uh Cleveland Medical Center Provider ID: 000869642003 Western Reserve Hospital Univ Hospitals Ahuja Med Ctr NPI: 1922051937 1000 E Washington St Singh, Mansumeet, MD, (M), B Thiruchelvam, Nirosshan, MD, Medina, OH 44256 Group Name: Unity Health (M)

(330) 725-1000 EB, IB, P, R, RE, Network Group Name: Cleveland Clinic T Provider ID: 005441679008 Foundation Languages Spoken: NPI: 1902113368 Provider ID: 005967792001 Provider: Arabic, French 195 Wadsworth Rd NPI: 1912262866 Ages: 0-99 Wadsworth, OH 44281 1000 E Washington St

Hospital Affiliations: (330) 331-4466 E, EB, G, IB, P, Medina, OH 44256

Cleveland Clinic Foundation PL, R, RE, S, T (330) 725-1000 Fairview Hospital Languages Spoken: Ages: 0-99 Lakewood Hospital Provider: Punjabi Hospital Affiliations: Cleveland Clinic Lakewood Web address: www.unityhealthnetw Cleveland Clinic Foundation Southwest General Health Center ork.org St John Medical Center Ages: 0-99 Hospital Affiliations: Robinson Memorial Hospital Uh Portage Medical Center Summa Health System Akron General Medical Ctr Western Reserve Hospital Select Specialty Hospital Areas of Expertise: CIL

511

Ohio - Medina Specialists

Williams, Barbara A, MD, (F), B Cleveland Clinic Foundation Group Name: University Primary Maternal & Fetal Medicine Fairview Hospital

Care Practices Members may self-refer to these Lakewood Hospital Provider ID: 002028896001 providers. Cleveland Clinic Lakewood

NPI: 1275565186 Medina Hospital 4001 Carrick Dr Ste 140 Chapa, Jeff B, MD, (M), B St John Medical Center Medina, OH 44256 Group Name: Cleveland Clinic Foundation (330) 721-8544 E, RE, S, T Lappen, Justin R, MD, (M), B Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 002098187001 Group Name: Cleveland Clinic Cultural Competency: Y NPI: 1730160037 Foundation Ages: 0-99 1000 E Washington St Provider ID: 003208672013 Hospital Affiliations: Medina, OH 44256 NPI: 1124210802 Southwest General Health Center (330) 725-1000 EB, IB, P, R, RE, 970 E Washington St Uh Cleveland Medical Center T Medina, OH 44256 Cultural Competency: Y Uh Parma Medical Center (330) 725-5282 EB, P, R University Hospitals Parma Ages: 0-99 Languages Spoken: Medical Ctr Does Not Accept Male Patients Provider: Spanish Hospital Affiliations: Cultural Competency: Y Zacharias, Dawn M, MD, (F), B Wooster Community Hospital Ages: 0-99 Group Name: University Primary Akron General Medical Ctr Hospital Affiliations: Care Practices Cleveland Clinic Foundation Akron General Medical Ctr Provider ID: 002408319001 Hillcrest Hospital Metrohealth Medical Center NPI: 1609853183 Fairview Hospital Cleveland Clinic Foundation 4001 Carrick Dr Ste 160 Lakewood Hospital Hillcrest Hospital Medina, OH 44256 Cleveland Clinic Lakewood Fairview Hospital Marymount Hospital (440) 250-5353 E, RE, S, T Lutheran Hospital Mo-Fr - 8:30 AM - 4:30 PM Areas of Expertise: MAT1 Uh Cleveland Medical Center Cultural Competency: Y Ages: 0-99 Khoury, Fadi R, MD, (M), B Moodley, Sangithan J, MD, (M), Hospital Affiliations: Group Name: Cleveland Clinic B Miami Valley Hospital Foundation Group Name: Cleveland Clinic Dayton Childrens Hospital Provider ID: 001930555001 Foundation Kettering Medical Center NPI: 1780692483 Provider ID: 000288958001 1000 E Washington St NPI: 1386697472 Medina, OH 44256 1000 E Washington St (330) 725-1000 EB, IB, P, R, RE, Medina, OH 44256 T (330) 725-1000 EB, IB, P, R, RE, Languages Spoken: T Provider: Arabic Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Akron General Medical Ctr Cleveland Clinic Foundation Metrohealth Medical Center

512

Specialists Ohio - Medina Fairview Hospital Cleveland Clinic Foundation Fairview Hospital Medina Hospital Fairview Hospital South Pointe Hospital Medina Hospital Lakewood Hospital Perni, Uma C, MD, (F), B Cleveland Clinic Lakewood Group Name: Cleveland Clinic Singh, Katherine A, MD, (F), B Euclid Hospital Foundation Group Name: Cleveland Clinic Grace Hospital Provider ID: 002131094001 Foundation Lutheran Hospital NPI: 1356317218 Provider ID: 002939297001 Areas of Expertise: CIL 1000 E Washington St NPI: 1396948501 Medina, OH 44256 1000 E Washington St Argekar, Pushkar A, MD, (M), B

(330) 725-1000 EB, IB, P, R, RE, Medina, OH 44256 Group Name: Americare Kidney

T (330) 725-1000 EB, IB, P, R, RE, Institute Languages Spoken: T Provider ID: 003605682001 Provider: Telugu Cultural Competency: Y NPI: 1063629657 Cultural Competency: Y Ages: 0-99 3812 Center Rd Ages: 0-99 Hospital Affiliations: Brunswick, OH 44212

Hospital Affiliations: Wooster Community Hospital (440) 292-0226 E, EB, G, IB, P, Akron General Medical Ctr Akron General Medical Ctr PL, R, RE, S, T Cleveland Clinic Foundation Metrohealth Medical Center Mo-Fr - 9:00 AM - 4:00 PM Hillcrest Hospital Cleveland Clinic Foundation Cultural Competency: Y Fairview Hospital Hillcrest Hospital Ages: 0-99 Lakewood Hospital Fairview Hospital Hospital Affiliations: Cleveland Clinic Lakewood Marymount Hospital Akron General Medical Ctr Marymount Hospital Medina Hospital Fairview Hospital Jamaica Hospital Areas of Expertise: MAT1 South Pointe Hospital Areas of Expertise: MAT1 Lakewood Hospital Cleveland Clinic Lakewood Shah, Yogesh G, MD, (M), B Nephrology Euclid Hospital

Group Name: Cleveland Clinic Members may self-refer to these Grace Hospital Foundation providers. Lutheran Hospital

Provider ID: 000451206001 Areas of Expertise: CIL NPI: 1114023652 Argekar, Pushkar A, MD, (M), B 1000 E Washington St Group Name: Americare Kidney Medina, OH 44256 Institute Provider ID: 003605682001 (330) 725-1000 EB, IB, P, R, RE, T NPI: 1063629657 Languages Spoken: 3647 Medina Rd Provider: Gujarati, Hindi, Medina, OH 44256 Marathi (440) 292-0226 P, PL, R, RE, T Cultural Competency: Y Mo-Fr - 9:00 AM - 4:00 PM Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Wooster Community Hospital Hospital Affiliations: Akron General Medical Ctr

513

Ohio - Medina Specialists

Argekar, Pushkar A, MD, (M), B Oak Group Name: Americare Kidney Fairview Hospital Neurology

Institute Members may self-refer to these Provider ID: 003605682001 Heyka, Robert J, MD, (M), B providers.

NPI: 1063629657 Group Name: Cleveland Clinic 3995 Medina Rd Ste 150 Foundation Alexopoulos, Andreas V, MD, Medina, OH 44256 Provider ID: 001201435001 (M), B Group Name: Cleveland Clinic (330) 764-1019 E, EB, G, IB, P, NPI: 1316037492 PL, R, RE, S, T 3574 Center Rd Foundation Mo-Fr - 9:00 AM - 4:00 PM Brunswick, OH 44212 Provider ID: 002503660001 NPI: 1659354462 Cultural Competency: Y (440) 878-2400 EB, P, R Ages: 0-99 Ages: 0-99 1000 E Washington St Hospital Affiliations: Hospital Affiliations: Medina, OH 44256 Akron General Medical Ctr Cleveland Clinic Foundation (330) 725-1000 EB, IB, P, R, RE, Fairview Hospital South Pointe Hospital T South Pointe Hospital Marymount Hospital Ages: 0-99 Lakewood Hospital Cleveland Clinic Avon Hospital Hospital Affiliations: Cleveland Clinic Lakewood Cleveland Clinic Foundation Euclid Hospital Singh, Mansumeet, MD, (M), B Hillcrest Hospital Grace Hospital Group Name: Unity Health Fairview Hospital Lutheran Hospital Network South Pointe Hospital Areas of Expertise: CIL Provider ID: 005441679008 Lakewood Hospital NPI: 1902113368 Cleveland Clinic Lakewood Deo, Datinder B, MD, (M), B 195 Wadsworth Rd Marymount Hospital Group Name: Unity Health Wadsworth, OH 44281 Lutheran Hospital

Network (330) 331-4466 E, EB, G, IB, P, Provider ID: 002489713002 PL, R, RE, S, T Andrefsky, John C, MD, (M), B NPI: 1952422917 Languages Spoken: Group Name: University Primary 195 Wadsworth Rd Provider: Punjabi Care Practices Wadsworth, OH 44281 Web address: www.unityhealthnetw Provider ID: 001469915002 (330) 331-4466 ork.org NPI: 1356373344 Languages Spoken: Ages: 0-99 4001 Carrick Dr Ste 170 Provider: Hindi, Punjabi Hospital Affiliations: Medina, OH 44256 Cultural Competency: Y Robinson Memorial Hospital (440) 743-8120 EB, P, R Ages: 0-99 Uh Portage Medical Center Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Summa Health System Ages: 0-99 Robinson Memorial Hospital Akron General Medical Ctr Hospital Affiliations: Uh Portage Medical Center Western Reserve Hospital Uh Geauga Medical Center Wadsworth Rittman Hospital Select Specialty Hospital University Hospitals Geauga Summa Health System Areas of Expertise: CIL Medical Ctr Akron General Medical Ctr Wadsworth Rittman Hospital Beaumont Hospital Royal Oak Springfield Regional Medical Ctr William Beaumont Hospital-royal Cleveland Clinic Foundation Aultman Hospital

514

Specialists Ohio - Medina Mercy Medical Center Gilmore, Edward C, MD, (M), B Cleveland Clinic Mercy Hospital Boutros, Dina Y, MD, (F), B Group Name: University Group Name: Cleveland Clinic Hospitals Medical Group Appleby, Kristin K, MD, (F), B Foundation Provider ID: 002687045002 Group Name: Cleveland Clinic Provider ID: 002073736001 NPI: 1457324642 Foundation NPI: 1295732352 4001 Carrick Dr Ste 220 Provider ID: 003187467002 1000 E Washington St Medina, OH 44256

NPI: 1609046119 Medina, OH 44256 (216) 844-7700 EB, P, R

1000 E Washington St (330) 725-1000 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM Medina, OH 44256 T Cultural Competency: Y

(330) 725-1000 EB, IB, P, R, RE, Languages Spoken: Ages: 0-99 T Staff: Arabic, French, Italian Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Massachusetts General Hospital Ages: 0-99 Hospital Affiliations: St John Medical Center Hospital Affiliations: Fairview Hospital Uh Cleveland Medical Center Fairview Hospital Akron General Medical Ctr Rainbow Babies & Childrens Cleveland Clinic Foundation Joint Township Dist Memrl Hsp Hosp South Pointe Hospital Cleveland Clinic Foundation Univ Hospitals Ahuja Med Ctr Lakewood Hospital South Pointe Hospital Cleveland Clinic Lakewood Lakewood Hospital Louie, Lung S, NP, (M) Euclid Hospital Cleveland Clinic Lakewood Group Name: University Lutheran Hospital Medina Hospital Hospitals Medical Group Medina Hospital Provider ID: 007611089001 Burgess, Richard C, MD, (M) NPI: 1487995684 Appleby, Kristin K, MD, (F), B Group Name: Cleveland Clinic 4001 Carrick Dr Ste 170 Group Name: Cleveland Clinic Foundation Medina, OH 44256

Foundation Provider ID: 001200995001 (216) 844-2724 EB, P, R Provider ID: 003187467002 NPI: 1003852757 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1609046119 1000 E Washington St Ages: 18-99 970 E Washington St Medina, OH 44256 Hospital Affiliations:

Medina, OH 44256 (330) 725-1000 EB, IB, P, R, RE, Uh Cleveland Medical Center

(330) 725-1000 EB, P, R T Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Medina Hospital Cleveland Clinic Foundation Cleveland Clinic Avon Hospital South Pointe Hospital Lakewood Hospital Cleveland Clinic Lakewood Euclid Hospital Lutheran Hospital Medina Hospital

515

Ohio - Medina Specialists Nair, Dileep R, MD, (M), B Novak, William J, MD, (M), B Reed, Deborah A, MD, (F), B Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: UPCP Foundation Foundation Provider ID: 002247327002 Provider ID: 001857857001 Provider ID: 002795593005 NPI: 1891808135 NPI: 1093743718 NPI: 1124224837 4001 Carrick Dr Ste 170 1000 E Washington St 970 E Washington St Ste 2c Medina, OH 44256

Medina, OH 44256 Medina, OH 44256 (330) 721-8594 EB, P, R

(330) 725-1000 EB, IB, P, R, RE, (330) 721-5700 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM T We,Th - 8:00 AM - 5:00 PM Ages: 0-99 Languages Spoken: Ages: 0-99 Hospital Affiliations: Provider: Malayalam Hospital Affiliations: Summa Health System Ages: 0-99 Wooster Community Hospital Akron General Medical Ctr Hospital Affiliations: Summa Health System Hillcrest Hospital Cleveland Clinic Foundation Akron General Medical Ctr Uh Cleveland Medical Center Hillcrest Hospital Cleveland Clinic Foundation Uh Parma Medical Center Fairview Hospital Fairview Hospital University Hospitals Parma South Pointe Hospital Euclid Hospital Medical Ctr Lakewood Hospital Lutheran Hospital Cleveland Clinic Lakewood Medina Hospital Sabharwal, Vivek M, MD, (M) Marymount Hospital Group Name: Cleveland Clinic Lutheran Hospital Punia, Vineet, MD, (M), B Foundation Group Name: Cleveland Clinic Provider ID: 002191902002 Najm, Imad M, MD, (M), B Foundation NPI: 1497710230 Group Name: Cleveland Clinic Provider ID: 006121783001 1000 E Washington St Foundation NPI: 1205154754 Medina, OH 44256

Provider ID: 001476823001 1000 E Washington St (216) 444-3877 NPI: 1841236858 Medina, OH 44256 Ages: 0-99

1000 E Washington St (330) 725-1000 EB, IB, P, R, RE, Hospital Affiliations: Medina, OH 44256 T Cleveland Clinic Foundation

(330) 725-1000 EB, IB, P, R, RE, Ages: 0-99 Hillcrest Hospital T Hospital Affiliations: Fairview Hospital Ages: 0-99 Cleveland Clinic Foundation South Pointe Hospital Hospital Affiliations: Medina Hospital Lakewood Hospital Metrohealth Medical Center Cleveland Clinic Avon Hospital Cleveland Clinic Lakewood Cleveland Clinic Foundation Marymount Hospital Hillcrest Hospital Lutheran Hospital Fairview Hospital Lakewood Hospital Cleveland Clinic Lakewood Lutheran Hospital Medina Hospital

516

Specialists Ohio - Medina Stojic, Andrey S, MD, (M), B Wooster Community Hospital Kelland, Samantha E, OTR, (F) Group Name: Cleveland Clinic Cleveland Clinic Foundation Group Name: Language Learning Foundation Associates Provider ID: 002816461001 Jamieson, Amy E, RD, (F) Provider ID: 006983217001 NPI: 1043343312 Group Name: University NPI: 1851871107 1000 E Washington St Hospitals Medical Group 750 E Washington St Ste C3 Medina, OH 44256 Provider ID: 007610530001 Medina, OH 44256

(330) 725-1000 EB, IB, P, R, RE, NPI: 1487142147 (330) 952-0403 P, R, RE, T T 4001 Carrick Dr Ste 220 Mo-Fr - 8:00 AM - 7:00 PM Ages: 0-99 Medina, OH 44256 Web address: llatherapy.org

Hospital Affiliations: (216) 844-1499 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM Hillcrest Hospital Ages: 3-99 Pesch, Aaron, OTR, (M) South Pointe Hospital Hospital Affiliations: Group Name: Therapy In Motion Lakewood Hospital Uh Cleveland Medical Center Provider ID: 006377151003 Cleveland Clinic Lakewood NPI: 1073983151 Cleveland Clinic Avon Hospital 1046 N Jefferson St Occupational Therapy Medina, OH 44256

Chappell, Joshua S, OTR, (M) (216) 502-2471 E, EB, G, IB, P, Nutritionist (Reg Dietician) Group Name: Rehabcare Group R, RE, T Butscher, Heather A, RD, (F) East Inc Mo-Fr - 8:00 AM - 5:30 PM Group Name: University Provider ID: 006629937001 Web address: www.therapyinmotion Hospitals Medical Group NPI: 1649651449 llc.com Provider ID: 007610299001 3864 Center Rd Ste B1 Ages: 0-99 NPI: 1053463018 Brunswick, OH 44212

4001 Carrick Dr Ste 220 (330) 220-8950 P, R Pesch, Aaron, OTR, (M) Medina, OH 44256 Ages: 0-99 Group Name: Therapy In Motion

(216) 844-1499 EB, P, R Provider ID: 006377151003 Mo-Fr - 8:30 AM - 4:30 PM Guiser, Rachel, OTR, (F) NPI: 1073983151 Ages: 18-99 Group Name: Language Learning 435 W Liberty St Hospital Affiliations: Associates Medina, OH 44256 Uh Cleveland Medical Center Provider ID: 007350136001 (330) 723-4530 EB, G, IB, P, R, NPI: 1548801996 RE, S, T Culbertson, Gillian M, RD, (F) 750 E Washington St Ste C3 Ages: 0-99 Group Name: Cleveland Clinic Medina, OH 44256

Foundation (330) 867-2240 P, R, RE, T Provider ID: 003670731001 Ages: 0-99 NPI: 1578766754 970 E Washington St Medina, OH 44256

(330) 721-5700 EB, P, R Ages: 0-99 Hospital Affiliations:

517

Ohio - Medina Specialists

Smith, Madonna, OTR, (F) Summa Barberton Citizens Group Name: Language Learning Oncology Western Reserve Hospital

Associates Prior authorization is required to Provider ID: 006635035001 obtain some covered services from Spradling, Elnora N, MD, (F), B NPI: 1215461496 these providers. You will not be Group Name: Cleveland Clinic 750 E Washington St Ste C3 covered for those services without Foundation Medina, OH 44256 such approval by UnitedHealthcare Provider ID: 005675039002 (330) 952-0403 P, R, RE, T Community Plan. Please see your NPI: 1194040493 Languages Spoken: member handbook, or call Member 1000 E Washington St Provider: American Sign Services for details. Medina, OH 44256

Language (330) 721-5700 EB, P, R Mo-Fr - 8:00 AM - 7:00 PM Bhatt, Mukesh C, MD, (M), B Ages: 0-99 Ages: 0-99 Group Name: UPCP Hospital Affiliations: Provider ID: 000935473002 Cleveland Clinic Foundation Vojtko, Steve E, OTR, (M) NPI: 1326026154 Johnson City Med Ctr Hosp Group Name: Health And 5133 Ridge Rd Ste 5 Fairview Hospital Occupational Preventative Sol Wadsworth, OH 44281 Medina Hospital Provider ID: 003544658002 (440) 844-3951 EB, P, R, RE, T NPI: 1194804658 Languages Spoken: Teston, Lois J, MD, (F), B 305 Center St Provider: Gujarati, Hindi, Urdu Group Name: University Seville, OH 44273 Mo-Fr - 8:30 AM - 4:30 PM Hospitals Medical Group Cultural Competency: Y (330) 769-4677 EB, P, R, RE, T Provider ID: 002013201001 Ages: 0-99 Ages: 0-99 NPI: 1437174935 Hospital Affiliations: 5133 Ridge Rd Medina Hospital Wadsworth, OH 44281 Southwest General Health Center (330) 239-7250 EB, P, R Uh Cleveland Medical Center Languages Spoken: Lodi Community Hospital Provider: Spanish Regency Hospital Of Akron Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Koenig, Joseph M, MD, (M), B Ages: 0-99 Group Name: Summa Physicians Hospital Affiliations: Provider ID: 001046051002 Uh Samaritan Medical Center NPI: 1972547438 Lake Health 3780 Medina Rd Ste 150 Uh Regional Hospitals Medina, OH 44256 Uh Cleveland Medical Center (330) 723-0759 E, EB, G, IB, P, Univ Hospitals Ahuja Med Ctr R, RE, S, T Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Wadsworth Rittman Hospital Summa Health System Akron General Medical Ctr

518

Specialists Ohio - Medina Trochelman, R D, MD, (M), B Combs, Ryan, MD, (M) Summa Barberton Citizens Group Name: Wrhhs Oncology Group Name: Summa Physicians Summa Health System Provider ID: 000793693001 Provider ID: 007170079001 NPI: 1144271941 NPI: 1588906895 Fitzgerald, Steven J, MD, (M), B 195 Wadsworth Rd 621 School Dr Group Name: University Wadsworth, OH 44281 Wadsworth, OH 44281 Hospitals Medical Group

(330) 331-1800 E, EB, G, IB, P, (330) 334-0035 E, EB, G, IB, P, Provider ID: 003261659001 PL, R, RE, S, T R, RE, S, T NPI: 1487857884 Cultural Competency: Y Mo,Tu,Fr - 8:00 AM - 4:30 PM 4001 Carrick Dr Ste 220 Ages: 0-99 We,Th - 8:00 AM - 12:00 PM Medina, OH 44256

Hospital Affiliations: Ages: 0-99 (216) 844-7200 EB, P, R Wadsworth Rittman Hospital Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Summa Health System Summa Health System Cultural Competency: Y Akron General Medical Ctr Ages: 0-99 Summa Barberton Citizens Diulus, Carrie A, MD, (F), B Hospital Affiliations: Western Reserve Hospital Group Name: Crystal Clinic Uh Cleveland Medical Center Provider ID: 003337386004 Univ Hospitals Ahuja Med Ctr NPI: 1285803155 Orthopaedic Surgery 4975 Foote Rd Ste 100 Glotzbecker, Michael P, MD, (M),

Members may self-refer to these Medina, OH 44256 B providers. (330) 721-8232 EB, IB, P, PL, R, Group Name: University

RE, S, T Hospitals Medical Group Ballock, Robert T, MD, (M), B Fr - 9:00 AM - 2:30 PM Provider ID: 003175981003 Group Name: Cleveland Clinic Cultural Competency: Y NPI: 1639205214 Foundation Ages: 0-99 4001 Carrick Dr Ste 160 Provider ID: 001306073001 Hospital Affiliations: Medina, OH 44256 NPI: 1093759474 Wooster Community Hospital (216) 844-8370 E, RE, S, T 3574 Center Rd Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM Brunswick, OH 44212 Lutheran Hospital Ages: 0-21 (330) 225-8886 EB, P, R Medina Hospital Hospital Affiliations: Ages: 0-99 Crystal Clinic Orthopaedic Ctr Brigham And Womens Faulkner Hospital Affiliations: Hosp Cleveland Clinic Foundation Fisher, Donald L, MD, (M), B Boston Childrens Hospital Hillcrest Hospital Group Name: Summa Physicians Rainbow Babies & Childrens Provider ID: 001115754004 Hosp NPI: 1205946084 Univ Hospitals Ahuja Med Ctr 195 Wadsworth Rd Wadsworth, OH 44281

(330) 835-5533 EB, P, R Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Wadsworth Rittman Hospital

519

Ohio - Medina Specialists Goodwin, Ryan C, MD, (M), B Greene, Kenneth A, MD, (M), B Inkrott, Bradley P, MD, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Summa Physicians Foundation Foundation Provider ID: 006849670001 Provider ID: 002392125001 Provider ID: 001245226001 NPI: 1902166036 NPI: 1205891470 NPI: 1578658217 3780 Medina Rd Ste 220 970 E Washington St 1000 E Washington St Medina, OH 44256

Medina, OH 44256 Medina, OH 44256 (330) 835-5533 E, EB, G, IB, P,

(330) 721-5346 EB, P, R (330) 725-1000 EB, IB, P, R, RE, R, RE, S, T Cultural Competency: Y T Mo-Fr - 8:00 AM - 4:30 PM Ages: 18-99 Cultural Competency: Y Web address: summahealth.org Hospital Affiliations: Ages: 0-99 Ages: 18-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Fairview Hospital Summa Health System Summa Health System Sharp Memorial Hospital Childrens Hospital Med Ctr Akron Marymount Hospital Cleveland Clinic Foundation Junko, Jeffrey T, MD, (M), B Ccf Children's Hosp/rehab Lutheran Hospital Group Name: Summa Physicians Fallbrook Hospital Medina Hospital Provider ID: 002595767006 NPI: 1851310908 Gordon, Zachary L, MD, (M) Greene, Kenneth A, MD, (M), B 195 Wadsworth Rd Group Name: University Group Name: Cleveland Clinic Wadsworth, OH 44281

Hospitals Medical Group Foundation (330) 835-5533 E, EB, G, IB, P, Provider ID: 003759417001 Provider ID: 001245226001 R, RE NPI: 1770771941 NPI: 1578658217 Cultural Competency: Y 4001 Carrick Dr Ste 160 970 E Washington St Ste 3a Ages: 0-99 Medina, OH 44256 Medina, OH 44256 Hospital Affiliations:

(216) 844-7200 E, RE, S, T (330) 225-8886 EB, P, R Summa Health System Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Crystal Clinic Orthopaedic Ctr Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Kase, Jonathan A, MD, (M), B Hospital Affiliations: Summa Health System Group Name: Crystal Clinic Uh Cleveland Medical Center Childrens Hospital Med Ctr Akron Provider ID: 002657580001 Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation NPI: 1609816990 Lutheran Hospital 4975 Foote Rd Ste 100 Medina Hospital Medina, OH 44256

(330) 721-8232 EB, IB, P, PL, R, RE, S, T Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Wooster Community Hospital Wadsworth Rittman Hospital Summa Health System Pomerene Hospital

520

Specialists Ohio - Medina Aultman Orrville Hospital Maschke, Steven D, MD, (M) Medina Hospital Group Name: Cleveland Clinic Rose, Richard F, MD, (M), B Summa Barberton Citizens Foundation Group Name: Rose Richard F Crystal Clinic Orthopaedic Ctr Provider ID: 002879094001 Provider ID: 000484608001 NPI: 1447433586 NPI: 1033206552 Liu, Raymond W, MD, (M), B 970 E Washington St 970 E Washington St Ste 102 Group Name: University Medina, OH 44256 Medina, OH 44256

Hospitals Medical Group (330) 721-5700 EB, P, R (330) 722-1610 EB, P, R, RE Provider ID: 003069571001 Cultural Competency: Y Mo,We - 8:00 AM - 5:00 PM NPI: 1801000286 Ages: 0-99 Tu,Th - 8:00 AM - 4:00 PM 4001 Carrick Dr Ste 220 Hospital Affiliations: Fr - 8:00 AM - 12:00 PM Medina, OH 44256 Cleveland Clinic Foundation Cultural Competency: Y

(216) 844-7200 EB, P, R Hillcrest Hospital Ages: 0-99 Languages Spoken: Euclid Hospital Hospital Affiliations: Provider: Chinese, Spanish Marymount Hospital Wadsworth Rittman Hospital Mo-Fr - 8:30 AM - 4:30 PM Medina Hospital Cultural Competency: Y Pfefferle, Kiel J, MD, (M), B Ages: 0-99 Group Name: Summa Physicians Salata, Michael J, MD, (M), B Hospital Affiliations: Provider ID: 005557318001 Group Name: University Metrohealth Medical Center NPI: 1063723765 Hospitals Medical Group Rady Children's Hospital- San 621 School Dr Provider ID: 003118024001 Diego Wadsworth, OH 44281 NPI: 1972728400

Uh Cleveland Medical Center (330) 334-0035 E, EB, G, IB, P, 4001 Carrick Dr Ste 220 Univ Hospitals Ahuja Med Ctr R, RE, S, T Medina, OH 44256

Cultural Competency: Y (216) 844-7200 EB, P, R Manley, Mollie O, MD, (F), B Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Group Name: Crystal Clinic Hospital Affiliations: Cultural Competency: Y Provider ID: 003824947002 Summa Health System Ages: 0-99 NPI: 1285800680 Inova Mount Vernon Hospital Hospital Affiliations: 4975 Foote Rd Ste 100 Uh Cleveland Medical Center Medina, OH 44256 Picha, Brad M, MD, (M), B Rainbow Babies & Childrens

(330) 721-8232 EB, IB, P, PL, R, Group Name: St Vincent Medical Hosp RE, S, T Group Univ Hospitals Ahuja Med Ctr Ages: 0-99 Provider ID: 003485955002 Hospital Affiliations: NPI: 1811020936 Summa Health System 5020 Victor Dr Childrens Hospital Med Ctr Akron Medina, OH 44256

Akron General Medical Ctr (216) 369-2830 E, EB, G, IB, P, Mountainview Regional Med Ctr PL, R, RE, S, T Crystal Clinic Orthopaedic Ctr Ages: 0-99 Hospital Affiliations: St Elizabeth Youngstown Hospital St Vincent Charity Medical Center

521

Ohio - Medina Specialists Scarcella, Joseph B, MD, (M), B Stickney, Donald P, MD, (M), B Sziraky, Patrick E, MD, (M), B Group Name: Cleveland Clinic Group Name: St Vincent Medical Group Name: Cleveland Clinic Foundation Group Foundation Provider ID: 001070748001 Provider ID: 002047490001 Provider ID: 001173985001 NPI: 1659331346 NPI: 1427059815 NPI: 1306807169 3574 Center Rd 5020 Victor Dr 970 E Washington St Ste 3a Brunswick, OH 44212 Medina, OH 44256 Medina, OH 44256

(330) 225-8886 EB, P, R (440) 349-7137 E, EB, G, IB, P, (330) 721-5700 EB, P, R Cultural Competency: Y PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Wooster Community Hospital Uh Regional Hospital - Bedford Medina Hospital Cleveland Clinic Foundation Campus Fairview Hospital Fairview Hospital Taliwal, Rajiv, MD, (M), B Lutheran Hospital Lakewood Hospital Group Name: Crystal Clinic Medina Hospital Cleveland Clinic Lakewood Provider ID: 002102005001 Southwest General Health Center Uh Regional Hospitals NPI: 1710966031 St John Medical Center Lutheran Hospital 4975 Foote Rd Ste 100 Medina Hospital Medina, OH 44256

Stachowicz, Rafal Z, MD, (M), B Southwest General Health Center (330) 721-8232 EB, IB, P, PL, R, Group Name: Crystal Clinic RE, S, T Provider ID: 003636010001 Sziraky, Patrick E, MD, (M), B Languages Spoken: NPI: 1275722688 Group Name: Cleveland Clinic Provider: Hindi 323 High St Ste C Foundation Cultural Competency: Y Wadsworth, OH 44281 Provider ID: 001173985001 Web address: www.crystalclinic.co

(330) 335-1586 EB, IB, P, PL, R, NPI: 1306807169 m RE, S, T 1000 E Washington St Ages: 0-99 Languages Spoken: Medina, OH 44256 Hospital Affiliations:

Provider: Polish (330) 725-1000 EB, IB, P, R, RE, Summa Health System Ages: 0-99 T Akron General Medical Ctr Hospital Affiliations: Ages: 0-99 Medina Hospital Robinson Memorial Hospital Hospital Affiliations: Summa Barberton Citizens Uh Portage Medical Center Cleveland Clinic Foundation Crystal Clinic Orthopaedic Ctr Summa Health System Medina Hospital Childrens Hospital Med Ctr Akron Akron General Medical Ctr Western Reserve Hospital Crystal Clinic Orthopaedic Ctr

522

Specialists Ohio - Medina

Torok, Leonard J, MD, (M), B Torok, Leonard J, MD, (M), B Group Name: Hmt Dermatology Group Name: Hmt Dermatology Otolaryngology

Associates Associates Members may self-refer to these Provider ID: 000925841002 Provider ID: 000925841002 providers.

NPI: 1215088562 NPI: 1215088562 2865 Center Rd Ste 5 5783 Wooster Pike Brigham, Mark S, DO, (M) Brunswick, OH 44212 Medina, OH 44256 Group Name: Mark S Brigham Do (330) 725-0569 E, EB, G, IB, P, (330) 725-0569 E, EB, G, IB, P, R, RE, S, T R, RE, S, T Provider ID: 001394579001 Ages: 0-99 Web address: www.trilliumcreekohi NPI: 1740261387 Hospital Affiliations: o.com 195 Wadsworth Rd Ste 401 Wadsworth Rittman Hospital Ages: 0-99 Wadsworth, OH 44281 Hospital Affiliations: (330) 336-8717 EB, IB, P, R, RE, Torok, Leonard J, MD, (M), B Wadsworth Rittman Hospital T Group Name: Hmt Dermatology Languages Spoken: Associates Weiner, Scott D, MD, (M), B Staff: Spanish Provider ID: 000925841002 Group Name: Summa Physicians Mo-Fr - 8:30 AM - 5:00 PM NPI: 1215088562 Provider ID: 001004140003 Cultural Competency: Y 300 Weatherstone Dr Ste 106 NPI: 1134233984 Ages: 0-99 Wadsworth, OH 44281 3780 Medina Rd Ste 220 Hospital Affiliations: Wadsworth Rittman Hospital (330) 725-0569 E, EB, G, IB, P, Medina, OH 44256 Summa Health System R, RE, S, T (330) 835-5533 E, EB, G, IB, P, Web address: www.trilliumcreekohi R, RE, S, T Childrens Hospital Med Ctr Akron o.com Ages: 0-99 Akron General Medical Ctr Ages: 0-99 Hospital Affiliations: Aultman Hospital Hospital Affiliations: Summa Health System Aultman Orrville Hospital Wadsworth Rittman Hospital Childrens Hospital Med Ctr Akron Summa Barberton Citizens Akron General Medical Ctr Areas of Expertise: CIL, HIMP Torok, Leonard J, MD, (M), B Western Reserve Hospital Group Name: Hmt Dermatology Areas of Expertise: BVI, CIL, Ciolek, Peter J, MD, (M) Associates CODT, HIMP, HLC, HV, PDB, Group Name: Cleveland Clinic Provider ID: 000925841002 SMI Foundation NPI: 1215088562 Provider ID: 006909528002 5779 Wooster Pike NPI: 1194169714 Medina, OH 44256 970 E Washington St Medina, OH 44256 (330) 725-0569 E, EB, G, IB, P, R, RE, S, T (800) 223-2273 EB, P, R Web address: www.trilliumcreekohi Ages: 0-99 o.com Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital Wadsworth Rittman Hospital Methodist Hospital Tjuh Thomas Jefferson Univ Hsp Cleveland Clinic Avon Hospital

523

Ohio - Medina Specialists Griffiths, Maria M, MD, (F) Flores, Toribio C, MD, (M), B Group Name: Ohio Anesthesia Group Name: Cleveland Ent And Pain Management Assoc

Allergy Center Prior authorization is required to Provider ID: 001269526002 Provider ID: 000604116001 obtain some covered services from NPI: 1245254218 NPI: 1407857162 these providers. You will not be 3780 Medina Rd Ste 120 970 E Washington St Ste 6a covered for those services without Medina, OH 44256 Medina, OH 44256 such approval by UnitedHealthcare (330) 208-2720 E, EB, G, IB, P, (330) 723-6673 EB, P, R Community Plan. Please see your PL, R, RE, S, T Cultural Competency: Y member handbook, or call Member Mo-Fr - 7:00 AM - 6:00 PM Does Not Accept New Patients Services for details. Ages: 0-99

Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Griffiths, Maria M, MD, (F) Wadsworth Rittman Hospital Cleveland Clinic Foundation Group Name: Ohio Anesthesia Summa Health System Hillcrest Hospital Assoc Medina Hospital Marymount Hospital Provider ID: 001269526002 Medina Hospital NPI: 1245254218 Grimm, Kenneth, DO, (M), B Southwest General Health Center 1299 Industrial Pkwy N Ste 120 Group Name: Cleveland Clinic Uh Parma Medical Center Brunswick, OH 44212 Foundation University Hospitals Parma (330) 208-2720 EB, P, R Provider ID: 001830504001 Medical Ctr Ages: 0-99 NPI: 1811952377 Hospital Affiliations: 1000 E Washington St Mcdonnell, Matthew C, MD, (M), Wadsworth Rittman Hospital Medina, OH 44256 Summa Health System B (330) 725-1000 EB, IB, P, R, RE, Group Name: Cleveland Ent And Medina Hospital T Allergy Center Cultural Competency: Y Provider ID: 000875671001 Griffiths, Maria M, MD, (F) Ages: 0-99 NPI: 1841291507 Group Name: Ohio Anesthesia Hospital Affiliations: 970 E Washington St Ste 6a Assoc Cleveland Clinic Foundation Medina, OH 44256 Provider ID: 001269526002 Fairview Hospital NPI: 1245254218 (330) 723-6673 EB, P, R Lakewood Hospital Cultural Competency: Y 225 Elyria St Cleveland Clinic Lakewood Web address: www.kellison.com Lodi, OH 44254 Marymount Hospital Ages: 0-99 (330) 208-2720 EB, G, IB, P, PL, Lutheran Hospital Hospital Affiliations: R, RE, S, T Medina Hospital Cleveland Clinic Foundation Mo-Fr - 7:00 AM - 6:00 PM Hillcrest Hospital Ages: 0-99 South Pointe Hospital Hospital Affiliations: Marymount Hospital Wadsworth Rittman Hospital Medina Hospital Summa Health System Uh Parma Medical Center Medina Hospital University Hospitals Parma Medical Ctr

524

Specialists Ohio - Medina

Kareti, Mohan Y, MD, (M) Shin, Paul C, MD, (M), B Group Name: Mohan Kareti Group Name: Cleveland Clinic Physical Medicine And Provider ID: 002083906003 Foundation Rehabilitation / Physiatry NPI: 1740221605 Provider ID: 002076964005 Dapul, Geraldine P, MD, (F), B 805 E Washington St Ste 120 NPI: 1164425807 Group Name: Cleveland Clinic Medina, OH 44256 1000 E Washington St Foundation (330) 721-4477 E, EB, IB, P, R, Medina, OH 44256 Provider ID: 005596354003 RE (330) 725-1000 EB, IB, P, R, RE, NPI: 1417268509 Languages Spoken: T 1000 E Washington St Provider: Hindi, Telugu Languages Spoken: Medina, OH 44256

Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM Provider: Korean (330) 725-1000 EB, IB, P, R, RE, We - 9:00 AM - 12:00 PM Cultural Competency: Y T Cultural Competency: Y Ages: 0-99 Ages: 18-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Wooster Community Hospital Cleveland Clinic Foundation Uh Geauga Medical Center Cleveland Clinic Foundation Unity Hospital Of Rochester University Hospitals Geauga Hillcrest Hospital Medical Ctr South Pointe Hospital Hou, Juliet Y, MD, (F), B Medina Hospital Euclid Hospital Group Name: Cleveland Clinic Lodi Community Hospital Medina Hospital Foundation Areas of Expertise: MAT1 Ashtabula County Med Center Provider ID: 002344297001 NPI: 1194788828 Mahmood, Jaudat, MD, (M), B Shin, Paul C, MD, (M), B 3574 Center Rd Group Name: Lodi Community Group Name: Cleveland Clinic Brunswick, OH 44212

Care Center Foundation (330) 225-8886 EB, P, R Provider ID: 007188104003 Provider ID: 002076964005 Cultural Competency: Y NPI: 1295154649 NPI: 1164425807 Ages: 18-99 225 Elyria St 970 E Washington St Hospital Affiliations: Lodi, OH 44254 Medina, OH 44256 Cleveland Clinic Foundation (330) 948-5533 EB, G, IB, P, PL, (330) 721-5700 EB, P, R Fairview Hospital R, RE, S, T Languages Spoken: Lakewood Hospital Ages: 0-99 Provider: Korean Cleveland Clinic Lakewood Hospital Affiliations: Cultural Competency: Y Euclid Hospital Akron General Medical Ctr Ages: 0-99 Harborview Medical Center Hospital Affiliations: Lutheran Hospital Wooster Community Hospital Medina Hospital Cleveland Clinic Foundation Hillcrest Hospital South Pointe Hospital Euclid Hospital Medina Hospital Ashtabula County Med Center

525

Ohio - Medina Specialists Yang, Guang, MD, (M), B Yang, Guang, MD, (M), B Berg, Allison, PT, (F) Group Name: Comprehensive Group Name: Comprehensive Group Name: Rehabcare Group Pain Management Sp Pain Management Sp East Oh Provider ID: 002703041003 Provider ID: 002703041003 Provider ID: 006112129001 NPI: 1396767612 NPI: 1396767612 NPI: 1295856235 185 Wadsworth Rd 3780 Medina Rd Ste 110 3864 Center Rd Ste B1 Wadsworth, OH 44281 Medina, OH 44256 Brunswick, OH 44212

(330) 208-2720 E, EB, G, IB, P, (330) 208-2720 E, EB, G, IB, P, (330) 220-8950 P, R PL, R, RE, S, T R, S, T Ages: 0-99 Languages Spoken: Languages Spoken: Provider: Chinese Provider: Chinese Cecez, Nenad, PT, (M) Cultural Competency: Y Cultural Competency: Y Group Name: Therapy In Motion Ages: 0-99 Ages: 0-99 Provider ID: 006379275001 Hospital Affiliations: Hospital Affiliations: NPI: 1689054249 Summa Health System Summa Health System 1046 N Jefferson St Fairview Hospital Fairview Hospital Medina, OH 44256

Lakewood Hospital Lakewood Hospital (216) 502-2471 E, EB, G, IB, P, Cleveland Clinic Lakewood Cleveland Clinic Lakewood R, RE, T Lutheran Hospital Lutheran Hospital Ages: 0-99 Western Reserve Hospital Western Reserve Hospital Croft, Gina, PT, (F) Yang, Guang, MD, (M), B Group Name: Ferrell Whited Group Name: Comprehensive Physical Therapy Physical Therapy Services

Pain Management Sp Prior authorization is required to Provider ID: 003543428001 Provider ID: 002703041003 obtain some covered services from NPI: 1992938013 NPI: 1396767612 these providers. You will not be 3780 Medina Rd Ste 300 3780 Medina Rd covered for those services without Medina, OH 44256 Medina, OH 44256 such approval by UnitedHealthcare (330) 952-1882 EB, IB, P, R (330) 208-2720 EB, P, R Community Plan. Please see your Ages: 0-99 Languages Spoken: member handbook, or call Member Provider: Chinese Services for details. Denman, Heather M, PT, (F)

Cultural Competency: Y Group Name: Ferrell Whited Ages: 0-99 Ali, Mary, PT, (F) Physical Therapy Services Hospital Affiliations: Group Name: Rehabcare Group Provider ID: 003638555002 Summa Health System East Inc NPI: 1548331614 Fairview Hospital Provider ID: 006633205001 3780 Medina Rd Ste 300 Lakewood Hospital NPI: 1528332202 Medina, OH 44256 3864 Center Rd Ste B1 Cleveland Clinic Lakewood (330) 952-1882 EB, IB, P, R Lutheran Hospital Brunswick, OH 44212 Ages: 0-99 Western Reserve Hospital (330) 220-8950 P, R Ages: 0-99

526

Specialists Ohio - Medina Denman, Heather M, PT, (F) Graf, Dana E, PT, (F) Graf, Jason A, PT, (M) Group Name: Ferrell Whited Group Name: Ferrell Whited Group Name: Ferrell Whited Physical Therapy Services Physical Therapy Services Physical Therapy Services Provider ID: 003638555002 Provider ID: 003450637002 Provider ID: 003453306002 NPI: 1548331614 NPI: 1104922624 NPI: 1124124748 3848 Medina Rd Ste 104 3780 Medina Rd Ste 300 700 E Washington St Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 952-1882 EB, P, R (330) 952-1882 EB, IB, P, R (330) 722-3781 EB, G, IB, P, R, Ages: 0-99 Ages: 0-99 RE, T Mo,We - 7:00 AM - 7:30 PM Denman, Heather M, PT, (F) Graf, Dana E, PT, (F) Tu,Th - 7:30 AM - 7:30 PM Group Name: Ferrell Whited Group Name: Ferrell Whited Fr,Sa - 8:00 AM - 12:00 PM Physical Therapy Services Physical Therapy Services Cultural Competency: Y Provider ID: 003638555002 Provider ID: 003450637002 Ages: 0-99 NPI: 1548331614 NPI: 1104922624 700 E Washington St 3848 Medina Rd Ste 104 Graf, Meghan, PT, (F) Medina, OH 44256 Medina, OH 44256 Group Name: Ferrell Whited

(330) 722-3781 EB, G, IB, P, R, (330) 952-1882 EB, P, R Physical Therapy Services RE, T Ages: 0-99 Provider ID: 003453307001 Mo,We - 7:00 AM - 7:30 PM NPI: 1174612774 Tu,Th - 7:30 AM - 7:30 PM Graf, Jason A, PT, (M) 3780 Medina Rd Ste 300 Fr - 7:00 AM - 12:00 PM Group Name: Ferrell Whited Medina, OH 44256

Sa - 8:00 AM - 12:00 PM Physical Therapy Services (330) 952-1882 EB, IB, P, R Ages: 0-99 Provider ID: 003453306002 Mo,We - 8:00 AM - 3:00 PM NPI: 1124124748 Tu - 11:00 AM - 3:00 PM Dipert, Julie, PT, (F) 3848 Medina Rd Ste 104 Th - 12:30 PM - 5:30 PM Group Name: Therapy In Motion Medina, OH 44256 Fr - 8:00 AM - 12:00 PM

Provider ID: 001763165002 (330) 952-1882 EB, P, R Cultural Competency: Y NPI: 1548582372 Cultural Competency: Y Ages: 0-99 1046 N Jefferson St Ages: 0-99 Medina, OH 44256 Graf, Meghan, PT, (F)

(216) 502-2471 E, EB, G, IB, P, Group Name: Ferrell Whited R, RE, T Physical Therapy Services Ages: 0-99 Provider ID: 003453307001 NPI: 1174612774 3848 Medina Rd Ste 104 Medina, OH 44256

(330) 952-1882 EB, P, R Cultural Competency: Y Ages: 0-99

527

Ohio - Medina Specialists Jamili, Ashkan, PT, (M) Regency Hospital Of Akron Starkey, Patrick W, DC, (M) Group Name: Rehabcare Group Group Name: Karen L Lehman East Inc Michel, Michelle L, NP, (F) Dc Provider ID: 006377005002 Group Name: Summa Physicians Provider ID: 002579581001 NPI: 1952710774 Provider ID: 003294180001 NPI: 1578820460 3864 Center Rd Ste B1 NPI: 1770589830 237 Leatherman Rd Brunswick, OH 44212 195 Wadsworth Rd Ste 305 Wadsworth, OH 44281

(314) 659-2110 P, R Wadsworth, OH 44281 (330) 336-2120 EB, IB, P, R, RE,

Ages: 0-99 (330) 334-7700 E, EB, G, P, R, T RE, S, T Mo,We - 8:00 AM - 6:30 PM Mckinley, Nicolle D, PT, (F) Ages: 16-99 Tu,Th - 2:00 PM - 6:30 PM Group Name: Therapy In Motion Hospital Affiliations: Fr - 8:00 AM - 12:00 PM Provider ID: 003244872002 Summa Health System Sa - 9:00 AM - 12:00 PM NPI: 1346410917 Regency Hospital Of Akron Web address: www.stanleychiroprac 1046 N Jefferson St tic.com Medina, OH 44256 Michel, Michelle L, NP, (F) Ages: 0-99

(216) 502-2471 E, EB, G, IB, P, Group Name: Summa Physicians R, RE, T Provider ID: 003294180001 Steiner, Kelly, PT, (F) Ages: 0-99 NPI: 1770589830 Group Name: Language Learning 3780 Medina Rd Ste 240 Associates Mckinley, Nicolle D, PT, (F) Medina, OH 44256 Provider ID: 007229563001

Group Name: Therapy In Motion (330) 376-7000 EB, P, R NPI: 1437630605 Provider ID: 003244872002 Ages: 16-99 750 E Washington St Ste C3 NPI: 1346410917 Hospital Affiliations: Medina, OH 44256

435 W Liberty St Summa Health System (330) 952-0403 P, R, RE, T Medina, OH 44256 Regency Hospital Of Akron Mo-Tu - 8:00 AM - 6:00 PM

(216) 749-6650 EB, G, IB, P, R, We,Th,Fr - 8:00 AM - 7:00 PM RE, S, T Schlagel, Rachel A, PT, (F) Ages: 0-99 Web address: www.therapyinmotion Group Name: Ferrell Whited llc.com Physical Therapy Services Vojtko, Loretta A, PT, (F) Ages: 0-99 Provider ID: 007188917001 Group Name: Health And NPI: 1457817926 Occupational Preventative Sol Michel, Michelle L, NP, (F) 784 Medina Rd Ste 103 Provider ID: 003546312002 Group Name: Summa Physicians Medina, OH 44256 NPI: 1124194642

Provider ID: 003294180001 (234) 248-4017 EB, P, R 305 Center St NPI: 1770589830 Ages: 0-99 Seville, OH 44273

195 Wadsworth Rd (330) 769-4677 EB, P, R, RE, T Wadsworth, OH 44281 Mo-Fr - 7:00 AM - 7:00 PM

(800) 890-6357 E, EB, G, IB, P, Web address: hops1.com PL, R, RE, S, T Ages: 0-99 Ages: 16-99 Hospital Affiliations: Summa Health System

528

Specialists Ohio - Medina Weatherbie, Stacy, PT, (F) Summa Health System Bernhardt, Richard L, PA, (M) Group Name: Rehabcare Group Cleveland Clinic Foundation Group Name: Cleveland Clinic East Inc Fairview Hospital Foundation Provider ID: 006364077002 Medina Hospital Provider ID: 003270079002 NPI: 1144439498 Cleveland Clinic Avon Hospital NPI: 1376876268 3864 Center Rd Ste B1 1000 E Washington St Brunswick, OH 44212 Barros, Sabrina, PA, (F) Medina, OH 44256

(314) 659-2411 P, R Group Name: Comprehensive (330) 721-5150 EB, IB, P, R, RE, Ages: 0-99 Pain Management Specialist T Provider ID: 004967179002 Ages: 0-99 NPI: 1083041511 Hospital Affiliations: Physician Assistant 185 Wadsworth Rd Cleveland Clinic Foundation Barone, Jennifer M, PA, (F) Wadsworth, OH 44281 Fairview Hospital Group Name: Cleveland Clinic (330) 208-2720 E, EB, G, IB, P, Lakewood Hospital Foundation PL, R, RE, S, T Cleveland Clinic Lakewood Provider ID: 003407538004 Ages: 0-99 Lutheran Hospital NPI: 1952686982 Hospital Affiliations: Cleveland Clinic Avon Hospital 1000 E Washington St Summa Health System Medina, OH 44256 Bernhardt, Richard L, PA, (M)

(330) 725-1000 EB, IB, P, R, RE, Bartyzel, James A, PA, (M) Group Name: Cleveland Clinic T Group Name: University Primary Foundation Mo-Fr - 8:00 AM - 5:30 PM Care Practices Provider ID: 003270079002 Cultural Competency: Y Provider ID: 006557012005 NPI: 1376876268 Ages: 0-99 NPI: 1144747049 3574 Center Rd Hospital Affiliations: 4001 Carrick Dr Ste 120 Brunswick, OH 44212 Summa Health System Medina, OH 44256 (330) 741-7100 EB, P, R Cleveland Clinic Foundation (330) 721-8484 EB, P, R Ages: 0-99 Fairview Hospital Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Medina Hospital Accepting Existing Patients Only Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Ages: 0-99 Fairview Hospital Hospital Affiliations: Lakewood Hospital Barone, Jennifer M, PA, (F) Cleveland Clinic Foundation Cleveland Clinic Lakewood Group Name: Cleveland Clinic Lutheran Hospital Of Indiana Lutheran Hospital Foundation Fairview Hospital Cleveland Clinic Avon Hospital Provider ID: 003407538004 Lutheran Hospital NPI: 1952686982 970 E Washington St Ste 4b Medina, OH 44256

(330) 721-5700 EB, P, R Mo-Fr - 8:00 AM - 5:30 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations:

529

Ohio - Medina Specialists Bodie, Michelle E, PA, (F) Bui, Huan, PA, (F) Marymount Hospital Group Name: Dermatology Group Name: University Primary Partners Care Practices Byrnes, Tara A, PA, (F) Provider ID: 002674180001 Provider ID: 006489658003 Group Name: Cleveland Clinic NPI: 1376541938 NPI: 1285087908 Foundation 3780 Medina Rd Ste 240 4001 Carrick Dr Ste 120 Provider ID: 006609350001 Medina, OH 44256 Medina, OH 44256 NPI: 1346750700

(440) 238-0360 EB, P, R (330) 721-8484 EB, P, R 1000 E Washington St Ages: 0-99 Languages Spoken: Medina, OH 44256

Hospital Affiliations: Provider: Vietnamese (330) 721-5150 EB, IB, P, R, RE, H B Magruder Memorial Hospital Mo-Fr - 8:30 AM - 4:30 PM T Ages: 0-99 Ages: 0-99 Borthwick, Diann E, PA, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation Cleveland Clinic Foundation Foundation Hillcrest Hospital Hillcrest Hospital Provider ID: 003399939002 South Pointe Hospital NPI: 1003876483 Bunch, Amy L, PA, (F) Euclid Hospital 1000 E Washington St Group Name: Cleveland Clinic Marymount Hospital Medina, OH 44256 Foundation

(330) 721-5150 EB, IB, P, R, RE, Provider ID: 005273869002 Byrnes, Tara A, PA, (F) T NPI: 1568409621 Group Name: Cleveland Clinic Ages: 0-99 1000 E Washington St Foundation Hospital Affiliations: Medina, OH 44256 Provider ID: 006609350001

Cleveland Clinic Foundation (330) 721-5150 EB, IB, P, R, RE, NPI: 1346750700 Hillcrest Hospital T 3574 Center Rd Marymount Hospital Ages: 0-99 Brunswick, OH 44212

Hospital Affiliations: (330) 741-7100 EB, P, R Borthwick, Diann E, PA, (F) Cleveland Clinic Foundation Ages: 0-99 Group Name: Cleveland Clinic Euclid Hospital Hospital Affiliations: Foundation Marymount Hospital Cleveland Clinic Foundation Provider ID: 003399939002 Hillcrest Hospital NPI: 1003876483 Bunch, Amy L, PA, (F) South Pointe Hospital 3574 Center Rd Group Name: Cleveland Clinic Euclid Hospital Brunswick, OH 44212 Foundation Marymount Hospital

(330) 741-7100 EB, P, R Provider ID: 005273869002 Ages: 0-99 NPI: 1568409621 Hospital Affiliations: 3574 Center Rd Cleveland Clinic Foundation Brunswick, OH 44212

Hillcrest Hospital (330) 741-7100 EB, P, R Marymount Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Euclid Hospital

530

Specialists Ohio - Medina D'alessandro, Nicole H, PA, (F) Domaleczny, Erica R, PA, (F) Friedt, Heather L, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Summa Physicians Foundation Foundation Provider ID: 003229324002 Provider ID: 006610620001 Provider ID: 006514439001 NPI: 1740354695 NPI: 1467962878 NPI: 1770003824 3780 Medina Rd Ste 220 1000 E Washington St 1000 E Washington St Medina, OH 44256

Medina, OH 44256 Medina, OH 44256 (330) 761-9930 E, EB, G, IB, P,

(330) 721-5150 EB, IB, P, R, RE, (330) 721-5150 EB, IB, P, R, RE, R, RE, S, T T T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Gable, Richard N, PA, (M) Cleveland Clinic Foundation Akron General Medical Ctr Group Name: Cleveland Clinic Hillcrest Hospital Cleveland Clinic Foundation Foundation South Pointe Hospital Hillcrest Hospital Provider ID: 005339740002 Euclid Hospital South Pointe Hospital NPI: 1881955045 Marymount Hospital 1000 E Washington St Cleveland Clinic Avon Hospital Domaleczny, Erica R, PA, (F) Medina, OH 44256

Group Name: Cleveland Clinic (330) 721-5150 EB, IB, P, R, RE, D'alessandro, Nicole H, PA, (F) Foundation T Group Name: Cleveland Clinic Provider ID: 006514439001 Cultural Competency: Y Foundation NPI: 1770003824 Ages: 0-99 Provider ID: 006610620001 3574 Center Rd Hospital Affiliations: NPI: 1467962878 Brunswick, OH 44212 Metrohealth Medical Center

3574 Center Rd (330) 741-7100 EB, P, R Cleveland Clinic Foundation Brunswick, OH 44212 Ages: 0-99 Hillcrest Hospital

(330) 741-7100 EB, P, R Hospital Affiliations: Euclid Hospital Ages: 0-99 Akron General Medical Ctr Marymount Hospital Hospital Affiliations: Cleveland Clinic Foundation Lutheran Hospital Cleveland Clinic Foundation Hillcrest Hospital Hillcrest Hospital South Pointe Hospital Gable, Richard N, PA, (M) South Pointe Hospital Group Name: Cleveland Clinic Euclid Hospital Friedt, Heather L, PA, (F) Foundation Marymount Hospital Group Name: Summa Physicians Provider ID: 005339740002 Cleveland Clinic Avon Hospital Provider ID: 003229324002 NPI: 1881955045 NPI: 1740354695 3574 Center Rd 195 Wadsworth Rd Brunswick, OH 44212

Wadsworth, OH 44281 (330) 741-7100 EB, P, R (330) 761-9930 Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Metrohealth Medical Center Cleveland Clinic Foundation Hillcrest Hospital

531

Ohio - Medina Specialists Euclid Hospital Jackson, Lauren E, PA, (F) Jacobson, David A, PA, (M) Marymount Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Lutheran Hospital Foundation Foundation Provider ID: 006615014001 Provider ID: 003662305003 Graf, Amanda M, PA, (F) NPI: 1902325244 NPI: 1760443659 Group Name: Cleveland Clinic 3574 Center Rd 3574 Center Rd Foundation Brunswick, OH 44212 Brunswick, OH 44212

Provider ID: 003564997002 (330) 741-7100 EB, P, R (330) 741-7100 EB, P, R NPI: 1881962066 Ages: 0-99 Cultural Competency: Y 1000 E Washington St Hospital Affiliations: Ages: 0-99 Medina, OH 44256 Cleveland Clinic Foundation Hospital Affiliations:

(330) 725-1000 EB, IB, P, R, RE, Hillcrest Hospital Cleveland Clinic Foundation T South Pointe Hospital Lakewood Hospital Ages: 0-99 Euclid Hospital Cleveland Clinic Lakewood Hospital Affiliations: Marymount Hospital Euclid Hospital Wooster Community Hospital Cleveland Clinic Avon Hospital Lutheran Hospital Cleveland Clinic Foundation Medina Hospital Jacobson, David A, PA, (M) Kerns, Kaitlin E, PA, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Jackson, Lauren E, PA, (F) Foundation Foundation Group Name: Cleveland Clinic Provider ID: 003662305003 Provider ID: 006286172001 Foundation NPI: 1760443659 NPI: 1396291019 Provider ID: 006615014001 1000 E Washington St 1000 E Washington St NPI: 1902325244 Medina, OH 44256 Medina, OH 44256

1000 E Washington St (330) 721-5150 EB, IB, P, R, RE, (330) 721-5150 EB, IB, P, R, RE, Medina, OH 44256 T T

(330) 721-5150 EB, IB, P, R, RE, Cultural Competency: Y Ages: 0-99 T Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Cleveland Clinic Foundation Lakewood Hospital Lutheran Hospital Hillcrest Hospital Cleveland Clinic Lakewood Cleveland Clinic Avon Hospital South Pointe Hospital Euclid Hospital Euclid Hospital Lutheran Hospital Kerns, Kaitlin E, PA, (F) Marymount Hospital Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital Foundation Provider ID: 006286172001 NPI: 1396291019 3574 Center Rd Brunswick, OH 44212

(330) 741-7100 EB, P, R Ages: 0-99 Hospital Affiliations:

532

Specialists Ohio - Medina Cleveland Clinic Foundation Cleveland Clinic Foundation Krolik, Eric W, PA, (M) Fairview Hospital Hillcrest Hospital Group Name: Cleveland Clinic Lutheran Hospital South Pointe Hospital Foundation Cleveland Clinic Avon Hospital Marymount Hospital Provider ID: 006595968003 NPI: 1033638697 Klucar, Julie A, PA, (F) Kraus, Sara K, PA, (F) 1000 E Washington St Group Name: Crystal Clinic Group Name: Cleveland Clinic Medina, OH 44256

Provider ID: 003282504005 Foundation (330) 721-5150 EB, IB, P, R, RE, NPI: 1962513697 Provider ID: 006111937001 T 4975 Foote Rd Ste 100 NPI: 1881044345 Ages: 0-99 Medina, OH 44256 1000 E Washington St Hospital Affiliations:

(330) 721-8232 EB, IB, P, PL, R, Medina, OH 44256 Cleveland Clinic Foundation

RE, S, T (330) 721-5150 EB, IB, P, R, RE, Hillcrest Hospital Ages: 0-99 T Euclid Hospital Hospital Affiliations: Ages: 0-99 Marymount Hospital Sebastian River Medical Ctr Hospital Affiliations: Lutheran Hospital Cleveland Clinic Foundation Medina Hospital Konieczny, Carly A, PA, (F) Hillcrest Hospital Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Euclid Hospital Foundation Krolik, Eric W, PA, (M) Provider ID: 006654549001 Kraus, Sara K, PA, (F) Group Name: Cleveland Clinic NPI: 1831613462 Group Name: Cleveland Clinic Foundation 1000 E Washington St Foundation Provider ID: 006595968003 Medina, OH 44256 Provider ID: 006111937001 NPI: 1033638697

(330) 721-5150 EB, IB, P, R, RE, NPI: 1881044345 3574 Center Rd T 3574 Center Rd Brunswick, OH 44212

Ages: 0-99 Brunswick, OH 44212 (330) 741-7100 EB, P, R

Hospital Affiliations: (330) 741-7100 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Hillcrest Hospital Hospital Affiliations: Cleveland Clinic Foundation South Pointe Hospital Cleveland Clinic Foundation Hillcrest Hospital Marymount Hospital Hillcrest Hospital Euclid Hospital Euclid Hospital Marymount Hospital Konieczny, Carly A, PA, (F) Lutheran Hospital Group Name: Cleveland Clinic Medina Hospital Foundation Cleveland Clinic Avon Hospital Provider ID: 006654549001 NPI: 1831613462 3574 Center Rd Brunswick, OH 44212

(330) 741-7100 EB, P, R Ages: 0-99 Hospital Affiliations:

533

Ohio - Medina Specialists Krolik, Eric W, PA, (M) Cleveland Clinic Foundation Levandovski, Yelena, PA, (F) Group Name: UPCP Hillcrest Hospital Group Name: Rakesh Ranjan Md Provider ID: 006595968002 Fairview Hospital And Assoc NPI: 1033638697 Cleveland Clinic Avon Hospital Provider ID: 007123114002 4001 Carrick Dr Ste 120 NPI: 1366907891 Medina, OH 44256 Langford, Benjamin A, PA, (M) 801 E Washington St Ste 150

(330) 721-8484 EB, P, R Group Name: Cleveland Clinic Medina, OH 44256

Mo-Fr - 8:30 AM - 4:30 PM Foundation (330) 722-1069 EB, P, R, RE, S, Ages: 0-99 Provider ID: 006397628002 T Hospital Affiliations: NPI: 1043751001 Mo-Fr - 9:00 AM - 5:30 PM Cleveland Clinic Foundation 1 Park Center Dr Ages: 0-99 Hillcrest Hospital Wadsworth, OH 44281 Areas of Expertise: MAT1

Euclid Hospital (330) 334-4620 E, EB, IB, P, R Marymount Hospital Ages: 0-99 Marvin, Alisa F, PA, (F) Lutheran Hospital Hospital Affiliations: Group Name: Cleveland Clinic Medina Hospital Cleveland Area Hospital Foundation Cleveland Clinic Avon Hospital Cleveland Clinic Foundation Provider ID: 004473768001 Fairview Hospital NPI: 1699190942 Kulkarni, Geeta, PA, (F) Marymount Hospital 1 Park Center Dr Group Name: Cleveland Clinic Lutheran Hospital Wadsworth, OH 44281

Foundation Cleveland Clinic Avon Hospital (330) 334-4620 E, EB, IB, P, R Provider ID: 003553590001 Ages: 0-99 NPI: 1528302767 Langford, Benjamin A, PA, (M) Hospital Affiliations: 1 Park Center Dr Group Name: Cleveland Clinic Cleveland Clinic Foundation Wadsworth, OH 44281 Foundation Fairview Hospital

(330) 334-4620 E, EB, IB, P, R Provider ID: 006397628002 Lutheran Hospital Ages: 0-99 NPI: 1043751001 Hospital Affiliations: 3574 Center Rd Marvin, Alisa F, PA, (F) Cleveland Clinic Foundation Brunswick, OH 44212 Group Name: Cleveland Clinic

Hillcrest Hospital (330) 225-8886 EB, P, R Foundation Fairview Hospital Ages: 0-99 Provider ID: 004473768001 Cleveland Clinic Avon Hospital Hospital Affiliations: NPI: 1699190942 Cleveland Area Hospital 3574 Center Rd Kulkarni, Geeta, PA, (F) Cleveland Clinic Foundation Brunswick, OH 44212

Group Name: Cleveland Clinic Fairview Hospital (330) 225-8886 EB, P, R Foundation Marymount Hospital Ages: 0-99 Provider ID: 003553590001 Lutheran Hospital Hospital Affiliations: NPI: 1528302767 Cleveland Clinic Avon Hospital Cleveland Clinic Foundation 3574 Center Rd Fairview Hospital Brunswick, OH 44212 Lutheran Hospital

(330) 225-8886 EB, P, R Ages: 0-99 Hospital Affiliations:

534

Specialists Ohio - Medina Mckernan, Margaret R, PA, (F) Michalak, Sarah G, PA, (F) Miller, Lisa N, PA, (F) Group Name: Metrohealth Group Name: Hmt Dermatology Group Name: Cleveland Clinic Professional Group Associates Foundation Provider ID: 007281150001 Provider ID: 006821653002 Provider ID: 003565606016 NPI: 1982259024 NPI: 1023507001 NPI: 1346532926 1299 Industrial Pkwy N Fl 2 2865 Center Rd Ste 5 1 Park Center Dr Brunswick, OH 44212 Brunswick, OH 44212 Wadsworth, OH 44281

(216) 957-1450 EB, P, R (330) 725-0569 E, EB, G, IB, P, (330) 334-4620 E, EB, IB, P, R Ages: 0-99 R, RE, S, T Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Metrohealth Medical Center Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Lutheran Hospital Meyers, Farzana A, PA, (F) Group Name: Cleveland Clinic Michalak, Sarah G, PA, (F) Mong, Renee C, PA, (F) Foundation Group Name: Hmt Dermatology Group Name: Quick Med Urgent Provider ID: 003566798001 Associates Care LLC NPI: 1346236817 Provider ID: 006821653002 Provider ID: 003236704003 1 Park Center Dr NPI: 1023507001 NPI: 1619284635 Wadsworth, OH 44281 300 Weatherstone Dr Ste 106 955 N Court St

(330) 334-4620 E, EB, IB, P, R Wadsworth, OH 44281 Medina, OH 44256

Ages: 0-99 (330) 725-0569 E, EB, G, IB, P, (330) 616-3900 EB, G, P, PL, R, Hospital Affiliations: R, RE, S, T RE, S, T Cleveland Clinic Foundation Ages: 0-99 Ages: 0-99 Hospital Affiliations: Meyers, Farzana A, PA, (F) Cleveland Clinic Foundation Morrow, Paul M, PA, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Michalak, Sarah G, PA, (F) Foundation Provider ID: 003566798001 Group Name: Hmt Dermatology Provider ID: 005162323002 NPI: 1346236817 Associates NPI: 1942247630 3574 Center Rd Provider ID: 006821653002 1000 E Washington St Brunswick, OH 44212 NPI: 1023507001 Medina, OH 44256

(330) 225-8886 EB, P, R 5783 Wooster Pike (330) 721-5150 EB, IB, P, R, RE, Ages: 0-99 Medina, OH 44256 T

Hospital Affiliations: (330) 725-0569 E, EB, G, IB, P, Ages: 0-99 Cleveland Clinic Foundation R, RE, S, T Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Lutheran Hospital Cleveland Clinic Foundation Medina Hospital Cleveland Clinic Avon Hospital

535

Ohio - Medina Specialists Morrow, Paul M, PA, (M) Cleveland Clinic Foundation Nock, Courtney M, PA, (F) Group Name: Cleveland Clinic Euclid Hospital Group Name: Summa Physicians Foundation Marymount Hospital Provider ID: 006200759007 Provider ID: 005162323002 Medina Hospital NPI: 1063864304 NPI: 1942247630 3780 Medina Rd Ste 200 3574 Center Rd Moyer, Michelle J, PA, (F) Medina, OH 44256

Brunswick, OH 44212 Group Name: Cleveland Clinic (330) 379-3514 E, EB, G, IB, P,

(330) 741-7100 EB, P, R Foundation R, RE, S, T Ages: 0-99 Provider ID: 005059268004 Ages: 0-99 Hospital Affiliations: NPI: 1740203074 Cleveland Clinic Foundation 3574 Center Rd Orta, Holly D, PA, (F) Lutheran Hospital Brunswick, OH 44212 Group Name: Cleveland Clinic

Medina Hospital (330) 741-7100 EB, P, R Foundation Cleveland Clinic Avon Hospital Cultural Competency: Y Provider ID: 005142355002 Ages: 0-99 NPI: 1699028019 Movens, Amanda R, PA, (F) Hospital Affiliations: 1000 E Washington St Group Name: Cleveland Clinic Ohio State University Hospital Medina, OH 44256

Foundation Cleveland Clinic Foundation (330) 725-1000 EB, IB, P, R, RE, Provider ID: 005971952001 Euclid Hospital T NPI: 1114391331 Marymount Hospital Ages: 0-99 970 E Washington St Ste 4b Medina Hospital Hospital Affiliations: Medina, OH 44256 Cleveland Clinic Foundation

(330) 721-5700 EB, P, R Naftzger, Troy, PA, (M) Accepting Existing Patients Only Group Name: Advanced Spine Orta, Holly D, PA, (F) Ages: 0-99 Joint And Wellness Center Group Name: Cleveland Clinic Hospital Affiliations: Provider ID: 002357352006 Foundation Akron General Medical Ctr NPI: 1831188069 Provider ID: 005142355002 Cleveland Clinic Foundation 5020 Victor Dr NPI: 1699028019 Medina Hospital Medina, OH 44256 970 E Washington St

(330) 433-4243 E, EB, G, IB, P, Medina, OH 44256

Moyer, Michelle J, PA, (F) PL, R, RE, S, T (330) 721-5700 EB, P, R Group Name: Cleveland Clinic Mo,Th - 8:00 AM - 6:00 PM Ages: 0-99 Foundation Tu,We - 9:00 AM - 6:00 PM Hospital Affiliations: Provider ID: 005059268004 Fr - 8:00 AM - 12:00 PM Cleveland Clinic Foundation NPI: 1740203074 Ages: 0-99 1000 E Washington St Hospital Affiliations: Medina, OH 44256 Mount Carmel New Albany

(330) 721-5150 EB, IB, P, R, RE, T Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ohio State University Hospital

536

Specialists Ohio - Medina Patel, Karen K, PA, (F) Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation Petrus, Alexandra M, PA, (F) Foundation Euclid Hospital Group Name: Clinic Medical Provider ID: 003240736002 Services NPI: 1104134121 Patterson, Sean D, PA, (M) Provider ID: 006489047003 1000 E Washington St Group Name: Cleveland Clinic NPI: 1316477599 Medina, OH 44256 Foundation 1000 E Washington St

(330) 721-5150 EB, IB, P, R, RE, Provider ID: 003182785024 Medina, OH 44256

T NPI: 1326085341 (330) 725-1000 EB, P, R Ages: 0-99 3574 Center Rd Ages: 0-99 Hospital Affiliations: Brunswick, OH 44212 Hospital Affiliations:

Cleveland Clinic Foundation (330) 741-7100 EB, P, R Fairview Hospital Lutheran Hospital Ages: 0-99 Cleveland Clinic Foundation Medina Hospital Hospital Affiliations: Hillcrest Hospital Uh Cleveland Medical Center Cleveland Clinic Foundation South Pointe Hospital Cleveland Clinic Avon Hospital Euclid Hospital Euclid Hospital Marymount Hospital Patel, Karen K, PA, (F) Pesek, Jeffrey S, PA, (M) Medina Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital Foundation Foundation Provider ID: 003240736002 Provider ID: 005162354002 Petrus, Alexandra M, PA, (F) NPI: 1104134121 NPI: 1649225087 Group Name: Clinic Medical 3574 Center Rd 1000 E Washington St Services Brunswick, OH 44212 Medina, OH 44256 Provider ID: 006489047003

(330) 741-7100 EB, P, R (330) 721-5150 EB, IB, P, R, RE, NPI: 1316477599 Ages: 0-99 T 225 Elyria St Hospital Affiliations: Ages: 0-99 Lodi, OH 44254

Cleveland Clinic Foundation Hospital Affiliations: (330) 948-5531 EB, G, IB, P, PL, Lutheran Hospital Cleveland Clinic Foundation R, RE, S, T Medina Hospital Euclid Hospital Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Cleveland Clinic Avon Hospital Pesek, Jeffrey S, PA, (M) Fairview Hospital Group Name: Cleveland Clinic Cleveland Clinic Foundation Patterson, Sean D, PA, (M) Foundation Hillcrest Hospital Group Name: Cleveland Clinic Provider ID: 005162354002 South Pointe Hospital Foundation NPI: 1649225087 Euclid Hospital Provider ID: 003182785022 3574 Center Rd Marymount Hospital NPI: 1326085341 Brunswick, OH 44212 Medina Hospital

1000 E Washington St (330) 741-7100 EB, P, R Cleveland Clinic Avon Hospital Medina, OH 44256 Ages: 0-99

(330) 721-5150 EB, IB, P, R, RE, Hospital Affiliations: T Cleveland Clinic Foundation Ages: 0-99 Euclid Hospital

537

Ohio - Medina Specialists Rowe, Michael E, PA, (M) Hospital Affiliations: Hospital Affiliations: Group Name: Cleveland Clinic Akron General Medical Ctr Cleveland Clinic Foundation Foundation Cleveland Clinic Foundation Fairview Hospital Provider ID: 005787002001 Uh Cleveland Medical Center Marymount Hospital NPI: 1013291244 Lutheran Hospital 1000 E Washington St Rupprecht, Christopher C, PA, Medina Hospital Medina, OH 44256 (M) Cleveland Clinic Avon Hospital

(330) 721-5150 EB, IB, P, R, RE, Group Name: Cleveland Clinic T Foundation Schaberl, Marissa M, PA, (F) Cultural Competency: Y Provider ID: 006008427013 Group Name: Cleveland Clinic Ages: 0-99 NPI: 1134586928 Foundation Hospital Affiliations: 1000 E Washington St Provider ID: 006361603001 Cleveland Clinic Foundation Medina, OH 44256 NPI: 1720520554

Hillcrest Hospital (330) 721-5150 EB, P, R 3574 Center Rd Fairview Hospital Ages: 0-99 Brunswick, OH 44212

Cleveland Clinic Avon Hospital Hospital Affiliations: (330) 741-7100 EB, P, R Cleveland Clinic Foundation Ages: 0-99 Rowe, Michael E, PA, (M) Marymount Hospital Hospital Affiliations: Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Rupprecht, Christopher C, PA, Fairview Hospital Provider ID: 005787002001 (M) Marymount Hospital NPI: 1013291244 Group Name: Cleveland Clinic Lutheran Hospital 3574 Center Rd Foundation Medina Hospital Brunswick, OH 44212 Provider ID: 006008427009 Cleveland Clinic Avon Hospital

(330) 741-7100 EB, P, R NPI: 1134586928 Cultural Competency: Y 3574 Center Rd Scully, Sharon L, PA, (F) Ages: 0-99 Brunswick, OH 44212 Group Name: University Primary

Hospital Affiliations: (330) 741-7100 EB, P, R Care Practices Cleveland Clinic Foundation Ages: 0-99 Provider ID: 003304120003 Hillcrest Hospital Hospital Affiliations: NPI: 1609837582 Fairview Hospital Cleveland Clinic Foundation 4001 Carrick Dr Ste 120 Cleveland Clinic Avon Hospital Marymount Hospital Medina, OH 44256

(330) 721-8484 EB, P, R Rudert, Nicole K, PA, (F) Schaberl, Marissa M, PA, (F) Mo-Fr - 8:30 AM - 4:30 PM Group Name: University Primary Group Name: Cleveland Clinic Ages: 0-99 Care Practices Foundation Hospital Affiliations: Provider ID: 003231549021 Provider ID: 006361603001 Cleveland Clinic Foundation NPI: 1487896197 NPI: 1720520554 Uh Cleveland Medical Center 4001 Carrick Dr Ste 120 1000 E Washington St Univ Hospitals Ahuja Med Ctr Medina, OH 44256 Medina, OH 44256

(330) 721-8484 EB, P, R (330) 721-5150 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM T Ages: 0-99 Ages: 0-99

538

Specialists Ohio - Medina Sherman, Crystal E, PA, (F) Valentino, Cassandra L, PA, (F) Vidrine, Jill S, PA, (F) Group Name: University Primary Group Name: Cleveland Clinic Group Name: Advanced Spine Care Practices Foundation Joint And Wellness Center Provider ID: 006794403004 Provider ID: 006514384001 Provider ID: 003425150006 NPI: 1225530306 NPI: 1861913451 NPI: 1114200565 4001 Carrick Dr Ste 120 1000 E Washington St 3591 Reserve Commons Dr Ste 100 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-8484 EB, P, R (330) 721-5150 EB, IB, P, R, RE, (330) 721-6504 P, R, RE, T Ages: 0-99 T Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center Hospital Affiliations: Ohiohealth Mansfield Hospital Cleveland Clinic Foundation Medcentral Health System Slabe, Kristi D, PA, (F) Hillcrest Hospital Bucyrus Community Hospital Group Name: University Fairview Hospital Galion Community Hospital Hospitals Medical Group Provider ID: 003564196003 Valentino, Cassandra L, PA, (F) Vidrine, Jill S, PA, (F) NPI: 1679538656 Group Name: Cleveland Clinic Group Name: Advanced Spine 4001 Carrick Dr Ste 160 Foundation Joint And Wellness Center Medina, OH 44256 Provider ID: 006514384001 Provider ID: 003425150006

(216) 844-7200 E, RE, S, T NPI: 1861913451 NPI: 1114200565 Mo-Fr - 8:30 AM - 4:30 PM 3574 Center Rd 5020 Victor Dr Ages: 0-99 Brunswick, OH 44212 Medina, OH 44256

Hospital Affiliations: (330) 741-7100 EB, P, R (330) 721-6504 E, EB, G, IB, P, Cleveland Clinic Foundation Ages: 0-99 PL, R, RE, S, T Lutheran Hospital Hospital Affiliations: Mo - 8:00 AM - 6:00 PM Uh Cleveland Medical Center Cleveland Clinic Foundation Tu,Th - 3:00 PM - 6:00 PM Univ Hospitals Ahuja Med Ctr Hillcrest Hospital We - 9:00 AM - 6:00 PM Fairview Hospital Fr - 8:00 AM - 12:00 PM Vaclav, Mackenzie L, PA, (F) Ages: 0-99 Group Name: University Veale, Kodi A, PA, (M) Hospital Affiliations: Hospitals Medical Group Group Name: Crystal Clinic Ohiohealth Mansfield Hospital Provider ID: 007112935002 Provider ID: 003977547001 Medcentral Health System NPI: 1962976324 NPI: 1023434552 Bucyrus Community Hospital 4001 Carrick Dr Ste 160 4975 Foote Rd Ste 100 Galion Community Hospital Medina, OH 44256 Medina, OH 44256

(216) 844-7200 E, RE, S, T (330) 721-8232 EB, IB, P, PL, R, Mo-Fr - 8:30 AM - 4:30 PM RE, S, T Ages: 18-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

539

Ohio - Medina Specialists Weddle, Justin L, PA, (M) Whitling, Stephanie, PA, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: Comprehensive Hillcrest Hospital Foundation Pain Management Specialist Fairview Hospital Provider ID: 006271102001 Provider ID: 005232944002 Lakewood Hospital NPI: 1316491160 NPI: 1538269105 Cleveland Clinic Lakewood 1000 E Washington St 3780 Medina Rd Ste 110 Euclid Hospital Medina, OH 44256 Medina, OH 44256 Lutheran Hospital

(330) 721-5150 EB, IB, P, R, RE, (330) 208-2720 E, EB, G, IB, P, Medina Hospital T R, S, T Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Podiatry

Cleveland Clinic Foundation Hospital Affiliations: Members may self-refer to these Hillcrest Hospital Uh Cleveland Medical Center providers.

Euclid Hospital Williams, David H, PA, (M) Chiarappa-Bronzo, Gina F, DPM, Weddle, Justin L, PA, (M) Group Name: Cleveland Clinic (F) Group Name: Cleveland Clinic Foundation Group Name: Agape Podiatry Foundation Provider ID: 002971498001 Provider ID: 001477899002 Provider ID: 006271102001 NPI: 1619055829 NPI: 1164538955 NPI: 1316491160 970 E Washington St 535 E Smith Rd 3574 Center Rd Medina, OH 44256 Medina, OH 44256 (330) 725-7075 P, PL, R, RE, T Brunswick, OH 44212 (330) 721-5700 EB, P, R Languages Spoken: (330) 741-7100 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Provider: Italian Hospital Affiliations: Hospital Affiliations: We - 8:00 AM - 5:00 PM Cleveland Clinic Foundation Wooster Community Hospital Ages: 0-99 Hillcrest Hospital Summa Health System Hospital Affiliations: Euclid Hospital Childrens Hospital Med Ctr Akron Akron General Medical Ctr Akron General Medical Ctr Western Reserve Hospital Whitling, Stephanie, PA, (F) Cleveland Clinic Foundation Group Name: Comprehensive Hillcrest Hospital Hamm, Nathaniel A, DPM, (M) Pain Management Specialist Medina Hospital Group Name: Westlake Foot & Provider ID: 005232944002 Ankle Clinic NPI: 1538269105 Yarosh, Michael J, PA, (M) Provider ID: 005496263004 185 Wadsworth Rd Group Name: Cleveland Clinic NPI: 1134477342 Wadsworth, OH 44281 Foundation 4065 Center Rd Ste 110 Brunswick, OH 44212 (330) 208-2720 E, EB, G, IB, P, Provider ID: 002537171002 PL, R, RE, S, T NPI: 1881662609 (330) 225-7520 EB, IB, P, PL, R, Cultural Competency: Y 3574 Center Rd RE, T Ages: 0-99 Brunswick, OH 44212 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: (330) 741-7100 EB, P, R Uh Cleveland Medical Center Ages: 0-99 University Hospitals Elyria Hospital Affiliations: Medical Ctr Uh Elyria Medical Center

540

Specialists Ohio - Medina Southwest General Health Center Hild, Gina, DPM, (F), B Limperos, Richard C, DPM, (M) St Vincent Charity Medical Center Group Name: Cleveland Clinic Group Name: Prestige Foot & Uh Parma Medical Center Foundation Ankle Center University Hospitals Parma Provider ID: 003591140003 Provider ID: 003473345001 Medical Ctr NPI: 1760616387 NPI: 1427372333 970 E Washington St 1000 E Washington St Hardy, Mark A, DPM, (M), B Medina, OH 44256 Medina, OH 44256

Group Name: Balance Foot And (330) 721-5346 EB, P, R (330) 721-5126 EB, IB, P, R, RE, Ankle Cultural Competency: Y T Provider ID: 003143855004 Ages: 0-99 Tu,Fr - 8:00 AM - 12:00 PM NPI: 1023123593 Hospital Affiliations: Cultural Competency: Y 4071 N Jefferson St Wooster Community Hospital Web address: www.prestigefootand Medina, OH 44256 Cleveland Clinic Foundation ankle.com

(216) 658-0111 EB, G, IB, P, PL, Lutheran Hospital Ages: 0-99 R, RE, S, T Medina Hospital Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99 Khandekar, Rahul P, DPM, (M), Hospital Affiliations: B Limperos, Richard C, DPM, (M) Marymount Hospital Group Name: UPCP Group Name: Prestige Foot & Mercy Regional Medical Center Provider ID: 002082313004 Ankle Center Communtiy Health Partners Rgnl NPI: 1225092521 Provider ID: 003473345001 Mdcl Ctr 4001 Carrick Dr Ste 150 NPI: 1427372333 Univ Hospitals Ahuja Med Ctr Medina, OH 44256 784 Medina Rd Ste 107

(330) 923-0553 E, EB, G, IB, P, Medina, OH 44256

Hehemann, Christopher T, DPM, PL, R, RE, S, T (330) 591-9635 EB, P, R, RE, T (M), B Mo - 9:00 AM - 4:00 PM Cultural Competency: Y Group Name: Balance Foot And Tu,We,Th,Fr - 8:30 AM - 4:30 PM Web address: www.prestigefootand Ankle Cultural Competency: Y ankle.com Provider ID: 005827515004 Ages: 0-99 Ages: 0-99 NPI: 1194086066 Hospital Affiliations: Hospital Affiliations: 4071 N Jefferson St Wadsworth Rittman Hospital Cleveland Clinic Foundation Medina, OH 44256 Summa Health System

(216) 658-0111 EB, G, IB, P, PL, Akron General Medical Ctr R, RE, S, T Western Reserve Hospital Ages: 0-99 Univ Hospitals Ahuja Med Ctr Hospital Affiliations: Uh Parma Medical Center University Hospitals Parma Medical Ctr Mclaren Flint

541

Ohio - Medina Specialists Stein, Ronald A, DPM, (M), B Hospital Affiliations: Fairview Hospital Group Name: Agape Podiatry Wadsworth Rittman Hospital Euclid Hospital Provider ID: 001152493001 Medina Hospital Marymount Hospital NPI: 1679662092 Western Reserve Hospital Lutheran Hospital 535 E Smith Rd Lodi Community Hospital Medina Hospital Medina, OH 44256 Cleveland Clinic Avon Hospital

(330) 725-7075 P, PL, R, RE, T Mo,Th - 1:00 PM - 5:00 PM Pulmonary Medicine Gerber, Robert B, MD, (M), B

Tu - 8:00 AM - 11:30 AM Members may self-refer to these Group Name: Summa Physicians We - 1:30 PM - 3:30 PM providers. Provider ID: 002090849002

Fr - 9:00 AM - 11:00 AM NPI: 1023059110 Cultural Competency: Y Abboud, Rami, MD, (M), B 3780 Medina Rd Ste 220 Ages: 0-99 Group Name: Summa Physicians Medina, OH 44256 Provider ID: 003201730003 Hospital Affiliations: (330) 319-9700 E, EB, G, IB, P, South Pointe Hospital NPI: 1487854972 R, RE, S, T Medina Hospital 3780 Medina Rd Ste 220 Mo,Tu,We,Fr - 8:30 AM - 4:30 PM Medina, OH 44256 Th - 8:00 AM - 4:30 PM Tulodzieski-Ahlstrom, Jacqueline (330) 319-9700 E, EB, G, IB, P, Cultural Competency: Y M, DPM, (F), B R, RE, S, T Ages: 0-99 Group Name: Summa Physicians Mo,Tu,Fr - 8:00 AM - 5:00 PM Hospital Affiliations: Provider ID: 004641109003 We,Th - 8:30 AM - 4:30 PM Southwest General Health Center NPI: 1295021822 Ages: 0-99 Uh Parma Medical Center 3780 Medina Rd Ste 220 Hospital Affiliations: University Hospitals Parma Medina, OH 44256 Beaumont Hospital Royal Oak Medical Ctr William Beaumont Hospital-royal (330) 835-5533 E, EB, G, IB, P, Regency Hospital Of Cleveland R, RE, S, T Oak West Tu,We,Fr - 8:00 AM - 4:30 PM Henry Ford Hospital Areas of Expertise: CIL Th - 8:00 AM - 12:00 PM Henry Ford Medical Center Ages: 0-99 Cottage Ghobrial, Michael M, MD, (M), B Hospital Affiliations: Group Name: Cleveland Clinic South Pointe Hospital Alappan, Narendrakumar, MD, Foundation (M), B Provider ID: 005518690004 Unsdorfer, Gary L, DPM, (M), B Group Name: Cleveland Clinic NPI: 1669727582 Group Name: Agape Podiatry Foundation 1000 E Washington St Provider ID: 000490805002 Provider ID: 003668321001 Medina, OH 44256 NPI: 1265713911 NPI: 1447247085 (330) 225-8886 EB, IB, P, R, RE, 535 E Smith Rd 1000 E Washington St T Medina, OH 44256 Medina, OH 44256 Ages: 0-99 (330) 725-1000 EB, IB, P, R, RE, (330) 725-7075 P, PL, R, RE, T Hospital Affiliations: Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM T Fairview Hospital We - 8:00 AM - 4:30 PM Ages: 0-99 Cleveland Clinic Foundation Sa - 8:00 AM - 11:00 AM Hospital Affiliations: Hillcrest Hospital Ages: 0-99 Cleveland Clinic Foundation South Pointe Hospital Hillcrest Hospital

542

Specialists Ohio - Medina Euclid Hospital Halabi, Nariman A, MD, (F), B Owensboro Health Regional Marymount Hospital Group Name: Cleveland Clinic Hospital Lutheran Hospital Foundation Lutheran Hospital Medina Hospital Provider ID: 004331370002 Medina Hospital NPI: 1871722942 Cleveland Clinic Avon Hospital Ghobrial, Michael M, MD, (M), B 3574 Center Rd Group Name: Cleveland Clinic Brunswick, OH 44212 Khan, Safdar G, MD, (M), B

Foundation (330) 225-8886 EB, P, R Group Name: Cleveland Clinic Provider ID: 005518690004 Ages: 0-99 Foundation NPI: 1669727582 Hospital Affiliations: Provider ID: 003029786001 3574 Center Rd St Francis Hospital NPI: 1467693317 Brunswick, OH 44212 Cleveland Clinic Foundation 970 E Washington St Ste 2c

(330) 225-8886 EB, P, R Medina Hospital Medina, OH 44256

Ages: 0-99 Thomas Memorial Hospital (330) 721-5700 EB, P, R Hospital Affiliations: Ages: 0-99 Fairview Hospital Halabi, Nariman A, MD, (F), B Hospital Affiliations: Cleveland Clinic Foundation Group Name: Cleveland Clinic Cleveland Clinic Foundation Hillcrest Hospital Foundation Fairview Hospital South Pointe Hospital Provider ID: 004331370002 Owensboro Health Regional Euclid Hospital NPI: 1871722942 Hospital Marymount Hospital 970 E Washington St Ste 4b Lutheran Hospital Lutheran Hospital Medina, OH 44256 Medina Hospital

Medina Hospital (330) 721-5700 EB, P, R Cleveland Clinic Avon Hospital Ages: 0-99 Halabi, Nariman A, MD, (F), B Hospital Affiliations: Lam, Louis S, MD, (M), B Group Name: Cleveland Clinic St Francis Hospital Group Name: Cleveland Clinic Foundation Cleveland Clinic Foundation Foundation Provider ID: 004331370002 Medina Hospital Provider ID: 006119619001 NPI: 1871722942 Thomas Memorial Hospital NPI: 1205132446 1000 E Washington St 1000 E Washington St Medina, OH 44256 Khan, Safdar G, MD, (M), B Medina, OH 44256

(330) 721-5700 EB, IB, P, R, RE, Group Name: Cleveland Clinic (330) 725-1000 EB, IB, P, R, RE, T Foundation T Ages: 0-99 Provider ID: 003029786001 Ages: 0-99 Hospital Affiliations: NPI: 1467693317 Hospital Affiliations: St Francis Hospital 1000 E Washington St Cleveland Clinic Foundation Cleveland Clinic Foundation Medina, OH 44256 Medina Hospital

Medina Hospital (330) 336-1000 EB, IB, P, R, RE, Cleveland Clinic Avon Hospital Thomas Memorial Hospital T Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital

543

Ohio - Medina Specialists Rai, Hardeep S, MD, (M), B Solanki, Neha, MD, (F), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Provider ID: 003189560004 Provider ID: 007155357001 Rheumatology

NPI: 1033448253 NPI: 1083051650 Members may self-refer to these 1000 E Washington St 970 E Washington St providers.

Medina, OH 44256 Medina, OH 44256 Antonelli, Maria J, MD, (F), B (216) 444-6503 EB, IB, P, R, RE, (330) 721-5124 EB, P, R T Mo-Fr - 8:00 AM - 4:30 PM Group Name: Metrohealth Languages Spoken: Ages: 18-99 Professional Group Provider: Hindi, Punjabi, Russian Hospital Affiliations: Provider ID: 003483150001 Ages: 0-99 Cleveland Clinic Foundation NPI: 1932343555 Hospital Affiliations: Lutheran Hospital 1299 Industrial Pkwy N Fl 2 Cleveland Clinic Foundation Brunswick, OH 44212 Hillcrest Hospital Suri, Anu, MD, (F), B (216) 957-1450 EB, P, R South Pointe Hospital Group Name: Cleveland Clinic Languages Spoken: Lutheran Hospital Foundation Staff: Spanish Medina Hospital Provider ID: 003214869001 Mo-Fr - 8:30 AM - 5:00 PM Northside Medical Center NPI: 1104025303 Ages: 19-99 Steward Northside Medical Center 1000 E Washington St Hospital Affiliations: Cleveland Clinic Avon Hospital Medina, OH 44256 Metrohealth Medical Center

(330) 725-1000 EB, IB, P, R, RE, Rai, Hardeep S, MD, (M), B T Kuchynski, Marie N, MD, (F), B Group Name: Cleveland Clinic Cultural Competency: Y Group Name: University Primary Foundation Ages: 0-99 Care Practices Provider ID: 003189560004 Hospital Affiliations: Provider ID: 001385768001 NPI: 1033448253 Cleveland Clinic Foundation NPI: 1780764977 970 E Washington St Ste 4b Fairview Hospital 4065 Center Rd Ste 210 Medina, OH 44256 Lutheran Hospital Brunswick, OH 44212 (330) 220-8411 EB, P, R (216) 444-6503 EB, P, R Ccf Children's Hosp/rehab Languages Spoken: Medina Hospital Languages Spoken: Provider: Hindi, Punjabi, Russian Provider: Italian Ages: 0-99 Thiruchelvam, Nirosshan, MD, Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: (M) Cultural Competency: Y Cleveland Clinic Foundation Group Name: Cleveland Clinic Ages: 0-99 Hillcrest Hospital Foundation Hospital Affiliations: South Pointe Hospital Provider ID: 005967792001 University Hospitals Elyria Lutheran Hospital NPI: 1912262866 Medical Ctr Medina Hospital 1000 E Washington St Uh Elyria Medical Center Northside Medical Center Medina, OH 44256 Southwest General Health Center Uh Cleveland Medical Center Steward Northside Medical Center (330) 725-1000 Cleveland Clinic Avon Hospital Ages: 0-99 Hospital Affiliations:

544

Specialists Ohio - Medina Ungprasert, Patompong, MD, Hospital Brothers, Laura P, SLP, (F) (M), B M Health Fairview Bethesda Group Name: Rehabcare Group Group Name: Cleveland Clinic Hospital East Foundation M Health Fairview St Josephs Provider ID: 006803603001 Provider ID: 005161784001 Hospital NPI: 1205291804 NPI: 1316234115 Healtheast St Josephs Hospital 3864 Center Rd Ste B1 1000 E Washington St Brunswick, OH 44212

Medina, OH 44256 Novak, William J, MD, (M), B (320) 220-8950 P, R

(330) 725-1000 EB, IB, P, R, RE, Group Name: Cleveland Clinic Ages: 0-99 T Foundation Ages: 0-99 Provider ID: 002795593005 Derga, Kathleen, SLP, (F) NPI: 1124224837 Group Name: Therapy In Motion 970 E Washington St Ste 2c Provider ID: 006371765002 Sleep Medicine Medina, OH 44256 NPI: 1174586838

Prior authorization is required to (330) 721-5700 EB, P, R 1046 N Jefferson St obtain some covered services from We,Th - 8:00 AM - 5:00 PM Medina, OH 44256 these providers if a sleep study is Ages: 0-99 (330) 723-4530 E, EB, G, IB, P, performed at a outpatient sleep Hospital Affiliations: R, RE, T study center or an ambulatory sleep Wooster Community Hospital Languages Spoken: center. You will not be covered for Summa Health System Provider: Spanish those services without such Akron General Medical Ctr Mo-Fr - 8:00 AM - 4:00 PM approval by UnitedHealthcare Cleveland Clinic Foundation Ages: 0-99 Community Plan. Please see your Fairview Hospital member handbook, or call Member Euclid Hospital Derga, Kathleen, SLP, (F) Services for details. Lutheran Hospital Group Name: Therapy In Motion

Medina Hospital Provider ID: 006371765002 Kazaglis, Louis D, MD, (M), B NPI: 1174586838 Group Name: Cleveland Clinic 435 W Liberty St Foundation Speech Pathology Medina, OH 44256 Provider ID: 003670614007 Arnold, Maryanne E, SLP, (F) (216) 749-6650 EB, G, IB, P, R, NPI: 1477889798 Group Name: Maryanne Arnold RE, S, T 1000 E Washington St Provider ID: 007043200001 Languages Spoken: Medina, OH 44256 NPI: 1902220783 Provider: Spanish (330) 725-1000 EB, IB, P, R, RE, 140 Wadsworth Rd Mo-Fr - 8:00 AM - 4:00 PM T Wadsworth, OH 44281 Web address: www.therapyinmotion Web address: www.allinahealth.org (330) 333-9740 EB, P, R llc.com Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Mchs Mankato Cleveland Clinic Foundation Medina Hospital M Health Fairview St. John's Hospital M Health Fairview St John's

545

Ohio - Medina Specialists Evans, Katelyn L, SLP, (F) Green, Sarah M, SLP, (F) Hogan, Brianna C, SLP, (F) Group Name: Therapy In Motion Group Name: Therapy In Motion Group Name: Rehabcare Group Provider ID: 007377530001 Provider ID: 007351223001 East Inc NPI: 1326541442 NPI: 1861884439 Provider ID: 006371570002 435 W Liberty St 435 W Liberty St NPI: 1083099907 Medina, OH 44256 Medina, OH 44256 3864 Center Rd Ste B1

(216) 749-6650 EB, G, IB, P, R, (216) 749-6650 EB, G, IB, P, R, Brunswick, OH 44212

RE, S, T RE, S, T (314) 659-2411 P, R Mo-Fr - 8:00 AM - 4:00 PM Mo-Th - 8:00 AM - 4:00 PM Ages: 0-99 Web address: www.therapyinmotion Fr - 8:00 AM - 5:00 PM llc.com Web address: www.therapyinmotion Hutzel, Nicole M, SLP, (F) Ages: 0-99 llc.com Group Name: Rehabcare Group Ages: 0-99 East Oh Evans, Sarah D, SLP, (F) Provider ID: 006663323001 Group Name: Rehabcare Group Hagge, Matthew D, SLP, (M) NPI: 1194262212 East Oh Group Name: Language Learning 3864 Center Rd Ste B1 Provider ID: 007396575001 Associates Brunswick, OH 44212

NPI: 1912493164 Provider ID: 006663336001 (330) 220-8950 P, R 3864 Center Rd Ste B1 NPI: 1932445467 Mo-Fr - 9:00 AM - 3:00 PM Brunswick, OH 44212 750 E Washington St Ste C3 Ages: 0-99

(330) 220-8950 P, R Medina, OH 44256

Ages: 0-99 (330) 867-2240 P, R, RE, T Latoche, Mary T, SLP, (F) Languages Spoken: Group Name: Therapy In Motion George, Kellie M, SLP, (F) Provider: American Sign Provider ID: 006379220003 Group Name: Language Learning Language NPI: 1114327939 Associates Ages: 0-99 435 W Liberty St Provider ID: 006986757001 Medina, OH 44256

NPI: 1215452263 Hamilton, Kristen L, SLP, (F) (216) 749-6650 EB, G, IB, P, R, 750 E Washington St Ste C3 Group Name: Language Learning RE, S, T Medina, OH 44256 Associates Mo-Fr - 8:00 AM - 4:00 PM

(330) 867-2240 P, R, RE, T Provider ID: 007357702001 Web address: www.therapyinmotion Ages: 0-99 NPI: 1063994747 llc.com 750 E Washington St Ste C3 Ages: 0-99 Medina, OH 44256

(330) 867-2240 P, R, RE, T Linick, Alison M, SLP, (F) Mo-Fr - 8:00 AM - 7:00 PM Group Name: Rehabcare Group Ages: 0-99 East Inc Provider ID: 007284472001 NPI: 1316486699 3864 Center Rd Ste B1 Brunswick, OH 44212

(330) 220-8950 P, R Ages: 0-99

546

Specialists Ohio - Medina

Mcdaniel, Molly M, SLP, (F) Schneider, Kelli L, SLP, (F) Thoracic Cardiovascular Surg Group Name: Rehabcare Group Group Name: Rehabcare Group Zadeh, Barry J, MD , (M), B East East Oh Group Name: Norwalk Cardiac Provider ID: 006380569001 Provider ID: 005925183001 Thoracic & Endo Thrps NPI: 1477718963 NPI: 1871817221 Provider ID: 001053848003 3864 Center Rd Ste B1 3864 Center Rd Ste B1 NPI: 1912924879 Brunswick, OH 44212 Brunswick, OH 44212 3591 Reserve Commons Dr (330) 220-8950 P, R (330) 220-8950 P, R Medina, OH 44256

Ages: 0-99 Ages: 0-99 (419) 668-1155 EB, P, R Mo-Fr - 8:00 AM - 4:00 PM Miller, Elizabeth J, SLP, (F) Sierschula, Jessica R, SLP, (F) Ages: 0-99 Group Name: Language Learning Group Name: Rehabcare Group Hospital Affiliations: Associates East Oh Bellevue Hospital Provider ID: 006638968001 Provider ID: 005933328001 Bucyrus Community Hospital NPI: 1932446499 NPI: 1205110160 Fisher-titus Medical Center 750 E Washington St Ste C3 3864 Center Rd Ste B1 Medina Hospital Medina, OH 44256 Brunswick, OH 44212 Mercy Hospital Of Willard (330) 952-0403 P, R, RE, T (330) 220-8950 P, R Galion Community Hospital Languages Spoken: Ages: 0-99 Provider: American Sign Language Thomas, Judith A, SLP, (F) Thoracic Surgery

Ages: 0-99 Group Name: Rehabcare Group Members may self-refer to these East Oh providers.

Mottershead, Sabrina, SLP, (F) Provider ID: 007396587001 Group Name: Language Learning NPI: 1942530092 Zadeh, Barry J, MD, (M) Associates 3864 Center Rd Ste B1 Group Name: Norwalk Cardiac Provider ID: 007511691001 Brunswick, OH 44212 Thoracic & Endo Thrps Provider ID: 001053848003 NPI: 1861040578 (330) 220-8950 P, R 750 E Washington St Ste C3 Ages: 0-99 NPI: 1912924879 Medina, OH 44256 3591 Reserve Commons Dr Medina, OH 44256 (330) 867-2240 P, R, RE, T Wolff, Stacy R, SLP, (F) Ages: 0-99 Group Name: Rehabcare Group (419) 668-1155 EB, P, R East Inc Mo-Fr - 8:00 AM - 4:00 PM Oneill, Amy, SLP, (F) Provider ID: 007117041001 Ages: 0-99 Group Name: Rehabcare Group 3864 Center Rd Ste B1 Hospital Affiliations: East Oh Brunswick, OH 44212 Bellevue Hospital Bucyrus Community Hospital Provider ID: 006373137002 (330) 220-8950 P, R NPI: 1023286333 Ages: 0-99 Fisher-titus Medical Center 3864 Center Rd Ste B1 Medina Hospital Brunswick, OH 44212 Mercy Hospital Of Willard Galion Community Hospital (330) 220-8950 P, R Ages: 0-99

547

Ohio - Medina Specialists

Akron General Medical Ctr Geller, Lawrence L, MD, (M), B Urology Cleveland Clinic Foundation Group Name: Summa Physicians

Members may self-refer to these Medina Hospital Provider ID: 001181356005 providers. Summa Barberton Citizens NPI: 1730101189

195 Wadsworth Rd Abouassaly, Robert, MD, (M), B Gangel, Michael G, MD, (M), B Wadsworth, OH 44281 Group Name: University Group Name: Cleveland Clinic (330) 374-1255 E, EB, G, IB, P, Hospitals Medical Group Foundation R, RE Provider ID: 003208265001 Provider ID: 003679625002 Ages: 0-99 NPI: 1285804526 NPI: 1346491818 Hospital Affiliations: 4001 Carrick Dr 225 Elyria St Ste 102 Robinson Memorial Hospital Medina, OH 44256 Lodi, OH 44254 Uh Portage Medical Center (216) 844-5661 EB, P, R (330) 948-5505 EB, P, R, RE, T Wadsworth Rittman Hospital Languages Spoken: Cultural Competency: Y Summa Health System Provider: French Ages: 0-99 Akron General Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Cleveland Clinic Foundation Cultural Competency: Y Akron General Medical Ctr Medina Hospital Ages: 0-99 Cleveland Clinic Foundation Summa Barberton Citizens Hospital Affiliations: Medina Hospital Uh Regional Hospital - Bedford Geller, Lawrence L, MD, (M), B Campus Gangel, Michael G, MD, (M), B Group Name: Summa Physicians Cleveland Clinic Foundation Group Name: Cleveland Clinic Provider ID: 001181356005 Fairview Hospital Foundation NPI: 1730101189 Euclid Hospital Provider ID: 003679625002 195 Wadsworth Rd Ste 301 Uh Regional Hospitals NPI: 1346491818 Wadsworth, OH 44281 St John Medical Center 970 E Washington St Ste 6 (330) 374-1255 E, EB, G, IB, P, Uh Cleveland Medical Center Medina, OH 44256 R, RE, S, T University Of Alabama Hospital (216) 444-5600 EB, P, R We - 7:30 AM - 4:30 PM Cultural Competency: Y Th - 1:00 PM - 4:00 PM Bologna, Raymond A, MD, (M), B Ages: 0-99 Ages: 0-99 Group Name: Cleveland Clinic Hospital Affiliations: Hospital Affiliations: Foundation Akron General Medical Ctr Robinson Memorial Hospital Provider ID: 001900532004 Cleveland Clinic Foundation Uh Portage Medical Center NPI: 1447226337 Medina Hospital Wadsworth Rittman Hospital 970 E Washington St Ste 6 Summa Health System Medina, OH 44256 Akron General Medical Ctr (216) 444-5600 EB, P, R Cleveland Clinic Foundation Cultural Competency: Y Medina Hospital Ages: 0-99 Summa Barberton Citizens Hospital Affiliations: Robinson Memorial Hospital Uh Portage Medical Center Wadsworth Rittman Hospital Summa Health System

548

Specialists Ohio - Medina Klatte, Paul A, MD, (M), B Spear, Kevin A, MD, (M), B Wegryn, John D, MD, (M), B Group Name: University Group Name: Summa Physicians Group Name: Cleveland Clinic Hospitals Medical Group Provider ID: 001421301004 Foundation Provider ID: 000035277008 NPI: 1780651687 Provider ID: 002072027004 NPI: 1124061106 195 Wadsworth Rd NPI: 1063489979 4001 Carrick Dr Wadsworth, OH 44281 970 E Washington St Ste 6

Medina, OH 44256 (330) 374-1255 E, EB, G, IB, P, Medina, OH 44256

(216) 844-1700 EB, P, R PL, R, RE, S, T (216) 444-5600 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cultural Competency: Y Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Web address: paul.klatte@uhhospita Robinson Memorial Hospital Hospital Affiliations: ls.org Uh Portage Medical Center Robinson Memorial Hospital Ages: 0-99 Wadsworth Rittman Hospital Uh Portage Medical Center Hospital Affiliations: Summa Health System Wadsworth Rittman Hospital Mercy Hosp Western Hills Akron General Medical Ctr Summa Health System Uh Cleveland Medical Center Medina Hospital Akron General Medical Ctr Good Samaritan Hospital Summa Barberton Citizens Cleveland Clinic Foundation Rainbow Babies & Childrens Medina Hospital Hosp Spear, Kevin A, MD, (M), B Summa Barberton Citizens Univ Hospitals Ahuja Med Ctr Group Name: Summa Physicians Provider ID: 001421301004 Kosdrosky, Martin, MD, (M), B NPI: 1780651687 Vascular Surgery

Group Name: Southwest Urology 195 Wadsworth Rd Ste 301 Members may self-refer to these Provider ID: 002242555002 Wadsworth, OH 44281 providers.

NPI: 1164490496 (330) 374-1255 E, EB, G, IB, P, 3647 Medina Rd R, RE, S, T Boyle, Kathleen, DO, (F), B Medina, OH 44256 Ages: 0-99 Group Name: Cleveland Clinic Foundation (330) 725-0600 P, PL, R, RE, T Hospital Affiliations: Mo-Fr - 8:30 AM - 5:00 PM Robinson Memorial Hospital Provider ID: 003495168004 Ages: 0-99 Uh Portage Medical Center NPI: 1285821744 Hospital Affiliations: Wadsworth Rittman Hospital 970 E Washington St Marymount Hospital Summa Health System Medina, OH 44256 Medina Hospital Akron General Medical Ctr (330) 725-1000 EB, P, R Southwest General Health Center Medina Hospital Cultural Competency: Y Uh Parma Medical Center Summa Barberton Citizens Ages: 0-99 University Hospitals Parma Hospital Affiliations: Medical Ctr Wooster Community Hospital Cleveland Clinic Foundation Fairview Hospital Lakewood Hospital Cleveland Clinic Lakewood Marymount Hospital Lutheran Hospital Medina Hospital

549

Ohio - Medina Specialists Kashyap, Vikram S, MD, (M), B Kirksey, Levester, MD, (M), B Defranco, Debra, NP, (F) Group Name: University Group Name: Cleveland Clinic Group Name: UPCP Hospitals Medical Group Foundation Provider ID: 005418946009 Provider ID: 002360964001 Provider ID: 002567279001 NPI: 1033531629 NPI: 1548227457 NPI: 1912916560 4001 Carrick Dr Ste 140 4001 Carrick Dr Ste 140 1000 E Washington St Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(440) 882-0075 E, RE, S, T (216) 844-3800 E, RE, S, T (330) 725-1000 EB, IB, P, R Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: St Vincent Charity Medical Center Hospital Affiliations: Cleveland Clinic Foundation Uh Parma Medical Center Uh Geauga Medical Center Penn Presbyterian Medical Center University Hospitals Parma University Hospitals Geauga Presbyterian Medical Center Medical Ctr Medical Ctr Medina Hospital Uh Regional Hospital - Bedford Fendrikova Mahlay, Natalia F, Campus Kirksey, Levester, MD, (M), B MD, (F), B Cleveland Clinic Foundation Group Name: Cleveland Clinic Group Name: Cleveland Clinic Uh Regional Hospitals Foundation Foundation Uh Cleveland Medical Center Provider ID: 002567279001 Provider ID: 003112641001 Uh Parma Medical Center NPI: 1912916560 NPI: 1396998233 University Hospitals Parma 970 E Washington St 970 E Washington St Medical Ctr Medina, OH 44256

Medina, OH 44256 (330) 725-1000 EB, P, R

(330) 721-5700 EB, P, R Kassavin, Daniel S, MD, (M), B Cultural Competency: Y Languages Spoken: Group Name: Cleveland Clinic Ages: 0-99 Provider: Ukrainian, Gujarati, Foundation Hospital Affiliations: Hindi, Marathi Provider ID: 003658292002 Cleveland Clinic Foundation Cultural Competency: Y NPI: 1144428103 Penn Presbyterian Medical Center Ages: 0-99 970 E Washington St Presbyterian Medical Center Hospital Affiliations: Medina, OH 44256 Medina Hospital

Cleveland Clinic Foundation (330) 725-1000 EB, P, R Cultural Competency: Y Plecha, Ferdinand M, MD, (M), B Ages: 0-99 Group Name: Vascular Hospital Affiliations: Consultants Cleveland Clinic Foundation Provider ID: 001388173001 Medina Hospital NPI: 1366402968 4065 Center Rd Ste 220 Brunswick, OH 44212

(330) 558-0070 EB, IB, P, R, RE, T Cultural Competency: Y Ages: 0-99

550

Specialists Hospital Affiliations: Medina Hospital Southwest General Health Center

Wong, Virginia L, MD, (F), B Group Name: University Hospitals Medical Group Provider ID: 002389147003 NPI: 1881612901 4001 Carrick Dr Ste 140 Medina, OH 44256

(330) 721-8482 E, RE, S, T Languages Spoken: Provider: French Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Uh Geneva Medical Center Uh Regional Hospitals University Hospitals Conneaut Medical Ce Uh Conneaut Medical Center Uh Cleveland Medical Center Univ Hospitals Ahuja Med Ctr

551

Ohio - Geauga Behavioral Health Providers

Behavioral Health Providers Lightner, Valerie A, MS, (F) Uh Cleveland Medical Center Ohio Group Name: Ravenwood Mental Areas of Expertise: A101, E020, Health Center P010 Geauga Provider ID: 007406401001

NPI: 1346861945 Adv Practice Reg Psych Np 12557 Ravenwood Dr Alcohol & Drug Counselor

Huffman, Jessica L, MA, (F) Chardon, OH 44024 Dee, Maureen E, LPC, (F) Group Name: University Primary (440) 285-3568 EB, G, IB, P, PL, Group Name: Catholic Charities Care Practices R, RE, S, T Corporation Provider ID: 005726631006 Ages: 0-99 Provider ID: 003094772001 NPI: 1376959239 NPI: 1649402801 13207 Ravenna Rd Redfern, Christina, MS, (F) 10771 Mayfield Rd Chardon, OH 44024 Group Name: Ravenwood Mental Chardon, OH 44024 Health Center (440) 285-6000 EB, P, R (440) 285-3537 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 007558782002 Languages Spoken: Ages: 0-99 NPI: 1740896273 Provider: Spanish Areas of Expertise: A060, A101, 12557 Ravenwood Dr Ages: 0-99 E010, E020, E060, E070, E090, Chardon, OH 44024 E115, E155, E160, E165, E205, (440) 285-3568 EB, G, IB, P, PL, Difilippo, Sarah M, MA, (F) E210, E235, E285, P010, P035 R, RE, S, T Group Name: Ohioguidestone Ages: 0-99 Provider ID: 003736629001 Kershaw, Lindsey J, MA, (F) Areas of Expertise: A060, E020, NPI: 1659602795 Group Name: University E025, E042, E055, E070, E085, 12480 Ravenwood Dr Hospitals Medical Group E160, E165, E170, E185, E190, Chardon, OH 44024 Provider ID: 004068238005 E198, E200, E205, E210, E230, (440) 234-2006 EB, P, R NPI: 1396168449 E235, E374, E377, E390 Ages: 0-99 8055 Mayfield Rd Ste 105 Chesterland, OH 44026 Turoczi, Timea F, MS, (F) Eish-Baltaoglu, Jenny, LPC, (F) Group Name: Genesis Counseling (440) 214-8026 EB, P, R Group Name: Ravenwood Mental Cultural Competency: Y Center Inc Health Center Ages: 0-99 Provider ID: 003200901007 Provider ID: 007282368001 Hospital Affiliations: NPI: 1497077572 NPI: 1972150761 Southwest General Health Center 17747 Chillicothe Rd Ste 105 12557 Ravenwood Dr Areas of Expertise: A060, E112, Chagrin Falls, OH 44023 Chardon, OH 44024 E160, P010, P030 (440) 543-8880 EB, P, R, RE, T (440) 285-3568 EB, G, IB, P, PL, Languages Spoken: R, RE, S, T Provider: Croatian, Hungarian, Ages: 0-99 Serbian Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: Uh Regional Hospital - Bedford Campus

552

Behavioral Health Providers Ohio - Geauga

Eish-Baltaoglu, Jenny, LPC, (F) Ashai, Ayesha, MD, (F), B Group Name: Ravenwood Mental Psychiatry Group Name: Ravenwood Mental

Health Center Prior authorization is required to Health Center Provider ID: 007282368001 obtain some covered services from Provider ID: 007052965001 NPI: 1972150761 these providers. You will not be NPI: 1174866800 12741 Ravenwood Dr covered for those services without 208 N Hambden St Chardon, OH 44024 such approval by UnitedHealthcare Chardon, OH 44024 (440) 285-8169 EB, P, R Community Plan. Please see your (440) 286-2588 EB, P, R Ages: 0-99 member handbook, or call Member Ages: 0-99 Services for details. Areas of Expertise: E017, E020,

Eish-Baltaoglu, Jenny, LPC, (F) E070, E090, E115, E160, E165, Group Name: Ravenwood Mental Ashai, Ayesha, MD, (F), B E180, E190, E198, E200, E230, Health Center Group Name: Ravenwood Mental E240, E285 Provider ID: 007282368001 Health Center NPI: 1972150761 Provider ID: 007052965001 Chen, Peijun, MD, (M), B 208 N Hambden St NPI: 1174866800 Group Name: University Chardon, OH 44024 12557 Ravenwood Dr Hospitals Medical Group Chardon, OH 44024 (440) 286-2588 EB, P, R Provider ID: 002984820002 Ages: 0-99 (440) 285-3568 EB, G, IB, P, PL, NPI: 1295746352 R, RE, S, T 13207 Ravenna Rd Eish-Baltaoglu, Jenny, LPC, (F) Ages: 0-99 Chardon, OH 44024 Areas of Expertise: E017, E020, Group Name: Ravenwood Mental (216) 844-2400 EB, P, R Health Center E070, E090, E115, E160, E165, Languages Spoken: Provider ID: 007282368001 E180, E190, E198, E200, E230, Provider: Chinese, Mandarin NPI: 1972150761 E240, E285 Mo-Fr - 8:00 AM - 4:30 PM 695 South St Cultural Competency: Y Chardon, OH 44024 Ashai, Ayesha, MD, (F), B Web address: http://www.uhhospital Group Name: Ravenwood Mental (440) 285-1631 E, EB, G, IB, P, s.org PL, R, RE, S, T Health Center Accepting Existing Patients Only Ages: 0-99 Provider ID: 007052965001 Ages: 0-99 NPI: 1174866800 Hospital Affiliations: 12741 Ravenwood Dr Uh Regional Hospitals Chardon, OH 44024 Areas of Expertise: MAT1, P035 (440) 285-8169 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Areas of Expertise: E017, E020, Provider ID: 002255988018 E070, E090, E115, E160, E165, NPI: 1326175183 E180, E190, E198, E200, E230, 13207 Revenna Rd E240, E285 Chardon, OH 44024

(440) 893-9393 EB, P, R Ages: 0-99

553

Ohio - Geauga Behavioral Health Providers Cleveland Clinic Foundation Cleveland Clinic Foundation Univ Hospitals Ahuja Med Ctr Provider ID: 002255988493 Provider ID: 002255988018 Areas of Expertise: E010, E020, NPI: 1326175183 NPI: 1326175183 E070, E090, E112, E115, E160, 17747 Chillecothe Rd Ste 100 8254 Mayfield Rd Ste 4 E165, E180, E185, E190, E200, Chagrin Falls, OH 44023 Chesterland, OH 44026 E205, MAT1, P010

(440) 543-8855 EB, P, R (216) 444-2200 EB, P, R Ages: 0-99 Ages: 0-99 Heather, John A, MD, (M) Group Name: University Cleveland Clinic Foundation Damis, Marina F, MD, (F), B Hospitals Medical Group Provider ID: 002255988018 Group Name: University Primary Provider ID: 001781724002 NPI: 1326175183 Care Practices NPI: 1689640880 17747 Chillicothe Rd Provider ID: 006167818001 13207 Ravenna Rd Chagrin Falls, OH 44023 NPI: 1881978781 Chardon, OH 44024

(440) 543-8855 EB, P, R, RE, T 13207 Ravenna Rd (440) 844-2400 EB, P, R Ages: 0-99 Chardon, OH 44024 Mo-Fr - 8:30 AM - 4:30 PM

(216) 844-2400 EB, P, R Accepting Existing Patients Only Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM Ages: 19-99 Provider ID: 002255988690 Ages: 0-99 Hospital Affiliations: NPI: 1326175183 Areas of Expertise: A050, E020, Uh Regional Hospitals 17747 Chillicothe Rd Ste 100 E060, E062, E070, E085, E095, Chagrin Falls, OH 44023 E115, E130, E160, E165, E168, Hottois, Michael D, MD, (M)

(440) 543-8855 EB, P, R E170, E185, E187, E190, E198, Group Name: Ohioguidestone Ages: 0-99 E200, E205, E210, E225, E230, Provider ID: 001393855001 E235, E240, E374, E377, E392, NPI: 1710027933 Cleveland Clinic Foundation P010 12480 Ravenwood Dr Provider ID: 002255988548 Chardon, OH 44024

NPI: 1326175183 Goldman, Sara G, MD, (F), B (440) 234-2006 EB, P, R 8254 Mayfield Rd Group Name: University Cultural Competency: Y Chesterland, OH 44026 Hospitals Medical Group Ages: 0-99

(440) 729-9000 EB, P, R Provider ID: 002223381003 Ages: 0-99 NPI: 1568558864 Jewish Family Service Association 13207 Ravenna Rd Provider ID: 000179861001 Cleveland Clinic Foundation Chardon, OH 44024 NPI: 1659445153

Provider ID: 002255988018 (216) 844-2400 EB, P, R 8185 Washington St Ste 2 NPI: 1326175183 Languages Spoken: Chagrin Falls, OH 44023 8254 Mayfield Rd Ste 1 Provider: Hebrew (440) 708-1555 Chesterland, OH 44026 Cultural Competency: Y Ages: 0-99

(440) 729-0100 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Uh Regional Hospital - Bedford Campus Uh Regional Hospitals Uh Cleveland Medical Center

554

Behavioral Health Providers Ohio - Geauga Jones-Wood Psychological Nagy, Ryan S, MD, (M) E373, E374, E375, E376, E377, Provider ID: 006747016001 Group Name: Unive E390, E394, P010 NPI: 1699190306 Urologists/Cleveland 9826 Washington St Provider ID: 003218522009 Northern Oh Medical Specialist Chagrin Falls, OH 44023 NPI: 1366603516 Provider ID: 002066903010

(440) 708-0188 EB, P, R, RE, T 13207 Ravenna Rd NPI: 1003044371 Ages: 0-99 Chardon, OH 44024 510 5th Ave

(440) 285-6000 E, EB, G, IB, P, Chardon, OH 44024

Lake Geauga Recovery Centers PL, R, RE, S, T (440) 286-4945 EB, IB, P, R, RE, Inc Mo-Fr - 8:30 AM - 4:30 PM T Provider ID: 006449908001 Accepting Existing Patients Only Ages: 0-99 NPI: 1750489779 Ages: 18-99 209 Center St Hospital Affiliations: Partners Physician Group Chardon, OH 44024 Uh Geauga Medical Center Provider ID: 001478152393

(440) 255-0678 EB, P, R University Hospitals Geauga NPI: 1992138028 Languages Spoken: Medical Ctr 17747 Chillicothe Rd Ste 100 Provider: Spanish Robinson Memorial Hospital Chagrin Falls, OH 44023

Ages: 0-99 Uh Portage Medical Center (440) 543-8855 EB, P, R Areas of Expertise: A021, A060, Childrens Hospital Med Ctr Akron Ages: 0-99 E010, E017, E020, E043, E060, The Toledo Hospital Areas of Expertise: E112 E062, E112, E115, E160, E280, Firelands Regional Medical Ctr E281, E285, E365, E398, P010, Fisher-titus Medical Center Rodio, James R, MD, (M), B P030 Areas of Expertise: E112, E160, Group Name: Ravenwood Mental MAT1 Health Center Lake Geauga Recovery Centers Provider ID: 002301291002 Inc Noffsinger, Stephen, MD, (M), B NPI: 1275614513 Provider ID: 006449908001 Group Name: University 12557 Ravenwood Dr NPI: 1750489779 Hospitals Medical Group Chardon, OH 44024

209 Center St Unit E Provider ID: 000977507002 (440) 285-3568 EB, G, IB, P, PL, Chardon, OH 44024 NPI: 1578669321 R, RE, S, T

(440) 255-0678 EB, P, R, RE, T 13207 Ravenna Rd Mo,We - 9:00 AM - 5:00 PM Languages Spoken: Chardon, OH 44024 Tu,Th - 9:00 AM - 8:00 PM

Provider: Spanish (216) 844-2400 EB, P, R Fr - 9:00 AM - 4:00 PM Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Areas of Expertise: A021, A060, Ages: 0-99 Ages: 0-99 E010, E017, E020, E043, E060, Areas of Expertise: E010, E015, Areas of Expertise: E020, E070, E062, E112, E115, E160, E280, E017, E020, E025, E055, E060, E112, E165, E170, E200, E210, E281, E285, E365, E398, P010, E062, E070, E075, E080, E085, MAT1, P010 P030 E090, E100, E105, E115, E120, E147, E150, E155, E160, E165, E170, E180, E185, E187, E190, E198, E200, E210, E215, E220, E225, E230, E235, E240, E285,

555

Ohio - Geauga Behavioral Health Providers Rodio, James R, MD, (M), B Rosenberg, Jennifer, MD, (F) Uh Geauga Medical Center Group Name: Ravenwood Mental Group Name: Ravenwood Mental University Hospitals Geauga Health Center Health Center Medical Ctr Provider ID: 002301291002 Provider ID: 001559025003 Uh Cleveland Medical Center NPI: 1275614513 NPI: 1184872087 16030 E High St 16030 E High St St Vincent Medical Group Middlefield, OH 44062 Middlefield, OH 44062 Provider ID: 001945275031

(440) 632-5355 EB, P, R (440) 632-5355 EB, P, R NPI: 1134119829 Mo,We - 9:00 AM - 5:00 PM Mo - 8:00 AM - 8:00 PM 150 7th Ave Tu,Th - 9:00 AM - 8:00 PM Fr - 8:00 AM - 5:00 PM Chardon, OH 44024

Fr - 9:00 AM - 4:00 PM Cultural Competency: Y (440) 746-1055 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E020, E070, St Vincent Medical Group E112, E165, E170, E200, E210, Shapiro, Eric J, MD, (M), B Provider ID: 001945275096 MAT1, P010 Group Name: University Primary NPI: 1134119829 Care Practices 150 7th Ave Ste 200 Rosenberg, Jennifer, MD, (F) Provider ID: 000852786001 Chardon, OH 44024

Group Name: Ravenwood Mental NPI: 1104825629 (440) 746-1055 EB, P, R, RE, T Health Center 8185 E Washington St Ste 160 Ages: 0-99 Provider ID: 001559025003 Chagrin Falls, OH 44023

NPI: 1184872087 (440) 708-1555 EB, P, R St Vincent Medical Group 12557 Ravenwood Dr Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 001945275073 Chardon, OH 44024 Cultural Competency: Y NPI: 1134119829

(440) 285-3568 EB, G, IB, P, PL, Ages: 0-99 8100 E Washington St R, RE, S, T Hospital Affiliations: Chagrin Falls, OH 44023

Mo - 8:00 AM - 8:00 PM Uh Geauga Medical Center (440) 543-6766 EB, P, R Fr - 8:00 AM - 5:00 PM University Hospitals Geauga Ages: 0-99 Cultural Competency: Y Medical Ctr Ages: 0-99 Uh Cleveland Medical Center Stansbrey, Robert J, MD, (M), B Areas of Expertise: E112 Group Name: University Shapiro, Eric J, MD, (M), B Hospitals Medical Group Group Name: University Primary Provider ID: 002162683003 Care Practices NPI: 1750301032 Provider ID: 000852786001 13207 Ravenna Rd NPI: 1104825629 Chardon, OH 44024

8185 Washington St Ste 2 (216) 844-2400 EB, P, R Chagrin Falls, OH 44023 Mo-Fr - 8:30 AM - 4:30 PM (440) 708-1555 Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Web address: http://www.uhhospital Cultural Competency: Y s.org Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Ages: 0-99

556

Behavioral Health Providers Ohio - Geauga Hospital Affiliations: Sundaram, Murali, MD, (M) University Hospitals Medical Uh Regional Hospitals Group Name: Cleveland Clinic Group Areas of Expertise: A010, A025, Foundation Provider ID: 003154419007 A070, E020, E025, E070, E075, Provider ID: 000811726001 NPI: 1669499414 E112, E160, E165 NPI: 1326005562 12496 Princeton Rd 17747 Chillicothe Rd Ste 100 Huntsburg, OH 44046

Steinberg, Joel, MD, (M), B Chagrin Falls, OH 44023 (440) 635-5567 E, EB, IB, P, PL,

Group Name: Ravenwood Mental (440) 543-8855 EB, P, R R, RE Health Center Ages: 0-99 Ages: 0-99 Provider ID: 006965880002 Hospital Affiliations: NPI: 1356566848 Wooster Community Hospital University Hospitals Medical 12557 Ravenwood Dr Anderson Hospital Group Chardon, OH 44024 Cleveland Clinic Foundation Provider ID: 003154419007

(440) 285-3568 EB, G, IB, P, PL, Hillcrest Hospital NPI: 1669499414 R, RE, S, T Fairview Hospital 13207 Ravenna Rd Mo - 8:00 AM - 7:00 PM Lakewood Hospital Chardon, OH 44024

Tu - 8:00 AM - 5:00 PM Cleveland Clinic Lakewood (216) 844-2400 EB, P, R We - 8:00 AM - 6:30 PM Euclid Hospital Ages: 0-99 Th,Fr - 8:00 AM - 4:00 PM Web address: www.ravenwoodhealt University Hospitals Medical University Hospitals Medical h.org Group Group Ages: 0-99 Provider ID: 003154419007 Provider ID: 003154419007 Areas of Expertise: MAT1 NPI: 1669499414 NPI: 1669499414 11307 Ravenna Rd 14095 E Center St Steinberg, Joel, MD, (M), B Chardon, OH 44024 Burton, OH 44021

Group Name: Ravenwood Mental (440) 285-9400 EB, P, R (440) 834-9822 EB, P, R Health Center Ages: 0-99 Ages: 0-99 Provider ID: 006965880002 NPI: 1356566848 University Hospitals Medical University Hospitals Medical 8251 Mayfield Rd Group Group Chesterland, OH 44026 Provider ID: 003154419007 Provider ID: 003154419007

(216) 504-0403 EB, P, R NPI: 1669499414 NPI: 1669499414 Ages: 0-99 12340 Bass Lake Rd 620 Water St Areas of Expertise: MAT1 Chardon, OH 44024 Chardon, OH 44024

(440) 285-4040 EB, P, R, RE, T (440) 285-9400 EB, P, R Ages: 0-99 Ages: 0-99

557

Ohio - Geauga Behavioral Health Providers University Hospitals Medical University Primary Care University Primary Care Group Practices Practices Provider ID: 003154419004 Provider ID: 000387283781 Provider ID: 000387283751 NPI: 1669499414 NPI: 1043461890 NPI: 1043461890 8055 Mayfield Rd Ste 105 13170 Ravenna Rd Ste 102 13207 Ravenna Rd Chesterland, OH 44026 Chardon, OH 44024 Chardon, OH 44024

(440) 214-8026 EB, P, R (440) 285-7256 EB, P, R (440) 285-6725 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283983 Provider ID: 000387283947 Provider ID: 000387283798 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 100 7th Ave Ste 111 13170 Ravenna Rd Ste 104 13207 Ravenna Rd Ste 1 Chardon, OH 44024 Chardon, OH 44024 Chardon, OH 44024

(440) 285-3133 EB, P, R (440) 285-9229 EB, P, R (440) 205-5870 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283926 Provider ID: 000387283862 Provider ID: 000387283613 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 11110 Kinsman Rd Ste 2 13170 Ravenna Rd Ste 112 13221 Ravenna Rd Ste 5 Newbury, OH 44065 Chardon, OH 44024 Chardon, OH 44024

(440) 564-7060 EB, P, R (440) 286-5050 E, EB, P, R (440) 286-9238 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283864 Provider ID: 000387283797 Provider ID: 000387283944 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 12340 Bass Lake Rd 13170 Ravenna Rd Ste 118 13221 Ravenna Rd Ste B Chardon, OH 44024 Chardon, OH 44024 Chardon, OH 44024

(440) 576-3219 EB, P, R (440) 285-9166 E, EB, G, IB, P, (216) 286-6155 EB, P, R Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Ages: 0-99

558

Behavioral Health Providers Ohio - Geauga University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283922 Provider ID: 000387283953 Provider ID: 000387283795 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 13241 Ravenna Rd Ste Peds 16030 E High St 8185 E Washington St Chardon, OH 44024 Middlefield, OH 44062 Chagrin Falls, OH 44023

(440) 285-9166 EB, P, R (440) 632-0770 EB, P, R (440) 786-9885 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283022 Provider ID: 000387283785 Provider ID: 000387283860 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 14095 E Center St 8055 Mayfield Rd 8185 E Washington St Ste 2 Burton, OH 44021 Chesterland, OH 44026 Chagrin Falls, OH 44023

(440) 834-1084 EB, P, R (440) 729-7824 EB, P, R (440) 543-3371 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283908 Provider ID: 000387283753 Provider ID: 000387283796 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 150 7th Ave Ste 110 8055 Mayfield Rd Ste 105 8185 E Washington St Ste 3 Chardon, OH 44024 Chesterland, OH 44026 Chagrin Falls, OH 44023

(440) 286-7337 EB, P, R (440) 729-3030 EB, P, R (440) 543-3627 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283802 Provider ID: 000387283837 Provider ID: 000387283861 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 15976 E High St 8055 Mayfield Rd Ste 107 8185 E Washington St Ste 8 Middlefield, OH 44062 Chesterland, OH 44026 Chagrin Falls, OH 44023

(440) 632-0408 EB, IB, P, R (440) 729-3644 EB, P, R (440) 708-1500 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

559

Ohio - Geauga Behavioral Health Providers

Erikson, Robert C, PHD, (M) Minnillo, Paul R, PHD, (M) Psychology Group Name: Humanistic Group Name: University Primary

Prior authorization is required to Counseling Center Care Practices obtain some covered services from Provider ID: 000989421001 Provider ID: 002999965004 these providers. You will not be NPI: 1376527325 NPI: 1306091384 covered for those services without 17800 Chillicothe Rd Ste 250-4 8055 Mayfield Rd Ste 105 such approval by UnitedHealthcare Chagrin Falls, OH 44023 Chesterland, OH 44026 Community Plan. Please see your (216) 839-2273 EB, P, R (440) 214-8027 EB, P, R member handbook, or call Member Cultural Competency: Y Cultural Competency: Y Services for details. Ages: 0-99 Ages: 0-99

Brown, Mark C, PHD, (M) Golden, Catherine, PHD, (F) Reardon, Robert E, PHD, (M) Group Name: Mark C Brown Phd Group Name: Jones-Wood Group Name: Reardon Robert E LLC Psychological Provider ID: 001788723001 Provider ID: 000039606002 Provider ID: 007333610001 NPI: 1124004957 NPI: 1215062625 NPI: 1649571449 152 N Pintail Dr 9781 Whisperwood Circle 9826 Washington St Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 (216) 870-4238 EB, P, R (440) 338-3214 EB, P, R (440) 708-0188 EB, P, R, RE, T Cultural Competency: Y Mo - 7:00 AM - 9:00 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Areas of Expertise: E010, E017, Ages: 0-99 E020, E025, E042, E055, E070, Areas of Expertise: A010, A025, E105, E115, E160, E165, E187, Social Worker - Licensed A050, A070, E010, E015, E017, E200, E205, E210, E240, P010, Alaburda, Brianne, MA E020, E025, E040, E055, E070, P013, P030, P035, P080 Group Name: Ravenwood Mental E075, E090, E112, E165, E170, Health Center E180, E190, E200, E205, E225, Harris, Elizabeth M, PHD, (F) Provider ID: 007626869001 E230, E235, E390, P010, P020, Group Name: Jones-Wood NPI: 1316141823 P030, P035 Psychological 12557 Ravenwood Dr Provider ID: 006274916002 Chardon, OH 44024 Denton, Robert, PHD, (M) NPI: 1043663651 (440) 285-3568 EB, G, IB, P, PL, Group Name: Ohioguidestone 9826 Washington St R, RE, S, T Provider ID: 006152163001 Chagrin Falls, OH 44023 Ages: 0-99 NPI: 1871952051 (440) 708-0188 EB, P, R, RE, T 12480 Ravenwood Dr Mo-Fr - 9:00 AM - 5:00 PM Chardon, OH 44024 Ages: 0-99 (440) 234-2006 EB, P, R Areas of Expertise: E010, E015, Ages: 0-99 E020, E025, E055, E070, E075, E110, E112, E115, E150, E165, E170, E187, E190, E200, E210, E215, E235, E240, E373, E374, E377, E385, E390, P010, P080

560

Behavioral Health Providers Ohio - Geauga Allgeier, Rebecca A, MS, (F) Cleveland Clinic Foundation Group Name: Humanistic Child And Adolescent Behavioral Provider ID: 002255988548 Counseling Center Health NPI: 1326175183 Provider ID: 001279426003 Provider ID: 005967619001 8254 Mayfield Rd NPI: 1942367347 NPI: 1831172576 Chesterland, OH 44026

17800 Chillicothe Rd Ste 250-4 8401 Chagrin Rd Ste 14b (440) 729-9000 EB, P, R Chagrin Falls, OH 44023 Chagrin Falls, OH 44023 Ages: 0-99

(216) 839-2273 EB, P, R (440) 543-3400 EB, P, R Cultural Competency: Y Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Provider ID: 002255988018 Cleveland Clinic Foundation NPI: 1326175183 Bencivenni, Kelly J, MA, (F) Provider ID: 002255988018 8254 Mayfield Rd Ste 1 Group Name: Family Pride Of NPI: 1326175183 Chesterland, OH 44026

Northeast Ohio 13207 Revenna Rd (440) 729-0100 EB, P, R Provider ID: 006633430001 Chardon, OH 44024 Ages: 0-99

NPI: 1184087702 (440) 893-9393 EB, P, R 695 South St Ste 6 Ages: 0-99 Cleveland Clinic Foundation Chardon, OH 44024 Provider ID: 002255988018

(440) 286-1553 EB, P, R, RE, S, Cleveland Clinic Foundation NPI: 1326175183 T Provider ID: 002255988493 8254 Mayfield Rd Ste 4 Mo - 8:00 AM - 6:00 PM NPI: 1326175183 Chesterland, OH 44026

Tu,We,Th - 8:00 AM - 7:00 PM 17747 Chillecothe Rd Ste 100 (216) 444-2200 EB, P, R Fr - 8:00 AM - 3:00 PM Chagrin Falls, OH 44023 Ages: 0-99

Ages: 0-99 (440) 543-8855 EB, P, R Ages: 0-99 Cobb, Talia, MA, (F) Boyle, Patrick E, MS, (M) Group Name: Crossroads Lake Group Name: Humanistic Cleveland Clinic Foundation County Adolescent Counseling Center Provider ID: 002255988018 Provider ID: 006873547002 Provider ID: 003665464001 NPI: 1326175183 NPI: 1841782059 NPI: 1174853055 17747 Chillicothe Rd 695 South St Ste 6 17800 Chillicothe Rd Ste 250-4 Chagrin Falls, OH 44023 Chardon, OH 44024

Chagrin Falls, OH 44023 (440) 543-8855 EB, P, R, RE, T (440) 286-1553 EB, P, R, RE, S,

(216) 839-2273 EB, P, R Ages: 0-99 T Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cernoia, Mark, MA, (M) Provider ID: 002255988018 Coon, Regina D, MA, (F) Group Name: Ohioguidestone NPI: 1326175183 Group Name: Ohioguidestone Provider ID: 006146939001 17747 Chillicothe Rd Ste 100 Provider ID: 006257907001 NPI: 1518366889 Chagrin Falls, OH 44023 NPI: 1881942985

12480 Ravenwood Dr (440) 543-8855 EB, P, R 12480 Ravenwood Dr Chardon, OH 44024 Ages: 0-99 Chardon, OH 44024

(440) 234-2006 EB, P, R (440) 234-2006 EB, P, R Ages: 0-99 Ages: 0-99

561

Ohio - Geauga Behavioral Health Providers Areas of Expertise: E112 Dials, Lesley M, MA, (F) Coons, Bethany F, MA, (F) Group Name: Family Pride Of Group Name: Ravenwood Mental Daugherty, Angela L, CSW, (F) Northeast Ohio Health Center Group Name: Family Pride Of Provider ID: 006633585001 Provider ID: 006910220002 Northeast Ohio NPI: 1417197302 NPI: 1669963831 Provider ID: 003590343001 695 South St Ste 6 12557 Ravenwood Dr NPI: 1770761926 Chardon, OH 44024

Chardon, OH 44024 695 South St (440) 286-1553 EB, P, R, RE, S,

(440) 285-3568 EB, G, IB, P, PL, Chardon, OH 44024 T

R, RE, S, T (440) 286-1553 E, EB, G, IB, P, Mo - 9:00 AM - 5:00 PM Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Coons, Bethany F, MA, (F) Diane Eden And Associates Inc Group Name: Ravenwood Mental Daugherty, Angela L, CSW, (F) Provider ID: 002402353007 Health Center Group Name: Family Pride Of NPI: 1760449813 Provider ID: 006910220002 Northeast Ohio 15985 E High St Ste 206 NPI: 1669963831 Provider ID: 003590343001 Middlefield, OH 44062

12741 Ravenwood Dr NPI: 1770761926 (440) 321-5947 EB, P, R Chardon, OH 44024 695 South St Ste 6 Ages: 0-99

(440) 285-8169 EB, P, R Chardon, OH 44024

Ages: 0-99 (440) 286-1553 EB, P, R, RE, S, Doolittle, Elizabeth L, RSW, (F) T Group Name: Ravenwood Mental Coons, Bethany F, MA, (F) Mo - 8:00 AM - 6:00 PM Health Center Group Name: Ravenwood Mental Tu,We,Th - 8:00 AM - 7:00 PM Provider ID: 007303313002 Health Center Fr - 8:00 AM - 3:00 PM NPI: 1558878132 Provider ID: 006910220002 Ages: 0-99 12557 Ravenwood Dr NPI: 1669963831 Chardon, OH 44024

208 N Hambden St Dee, Maureen E, LPC, (F) (440) 285-3568 EB, G, IB, P, PL, Chardon, OH 44024 Group Name: Catholic Charities R, RE, S, T

(440) 286-2588 EB, P, R Corporation Ages: 0-99 Ages: 0-99 Provider ID: 003094772001 NPI: 1649402801 Dudinsky, Ashley L, MA, (F) Cortes, Maximino, MSW, (M) 10771 Mayfield Rd Group Name: Family Pride Of Group Name: Catholic Charities Chardon, OH 44024 Northeast Ohio

Corporation (440) 285-3537 EB, P, R Provider ID: 006871829001 Provider ID: 005645393001 Languages Spoken: NPI: 1215484373 NPI: 1598013617 Provider: Spanish 695 South St Ste 6 10771 Mayfield Rd Ages: 0-99 Chardon, OH 44024

Chardon, OH 44024 (440) 286-1553 EB, P, R, RE, S,

(440) 285-3537 EB, P, R T Languages Spoken: Ages: 0-99 Provider: Spanish Ages: 0-99

562

Behavioral Health Providers Ohio - Geauga Ebersole, Rachel A, MA, (F) Hull, Susan H, MA, (F) Group Name: Ohioguidestone Green, Karen S, MS, (F) Group Name: Lake Geauga Provider ID: 006152203002 Group Name: Ohioguidestone Recovery Centers Inc NPI: 1073847315 Provider ID: 001747057002 Provider ID: 006630437001 12480 Ravenwood Dr NPI: 1780612093 NPI: 1871010785 Chardon, OH 44024 12480 Ravenwood Dr 209 Center St Unit E

(440) 234-2006 EB, P, R Chardon, OH 44024 Chardon, OH 44024

Ages: 0-99 (440) 234-2006 EB, P, R (440) 255-0678 EB, P, R, RE, T Cultural Competency: Y Ages: 0-99 Gahr, Susan A, MA, (F) Ages: 0-99 Areas of Expertise: E020, E070, Group Name: Ravenwood Mental Areas of Expertise: E010, E017, E112, E165, P010, P035 Health Center E020, E042, E050, E055, E062, Provider ID: 005302955001 E070, E080, E085, E090, E115, Humphrey, Rachel A, MA, (F) NPI: 1659629574 E155, E165, E185, E187, E198, Group Name: Family Pride Of 12557 Ravenwood Dr E200, E210, E377, E392, P010, Northeast Ohio Chardon, OH 44024 P035 Provider ID: 005392981001

(440) 285-3568 EB, G, IB, P, PL, NPI: 1740698810 R, RE, S, T Herbert, Linda A, MS, (F) 695 South St Mo-Th - 8:30 AM - 8:00 PM Group Name: Linda Herbert Chardon, OH 44024

Fr - 8:30 AM - 5:00 PM Counseling And Consulting (440) 286-1553 E, EB, G, IB, P, Sa - 8:00 AM - 12:00 PM Provider ID: 007386159001 PL, R, RE, S, T Cultural Competency: Y NPI: 1750546107 Ages: 0-99 Ages: 0-99 17534 Fairlawn Dr Chagrin Falls, OH 44023 Humphrey, Rachel A, MA, (F)

Gallagher, Emily B, MA, (F) (216) 319-1702 EB, P, R Group Name: Family Pride Of Group Name: Ohioguidestone Mo-Fr - 9:00 AM - 5:00 PM Northeast Ohio Provider ID: 006366877001 Ages: 0-99 Provider ID: 005392981001 NPI: 1871964981 Areas of Expertise: E017, E020, NPI: 1740698810 12480 Ravenwood Dr E042, E070, E085, E090, E112, 695 South St Ste 6 Chardon, OH 44024 E115, E155, E165, E180, E200, Chardon, OH 44024

(440) 234-2006 EB, P, R P010, P020, P035, P080 (440) 286-1553 EB, P, R, RE, S, Ages: 0-99 T Hoon, Megan E, MA, (F) Ages: 0-99 Gleason, Mary, LPC, (F) Group Name: Ohioguidestone Group Name: Ravenwood Mental Provider ID: 006152924001 Jewish Family Service Association Health Center NPI: 1750717542 Provider ID: 000179861001 Provider ID: 006853288001 12480 Ravenwood Dr NPI: 1659445153 NPI: 1578061727 Chardon, OH 44024 8185 Washington St Ste 2

12557 Ravenwood Dr (440) 234-2006 EB, P, R Chagrin Falls, OH 44023 Chardon, OH 44024 Ages: 0-99 (440) 708-1555

(440) 285-3568 EB, G, IB, P, PL, Ages: 0-99 R, RE, S, T Ages: 0-99

563

Ohio - Geauga Behavioral Health Providers Jones-Wood Psychological Lahiff, Rachel K, MA, (F) Lassen, Alena G, MA, (F) Provider ID: 006747016001 Group Name: Ohioguidestone Group Name: Womensafe Inc NPI: 1699190306 Provider ID: 006154829001 Provider ID: 007356162001 9826 Washington St NPI: 1790173151 NPI: 1801446588 Chagrin Falls, OH 44023 12480 Ravenwood Dr 12041 Ravenna Rd

(440) 708-0188 EB, P, R, RE, T Chardon, OH 44024 Chardon, OH 44024

Ages: 0-99 (440) 234-2006 EB, P, R (440) 286-7154 EB, P, R, RE, S, Ages: 0-99 T Karp, Tina C, CSW, (F) Ages: 0-99 Group Name: Ohioguidestone Lake Geauga Recovery Centers Provider ID: 003290456002 Inc Leonard, Cynthia J, MA, (F) NPI: 1356571582 Provider ID: 006449908001 Group Name: Ravenwood Mental 12480 Ravenwood Dr NPI: 1750489779 Health Center Chardon, OH 44024 209 Center St Provider ID: 007332602001

(440) 234-2006 EB, P, R Chardon, OH 44024 NPI: 1891009874

Ages: 0-99 (440) 255-0678 EB, P, R 12557 Ravenwood Dr Languages Spoken: Chardon, OH 44024

Kerfonta, Christina R, MA, (F) Provider: Spanish (440) 285-3568 EB, G, IB, P, PL, Group Name: Ohioguidestone Ages: 0-99 R, RE, S, T Provider ID: 006914542001 Areas of Expertise: A021, A060, Ages: 0-99 NPI: 1609369727 E010, E017, E020, E043, E060, Areas of Expertise: E112 12480 Ravenwood Dr E062, E112, E115, E160, E280, Chardon, OH 44024 E281, E285, E365, E398, P010, Licursi, Gina M, MA, (F)

(440) 260-8300 EB, P, R P030 Group Name: Womensafe Inc Ages: 0-99 Provider ID: 006682451001 Lake Geauga Recovery Centers NPI: 1891226411 King, Ashlee, MA, (F) Inc 12041 Ravenna Rd Group Name: Ravenwood Mental Provider ID: 006449908001 Chardon, OH 44024

Health Center NPI: 1750489779 (440) 286-7154 EB, P, R, RE, S, Provider ID: 007121753001 209 Center St Unit E T NPI: 1417406570 Chardon, OH 44024 Ages: 0-99

12557 Ravenwood Dr (440) 255-0678 EB, P, R, RE, T Chardon, OH 44024 Languages Spoken: Lightner, Valerie A, MS, (F)

(440) 285-3568 EB, G, IB, P, PL, Provider: Spanish Group Name: Ravenwood Mental R, RE, S, T Ages: 0-99 Health Center Ages: 0-99 Areas of Expertise: A021, A060, Provider ID: 007406401001 E010, E017, E020, E043, E060, NPI: 1346861945 E062, E112, E115, E160, E280, 12557 Ravenwood Dr E281, E285, E365, E398, P010, Chardon, OH 44024

P030 (440) 285-3568 EB, G, IB, P, PL, R, RE, S, T Ages: 0-99

564

Behavioral Health Providers Ohio - Geauga Love, Amanda M, MS, (F) Mendes, Shanon L, MA, (F) Noce, Kala, MA, (F) Group Name: Ravenwood Mental Group Name: Ohioguidestone Group Name: Ravenwood Mental Health Center Provider ID: 006154854001 Health Center Provider ID: 007401111001 NPI: 1366881690 Provider ID: 006948195001 NPI: 1144886706 12480 Ravenwood Dr NPI: 1811494636 12557 Ravenwood Dr Chardon, OH 44024 12557 Ravenwood Dr

Chardon, OH 44024 (440) 234-2006 EB, P, R Chardon, OH 44024

(440) 285-3568 EB, G, IB, P, PL, Ages: 0-99 (440) 285-3568 EB, G, IB, P, PL, R, RE, S, T R, RE, S, T Mo-Fr - 8:00 AM - 6:00 PM Mitchell, Robert A, MS, (M) Web address: www.ravenwoodhealt Ages: 0-99 Group Name: Catholic Charities h.org Corporation Ages: 0-99 Lucky, Ava T, MA, (F) Provider ID: 002267023001 Areas of Expertise: E112 Group Name: Catholic Charities NPI: 1073604922 Corporation 10771 Mayfield Rd Partners Physician Group Provider ID: 007288674001 Chardon, OH 44024 Provider ID: 001478152393

NPI: 1699313536 (440) 285-3537 EB, P, R NPI: 1992138028 602 South St Ste D Ages: 0-99 17747 Chillicothe Rd Ste 100 Chardon, OH 44024 Areas of Expertise: E085, E185, Chagrin Falls, OH 44023

(440) 843-5544 EB, IB, P, R, RE, E198, E200, E210, E320, E391, (440) 543-8855 EB, P, R S, T E398 Ages: 0-99 Web address: www.ccdocle.org Areas of Expertise: E112 Ages: 0-99 Moore, Mariah, MSW, (F) Group Name: Ravenwood Mental Phipps, Melanie D, RSW, (F) Marple, Jennifer L, MA, (F) Health Center Group Name: Family Pride Of Group Name: Ohioguidestone Provider ID: 007044525001 Northeast Ohio Provider ID: 006259069001 NPI: 1598201659 Provider ID: 002568737002 NPI: 1205293065 12557 Ravenwood Dr NPI: 1245743244 12480 Ravenwood Dr Chardon, OH 44024 695 South St Ste 6

Chardon, OH 44024 (440) 285-3568 EB, G, IB, P, PL, Chardon, OH 44024

(440) 234-2006 EB, P, R R, RE, S, T (440) 286-1553 EB, P, R, RE, S, Ages: 0-99 Ages: 0-99 T Ages: 0-99 Mckenna, Colleen A, MS, (F) Areas of Expertise: E112 Group Name: Catholic Charities Corporation Provider ID: 001206147002 NPI: 1194741132 10771 Mayfield Rd Chardon, OH 44024

(440) 285-3537 EB, P, R Ages: 0-99

565

Ohio - Geauga Behavioral Health Providers Regan, Marsha B, CSW, (F) St Vincent Medical Group Group Name: Humanistic Setlak Micheller, Diane K, CSW, Provider ID: 001945275073 Counseling Center (F) NPI: 1134119829 Provider ID: 003411102001 Group Name: Catholic Charities 8100 E Washington St NPI: 1679863823 Corporation Chagrin Falls, OH 44023

17800 Chillicothe Rd Ste 250-4 Provider ID: 003661033002 (440) 543-6766 EB, P, R Chagrin Falls, OH 44023 NPI: 1336488162 Ages: 0-99

(216) 839-2273 EB, P, R 10771 Mayfield Rd Ages: 0-99 Chardon, OH 44024 University Hospitals Medical

(440) 285-3537 EB, P, R Group Rose, Rachael, MA, (F) Ages: 0-99 Provider ID: 003154419007 Group Name: Ravenwood Mental Areas of Expertise: E165 NPI: 1669499414 Health Center 11307 Ravenna Rd Provider ID: 007057435001 Setlak Micheller, Diane K, CSW, Chardon, OH 44024

NPI: 1558844514 (F) (440) 285-9400 EB, P, R 12557 Ravenwood Dr Group Name: Catholic Charities Ages: 0-99 Chardon, OH 44024 Corporation

(440) 285-3568 EB, G, IB, P, PL, Provider ID: 003661033002 University Hospitals Medical R, RE, S, T NPI: 1336488162 Group Ages: 0-99 602 South St Ste D Provider ID: 003154419007 Chardon, OH 44024 NPI: 1669499414

Schwall, Trevor, MA, (M) (440) 285-3537 EB, IB, P, R, RE, 12340 Bass Lake Rd Group Name: Family Pride Of S, T Chardon, OH 44024

Northeast Ohio Ages: 0-99 (440) 285-4040 EB, P, R, RE, T Provider ID: 007276189001 Areas of Expertise: E165 Ages: 0-99 NPI: 1548735194 695 South St Ste 6 St Vincent Medical Group University Hospitals Medical Chardon, OH 44024 Provider ID: 001945275031 Group

(440) 286-1553 EB, P, R, RE, S, NPI: 1134119829 Provider ID: 003154419007 T 150 7th Ave NPI: 1669499414 Web address: www.familyprideonli Chardon, OH 44024 12496 Princeton Rd

ne.org (440) 746-1055 EB, P, R Huntsburg, OH 44046

Ages: 0-99 Ages: 0-99 (440) 635-5567 E, EB, IB, P, PL, R, RE Sestito, Joseph, MS, (F) St Vincent Medical Group Ages: 0-99 Group Name: Humanistic Provider ID: 001945275096 Counseling Center NPI: 1134119829 Provider ID: 003356001001 150 7th Ave Ste 200 NPI: 1083901920 Chardon, OH 44024

17800 Chillicothe Rd Ste 250-4 (440) 746-1055 EB, P, R, RE, T Chagrin Falls, OH 44023 Ages: 0-99

(216) 839-2273 EB, P, R Ages: 0-99

566

Behavioral Health Providers Ohio - Geauga University Hospitals Medical University Primary Care University Primary Care Group Practices Practices Provider ID: 003154419004 Provider ID: 000387283983 Provider ID: 000387283947 NPI: 1669499414 NPI: 1043461890 NPI: 1043461890 13207 Ravenna Rd 100 7th Ave Ste 111 13170 Ravenna Rd Ste 104 Chardon, OH 44024 Chardon, OH 44024 Chardon, OH 44024

(216) 844-2400 E, EB, G, IB, P, (440) 285-3133 EB, P, R (440) 285-9229 EB, P, R PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 University Primary Care University Primary Care University Hospitals Medical Practices Practices Group Provider ID: 000387283926 Provider ID: 000387283862 Provider ID: 003154419007 NPI: 1043461890 NPI: 1043461890 NPI: 1669499414 11110 Kinsman Rd Ste 2 13170 Ravenna Rd Ste 112 14095 E Center St Newbury, OH 44065 Chardon, OH 44024

Burton, OH 44021 (440) 564-7060 EB, P, R (440) 286-5050 E, EB, P, R

(440) 834-9822 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 University Primary Care University Primary Care University Hospitals Medical Practices Practices Group Provider ID: 000387283864 Provider ID: 000387283797 Provider ID: 003154419007 NPI: 1043461890 NPI: 1043461890 NPI: 1669499414 12340 Bass Lake Rd 13170 Ravenna Rd Ste 118 620 Water St Chardon, OH 44024 Chardon, OH 44024

Chardon, OH 44024 (440) 576-3219 EB, P, R (440) 285-9166 E, EB, G, IB, P,

(440) 285-9400 EB, P, R Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Ages: 0-99 University Primary Care University Hospitals Medical Practices University Primary Care Group Provider ID: 000387283781 Practices Provider ID: 003154419004 NPI: 1043461890 Provider ID: 000387283751 NPI: 1669499414 13170 Ravenna Rd Ste 102 NPI: 1043461890 8055 Mayfield Rd Ste 105 Chardon, OH 44024 13207 Ravenna Rd

Chesterland, OH 44026 (440) 285-7256 EB, P, R Chardon, OH 44024

(440) 214-8026 EB, P, R Ages: 0-99 (440) 285-6725 EB, P, R Ages: 0-99 Ages: 0-99

567

Ohio - Geauga Behavioral Health Providers University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283798 Provider ID: 000387283022 Provider ID: 000387283785 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 13207 Ravenna Rd Ste 1 14095 E Center St 8055 Mayfield Rd Chardon, OH 44024 Burton, OH 44021 Chesterland, OH 44026

(440) 205-5870 EB, P, R (440) 834-1084 EB, P, R (440) 729-7824 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283613 Provider ID: 000387283908 Provider ID: 000387283753 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 13221 Ravenna Rd Ste 5 150 7th Ave Ste 110 8055 Mayfield Rd Ste 105 Chardon, OH 44024 Chardon, OH 44024 Chesterland, OH 44026

(440) 286-9238 EB, P, R (440) 286-7337 EB, P, R (440) 729-3030 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283944 Provider ID: 000387283802 Provider ID: 000387283837 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 13221 Ravenna Rd Ste B 15976 E High St 8055 Mayfield Rd Ste 107 Chardon, OH 44024 Middlefield, OH 44062 Chesterland, OH 44026

(216) 286-6155 EB, P, R (440) 632-0408 EB, IB, P, R (440) 729-3644 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283922 Provider ID: 000387283953 Provider ID: 000387283795 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 13241 Ravenna Rd Ste Peds 16030 E High St 8185 E Washington St Chardon, OH 44024 Middlefield, OH 44062 Chagrin Falls, OH 44023

(440) 285-9166 EB, P, R (440) 632-0770 EB, P, R (440) 786-9885 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

568

Behavioral Health Providers Ohio - Lake University Primary Care Wetherwax, Colleen M, CSW, (F) Lake Practices Group Name: Ravenwood Mental

Provider ID: 000387283860 Health Center NPI: 1043461890 Provider ID: 006885030001 Addiction Medicine

8185 E Washington St Ste 2 NPI: 1669820734 Please contact the Ohio Department Chagrin Falls, OH 44023 12557 Ravenwood Dr of Mental Health and Addiction (440) 543-3371 EB, P, R Chardon, OH 44024 Services (ODMHA) certified Ages: 0-99 (440) 285-3568 EB, G, IB, P, PL, treatment centers directly, at the R, RE, S, T telephone numbers listed, for University Primary Care Ages: 0-99 information regarding scheduling Practices appointments and walk-in Provider ID: 000387283796 Womack, Delores T, LPN, (F) availability.

NPI: 1043461890 Group Name: Coleman 8185 E Washington St Ste 3 Professional Services Inc Defranco, Richard J, MD, (M) Chagrin Falls, OH 44023 Provider ID: 006663787003 Group Name: Signature Health Inc (440) 543-3627 EB, P, R NPI: 1972806412 Ages: 0-99 14095 E Center St Provider ID: 001560000002 Burton, OH 44021 NPI: 1023213105 38882 Mentor Ave University Primary Care (330) 253-4597 EB, P, R Practices Ages: 0-99 Willoughby, OH 44094 Provider ID: 000387283861 (440) 953-9999 EB, P, R NPI: 1043461890 Ages: 0-99 8185 E Washington St Ste 8 Social Worker - Registered Areas of Expertise: E112, MAT1 Chagrin Falls, OH 44023 Doolittle, Elizabeth L, RSW, (F) Parran, Theodore V, MD, (M), B (440) 708-1500 EB, P, R Group Name: Ravenwood Mental Ages: 0-99 Health Center Group Name: Gma Consultants Provider ID: 007303313002 Inc Vanscoyoc, Karen L, MA, (F) NPI: 1558878132 Provider ID: 000169625001 Group Name: Ravenwood Mental 12557 Ravenwood Dr NPI: 1811974348 Health Center Chardon, OH 44024 35900 Euclid Ave Willoughby, OH 44094 Provider ID: 007130839002 (440) 285-3568 EB, G, IB, P, PL, NPI: 1225536014 R, RE, S, T (440) 953-3000 EB, P, R 12557 Ravenwood Dr Ages: 0-99 Languages Spoken: Chardon, OH 44024 Provider: Ukrainian Mo-Fr - 9:00 AM - 5:00 PM (440) 285-3568 EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Lutheran Hospital St Vincent Charity Medical Center Areas of Expertise: A021, E112, E160, MAT1

569

Ohio - Lake Behavioral Health Providers

Bissett, Julia A, MS, (F) Gessler, Tonya M, MS, (F) Adv Practice Reg Psych Np Group Name: Signature Health Group Name: Tms Center Adamo, John J, MSN , (M) Provider ID: 004262294003 Willoughby Group Name: New Directions NPI: 1730421322 Provider ID: 006633505003 Provider ID: 003456010005 38882 Mentor Ave NPI: 1396255865 NPI: 1619249000 Willoughby, OH 44094 35900 Euclid Ave 35104 Euclid Ave Ste 300 (440) 953-9999 EB, P, R Willoughby, OH 44094 Willoughby, OH 44094 Cultural Competency: Y (855) 940-4867 EB, P, R

(216) 591-0324 EB, P, R, RE, T Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Areas of Expertise: E112 Ages: 0-99 Cultural Competency: Y Areas of Expertise: A060, A101, Web address: www.newdirect.org Bissett, Julia A, MS, (F) E020, E025, E042, E160, P010 Ages: 0-99 Group Name: Signature Health Hospital Affiliations: Provider ID: 004262294003 Gotfryd, Esther B, MA, (F) Fairview Hospital NPI: 1730421322 Group Name: Signature Health Uh Cleveland Medical Center 462 Chardon St Provider ID: 005552535002 Areas of Expertise: A010, A025, Painesville, OH 44077 NPI: 1508245218 A060, E017, E020, E025, E070, (440) 953-9999 EB, P, R 38882 Mentor Ave E112, E115, E160, E165, E170, Cultural Competency: Y Willoughby, OH 44094 E200, E210, E287, E320, E398 Ages: 0-99 (440) 953-9999 EB, P, R Areas of Expertise: E112 Ages: 0-99 Adamo, John J, MSN, (M) Areas of Expertise: A060, A101, Group Name: Crossroads Lake Forte Sullen, Kara, MS, (F) E112, E160, P010, P013, P035, County Adolescent Group Name: Rakesh Ranjan Md P080 Provider ID: 003456010004 And Assoc NPI: 1619249000 Provider ID: 007263150003 Grippi, Patricia A, NP, (F) 8445 Munson Rd NPI: 1083180129 Group Name: Signature Health Mentor, OH 44060 8532 Mentor Ave Inc (440) 255-1700 EB, P, R, RE, S, Mentor, OH 44060 Provider ID: 002970530002 T (440) 205-1008 EB, RE, S, T NPI: 1972632529 Cultural Competency: Y Cultural Competency: Y 38882 Mentor Ave Ages: 0-99 Ages: 0-99 Willoughby, OH 44094 Hospital Affiliations: Areas of Expertise: A060, E020, (440) 953-9999 EB, P, R Fairview Hospital E042, E055, E070, E115, E160, Ages: 0-99 Uh Cleveland Medical Center E165, E168, E170, E185, E210, Areas of Expertise: A050, A060, Areas of Expertise: A010, A025, E377, P010, P035 E010, E017, E020, E065, E070, A060, E017, E020, E025, E070, E085, E112, E115, E130, E155, E112, E115, E160, E165, E170, E160, E165, E170, E180, E185, E200, E210, E287, E320, E398 E200, E210, E225, P010, P020

570

Behavioral Health Providers Ohio - Lake Hain, Jamie M, MS, (F) E185, E200, E210, P010 Raimey, Deirdre D, MA, (F) Group Name: Coleman Group Name: Cleveland Clinic Professional Services Inc Mgbudem, Nneka F, FNP, (F) Foundation Provider ID: 002262342004 Group Name: Applegate Provider ID: 003190560002 NPI: 1477567063 Recovery NPI: 1285953208 8445 Munson Rd Provider ID: 007276992003 2785 Som Center Rd Mentor, OH 44060 NPI: 1770895377 Willoughby Hills, OH 44094

(440) 255-1700 EB, P, R, RE, S, 36001 Euclid Ave Ste B1 (440) 602-8601 E, EB, G, IB, P, T Willoughby, OH 44094 PL, R, RE, S, T

Cultural Competency: Y (440) 336-8465 EB, IB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Web address: http://www.cleveland Areas of Expertise: A010, A025, clinic.org A050, A060, A070, E010, E020, Nosanchuk, Bernard L, MS, (M) Ages: 0-99 E025, E070, E085, E112, E160, Group Name: Signature Health Hospital Affiliations: E165, E185, E190, E210, E215, Inc Metrohealth Medical Center E240, P010 Provider ID: 003129244001 Cleveland Clinic Foundation NPI: 1679709505 Areas of Expertise: E020, E070, Henderson, Lashelle S, MS, (F) 38882 Mentor Ave E112, E160, E165 Group Name: Lake Health Allied Willoughby, OH 44094

Health Professionals (440) 953-9999 EB, P, R Sanders, Kimberly A, MS, (F) Provider ID: 005630293008 Ages: 0-99 Group Name: Laurelwood NPI: 1831302264 Associates 36000 Euclid Ave Rafferty, Dianne M, NP, (F) Provider ID: 002031742007 Willoughby, OH 44094 Group Name: The Family NPI: 1760762405

(440) 953-9600 E, EB, G, IB, P, Planning Assoc 35900 Euclid Ave PL, R, RE, S, T Provider ID: 002589246002 Willoughby, OH 44094

Ages: 0-99 NPI: 1861474892 (440) 953-3000 EB, P, R Areas of Expertise: A060, E017, 89 Chester St Cultural Competency: Y E020, E025, E042, E070, E165, Painesville, OH 44077 Ages: 0-99

E285, E377, P010, P013, P080 (440) 352-0608 E, EB, IB, P, R, Hospital Affiliations: RE, S, T Grandview Hospital Krause, Robin V, MA, (F) Mo,Th - 10:30 AM - 7:00 PM St Elizabeth Healthcare Group Name: Signature Health Tu,We,Fr - 8:30 AM - 5:00 PM Atrium Medical Center Inc Ages: 13-70 Areas of Expertise: E112 Provider ID: 002538529001 NPI: 1659401214 38882 Mentor Ave Willoughby, OH 44094

(440) 953-9999 EB, P, R Ages: 0-99 Areas of Expertise: A060, E010, E017, E020, E025, E070, E090, E112, E115, E160, E165, E170,

571

Ohio - Lake Behavioral Health Providers Sanders, Kimberly A, MS, (F) Stephenson, Leighanna K, MS, Areas of Expertise: A101, E020, Group Name: Crossroads Lake (F) MAT1, P010 County Adolescent Group Name: Signature Health Provider ID: 002031742006 Provider ID: 006887174001 Young, Kimberly W, MS, (F) NPI: 1760762405 NPI: 1053801589 Group Name: Applegate 8445 Munson Rd 38882 Mentor Ave Recovery Mentor, OH 44060 Willoughby, OH 44094 Provider ID: 007577510001

(440) 255-1700 EB, P, R, RE, S, (440) 953-9999 EB, P, R NPI: 1013533553 T Ages: 0-99 36001 Euclid Ave Ste B1 Mo-Th - 8:00 AM - 5:00 PM Willoughby, OH 44094

Cultural Competency: Y Turoczi, Timea F, MS, (F) (440) 336-8465 EB, IB, P, R Ages: 0-99 Group Name: Signature Health Ages: 0-99 Hospital Affiliations: Provider ID: 003200901004 Grandview Hospital NPI: 1497077572 St Elizabeth Healthcare 38882 Mentor Ave Alcohol & Drug Counselor Atrium Medical Center Willoughby, OH 44094 Dee, Maureen E, LPC, (F) Areas of Expertise: E112, MAT1 (440) 953-9999 EB, P, R Group Name: Catholic Charities Languages Spoken: Corporation Sanders, Kimberly A, MS, (F) Provider: Croatian, Hungarian, Provider ID: 003094772001 Group Name: Crossroads Lake Serbian NPI: 1649402801 County Adolescent Ages: 0-99 8 N State St Ste 455 Provider ID: 002031742006 Hospital Affiliations: Painesville, OH 44077

NPI: 1760762405 Uh Regional Hospital - Bedford (440) 352-6191 EB, IB, P, R 9220 Mentor Ave Campus Languages Spoken: Mentor, OH 44060 Uh Cleveland Medical Center Provider: Spanish (440) 354-9924 E, RE, S, T Areas of Expertise: E020, MAT1, Ages: 0-99 Cultural Competency: Y P010 Ages: 0-99 Fairchild, Tracey L, MA, (F) Hospital Affiliations: Turoczi, Timea F, MS, (F) Group Name: Crossroads Lake Grandview Hospital Group Name: Signature Health County Adolescent St Elizabeth Healthcare Provider ID: 003200901006 Provider ID: 007047623001 Atrium Medical Center NPI: 1497077572 NPI: 1710406475 9220 Mentor Ave 8445 Munson Rd Sikaffy, Carlos N, MS Mentor, OH 44060 Mentor, OH 44060

Group Name: Signature Health (440) 639-3509 E, RE, S, T (440) 255-1700 EB, P, R, RE, S, Provider ID: 007592056001 Languages Spoken: T NPI: 1841886264 Provider: Croatian, Hungarian, Ages: 0-99 462 Chardon St Serbian Areas of Expertise: E112 Painesville, OH 44077 Ages: 0-99

(440) 578-8200 EB, P, R Hospital Affiliations: Ages: 0-99 Uh Regional Hospital - Bedford Campus Uh Cleveland Medical Center

572

Behavioral Health Providers Ohio - Lake Frank, Keith, LPC, (M) Jerson, Joann S, MA, (F) Lewis, Lana D, MA, (F) Group Name: Signature Health Group Name: Signature Health Group Name: Lake Geauga Inc Provider ID: 006849185002 Recovery Centers Inc Provider ID: 007358889002 NPI: 1669963815 Provider ID: 006631864001 NPI: 1588225569 462 Chardon St NPI: 1407385883 38882 Mentor Ave Painesville, OH 44077 9083 Mentor Ave

Willoughby, OH 44094 (440) 953-9999 EB, P, R Mentor, OH 44060

(440) 578-8200 EB, P, R Ages: 0-99 (440) 255-0678 EB, P, R, RE, S, Ages: 0-99 Areas of Expertise: E112 T Ages: 0-99 Hawkins, Altovise R, MA, (F) Johnson, Christopher, LPC, (M) Group Name: Signature Health Group Name: Lake Health Stenger, Jeremy C, LPC, (M) Provider ID: 007084101001 Provider ID: 007201797002 Group Name: Alliant Treatment NPI: 1871006015 NPI: 1962055681 Center 38882 Mentor Ave 36000 Euclid Ave Provider ID: 007296142001 Willoughby, OH 44094 Willoughby, OH 44094 NPI: 1588211072

(440) 953-9999 EB, P, R (440) 953-9600 E, EB, G, IB, P, 8030 Barberry Hill Dr Ages: 0-99 PL, R, RE, S, T Mentor, OH 44060

Ages: 0-99 (440) 478-6686 EB, P, R Hawkins, Altovise R, MA, (F) Ages: 0-99 Group Name: Signature Health Kissig, Samantha, LPC, (F) Provider ID: 007084101001 Group Name: Crossroads Lake NPI: 1871006015 County Adolescent Neuropsychology 462 Chardon St Provider ID: 007085326001 Gaw, Catherine A, PHD, (F) Painesville, OH 44077 NPI: 1558710087 Group Name: Cleveland Clinic (440) 953-9999 EB, P, R 8445 Munson Rd Foundation Ages: 0-99 Mentor, OH 44060 Provider ID: 001951149001 (440) 255-1700 EB, P, R, RE, S, NPI: 1275632960 Jerson, Joann S, MA, (F) T 2570 Som Center Rd Group Name: Signature Health Ages: 0-99 Willoughby Hills, OH 44094

Provider ID: 006849185002 (440) 943-2500 EB, P, R NPI: 1669963815 Lewis, Lana D, MA, (F) Ages: 0-99 38882 Mentor Ave Group Name: Lake Geauga Hospital Affiliations: Willoughby, OH 44094 Recovery Centers Inc Cleveland Clinic Foundation (440) 953-9999 EB, P, R Provider ID: 006631864001 Ages: 0-99 NPI: 1407385883 Areas of Expertise: E112 134 S Saint Clair St Painesville, OH 44077

(440) 255-0678 EB, P, R, RE, T Ages: 0-99

573

Ohio - Lake Behavioral Health Providers

Gaw, Catherine A, PHD, (F) Simmons, Jean R, PHD, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Psychiatry

Foundation Foundation Prior authorization is required to Provider ID: 001951149001 Provider ID: 001946668001 obtain some covered services from NPI: 1275632960 NPI: 1447341599 these providers. You will not be 2570 Som Center Rd Ste 210 2570 Som Center Rd Ste 210 covered for those services without Willoughby Hills, OH 44094 Willoughby Hills, OH 44094 such approval by UnitedHealthcare (440) 943-2500 (440) 943-2500 Community Plan. Please see your Ages: 0-99 Cultural Competency: Y member handbook, or call Member Hospital Affiliations: Ages: 0-99 Services for details.

Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Adasofunjo, Oluwabukola P, MD, Gaw, Catherine A, PHD, (F) Areas of Expertise: E020, E070, (F) Group Name: Cleveland Clinic E112, E155, E165 Group Name: Signature Health Foundation Provider ID: 007343145001 Provider ID: 001951149001 NPI: 1114360666 NPI: 1275632960 Nurse Prac - Mental Health 38882 Mentor Ave 2785 Som Center Rd Grippi, Patricia A, NP, (F) Willoughby, OH 44094 Willoughby Hills, OH 44094 Group Name: Signature Health (440) 578-8200 EB, P, R Ages: 0-99 (800) 223-2273 E, EB, G, IB, P, Inc PL, R, RE, S, T Provider ID: 002970530002 Ages: 0-99 NPI: 1972632529 Ahmed, Mohammed M, MD, (M) Hospital Affiliations: 38882 Mentor Ave Group Name: Laurelwood Cleveland Clinic Foundation Willoughby, OH 44094 Associates Inc Provider ID: 003037351011 (440) 953-9999 EB, P, R Simmons, Jean R, PHD, (F) Ages: 0-99 NPI: 1679676274 Group Name: Cleveland Clinic Areas of Expertise: A050, A060, 35900 Euclid Ave Foundation E010, E017, E020, E065, E070, Willoughby, OH 44094 Provider ID: 001946668001 E085, E112, E115, E130, E155, (440) 953-3000 EB, P, R NPI: 1447341599 E160, E165, E170, E180, E185, Languages Spoken: 2570 Som Center Rd E200, E210, E225, P010, P020 Provider: Bengali Willoughby Hills, OH 44094 Cultural Competency: Y Web address: www.windsorlaurewo (440) 943-2500 EB, IB, P, R, RE, T od.com Cultural Competency: Y Ages: 0-99 Web address: http://www.cleveland Areas of Expertise: A050, E020, clinic.org E070, E112, E160, E165, E168, Ages: 0-99 P010 Hospital Affiliations: Cleveland Clinic Foundation Areas of Expertise: E020, E070, E112, E155, E165

574

Behavioral Health Providers Ohio - Lake Ajlouny, Phillip J, MD, (M) Cleveland Clinic Foundation Group Name: Signature Health Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 007099263001 Provider ID: 002255988018 NPI: 1326175183 NPI: 1972946903 NPI: 1326175183 2570 Som Center Rd Ste Wh10 38882 Mentor Ave 2550 Som Center Rd Willoughby Hills, OH 44094

Willoughby, OH 44094 Willoughby Hills, OH 44094 (440) 943-2500 EB, P, R

(440) 953-9999 EB, P, R (404) 943-2500 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Ajlouny, Phillip J, MD, (M) Cleveland Clinic Foundation Provider ID: 002255988634 Group Name: Signature Health Provider ID: 002255988018 NPI: 1326175183 Provider ID: 007099263001 NPI: 1326175183 2570 Som Center Rd Wh10 NPI: 1972946903 2550 Som Center Rd Ste 100 Willoughby Hills, OH 44094

462 Chardon St Willoughby Hills, OH 44094 (440) 943-2500 EB, P, R

Painesville, OH 44077 (440) 943-2550 EB, P, R Ages: 0-99

(440) 953-9999 EB, P, R Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Applewood Centers Provider ID: 002255988591 NPI: 1326175183 Provider ID: 001817633005 NPI: 1326175183 2620 Hubbard Rd NPI: 1780652966 2550 Som Center Rd Ste 103 Madison, OH 44057

8351 Mentor Ave Willoughby Hills, OH 44094 (440) 428-1111 EB, P, R

Mentor, OH 44060 (440) 943-2500 EB, P, R Ages: 0-99

(216) 410-2070 RE, T Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Bergman, Alf H, MD, (M), B Provider ID: 002255988588 NPI: 1326175183 Group Name: Laurelwood NPI: 1326175183 2711 Hubbard Rd Associates 2550 Som Center Rd Ste 330 Madison, OH 44057

Provider ID: 003118774008 Willoughby Hills, OH 44094 (440) 428-1111 EB, P, R

NPI: 1063469112 (440) 943-2500 EB, P, R Ages: 0-99 35900 Euclid Ave Ages: 0-99 Willoughby, OH 44094 Cleveland Clinic Foundation

(440) 953-3000 EB, P, R Cleveland Clinic Foundation Provider ID: 002255988001 Languages Spoken: Provider ID: 002255988018 NPI: 1326175183 Provider: Spanish, German, NPI: 1326175183 2785 Som Center Rd Swedish 2570 Som Center Rd Willoughby Hills, OH 44094

Cultural Competency: Y Willoughby Hills, OH 44094 (440) 602-8601 E, EB, G, IB, P,

Web address: www.windsorlaurewo (440) 943-2500 EB, P, R PL, R, RE, S, T od.com Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E020, E070, E112, E170, P010, P035

575

Ohio - Lake Behavioral Health Providers Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988583 Provider ID: 002255988431 Provider ID: 002255988001 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 29017 Chardon Rd 34500 Chardon Rd Ste 6 7060 Wayside Dr Willoughby Hills, OH 44092 Willoughby Hills, OH 44094 Mentor, OH 44060

(440) 516-5500 EB, P, R (440) 386-4200 EB, P, R (440) 357-2770 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988349 Provider ID: 002255988001 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 2999 Mc Mackin Rd 36000 Euclid Ave 7200 Center St Ste 200 Madison, OH 44057 Willoughby, OH 44094 Mentor, OH 44060

(440) 428-1111 EB, P, R (440) 953-9600 P, R, RE, T (440) 255-0706 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988621 Provider ID: 002255988245 Provider ID: 002255988650 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 2999 Mcmackin Rd 36100 Euclid Ave 7530 Fredle Dr Madison, OH 44057 Willoughby, OH 44094 Concord Township, OH 44077

(440) 428-1111 EB, P, R (440) 918-4640 EB, P, R (440) 386-2250 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988284 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 31124 Vine St 36100 Euclid Ave Ste 280 7533 Center St Willowick, OH 44095 Willoughby, OH 44094 Mentor, OH 44060

(330) 468-0190 EB, P, R (440) 918-4640 EB, P, R (440) 205-1714 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988001 Provider ID: 002255988018 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 34500 Chardon Rd 36100 Euclid Ave Ste 440 7590 Auburn Rd Willoughby Hills, OH 44094 Willoughby, OH 44094 Concord Township, OH 44077

(440) 516-8690 EB, P, R (440) 386-2250 EB, P, R (440) 375-8100 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

576

Behavioral Health Providers Ohio - Lake Corpus, Peter A, MD, (M) Domb, Jane A, MD, (F), B Eye For Change Youth And Group Name: Laurelwood Group Name: Diane Eden And Family Services Associates Inc Associates Inc Provider ID: 006837389001 Provider ID: 003255374005 Provider ID: 000902010001 38882 Mentor Ave NPI: 1932312410 NPI: 1982616629 Willoughby, OH 44094

35900 Euclid Ave 35000 Chardon Rd Ste 201 (440) 953-9999 EB, P, R Willoughby, OH 44094 Willoughby Hills, OH 44094 Ages: 0-99

(440) 953-3000 E, EB, P, R, T (440) 951-5600 Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Eye For Change Youth And Cultural Competency: Y Family Services Web address: www.windsorlaurewo Domb, Jane A, MD, (F), B Provider ID: 006837389001 od.com Group Name: Diane Eden And 7590 Auburn Rd Ages: 0-99 Associates Inc Concord Township, OH 44077

Hospital Affiliations: Provider ID: 000902010001 (734) 945-5826 E, EB, G, IB, P, Lake Health NPI: 1982616629 PL, R, RE, S, T Windsor Laurelwood Ctr For Beh 35000 Chardon Rd Ste 210 Ages: 0-99 Medicine Willoughby Hills, OH 44094

Areas of Expertise: A010, A025, (440) 951-5600 EB, P, R Gma Consultants Inc A070, E017, E020, E025, E070, Mo-Th - 8:00 AM - 8:00 PM Provider ID: 006764319001 E075, E112, E142, E150, E160, Fr,Sa - 8:00 AM - 4:00 PM NPI: 1285829135 E165, E170, E185, E190, E198, Ages: 0-99 35900 Euclid Ave E200, E210, E390 Willoughby, OH 44094

Eden, Diane H, MD, (F), B (216) 363-2580 EB, P, R Domb, Jane A, MD, (F), B Group Name: Lifestance Health Ages: 0-99 Group Name: Diane Eden And Pbc Associates Inc Provider ID: 000213795003 Gorjanc, Michael L, PHD, (M), B Provider ID: 000902010002 NPI: 1720052772 Group Name: Crossroads Lake NPI: 1982616629 34900 Chardon Rd Ste 200 County Adolescent Counse 34900 Chardon Rd Ste 200 Willoughby Hills, OH 44094 Provider ID: 002929807007

Willoughby Hills, OH 44094 (216) 468-5000 RE, T NPI: 1124228523

(440) 951-5600 RE, T Mo-Th - 8:00 AM - 5:00 PM 8445 Munson Rd Su - 9:30 AM - 12:00 PM Fr - 8:00 AM - 2:00 PM Mentor, OH 44060

Ages: 0-99 Ages: 0-99 (440) 255-1700 EB, P, R, RE, S, Areas of Expertise: E017, E020, Areas of Expertise: E010, E017, T E025, E062, E070, E090, E112, E020, E025, E070, E085, E090, Languages Spoken: E115, E160, E170, E185, E198, E105, E112, E115, E145, E150, Provider: Spanish E200, E210, E215, P010 E160, E165, E170, E180, E190, Cultural Competency: Y E198, E200, E210, E225, E230, Ages: 0-99 E235, P010, P035 Areas of Expertise: A101, E020, E070, E160, P010

577

Ohio - Lake Behavioral Health Providers Gritti, Layne A, MD Insight Counseling And Wellness Lake Geauga Recovery Centers Group Name: Signature Health LLC Inc Provider ID: 007600420001 Provider ID: 006837627004 Provider ID: 006449908001 NPI: 1710428925 NPI: 1255846952 NPI: 1750489779 462 Chardon St 7537 Mentor Ave Ste 208 796 Oak St Painesville, OH 44077 Mentor, OH 44060 Painesville, OH 44077

(440) 578-8200 EB, P, R (440) 637-4915 EB, P, R (440) 255-0678 EB, P, R Ages: 0-99 Ages: 0-99 Languages Spoken: Provider: Spanish Imfeld, Samantha M, MD, (F), B Kousa, Haitham J, MD, (M) Ages: 0-99 Group Name: Crossroads Lake Group Name: Kousa Haitham J Areas of Expertise: A021, A060, County Adolescent Provider ID: 001063199001 E010, E017, E020, E043, E060, Provider ID: 006654846002 NPI: 1598774762 E062, E112, E115, E160, E280, NPI: 1982084083 9485 Mentor Ave Ste 104 E281, E285, E365, E398, P010, 8445 Munson Rd Mentor, OH 44060 P030

Mentor, OH 44060 (440) 205-5770 EB, P, R

(440) 255-1700 Cultural Competency: Y Lake Geauga Recovery Centers Ages: 0-99 Ages: 18-99 Inc Areas of Expertise: A010, A025, Hospital Affiliations: Provider ID: 006449908001 A070, E020, E025, E070, E105, Lake Health NPI: 1750489779 E115, E160, E165, E170, E185, 800 Oak St E198, E200, E210, E240, E285, Lake Geauga Recovery Centers Painesville, OH 44077

E373, E374, E377, E390, P010, Inc (440) 255-0678 EB, P, R P013, P080 Provider ID: 006449908001 Languages Spoken: NPI: 1750489779 Provider: Spanish Insight Counseling And Wellness 134 S Saint Clair St Ages: 0-99 LLC Painesville, OH 44077 Areas of Expertise: A021, A060,

Provider ID: 006837627004 (440) 255-0678 EB, P, R, RE, T E010, E017, E020, E043, E060, NPI: 1255846952 E062, E112, E115, E160, E280, 7519 Mentor Ave Ste 114 Languages Spoken: E281, E285, E365, E398, P010, Mentor, OH 44060 Provider: Spanish P030 Ages: 0-99 (440) 701-6170 EB, P, R Ages: 0-99 Areas of Expertise: A021, A060, E010, E017, E020, E043, E060, Insight Counseling And Wellness E062, E112, E115, E160, E280, LLC E281, E285, E365, E398, P010, Provider ID: 006837627004 P030 NPI: 1255846952 7519 Mentor Ave Ste A114 Mentor, OH 44060

(440) 701-6170 EB, P, R Ages: 0-99

578

Behavioral Health Providers Ohio - Lake Lake Geauga Recovery Centers Inc Lefevre, Larry E, MD, (M) Lifestance Health Pbc Provider ID: 006449908001 Group Name: Applegate Provider ID: 002244199008 NPI: 1750489779 Recovery NPI: 1811915713 9083 Mentor Ave Provider ID: 000137750008 34900 Chardon Rd Ste 200 Mentor, OH 44060 NPI: 1225005622 Willoughby Hills, OH 44094

(440) 255-0678 EB, P, R, RE, S, 36001 Euclid Ave Ste B1 (216) 468-5000 RE, T T Willoughby, OH 44094 Ages: 0-99

Languages Spoken: (440) 336-8465 EB, IB, P, R Areas of Expertise: E112 Provider: Spanish Ages: 0-99 Staff: Spanish Hospital Affiliations: Lifestance Health Pbc Mo-Th - 8:00 AM - 8:30 PM Upper Valley Medical Center Provider ID: 002244199002 Fr - 8:00 AM - 5:00 PM Springfield Regional Medical Ctr NPI: 1811915713 Ages: 0-99 4212 Chillicothe Rd Ste 100 Bldg Areas of Expertise: A021, A060, Levandovski, Yelena, PA, (F) Willoughby, OH 44094

E010, E017, E020, E043, E060, Group Name: Rakesh Ranjan Md (216) 831-6611 EB, P, R E062, E112, E115, E160, E280, And Assoc Ages: 0-99 E281, E285, E365, E398, P010, Provider ID: 007123114002 Areas of Expertise: E112 P030 NPI: 1366907891 8532 Mentor Ave Lifestance Health Pbc Lake Geauga Recovery Centers Mentor, OH 44060 Provider ID: 002244199001

Inc (440) 205-1008 EB, RE, S, T NPI: 1811915713 Provider ID: 006449908001 Mo-Fr - 9:00 AM - 5:30 PM 4212 Chillicothe Rd Suite 100 NPI: 1750489779 Ages: 0-99 Willoughby, OH 44094

9652 Old Johnnycake Ridge Rd Areas of Expertise: MAT1 (216) 831-6611 EB, P, R Mentor, OH 44060 Ages: 0-99

(440) 255-0678 EB, P, R Lifestance Health Pbc Areas of Expertise: E112 Languages Spoken: Provider ID: 002244199001 Provider: Spanish NPI: 1811915713 Lifestance Health Pbc Ages: 0-99 2770 Som Center Rd Ste 100 Provider ID: 002244199007 Areas of Expertise: A021, A060, Willoughby Hills, OH 44094 NPI: 1811915713

E010, E017, E020, E043, E060, (440) 516-1350 EB, P, R 4212 Oh 306 Ste 100 E062, E112, E115, E160, E280, Ages: 0-99 Willoughby, OH 44094

E281, E285, E365, E398, P010, Areas of Expertise: E112 (216) 831-6611 EB, P, R P030 Ages: 0-99 Lifestance Health Pbc Areas of Expertise: E112 Laurelwood Associates Provider ID: 002244199008 Provider ID: 000844007001 NPI: 1811915713 NPI: 1346282001 2770 Som Center Rd Ste 2 35900 Euclid Ave Willoughby Hills, OH 44094

Willoughby, OH 44094 (216) 831-6611 EB, P, R

(440) 953-3000 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

579

Ohio - Lake Behavioral Health Providers Lifestance Health Pbc Lifestance Health Pbc Malik, Simee I, MD, (F) Provider ID: 002244199002 Provider ID: 002244199002 Group Name: Lake Health Allied NPI: 1811915713 NPI: 1811915713 Health Professionals 4212 Oh 306 Ste 290 4212 State Route 306 Ste 100 Provider ID: 002003009001 Willoughby, OH 44094 Willoughby, OH 44094 NPI: 1437265766

(216) 831-6611 EB, P, R (216) 831-6611 EB, P, R, RE, T 36001 Euclid Ave Ste B16 Ages: 0-99 Willoughby, OH 44094 Ages: 0-99 Areas of Expertise: E112 (440) 942-4844 E, EB, G, IB, P, Areas of Expertise: E112 R, RE, S, T Lifestance Health Pbc Languages Spoken: Provider ID: 002244199002 Lifestance Health Pbc Provider: Hindi, Urdu NPI: 1811915713 Provider ID: 002244199001 Mo-Fr - 9:00 AM - 4:30 PM 4212 Ohio 306 NPI: 1811915713 Ages: 0-17 Willoughby, OH 44094 8224 Mentor Ave Ste 208 Hospital Affiliations: Mentor, OH 44060 (216) 831-6611 EB, P, R Lake Health Ages: 0-99 (440) 392-2222 E, EB, IB, P, R, Areas of Expertise: E112 RE, S, T Malik, Simee I, MD, (F) Ages: 0-99 Group Name: Lake Health Allied Lifestance Health Pbc Areas of Expertise: E112 Health Professionals Provider ID: 002244199007 Provider ID: 002003009007 NPI: 1811915713 Magiera, Michael D, MD, (M) NPI: 1437265766 4212 Ohio State Rte 306 Ste 100 Group Name: Signature Health 36100 Euclid Ave Ste 300 Willoughby, OH 44094 Inc Willoughby, OH 44094 Provider ID: 003063996002 (216) 831-6611 EB, P, R (440) 942-4844 EB, P, R Ages: 0-99 NPI: 1699981118 Languages Spoken: Areas of Expertise: E112 38882 Mentor Ave Provider: Hindi, Urdu Willoughby, OH 44094 Mo-Fr - 9:00 AM - 4:30 PM Lifestance Health Pbc (440) 953-9999 EB, P, R Ages: 0-17 Provider ID: 002244199008 Ages: 0-99 Hospital Affiliations: NPI: 1811915713 Areas of Expertise: A010, A025, Lake Health 4212 State Route 306 E015, E020, E025, E070, E112, Willoughby, OH 44094 E160, E165, E170, E200, E210, Mcgee, Eileen S, MD, (F), B E390 (216) 831-6611 E, EB, P, R, RE, Group Name: Signature Health S, T Inc Ages: 0-99 Provider ID: 000048969001 Areas of Expertise: E112 NPI: 1306904354 38882 Mentor Ave Willoughby, OH 44094

(440) 953-9999 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99

580

Behavioral Health Providers Ohio - Lake Metrohealth Professional Group Areas of Expertise: E112, MAT1 Northern Oh Medical Specialist Provider ID: 001454371287 Provider ID: 002066903003 NPI: 1053353896 Nancy Lowrie And Associates NPI: 1003044371 7207 Hopkins Rd LLC 7515 Fredle Dr Mentor, OH 44060 Provider ID: 002440214001 Painesville, OH 44077

(440) 255-3700 EB, P, R, RE, T NPI: 1003927187 (440) 721-8331 E, EB, IB, P, R, T Ages: 0-99 34900 Chardon Rd Ste 107 Ages: 0-99 Areas of Expertise: A010, A025, Willoughby Hills, OH 44094

A050, A060, A065, A070, A073, (440) 846-0862 EB, P, R Northern Oh Medical Specialist A099, E020, E025, E030, E055, Ages: 0-99 Provider ID: 002066903003 E070, E095, E160, E165, E170, NPI: 1003044371 E190, E198, E200, E210, E281, New Directions 8316 Yellowbrick Rd E285, P010 Provider ID: 000840897003 Mentor, OH 44060

NPI: 1013097542 (440) 205-8818 EB, P, R Muzina, Kathryn S, MD, (F), B 35104 Euclid Ave Ste 300 Ages: 0-99 Group Name: Cleveland Clinic Willoughby, OH 44094

Foundation (216) 591-0324 EB, P, R, RE, T Okon, Roseline E, MD, (F), B Provider ID: 002473094001 Group Name: Laurelwood NPI: 1285623637 Languages Spoken: Associates 2570 Som Center Rd Provider: Spanish Provider ID: 002754991002 Willoughby Hills, OH 44094 Ages: 0-99 NPI: 1801998547 Areas of Expertise: A021 (440) 943-2500 EB, P, R 35900 Euclid Ave Cultural Competency: Y Willoughby, OH 44094 Northern Oh Medical Specialist Ages: 0-99 (440) 953-3000 EB, P, R Hospital Affiliations: Provider ID: 002066903003 Mo-Fr - 8:00 AM - 12:00 PM Lutheran Hospital NPI: 1003044371 Cultural Competency: Y Areas of Expertise: E112, MAT1 36100 Euclid Ave Ste 430 Web address: www.windsorlaurewo Willoughby, OH 44094 od.com Muzina, Kathryn S, MD, (F), B (440) 946-4070 Ages: 0-99 Group Name: Cleveland Clinic Ages: 0-99 Areas of Expertise: E017, E020, Foundation E042, E055, E062, E070, E085, Provider ID: 002473094001 Northern Oh Medical Specialist E155, E160, E165, E170, E185, NPI: 1285623637 Provider ID: 002066903006 E210, E230, E377, P010 2785 Som Center Rd NPI: 1003044371 Willoughby Hills, OH 44094 37121 Euclid Ave Willoughby, OH 44094 (440) 602-8601 E, EB, G, IB, P, PL, R, RE, S, T (440) 946-5151 Cultural Competency: Y Ages: 0-99 Web address: http://www.cleveland clinic.org Ages: 0-99 Hospital Affiliations: Lutheran Hospital

581

Ohio - Lake Behavioral Health Providers Okon, Roseline E, MD, (F), B Parran, Theodore V, MD, (M), B Partners Physician Group Group Name: Laurelwood Group Name: Gma Consultants Provider ID: 001478152671 Associates Inc NPI: 1992138028 Provider ID: 002754991002 Provider ID: 000169625001 7533 Center St NPI: 1801998547 NPI: 1811974348 Mentor, OH 44060

35900 Euclid Ave # 100 35900 Euclid Ave (440) 205-1714 EB, P, R Willoughby, OH 44094 Willoughby, OH 44094 Ages: 0-99

(440) 953-3000 EB, P, R (440) 953-3000 EB, P, R Areas of Expertise: E112 Cultural Competency: Y Languages Spoken: Ages: 0-99 Provider: Ukrainian Patwa, Premal, MD, (M), B Areas of Expertise: E017, E020, Mo-Fr - 9:00 AM - 5:00 PM Group Name: Premier Behavioral E042, E055, E062, E070, E085, Ages: 0-99 Health E155, E160, E165, E170, E185, Hospital Affiliations: Provider ID: 003341744002 E210, E230, E377, P010 Lutheran Hospital NPI: 1538320601 St Vincent Charity Medical Center 8701 Mentor Ave Onwuka Smarty, Sylvester I, MD, Areas of Expertise: A021, E112, Mentor, OH 44060

(M), B E160, MAT1 (440) 266-0770 EB, P, R, RE, T Group Name: Signature Health Inc Partners Physician Group Sa,Su - 9:00 AM - 5:00 PM Provider ID: 002929370003 Provider ID: 001478152881 Cultural Competency: Y NPI: 1497841464 NPI: 1992138028 Ages: 0-99 38882 Mentor Ave 2570 Som Center Rd Areas of Expertise: E020, E025, Willoughby, OH 44094 Willoughby Hills, OH 44094 E070, E112, E160, E165, E170, E185, E190, E198, E200, E210, (440) 953-9999 EB, P, R (440) 943-2500 EB, IB, P, R, RE, Ages: 0-99 T E230, E235, P010 Areas of Expertise: A010, A025, Ages: 0-99 A070, A099, A100, A101, E020, Areas of Expertise: E112 Pope, Stephanie M, MD, (F), B E025, E030, E070, E075, E100, Group Name: Diane Eden And E112, E140, E150, E160, E165, Partners Physician Group Associates Inc E170, E198, E200, E210, E235, Provider ID: 001478152636 Provider ID: 005441878004 E373, E377, MAT1, P010, P013, NPI: 1992138028 NPI: 1275846669 P035, P080 2999 Mcmackin Rd 34900 Chardon Rd Ste 200 Madison, OH 44057 Willoughby Hills, OH 44094 (440) 951-5600 RE, T (440) 428-1111 EB, P, R Ages: 0-99 Mo,Tu,Fr - 8:00 AM - 3:00 PM Areas of Expertise: E112 We,Th - 7:00 AM - 3:00 PM Cultural Competency: Y Ages: 0-99 Areas of Expertise: A010, A025, A070, A099, A101, E020, E025, E070, E112, E160, E165, E200, E215, E374, E377, E392, P010, P013, P080

582

Behavioral Health Providers Ohio - Lake Pope, Stephanie M, MD, (F), B Ranjan, Rakesh, MD, (M), B Rodway, Nancy V, MD, (F) Group Name: University Group Name: Rakesh Ranjan Md Group Name: Signature Health Hospitals Medical Group And Assoc Provider ID: 002591694006 Provider ID: 005441878005 Provider ID: 001184474006 NPI: 1265451256 NPI: 1275846669 NPI: 1073549606 38882 Mentor Ave 9000 Mentor Ave Ste 100 8532 Mentor Ave Willoughby, OH 44094

Mentor, OH 44060 Mentor, OH 44060 (440) 953-9999 EB, P, R

(216) 844-3881 (440) 205-1008 EB, RE, S, T Ages: 0-99 Cultural Competency: Y Languages Spoken: Hospital Affiliations: Ages: 0-99 Provider: Hindi Temple University Hospital Areas of Expertise: A010, A025, Mo-Fr - 9:00 AM - 5:30 PM Lake Health A070, A099, A101, E020, E025, Ages: 0-99 Knox Community Hospital E070, E112, E160, E165, E200, Areas of Expertise: E165, MAT1 Adena Regional Medical Center E215, E374, E377, E392, P010, Areas of Expertise: E112 P013, P080 Ray, Michael, MD, (M), B Group Name: Laurelwood Savon, Summer P, MD, (F), B Primc, Michael J, MD, (M), B Associates Inc Group Name: Laurelwood Group Name: The Behavioral Provider ID: 002397135001 Associates Wellness Group NPI: 1487641783 Provider ID: 005638548002 Provider ID: 001904913004 35900 Euclid Ave NPI: 1629376462 NPI: 1992838908 Willoughby, OH 44094 35900 Euclid Ave

8224 Mentor Ave Ste 208 (440) 953-3000 EB, P, R Willoughby, OH 44094

Mentor, OH 44060 Languages Spoken: (440) 953-3000 EB, P, R

(440) 392-2222 E, EB, IB, P, R, Provider: Russian Web address: www.windsorlaurewo RE, S, T Web address: www.windsorlaurewo od.com Fr - 12:00 PM - 7:00 PM od.com Ages: 0-99 Cultural Competency: Y Ages: 0-99 Areas of Expertise: A101, E025, Ages: 0-99 Areas of Expertise: A021, A050, E112, E160, E190, E200, E210, Areas of Expertise: A021, A050, E017, E020, E070, E112, E160, P010 E020, E025, E050, E080, E112, E165, E170, E198, E200, E210, E155, E160, E180, E185, E200, P010 Schenkelberg, Richard, MD, (M), E210, E225, P010 B Reitz, Keith W, MD, (M) Group Name: Tms Center Psychology Consultants Group Name: Signature Health Willoughby Provider ID: 001810818001 Inc Provider ID: 003307628004 NPI: 1205882941 Provider ID: 004262395002 NPI: 1356645717 1919 Bishop Rd NPI: 1598085250 35900 Euclid Ave Wickliffe, OH 44092 38882 Mentor Ave Willoughby, OH 44094

(330) 764-7916 EB, P, R Willoughby, OH 44094 (855) 940-4867 EB, P, R

Ages: 0-99 (440) 953-9999 EB, P, R Web address: http://www.greenbroo Areas of Expertise: E112 Ages: 0-99 ktms.com Ages: 0-99 Areas of Expertise: A102, E017,

583

Ohio - Lake Behavioral Health Providers E020, E042, E070, E160, E170, Sharif, Bahman, MD, (M), B E210, P010, P035 Group Name: Premier Behavioral St Vincent Medical Group Health Provider ID: 001945275035 Schroeder, James R, NP, (M) Provider ID: 000169633001 NPI: 1134119829 Group Name: Signature Health NPI: 1144293267 35040 Chardon Rd Ste 101 Provider ID: 007342590002 8701 Mentor Ave Willoughby Hills, OH 44094

NPI: 1104380328 Mentor, OH 44060 (440) 946-4642 EB, P, R

462 Chardon St (440) 266-0770 EB, P, R, RE, T Ages: 0-99 Painesville, OH 44077 Languages Spoken: (440) 578-8200 EB, P, R St Vincent Medical Group Ages: 0-99 Provider: Farsi, Persian Provider ID: 001945275075 Mo-Fr - 9:00 AM - 6:00 PM NPI: 1134119829 Seleshi, Ermias, MD, (M), B Ages: 0-99 36060 Euclid Ave Ste 107 Group Name: Coleman Areas of Expertise: A010, A050, Willoughby, OH 44094 E010, E020, E070, E095, E112, Professional Services Inc (440) 269-8346 EB, P, R Provider ID: 006262665001 E160, E165, E168, E170, E185, Ages: 0-99 NPI: 1699969725 E190, E198, E200, E205, E210, 38882 Mentor Ave E230, E235, P010, P020 St Vincent Medical Group Willoughby, OH 44094 Provider ID: 001945275016 Squeri, Michael V, MD, (M) (440) 953-9999 EB, P, R NPI: 1134119829 Cultural Competency: Y Group Name: Signature Health 9944 Johnnycake Ridge Rd Ages: 0-99 Provider ID: 007614206001 Painesville, OH 44077 NPI: 1609303890 (440) 354-6122 EB, P, R Shapiro Krew, Anna P, MD, (F), 462 Chardon St Ages: 0-99 B Painesville, OH 44077 Group Name: Signature Health (440) 578-8200 EB, P, R Sundaram, Murali, MD, (M) Inc Ages: 0-99 Group Name: Cleveland Clinic Provider ID: 007038981001 Foundation NPI: 1386007466 St Vincent Medical Group Provider ID: 000811726001 462 Chardon St Provider ID: 001945275140 NPI: 1326005562 Painesville, OH 44077 NPI: 1134119829 2550 Som Center Rd 34600 Chardon Rd Unit 8 (440) 953-9999 EB, P, R Willoughby Hills, OH 44094 Willoughby Hills, OH 44094 Cultural Competency: Y (440) 943-2500 EB, P, R Ages: 0-99 (216) 369-2830 EB, P, R, RE, S, Ages: 0-99 Areas of Expertise: E160 T Hospital Affiliations: Ages: 0-99 Wooster Community Hospital Anderson Hospital St Vincent Medical Group Cleveland Clinic Foundation Provider ID: 001945275122 Hillcrest Hospital NPI: 1134119829 Fairview Hospital 34600 Chardon Rd Unit 9 Lakewood Hospital Willoughby Hills, OH 44094 Cleveland Clinic Lakewood (440) 585-2640 EB, IB, P, R Euclid Hospital Ages: 0-99

584

Behavioral Health Providers Ohio - Lake Sundaram, Murali, MD, (M) Turell, Jeffrey M, MD, (M) Sundaram, Murali, MD, (M) Group Name: Cleveland Clinic Group Name: Laurelwood Group Name: Cleveland Clinic Foundation Associates Foundation Provider ID: 000811726001 Provider ID: 005496789004 Provider ID: 000811726001 NPI: 1326005562 NPI: 1184871063 NPI: 1326005562 7060 Wayside Dr 35900 Euclid Ave 2570 Som Center Rd Mentor, OH 44060 Willoughby, OH 44094

Willoughby Hills, OH 44094 (440) 357-2770 EB, P, R (440) 953-3000 EB, P, R

(440) 943-2500 EB, P, R Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Wooster Community Hospital Areas of Expertise: E112, P010, Wooster Community Hospital Anderson Hospital P035 Anderson Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital University Hospitals Medical Hillcrest Hospital Fairview Hospital Group Fairview Hospital Lakewood Hospital Provider ID: 003154419004 Lakewood Hospital Cleveland Clinic Lakewood NPI: 1669499414 Cleveland Clinic Lakewood Euclid Hospital 9000 Mentor Ave Euclid Hospital Mentor, OH 44060

Taljan, Katherine E, MD, (F), B (216) 844-1000 EB, P, R Sundaram, Murali, MD, (M) Group Name: Signature Health Ages: 0-99 Group Name: Cleveland Clinic Provider ID: 007099247001 Foundation NPI: 1295189736 University Hospitals Medical Provider ID: 000811726001 38882 Mentor Ave Group NPI: 1326005562 Willoughby, OH 44094 Provider ID: 003154419007

2999 Mcmackin Rd (440) 953-9999 EB, P, R NPI: 1669499414 Madison, OH 44057 Cultural Competency: Y 9000 Mentor Ave Ste 100

(440) 428-1111 E, EB, IB, P Ages: 0-99 Mentor, OH 44060

Ages: 0-99 Areas of Expertise: E020, E070, (216) 844-1000 Hospital Affiliations: E112, E160, E165 Ages: 0-99 Wooster Community Hospital Anderson Hospital Taljan, Katherine E, MD, (F), B University Hospitals Medical Cleveland Clinic Foundation Group Name: Signature Health Group Hillcrest Hospital Provider ID: 007099247001 Provider ID: 003154419007 Fairview Hospital NPI: 1295189736 NPI: 1669499414 Lakewood Hospital 462 Chardon St 9000 Mentor Ave Ste 220 Cleveland Clinic Lakewood Painesville, OH 44077 Mentor, OH 44060

Euclid Hospital (440) 953-9999 EB, P, R (216) 844-7330 EB, IB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Areas of Expertise: E020, E070, E112, E160, E165

585

Ohio - Lake Behavioral Health Providers University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283216 Provider ID: 000387283929 Provider ID: 000387283952 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 1919 Bishop Rd 7500 Auburn Rd Ste 1200 9000 Mentor Ave Wickliffe, OH 44092 Concord Township, OH 44077 Mentor, OH 44060

(440) 354-9900 EB, P, R (440) 358-5400 EB, P, R (216) 383-0100 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283452 Provider ID: 000387283993 Provider ID: 000387283831 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 470 Bacon Rd 7500 Auburn Rd Ste 1500 9000 Mentor Ave Ste 100 Painesville, OH 44077 Concord Township, OH 44077 Mentor, OH 44060

(440) 354-9900 EB, P, R (440) 358-5480 EB, P, R (216) 383-0100 Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283873 Provider ID: 000387283927 Provider ID: 000387283906 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 60 Wood St 7500 Auburn Rd Ste 2400 9000 Mentor Ave Ste 101 Painesville, OH 44077 Concord Township, OH 44077 Mentor, OH 44060

(216) 383-0100 E, EB, G, IB, P, (440) 358-5440 EB, P, R (216) 383-0100 EB, P, R PL, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99 University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283834 Provider ID: 000387283832 Provider ID: 000387283788 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 7535 Fredle Dr 9000 Mentor Ave Ste 105 701 N Lake St Ste 101 Concord Township, OH 44077 Mentor, OH 44060

Madison, OH 44057 (440) 357-3100 EB, P, R (440) 974-4404 E, EB, IB, P, R

(216) 383-0100 E, EB, G, P, R, Ages: 0-99 RE, S Ages: 0-99 Ages: 0-99

586

Behavioral Health Providers Ohio - Lake

University Primary Care Zarowitz, Joshua H, DO, (M) Practices Group Name: Laurelwood Psychology

Provider ID: 000387283786 Associates Prior authorization is required to NPI: 1043461890 Provider ID: 006129339002 obtain some covered services from 9000 Mentor Ave Ste 107 NPI: 1164717328 these providers. You will not be Mentor, OH 44060 35900 Euclid Ave covered for those services without (844) 463-7669 EB, P, R Willoughby, OH 44094 such approval by UnitedHealthcare Ages: 0-99 (440) 953-3000 EB, P, R Community Plan. Please see your Web address: www.windsorlaurewo member handbook, or call Member University Primary Care od.com Services for details.

Practices Ages: 0-99 Provider ID: 000387283982 Areas of Expertise: MAT1 Afsarifard, Farshid, PHD, (M) NPI: 1043461890 Group Name: Premier Behavioral 9000 Mentor Ave Ste 204 Zuchowski, Sara E, MD, (F) Health Mentor, OH 44060 Group Name: Rakesh Ranjan Md Provider ID: 001571377001 NPI: 1619004322 (440) 708-1555 EB, P, R & Assoc Inc Ages: 0-99 Provider ID: 002349796001 8701 Mentor Ave NPI: 1992817266 Mentor, OH 44060 University Primary Care 9002 Mentor Ave (440) 266-0770 EB, P, R, RE, T Practices Mentor, OH 44060 Languages Spoken: Provider ID: 000387283907 (440) 250-1008 EB, P, R Provider: Farsi, Persian NPI: 1043461890 Languages Spoken: Mo-Fr - 9:00 AM - 9:00 PM 9000 Mentor Ave Ste 205 Provider: Spanish, Portuguese Sa - 9:00 AM - 3:00 PM Mentor, OH 44060 Cultural Competency: Y Cultural Competency: Y (440) 974-4200 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E020, E025, Areas of Expertise: A010, A021, E070, E112, E160, E165, E170, A050, E010, E020, E025, E055, Wyckoff, Neeti J, MD, (F), B E198, E200, E210, P010 E070, E090, E100, E112, E115, Group Name: Lifestance Health E165, E185, E205, E220, P010, Pbc P020, P030 Provider ID: 002874885003 NPI: 1811194442 Brunner, Richard A, PHD, (M) 4212 State Route 306 Ste 100 Group Name: Brunner Richard A Willoughby, OH 44094 Provider ID: 001771837001 (216) 831-6611 EB, P, R, RE, T NPI: 1134220817 Mo-Fr - 9:00 AM - 5:00 PM 35104 Euclid Ave Ste 203 Web address: https://psychbc.com/ Willoughby, OH 44094 Ages: 0-99 (440) 942-3513 E, EB, G, IB, P, Hospital Affiliations: PL, R, RE, S, T Childrens Hospital Med Ctr Akron Mo,Tu,We,Fr - 2:30 PM - 8:00 PM Areas of Expertise: A101, E020, Th - 3:30 PM - 8:00 PM E070, E160, E170, E200 Web address: no website address Ages: 0-99

587

Ohio - Lake Behavioral Health Providers Gaw, Catherine A, PHD, (F) E200, E285, E374, P010, P013, Burns, Laura C, PHD, (F) Group Name: Cleveland Clinic P080 Group Name: Premier Behavioral Foundation Health Provider ID: 001951149001 Ievers-Landis, Carolyn E, PHD, Provider ID: 003111107003 NPI: 1275632960 (F) NPI: 1578702510 2570 Som Center Rd Ste 210 Group Name: University 8701 Mentor Ave Willoughby Hills, OH 44094 Hospitals Medical Group

Mentor, OH 44060 (440) 943-2500 Provider ID: 003201400002

(440) 266-0770 EB, P, R, RE, T Ages: 0-99 NPI: 1376564732 Hospital Affiliations: 9000 Mentor Ave Cultural Competency: Y Cleveland Clinic Foundation Mentor, OH 44060 Ages: 0-99 (216) 844-7700 EB, P, R Areas of Expertise: E010, E020, Gaw, Catherine A, PHD, (F) Cultural Competency: Y E030, E040, E055, E070, E080, Group Name: Cleveland Clinic Ages: 0-99 E090, E112, E115, E155, E165, Foundation Areas of Expertise: A010, A025, E180, E198, E200, E205, E225, Provider ID: 001951149001 A070, E020, E025, E055, E070, E230, E374, E392, P010, P035 NPI: 1275632960 E112, E155, E165, E190, E200, 2785 Som Center Rd E205, E230, E235, P030 Denton, Robert, PHD, (M) Willoughby Hills, OH 44094 Group Name: Ohioguidestone (800) 223-2273 E, EB, G, IB, P, Jensen, Vanessa K, PHD, (F) Provider ID: 006152163001 PL, R, RE, S, T Group Name: Cleveland Clinic NPI: 1871952051 Ages: 0-99 Foundation 90 N State St Hospital Affiliations: Provider ID: 001031091001 Painesville, OH 44077 Cleveland Clinic Foundation NPI: 1194788984 (440) 260-8300 EB, P, R 2570 Som Center Rd Ages: 0-99 Giesel, Jennifer M, MA, (F) Willoughby Hills, OH 44094

Group Name: Lifestance Health (440) 943-2500 EB, IB, P, R, RE, Gaw, Catherine A, PHD, (F) Pbc T Group Name: Cleveland Clinic Provider ID: 007045158002 Cultural Competency: Y Foundation NPI: 1144628751 Web address: http://www.cleveland Provider ID: 001951149001 4212 State Route 306 Ste 100 clinic.org NPI: 1275632960 Willoughby, OH 44094 Ages: 0-99 2570 Som Center Rd (216) 831-6611 EB, P, R, RE, T Hospital Affiliations: Willoughby Hills, OH 44094 Cleveland Clinic Foundation (440) 943-2500 EB, P, R Mo - 9:00 AM - 5:00 PM Areas of Expertise: E020, E070, Ages: 0-99 Tu,Th - 9:00 AM - 1:00 PM E112, E165 Hospital Affiliations: We,Fr - 8:00 AM - 5:00 PM Cleveland Clinic Foundation Cultural Competency: Y Web address: https://psychbc.com/ Ages: 0-99 Areas of Expertise: A010, A021, A101, E017, E020, E055, E062, E070, E080, E115, E145, E155, E165, E170, E180, E185, E198,

588

Behavioral Health Providers Ohio - Lake Ridge, Shari N, PHD, (F) Rozel, Kent, PHD, (M) Simmons, Jean R, PHD, (F) Group Name: Diane Eden And Group Name: Drs Feldman Svete Group Name: Cleveland Clinic Associates Inc Foerstner LLC Foundation Provider ID: 000925940002 Provider ID: 001388038002 Provider ID: 001946668001 NPI: 1700849536 NPI: 1821179805 NPI: 1447341599 34900 Chardon Rd Ste 200 34950 Chardon Rd Ste 202 2570 Som Center Rd Willoughby Hills, OH 44094 Willoughby Hills, OH 44094 Willoughby Hills, OH 44094

(440) 951-5600 RE, T (440) 510-5100 EB, IB, P, R, RE, (440) 943-2500 EB, IB, P, R, RE, Mo,Fr - 9:00 AM - 4:30 PM S, T T Tu,We,Th - 8:30 AM - 3:00 PM Fr - 8:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99 Cultural Competency: Y Web address: http://www.cleveland Areas of Expertise: A101, E010, Ages: 0-99 clinic.org E020, E025, E055, E070, E105, Areas of Expertise: A010, A025, Ages: 0-99 E112, E165, E200, E205, P010, A101, E010, E017, E020, E030, Hospital Affiliations: P035 E040, E042, E050, E055, E062, Cleveland Clinic Foundation E070, E080, E100, E105, E115, Areas of Expertise: E020, E070, Rock, Joseph W, PHD, (M) E135, E155, E165, E166, E168, E112, E155, E165 Group Name: Cleveland Clinic E180, E185, E187, E200, E205, Foundation E235, E374, E376, E385, P010, Simmons, Jean R, PHD, (F) Provider ID: 000098661001 P020, P030, P035, P080, P100 Group Name: Cleveland Clinic NPI: 1013947613 Foundation 2785 Som Center Rd Schaffer, Mary, PHD, (F) Provider ID: 001946668001 Willoughby Hills, OH 44094 Group Name: Lifestance Health NPI: 1447341599

(866) 320-4573 E, EB, G, IB, P, Pbc 2570 Som Center Rd Ste 210 PL, R, RE, S, T Provider ID: 001749911005 Willoughby Hills, OH 44094

Cultural Competency: Y NPI: 1679501563 (440) 943-2500 Web address: http://www.cleveland 34900 Chardon Rd Ste 200 Cultural Competency: Y clinic.org Willoughby Hills, OH 44094 Ages: 0-99

Ages: 0-99 (216) 468-5000 RE, T Hospital Affiliations: Areas of Expertise: E017, E020, Mo-Fr - 9:00 AM - 5:00 PM Cleveland Clinic Foundation E042, E070, E112, E155, E170, Ages: 0-99 Areas of Expertise: E020, E070, E190, E200, P010 Areas of Expertise: A101, E020, E112, E155, E165 E042, E055, E070, E165, E168, E205, P010, P035 Torres, Belinda J, PHD, (F) Group Name: Belinda J Torres Provider ID: 002592561003 NPI: 1467535047 35040 Chardon Rd Ste 115 Willoughby Hills, OH 44094

(440) 358-1159 Ages: 0-99

589

Ohio - Lake Behavioral Health Providers Torres, Belinda J, PHD, (F) E055, E056, E062, E065, E070, Group Name: Belinda J Torres E080, E090, E105, E115, E130, Provider ID: 002592561003 Social Worker E147, E160, E165, E185, E190, NPI: 1467535047 Akhigbe, Ruby J, MA, (F) E198, E200, E210, E215, E218, 9614 Old Johnnycake Ridge Rd Group Name: Rakesh Ranjan Md E281, E285, E320, E365, E374, Concord Township, OH 44060 & Assoc Inc E385, E392, E394, E396, E398, (440) 358-1159 Provider ID: 003107313001 P010, P013, P020, P030, P080, Mo,We - 9:00 AM - 6:00 PM NPI: 1972744530 P100 Tu,Th - 7:30 AM - 6:00 PM 9002 Mentor Ave Fr - 7:30 AM - 12:00 PM Mentor, OH 44060 Adams, Lynn A, MA, (F)

Ages: 0-99 (440) 205-1008 EB, P, R Group Name: Crossroads Lake Mo-Sa - 9:00 AM - 5:00 PM County Adolescent White, Lori, PHD, (F) Cultural Competency: Y Provider ID: 006809576001 Group Name: White Lori Ages: 0-99 NPI: 1295271583 Provider ID: 002390161001 8445 Munson Rd NPI: 1053492470 James, Gwenette M, MS, (F) Mentor, OH 44060 4132 Erie St Ste 208 Group Name: Commitment To (440) 255-1700 EB, P, R, RE, S, Willoughby, OH 44094 Hope LLC T (440) 946-7796 EB, P, R Provider ID: 003389550002 Ages: 0-99 Tu,Th - 8:00 AM - 8:00 PM NPI: 1396933115 We - 8:00 AM - 5:00 PM 1460 Rockefeller Rd Adams, Steven, MA, (M) Ages: 0-99 Wickliffe, OH 44092 Group Name: Signature Health

(440) 799-7559 E, EB, IB, P, R, Inc Zavarella, Rosanna O, PHD, (F) RE, S, T Provider ID: 006846982002 Group Name: Zavarella Rosanna Mo-Fr - 10:00 AM - 6:00 PM NPI: 1528459955 O Ages: 0-99 38882 Mentor Ave Provider ID: 001750822001 Areas of Expertise: E020, E070, Willoughby, OH 44094 NPI: 1306835269 E112 (440) 953-9999 EB, P, R 8338 Tyler Blvd Fl 2 Ages: 0-99 Mentor, OH 44060 Areas of Expertise: E020, E070, Social Worker - Licensed (440) 205-5566 EB, IB, P, R, S E112, E165 Languages Spoken: A Renewed Mind Provider: Italian Provider ID: 003489747002 Akhigbe, Ruby J, MA, (F) Mo - 10:00 AM - 7:00 PM NPI: 1760749444 Group Name: Rakesh Ranjan Md Sa - 9:00 AM - 1:00 PM 9485 Mentor Ave Ste 210 & Assoc Inc Cultural Competency: Y Mentor, OH 44060 Provider ID: 003107313001

Ages: 0-99 (440) 255-5571 RE, T NPI: 1972744530 Areas of Expertise: E010, E015, Languages Spoken: 9002 Mentor Ave E020, E050, E055, E070, E080, Provider: Spanish Mentor, OH 44060 E085, E090, E105, E112, E115, Ages: 0-99 (440) 205-1008 EB, P, R E135, E145, E155, E165, E180, Areas of Expertise: A010, A021, Mo-Sa - 9:00 AM - 5:00 PM E200, E215, E235, P010, P020, A025, A060, A100, A103, E010, Cultural Competency: Y P030 E017, E020, E025, E042, E043, Ages: 0-99

590

Behavioral Health Providers Ohio - Lake Baker, Gary, MS, (M) Applewood Centers Group Name: Signature Health Benford, Sonja L, MA, (F) Provider ID: 001817633005 Inc Group Name: Lake Health NPI: 1780652966 Provider ID: 007100159003 Provider ID: 006804058003 8351 Mentor Ave NPI: 1164905709 NPI: 1023114964 Mentor, OH 44060 462 Chardon St 36000 Euclid Ave

(216) 410-2070 RE, T Painesville, OH 44077 Willoughby, OH 44094

Ages: 0-99 (440) 578-8200 EB, P, R (440) 953-9600 E, EB, G, IB, P, Cultural Competency: Y PL, R, RE, S, T Arouszy, Allison E, MA, (F) Ages: 0-99 Ages: 0-99 Group Name: Lake Health Areas of Expertise: E017, E020, Provider ID: 006840041002 E025, E055, E070, E075, E080, Berezne, Gregory J, BA, (M) NPI: 1730690389 E105, E115, E150, E165, E170, Group Name: Crossroads Lake 36000 Euclid Ave E187, E190, E200, E205, E218, County Adolescent Willoughby, OH 44094 E235, P010, P013, P020, P030, Provider ID: 006893105001

(440) 953-9600 E, EB, G, IB, P, P080 NPI: 1295126860 PL, R, RE, S, T 8445 Munson Rd Ages: 0-99 Baker, Jennifer L, CSW, (F) Mentor, OH 44060

Areas of Expertise: E112 Group Name: Crossroads Lake (440) 255-1700 EB, P, R, RE, S, County Adolescent T Austin, Frances E, MA, (F) Provider ID: 003792620001 Ages: 0-99 Group Name: Signature Health NPI: 1386076412 Inc 1083 Mentor Ave Berezne, Gregory J, BA, (M) Provider ID: 006835117002 Painesville, OH 44077 Group Name: Crossroads Lake

NPI: 1427452093 (440) 497-1977 EB, P, R County Adolescent 38882 Mentor Ave Ages: 0-99 Provider ID: 006893105001 Willoughby, OH 44094 Areas of Expertise: E287, E320, NPI: 1295126860

(440) 578-8200 EB, P, R E398 9220 Mentor Ave Ages: 0-99 Mentor, OH 44060

Baker, Jennifer L, CSW, (F) (440) 255-1700 E, RE, S, T Averill, Marley, CSW, (F) Group Name: Crossroads Lake Ages: 0-99 Group Name: Lake Geauga County Adolescent Recovery Centers Inc Provider ID: 003792620001 Blackston Balogh, Amber N, Provider ID: 006837683003 NPI: 1386076412 CSW, (F) NPI: 1730539826 8445 Munson Rd Group Name: Crossroads Lake 9083 Mentor Ave Mentor, OH 44060 County Adolescent

Mentor, OH 44060 (440) 255-1700 EB, P, R, RE, S, Provider ID: 003365639001

(440) 255-0678 EB, P, R, RE, S, T NPI: 1356635072 T Mo-Th - 9:00 AM - 9:00 PM 1083 Mentor Ave Ages: 0-99 Fr - 9:00 AM - 5:00 PM Painesville, OH 44077

Areas of Expertise: E020, E070, Ages: 0-99 (440) 497-1977 EB, P, R E112, E165 Areas of Expertise: E287, E320, Ages: 0-99 E398 Areas of Expertise: E112, E287,

591

Ohio - Lake Behavioral Health Providers E320, E398 Bulucea, Tina W, MA, (F) Bush, Contessa L, MA, (F) Group Name: The Behavioral Group Name: Signature Health Blackston Balogh, Amber N, Wellness Group Provider ID: 006850520003 CSW, (F) Provider ID: 003395844003 NPI: 1336679901 Group Name: Crossroads Lake NPI: 1447453907 38882 Mentor Ave County Adolescent 8224 Mentor Ave Ste 208 Willoughby, OH 44094

Provider ID: 003365639001 Mentor, OH 44060 (440) 953-9999 EB, P, R

NPI: 1356635072 (440) 392-2222 E, EB, IB, P, R, Ages: 0-99 8445 Munson Rd RE, S, T Areas of Expertise: E020, E070, Mentor, OH 44060 Mo - 8:00 AM - 9:00 PM E112, E165

(440) 255-1700 EB, P, R, RE, S, Tu - 2:00 PM - 6:00 PM T We,Th - 2:00 PM - 7:00 PM Bush, Contessa L, MA, (F) Mo-Th - 9:00 AM - 9:00 PM Fr - 2:00 PM - 5:00 PM Group Name: Signature Health Fr - 9:00 AM - 5:00 PM Sa - 9:00 AM - 7:00 PM Provider ID: 006850520003 Sa - 9:00 AM - 1:00 PM Cultural Competency: Y NPI: 1336679901 Ages: 0-99 Web address: http://behavioralwelln 462 Chardon St Areas of Expertise: E112, E287, essgroup.com Painesville, OH 44077

E320, E398 Ages: 0-99 (440) 953-9999 EB, P, R Areas of Expertise: A050, E010, Ages: 0-99 Brockmeyer, Samantha J, MA, E017, E020, E055, E065, E070, Areas of Expertise: E020, E070, (F) E075, E085, E090, E105, E112, E112, E165 Group Name: Rakesh Ranjan Md E115, E150, E155, E165, E180, & Assoc Inc E185, E190, E198, E200, E210, Cannone, Kaitlyn E, MA, (F) Provider ID: 006899669002 E215, E225, E235, E240, P010, Group Name: Signature Health NPI: 1962980888 P020, P030 Provider ID: 007595140001 8532 Mentor Ave NPI: 1205423399 Mentor, OH 44060 Burzinski Gorfinkel, Amy N, MS, 462 Chardon St

(440) 205-1008 EB, RE, S, T (F) Painesville, OH 44077

Ages: 0-99 Group Name: Signature Health (440) 578-8200 EB, P, R Provider ID: 001911240004 Ages: 0-99 Bryner, Jacquelyne J, MA, (F) NPI: 1760795124 Group Name: Signature Health 462 Chardon St Carter, Lauren E, MS, (F) Inc Painesville, OH 44077 Group Name: Comprehensive

Provider ID: 006892118001 (440) 578-8200 EB, P, R Psychological Counseling I NPI: 1811476476 Ages: 0-99 Provider ID: 001746919005 38882 Mentor Ave Areas of Expertise: A050, E020, NPI: 1962444927 Willoughby, OH 44094 E055, E070, E112, E165, E168, 38057 Erie Rd

(440) 953-9999 EB, P, R E170, E187, E285, P010 Willoughby, OH 44094

Ages: 0-99 (440) 725-6101 EB, P, R, RE, T Areas of Expertise: E020, E070, E112, E165 Tu,We,Th - 9:00 AM - 8:00 PM Ages: 0-99

592

Behavioral Health Providers Ohio - Lake Cernoia, Mark, MA, (M) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: Ohioguidestone Provider ID: 002255988018 Provider ID: 002255988634 Provider ID: 006146939001 NPI: 1326175183 NPI: 1326175183 NPI: 1518366889 2550 Som Center Rd Ste 100 2570 Som Center Rd Wh10 90 N State St Willoughby Hills, OH 44094 Willoughby Hills, OH 44094

Painesville, OH 44077 (440) 943-2550 EB, P, R (440) 943-2500 EB, P, R

(440) 260-8300 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Chapman, Jessica L, MA, (F) Provider ID: 002255988591 Provider ID: 002255988018 Group Name: Lake Geauga NPI: 1326175183 NPI: 1326175183 Recovery Centers Inc 2550 Som Center Rd Ste 103 2620 Hubbard Rd Provider ID: 007498245001 Willoughby Hills, OH 44094 Madison, OH 44057

NPI: 1578175634 (440) 943-2500 EB, P, R (440) 428-1111 EB, P, R 9083 Mentor Ave Ages: 0-99 Ages: 0-99 Mentor, OH 44060

(440) 255-0678 EB, P, R, RE, S, Cleveland Clinic Foundation Cleveland Clinic Foundation T Provider ID: 002255988588 Provider ID: 002255988018 Ages: 0-99 NPI: 1326175183 NPI: 1326175183 2550 Som Center Rd Ste 330 2711 Hubbard Rd Chmielewski, Eric S, MA, (M) Willoughby Hills, OH 44094 Madison, OH 44057

Group Name: Signature Health (440) 943-2500 EB, P, R (440) 428-1111 EB, P, R Provider ID: 006813477001 Ages: 0-99 Ages: 0-99 NPI: 1134637366 38882 Mentor Ave Cleveland Clinic Foundation Cleveland Clinic Foundation Willoughby, OH 44094 Provider ID: 002255988018 Provider ID: 002255988001

(440) 953-9999 EB, P, R NPI: 1326175183 NPI: 1326175183 Ages: 0-99 2570 Som Center Rd 2785 Som Center Rd Areas of Expertise: E020, E070, Willoughby Hills, OH 44094 Willoughby Hills, OH 44094

E112, E165 (440) 943-2500 EB, P, R (440) 602-8601 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Cleveland Clinic Foundation Ages: 0-99 Provider ID: 002255988018 Cleveland Clinic Foundation NPI: 1326175183 Provider ID: 002255988018 Cleveland Clinic Foundation 2550 Som Center Rd NPI: 1326175183 Provider ID: 002255988583 Willoughby Hills, OH 44094 2570 Som Center Rd Ste Wh10 NPI: 1326175183

(404) 943-2500 EB, P, R Willoughby Hills, OH 44094 29017 Chardon Rd

Ages: 0-99 (440) 943-2500 EB, P, R Willoughby Hills, OH 44092

Ages: 0-99 (440) 516-5500 EB, P, R Ages: 0-99

593

Ohio - Lake Behavioral Health Providers Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988349 Provider ID: 002255988009 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 2999 Mc Mackin Rd 36000 Euclid Ave 7200 Center St Ste 200 Madison, OH 44057 Willoughby, OH 44094 Mentor, OH 44060

(440) 428-1111 EB, P, R (440) 953-9600 EB, P, R (440) 255-0706 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988621 Provider ID: 002255988245 Provider ID: 002255988255 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 2999 Mcmackin Rd 36100 Euclid Ave 7530 Fredle Dr Madison, OH 44057 Willoughby, OH 44094 Concord Township, OH 44077

(440) 428-1111 EB, P, R (440) 918-4640 EB, P, R (440) 386-2250 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

(330) 468-0190 EB, P, R (440) 918-4640 EB, P, R (440) 205-1714 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988018 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 34500 Chardon Rd 36100 Euclid Ave Ste 440 7590 Auburn Rd Willoughby Hills, OH 44094 Willoughby, OH 44094 Concord Township, OH 44077

(440) 516-8690 EB, P, R (440) 386-2250 EB, P, R (440) 375-8100 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cohen Seed, Dorit A, MS, (F) Provider ID: 002255988431 Provider ID: 002255988001 Group Name: Crossroads Lake NPI: 1326175183 NPI: 1326175183 County Adolescent 34500 Chardon Rd Ste 6 7060 Wayside Dr Provider ID: 003448702002 Willoughby Hills, OH 44094 Mentor, OH 44060 NPI: 1841351335

(440) 386-4200 EB, P, R (440) 357-2770 EB, P, R 8445 Munson Rd Ages: 0-99 Ages: 0-99 Mentor, OH 44060

(440) 255-1700 EB, P, R, RE, S, T Ages: 0-99 Areas of Expertise: A050, E020,

594

Behavioral Health Providers Ohio - Lake E070, E112, E115, E165, E168, Cortes, Maximino, MSW, (M) D Rain, Alexander T, MA, (M) E210, P010 Group Name: Catholic Charities Group Name: Signature Health Corporation Provider ID: 006745920002 Cohen Seed, Dorit A, MS, (F) Provider ID: 005645393001 NPI: 1679027262 Group Name: Crossroads Lake NPI: 1598013617 38882 Mentor Ave County Adolescent 8 N State St Ste 455 Willoughby, OH 44094

Provider ID: 003448702002 Painesville, OH 44077 (440) 953-9999 EB, P, R

NPI: 1841351335 (440) 352-6191 EB, IB, P, R Ages: 0-99 9220 Mentor Ave Languages Spoken: Mentor, OH 44060 Provider: Spanish D Rain, Alexander T, MA, (M)

(440) 255-1700 E, RE, S, T Ages: 0-99 Group Name: Signature Health Ages: 0-99 Areas of Expertise: E112 Provider ID: 006745920002 Areas of Expertise: A050, E020, NPI: 1679027262 E070, E112, E115, E165, E168, Courtenay, Savannah R, MA, (F) 462 Chardon St E210, P010 Group Name: Reach Counseling Painesville, OH 44077

Services (440) 953-9999 EB, P, R Compton, Zev W, MS, (M) Provider ID: 007108571003 Ages: 0-99 Group Name: Compton William NPI: 1629533302 Z 2882 Cricket Ln Danner, Jazmine R, MA, (F) Provider ID: 001380627002 Willoughby Hills, OH 44092 Group Name: Signature Health

NPI: 1538178579 (440) 347-0716 RE, T Provider ID: 006801110002 28784 Johnson Dr Cultural Competency: Y NPI: 1245769421 Wickliffe, OH 44092 Ages: 0-99 462 Chardon St

(440) 943-3052 EB, IB, P, R, RE, Painesville, OH 44077

S, T Cuturic, Tara L, MA, (F) (440) 578-8200 EB, P, R Languages Spoken: Group Name: Crossroads Lake Ages: 0-99 Provider: Hebrew, Yiddish County Adolescent Mo,Tu,Th - 10:00 AM - 7:00 PM Provider ID: 007128113001 Davis Watson, Charlotte A, MA, We - 10:00 AM - 9:00 PM NPI: 1861906349 (F) Fr,Su - 10:00 AM - 1:00 PM 8445 Munson Rd Group Name: Crossroads Lake Cultural Competency: Y Mentor, OH 44060 County Adolescent

Web address: www.zevcompton.co (440) 255-1700 EB, P, R, RE, S, Provider ID: 007019642001 m T NPI: 1083128631 Ages: 0-99 Web address: https://crossroadshealt 8445 Munson Rd Areas of Expertise: A050, E010, h.org Mentor, OH 44060

E020, E042, E043, E070, E105, Ages: 0-99 (440) 255-1700 EB, P, R, RE, S, E112, E115, E130, E155, E165, T E168, E180, E185, E190, E210, Ages: 0-99 E220, E235, E320, E374, P010, P035

595

Ohio - Lake Behavioral Health Providers Dee, Maureen E, LPC, (F) Distefano, Nancy, MS, (F) Evans, Edward J, MA Group Name: Catholic Charities Group Name: Lake Health Group Name: Signature Health Corporation Provider ID: 006580357002 Provider ID: 007531633001 Provider ID: 003094772001 NPI: 1699124198 NPI: 1568079275 NPI: 1649402801 36000 Euclid Ave 462 Chardon St 8 N State St Ste 455 Willoughby, OH 44094 Painesville, OH 44077

Painesville, OH 44077 (440) 953-9600 E, EB, G, IB, P, (440) 578-8200 EB, P, R

(440) 352-6191 EB, IB, P, R PL, R, RE, S, T Ages: 0-99 Languages Spoken: Ages: 0-99 Provider: Spanish Areas of Expertise: A101, E200, Fabian, Rachel L, CSW, (F) Ages: 0-99 P020 Group Name: Signature Health Inc Demeter, Lisa A, MS, (F) Dornice, Friday, MA, (F) Provider ID: 003127172002 Group Name: Crossroads Lake Group Name: Lake Health NPI: 1700394111 County Adolescent Provider ID: 007562856001 38882 Mentor Ave Provider ID: 005131068003 NPI: 1053941195 Willoughby, OH 44094

NPI: 1164864351 7590 Auburn Rd (440) 953-9999 EB, P, R 8445 Munson Rd Concord Township, OH 44077 Ages: 0-99 Mentor, OH 44060 (734) 945-5826 Areas of Expertise: E112

(440) 255-1700 EB, P, R, RE, S, Ages: 0-99 T Areas of Expertise: E112 Feick, Rebecca L, MS, (F) Ages: 0-99 Group Name: Signature Health Areas of Expertise: A050, E020, Dugan, Amy K, MA, (F) Provider ID: 006850560002 E070, E075, E112, E115, E155, Group Name: Crossroads Lake NPI: 1578076543 E285, P010, P020, P030 County Adolescent 38882 Mentor Ave Provider ID: 007132614001 Willoughby, OH 44094

Diane Eden And Associates Inc NPI: 1225169386 (440) 953-9999 EB, P, R Provider ID: 002402353007 8445 Munson Rd Ages: 0-99 NPI: 1760449813 Mentor, OH 44060 Areas of Expertise: E112

34900 Chardon Rd Ste 200 (440) 255-1700 EB, P, R, RE, S, Willoughby Hills, OH 44094 T Fogle, Kirsten, MA, (F)

(440) 951-5600 RE, T Mo-Fr - 9:00 AM - 9:00 PM Group Name: Ohioguidestone Web address: www.edenpsych.com Ages: 0-99 Provider ID: 006633581001 Ages: 0-99 Areas of Expertise: E020, E025, NPI: 1679939243 E070, E075, E112, E165 90 N State St Diane Eden And Associates Inc Painesville, OH 44077

Provider ID: 002402353002 (440) 260-8300 EB, P, R NPI: 1760449813 Ages: 0-99 35000 Chardon Rd Ste 210 Areas of Expertise: P010, P035 Willoughby Hills, OH 44094

(440) 951-5600 EB, P, R Ages: 0-99

596

Behavioral Health Providers Ohio - Lake Foss, Richard J, MA, (M) French, Naomi, MA, (F) Gerdes, Adam S, MA, (M) Group Name: Signature Health Group Name: Crossroads Lake Group Name: Signature Health Provider ID: 006850562002 County Adolescent Provider ID: 006833856002 NPI: 1205340718 Provider ID: 007326780001 NPI: 1821503145 38882 Mentor Ave NPI: 1932768298 38882 Mentor Ave Willoughby, OH 44094 8445 Munson Rd Willoughby, OH 44094

(440) 953-9999 EB, P, R Mentor, OH 44060 (440) 953-9999 EB, P, R

Ages: 0-99 (440) 255-1700 EB, P, R, RE, S, Ages: 0-99 Areas of Expertise: E112 T Ages: 0-99 Gerhardt, Loretta I, MA, (F) Foss, Richard J, MA, (M) Group Name: Signature Health Group Name: Signature Health French, Naomi, MA, (F) Provider ID: 007099252001 Provider ID: 006850562002 Group Name: Crossroads Lake NPI: 1487162681 NPI: 1205340718 County Adolescent 38882 Mentor Ave 462 Chardon St Provider ID: 007326780001 Willoughby, OH 44094

Painesville, OH 44077 NPI: 1932768298 (440) 953-9999 EB, P, R

(440) 953-9999 EB, P, R 9220 Mentor Ave Ages: 0-99 Ages: 0-99 Mentor, OH 44060

Areas of Expertise: E112 (440) 255-1700 E, RE, S, T Gerhardt, Loretta I, MA, (F) Ages: 0-99 Group Name: Signature Health Francis, Melinda R, CSW, (F) Provider ID: 007099252001 Group Name: Crossroads Lake Gault, Debora L, MA, (F) NPI: 1487162681 County Adolescent Group Name: Ohioguidestone 462 Chardon St Provider ID: 007155745001 Provider ID: 006631956001 Painesville, OH 44077

NPI: 1255896825 NPI: 1528280526 (440) 953-9999 EB, P, R 8445 Munson Rd 90 N State St Ages: 0-99 Mentor, OH 44060 Painesville, OH 44077

(440) 255-1700 EB, P, R, RE, S, (440) 260-8300 EB, P, R Gigliotti, Thomas V, MA, (M) T Ages: 0-99 Group Name: Lifestance Health Ages: 0-99 Pbc Geiger-Dugandzic, Melissa D, Provider ID: 002359292004 Francis, Melinda R, CSW, (F) MA, (F) NPI: 1063575504 Group Name: Crossroads Lake Group Name: Lake Geauga 4212 State Route 306 Ste 100 County Adolescent Recovery Centers Inc Willoughby, OH 44094

Provider ID: 007155745001 Provider ID: 007046976001 (216) 831-6611 EB, P, R, RE, T NPI: 1255896825 NPI: 1427513423 9220 Mentor Ave 9083 Mentor Ave Mo-Fr - 9:00 AM - 5:00 PM Mentor, OH 44060 Mentor, OH 44060 Sa - 9:00 AM - 1:30 PM Ages: 0-99 (440) 255-1700 E, RE, S, T (440) 255-0678 EB, P, R, RE, S, Ages: 0-99 T Areas of Expertise: A045, A101, Ages: 0-99 E017, E080, E085, E112, E135, E170, E185, E198, E200, E215, P010, P035

597

Ohio - Lake Behavioral Health Providers Glass, Pauline, MA, (F) Gray, Leslie A, MS, (F) Hale, Courtney A, MA, (F) Group Name: Lake Geauga Group Name: En Pointe Group Name: Signature Health Recovery Centers Inc Behavioral Services LLC Provider ID: 007617802001 Provider ID: 006993352002 Provider ID: 005272755004 NPI: 1982207114 NPI: 1699281550 NPI: 1699054619 462 Chardon St 9083 Mentor Ave 34950 Chardon Rd Ste 210 Painesville, OH 44077

Mentor, OH 44060 Willoughby Hills, OH 44094 (440) 578-8200 EB, P, R

(440) 255-0678 EB, P, R, RE, S, (440) 250-7337 R, RE, S, T Ages: 0-99 T Mo-Fr - 8:00 AM - 6:00 PM Ages: 0-99 Sa - 8:00 AM - 5:00 PM Harris, Daytona C, MA, (F) Cultural Competency: Y Group Name: Lake Health Gma Consultants Inc Web address: www.enpointebehavio Provider ID: 007483223001 Provider ID: 006764319001 ral.com NPI: 1619442241 NPI: 1285829135 Ages: 0-99 36000 Euclid Ave 35900 Euclid Ave Willoughby, OH 44094

Willoughby, OH 44094 Green, Karen S, MS, (F) (440) 953-9600 E, EB, G, IB, P,

(216) 363-2580 EB, P, R Group Name: Ohioguidestone PL, R, RE, S, T Ages: 0-99 Provider ID: 001747057002 Ages: 0-99 NPI: 1780612093 Gottlob, Louise, MA, (F) 90 N State St Hawkins, Erica L, MA, (F) Group Name: Diane Eden And Painesville, OH 44077 Group Name: Lake Health

Associates Inc (440) 260-8300 EB, P, R Provider ID: 007073142002 Provider ID: 002014989002 Cultural Competency: Y NPI: 1972018224 NPI: 1104888569 Ages: 0-99 36000 Euclid Ave 34900 Chardon Rd Ste 200 Areas of Expertise: E010, E017, Willoughby, OH 44094

Willoughby Hills, OH 44094 E020, E042, E050, E055, E062, (440) 953-9600 E, EB, G, IB, P,

(440) 951-5600 RE, T E070, E080, E085, E090, E115, PL, R, RE, S, T Mo,Sa - 9:00 AM - 2:00 PM E155, E165, E185, E187, E198, Ages: 0-99 Fr - 9:00 AM - 4:00 PM E200, E210, E377, E392, P010, Areas of Expertise: E112 Ages: 0-99 P035 Areas of Expertise: A010, A025, Hawkins, Erica L, MA, (F) A070, A101, E010, E020, E055, Griggs, Carolyn, MA, (F) Group Name: Lake Health E070, E085, E105, E110, E112, Group Name: Lake Health Provider ID: 007073142002 E115, E165, E170, E190, E200, Provider ID: 006840071002 NPI: 1972018224 E215, P010, P013, P030, P035, NPI: 1922535491 7580 Auburn Rd Ste 202 P080 36000 Euclid Ave Concord Township, OH 44077

Willoughby, OH 44094 (440) 354-1658 EB, P, R

(440) 953-9600 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112

598

Behavioral Health Providers Ohio - Lake Hearn-Vance, Kimberely S, MA, Henry, Jonathon E, CSW, (M) Insight Counseling And Wellness (F) Group Name: Lake Health LLC Group Name: Lake Health Provider ID: 006947583002 Provider ID: 006837627004 Provider ID: 006840157002 NPI: 1922586379 NPI: 1255846952 NPI: 1023464013 36000 Euclid Ave 7519 Mentor Ave Ste 114 36000 Euclid Ave Willoughby, OH 44094 Mentor, OH 44060

Willoughby, OH 44094 (440) 953-9600 E, EB, G, IB, P, (440) 701-6170 EB, P, R

(440) 953-9600 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Insight Counseling And Wellness Areas of Expertise: E112 Hull, Susan H, MA, (F) LLC Group Name: Lake Geauga Provider ID: 006837627004 Heidemann, Melissa M, MA, (F) Recovery Centers Inc NPI: 1255846952 Group Name: Compass Provider ID: 006630437001 7519 Mentor Ave Ste A114 Counseling LLC NPI: 1871010785 Mentor, OH 44060

Provider ID: 003399147003 134 S Saint Clair St (440) 701-6170 EB, P, R NPI: 1003194903 Painesville, OH 44077 Ages: 0-99

9853 Johnnyck Ridge Rd Ste 303 (440) 255-0678 EB, P, R, RE, T Mentor, OH 44060 Insight Counseling And Wellness Ages: 0-99 (440) 346-2861 EB, P, R LLC Mo-We - 3:30 PM - 8:30 PM Areas of Expertise: E020, E070, Provider ID: 006837627004 Th - 3:30 PM - 7:30 PM E112, E165, P010, P035 NPI: 1255846952 Fr - 3:30 PM - 7:00 PM 7537 Mentor Ave Ste 208 Sa - 7:30 AM - 1:30 PM Hull, Susan H, MA, (F) Mentor, OH 44060 Group Name: Lake Geauga Ages: 0-99 (440) 637-4915 EB, P, R Areas of Expertise: A045, A101, Recovery Centers Inc Ages: 0-99 E010, E017, E020, E025, E042, Provider ID: 006630437001 E050, E055, E070, E075, E080, NPI: 1871010785 Iskhakova, Milana, MA, (F) E085, E090, E105, E112, E115, 9083 Mentor Ave Group Name: Lake Health E165, E170, E185, E187, E190, Mentor, OH 44060 Provider ID: 007419566001 E198, E200, E215, E218, E220, (440) 255-0678 EB, P, R, RE, S, NPI: 1912492596 E225, E240, E287, E320, E374, T 36000 Euclid Ave E375, E377, E385, E398, P010, Mo-Fr - 8:00 AM - 4:30 PM Willoughby, OH 44094 Ages: 0-99 P013, P020, P080 (440) 953-9600 E, EB, G, IB, P, Areas of Expertise: E020, E070, PL, R, RE, S, T E112, E165, P010, P035 Ages: 0-99

599

Ohio - Lake Behavioral Health Providers James, Gwenette M, MS, (F) Johnson, Earlene P, MA, (F) Kelley, Wendy J, CSW, (F) Group Name: Commitment To Group Name: Crossroads Lake Group Name: Crossroads Lake Hope LLC County Adolescent County Adolescent Provider ID: 003389550002 Provider ID: 006190149003 Provider ID: 003331448003 NPI: 1396933115 NPI: 1326419763 NPI: 1740587336 1460 Rockefeller Rd 9220 Mentor Ave 8445 Munson Rd Wickliffe, OH 44092 Mentor, OH 44060 Mentor, OH 44060

(440) 799-7559 E, EB, IB, P, R, (440) 255-1700 E, RE, S, T (440) 255-1700 EB, P, R, RE, S, RE, S, T Ages: 0-99 T Mo-Fr - 10:00 AM - 6:00 PM Ages: 0-99 Ages: 0-99 Johnson, Mark R, MA, (M) Areas of Expertise: E020, E070, Group Name: Signature Health Kerfonta, Christina R, MA, (F) E112 Provider ID: 004260958002 Group Name: Ohioguidestone NPI: 1548489339 Provider ID: 006914542001 Janis, Patricia M, MA, (F) 38882 Mentor Ave NPI: 1609369727 Group Name: Crossroads Lake Willoughby, OH 44094 90 N State St

County Adolescent (440) 953-9999 EB, P, R Painesville, OH 44077

Provider ID: 006849211002 Ages: 0-99 (440) 260-8300 EB, P, R NPI: 1861885790 Ages: 0-99 8445 Munson Rd Johnson, Mark R, MA, (M) Mentor, OH 44060 Group Name: Signature Health King, Jean M, MA, (F)

(440) 255-1700 EB, P, R, RE, S, Provider ID: 004260958002 Group Name: Crossroads Lake T NPI: 1548489339 County Adolescent Ages: 0-99 462 Chardon St Provider ID: 007663575001 Areas of Expertise: E112 Painesville, OH 44077 NPI: 1083294011

(440) 953-9999 EB, P, R 9220 Mentor Ave Janis, Patricia M, MA, (F) Ages: 0-99 Mentor, OH 44060

Group Name: Crossroads Lake (440) 255-1700 E, RE, S, T County Adolescent Kalina Hammond, Julie A, CSW, Ages: 0-99 Provider ID: 006849211002 (F) NPI: 1861885790 Group Name: Crossroads Lake Kragt, Diane, MA, (F) 9220 Mentor Ave County Adolescent Group Name: Crossroads Lake Mentor, OH 44060 Provider ID: 003331563003 County Adolescent

(440) 255-1700 E, RE, S, T NPI: 1578768677 Provider ID: 007531630001 Ages: 0-99 8445 Munson Rd NPI: 1659865871 Areas of Expertise: E112 Mentor, OH 44060 8445 Munson Rd

(440) 354-9924 EB, P, R, RE, S, Mentor, OH 44060

T (440) 255-1700 EB, P, R, RE, S, Ages: 0-99 T Areas of Expertise: E112 Ages: 0-99

600

Behavioral Health Providers Ohio - Lake Lake Geauga Recovery Centers E010, E017, E020, E043, E060, Lanzi, Michelle L, CSW, (F) Inc E062, E112, E115, E160, E280, Group Name: Rakesh Ranjan Md Provider ID: 006449908001 E281, E285, E365, E398, P010, & Assoc Inc NPI: 1750489779 P030 Provider ID: 002777371003 134 S Saint Clair St NPI: 1023170677 Painesville, OH 44077 Lake Geauga Recovery Centers 8532 Mentor Ave

(440) 255-0678 EB, P, R, RE, T Inc Mentor, OH 44060

Provider ID: 006449908001 (440) 218-0454 EB, RE, S, T Languages Spoken: NPI: 1750489779 Mo-Fr - 9:00 AM - 5:30 PM Provider: Spanish 9083 Mentor Ave Cultural Competency: Y Ages: 0-99 Mentor, OH 44060 Ages: 18-99 Areas of Expertise: A021, A060, (440) 255-0678 EB, P, R, RE, S, Areas of Expertise: E112 E010, E017, E020, E043, E060, T E062, E112, E115, E160, E280, Languages Spoken: Laurelwood Associates E281, E285, E365, E398, P010, Provider: Spanish Provider ID: 000844007001 P030 Staff: Spanish NPI: 1346282001 Mo-Th - 8:00 AM - 8:30 PM 35900 Euclid Ave Lake Geauga Recovery Centers Fr - 8:00 AM - 5:00 PM Willoughby, OH 44094 Inc Ages: 0-99 (440) 953-3000 EB, P, R Provider ID: 006449908001 Areas of Expertise: A021, A060, Ages: 0-99 NPI: 1750489779 E010, E017, E020, E043, E060, 796 Oak St E062, E112, E115, E160, E280, Lazar, Catherine L, MS, (F) Painesville, OH 44077 E281, E285, E365, E398, P010, Group Name: Signature Health (440) 255-0678 EB, P, R P030 Provider ID: 006719046002 Languages Spoken: NPI: 1023523883 Provider: Spanish Lake Geauga Recovery Centers 38882 Mentor Ave Ages: 0-99 Inc Willoughby, OH 44094 Areas of Expertise: A021, A060, Provider ID: 006449908001 (440) 953-9999 EB, P, R E010, E017, E020, E043, E060, NPI: 1750489779 Ages: 0-99 E062, E112, E115, E160, E280, 9652 Old Johnnycake Ridge Rd Areas of Expertise: A101, E020, E281, E285, E365, E398, P010, Mentor, OH 44060 E042, E070, E090, E105, E165, P030 (440) 255-0678 EB, P, R E200, E210, E377, P010, P035, Languages Spoken: P080 Lake Geauga Recovery Centers Provider: Spanish Inc Ages: 0-99 Provider ID: 006449908001 Areas of Expertise: A021, A060, NPI: 1750489779 E010, E017, E020, E043, E060, 800 Oak St E062, E112, E115, E160, E280, Painesville, OH 44077 E281, E285, E365, E398, P010, (440) 255-0678 EB, P, R P030 Languages Spoken: Provider: Spanish Ages: 0-99 Areas of Expertise: A021, A060,

601

Ohio - Lake Behavioral Health Providers Lemoine, Kara R, MS, (F) Lifestance Health Pbc Group Name: Lemoine Lifestance Health Pbc Provider ID: 002244199007 Psychotherapy Inc Provider ID: 002244199008 NPI: 1811915713 Provider ID: 005182857002 NPI: 1811915713 4212 Oh 306 Ste 100 NPI: 1609170109 2770 Som Center Rd Ste 2 Willoughby, OH 44094

35010 Chardon Rd Ste 200 Willoughby Hills, OH 44094 (216) 831-6611 EB, P, R

Willoughby Hills, OH 44094 (216) 831-6611 EB, P, R Ages: 0-99

(440) 701-4497 E, EB, P, R, RE, Ages: 0-99 Areas of Expertise: E112 S, T Areas of Expertise: E112 Mo-Fr - 8:00 AM - 7:00 PM Lifestance Health Pbc Sa - 8:00 AM - 12:00 PM Lifestance Health Pbc Provider ID: 002244199002 Cultural Competency: Y Provider ID: 002244199008 NPI: 1811915713 Web address: www.parklakecounsel NPI: 1811915713 4212 Oh 306 Ste 290 ing.com 34900 Chardon Rd Ste 200 Willoughby, OH 44094

Ages: 0-99 Willoughby Hills, OH 44094 (216) 831-6611 EB, P, R

Areas of Expertise: A010, A025, (216) 468-5000 RE, T Ages: 0-99 A101, E010, E017, E020, E025, Ages: 0-99 Areas of Expertise: E112 E042, E055, E062, E070, E080, Areas of Expertise: E112 E085, E090, E105, E110, E112, Lifestance Health Pbc E115, E145, E155, E165, E166, Lifestance Health Pbc Provider ID: 002244199002 E170, E185, E187, E190, E198, Provider ID: 002244199002 NPI: 1811915713 E200, E215, E225, E240, E285, NPI: 1811915713 4212 Ohio 306 E374, E376, E378, E385, E391, 4212 Chillicothe Rd Ste 100 Bldg Willoughby, OH 44094

P010, P030, P035 Willoughby, OH 44094 (216) 831-6611 EB, P, R

(216) 831-6611 EB, P, R Ages: 0-99 Lepore, Nicole, MA Ages: 0-99 Areas of Expertise: E112 Group Name: Lake Health Areas of Expertise: E112 Provider ID: 007503210001 Lifestance Health Pbc NPI: 1568070548 Lifestance Health Pbc Provider ID: 002244199007 36000 Euclid Ave Provider ID: 002244199001 NPI: 1811915713 Willoughby, OH 44094 NPI: 1811915713 4212 Ohio State Rte 306 Ste 100

(440) 953-9600 E, EB, G, IB, P, 4212 Chillicothe Rd Suite 100 Willoughby, OH 44094

PL, R, RE, S, T Willoughby, OH 44094 (216) 831-6611 EB, P, R

Ages: 0-99 (216) 831-6611 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Lifestance Health Pbc Areas of Expertise: E112 Provider ID: 002244199001 NPI: 1811915713 2770 Som Center Rd Ste 100 Willoughby Hills, OH 44094

(440) 516-1350 EB, P, R Ages: 0-99 Areas of Expertise: E112

602

Behavioral Health Providers Ohio - Lake Lifestance Health Pbc Macdonald, Leslie A, MA, (F) Mapes, Jamie, MA, (F) Provider ID: 002244199008 Group Name: Lake Geauga Group Name: Crossroads Lake NPI: 1811915713 Recovery Centers Inc County Adolescent 4212 State Route 306 Provider ID: 006702743002 Provider ID: 007047540001 Willoughby, OH 44094 NPI: 1417475906 NPI: 1609380260

(216) 831-6611 E, EB, P, R, RE, 800 Oak St 8445 Munson Rd S, T Painesville, OH 44077 Mentor, OH 44060

Ages: 0-99 (440) 255-0678 EB, P, R (440) 255-1700 EB, P, R, RE, S, Areas of Expertise: E112 Ages: 0-99 T Ages: 0-99 Lifestance Health Pbc Macdonald, Leslie A, MA, (F) Areas of Expertise: E112 Provider ID: 002244199002 Group Name: Lake Geauga NPI: 1811915713 Recovery Centers Inc Marocco, Irene, MA, (F) 4212 State Route 306 Ste 100 Provider ID: 006702743002 Group Name: Diane Eden And Willoughby, OH 44094 NPI: 1417475906 Associates Inc

(216) 831-6611 EB, P, R, RE, T 9083 Mentor Ave Provider ID: 002466161003 Mentor, OH 44060 NPI: 1073687067 Ages: 0-99 (440) 255-0678 EB, P, R, RE, S, 34900 Chardon Rd Ste 200 Areas of Expertise: E112 T Willoughby Hills, OH 44094

Ages: 0-99 (440) 951-5600 RE, T Lifestance Health Pbc Languages Spoken: Provider ID: 002244199001 Mach, Jaclyn T, CSW, (F) Provider: Hungarian NPI: 1811915713 Group Name: Lake Health Mo,Tu,Th - 1:00 PM - 5:00 PM 8224 Mentor Ave Ste 208 Provider ID: 005358373001 We - 2:00 PM - 6:00 PM Mentor, OH 44060 NPI: 1164771028 Ages: 0-99 (440) 392-2222 E, EB, IB, P, R, 36000 Euclid Ave Areas of Expertise: A021, E030, RE, S, T Willoughby, OH 44094 E055, E062, E090, E105, E112, Ages: 0-99 (440) 953-9600 P, R, RE, T E115, E170, E185, E190, E198, Areas of Expertise: E112 Ages: 0-99 E200, E210, E240, P010, P020, P030 Luzar, Michael, MA, (M) Madden, Rachel M, MA, (F) Group Name: Crossroads Lake Group Name: Signature Health Marple, Jennifer L, MA, (F) County Adolescent Provider ID: 006780881003 Group Name: Ohioguidestone Provider ID: 006974236001 NPI: 1043710296 Provider ID: 006259069001 NPI: 1396226569 462 Chardon St NPI: 1205293065 8445 Munson Rd Painesville, OH 44077 90 N State St Mentor, OH 44060 (440) 578-8200 EB, P, R Painesville, OH 44077 (440) 255-1700 EB, P, R, RE, S, Ages: 0-99 (440) 260-8300 EB, P, R T Areas of Expertise: E112 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

603

Ohio - Lake Behavioral Health Providers Martin Telfer, Colleen F, CSW, Mccormick, Katherine E, MA, (F) Miller, Lisa A, MA, (F) (F) Group Name: Lake Health Group Name: Lake Health Group Name: Signature Health Provider ID: 006948950001 Provider ID: 004341249004 Provider ID: 003673529002 NPI: 1023595139 NPI: 1245668896 NPI: 1154663896 7956 Tyler Blvd 36000 Euclid Ave 38882 Mentor Ave Mentor, OH 44060 Willoughby, OH 44094

Willoughby, OH 44094 (440) 354-1658 EB, P, R (440) 953-9600 E, EB, G, IB, P,

(440) 953-9999 EB, P, R Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Mckenna, Colleen A, MS, (F) Areas of Expertise: E112 Group Name: Catholic Charities Mcclelland, Erika L, MA, (F) Corporation Mitchell, Robert A, MS, (M) Group Name: Rakesh Ranjan Md Provider ID: 001206147002 Group Name: Catholic Charities And Assoc NPI: 1194741132 Corporation Provider ID: 006828542003 8 N State St Ste 455 Provider ID: 002267023001 NPI: 1235633587 Painesville, OH 44077 NPI: 1073604922

8532 Mentor Ave (440) 352-6191 EB, IB, P, R, RE, 8 N State St Ste 455 Mentor, OH 44060 T Painesville, OH 44077

(440) 205-1008 EB, RE, S, T Ages: 0-99 (440) 352-6191 EB, IB, P, R Ages: 0-99 Ages: 0-99 Melaragno, Joann, MA, (F) Areas of Expertise: E085, E185, Mccormick, Katherine E, MA, (F) Group Name: Ohioguidestone E198, E200, E210, E320, E391, Group Name: Lake Health Provider ID: 006629073001 E398 Provider ID: 006948950003 NPI: 1619269339 NPI: 1023595139 90 N State St Mongenel, Jennifer, MS, (F) 36000 Euclid Ave Painesville, OH 44077 Group Name: Crossroads Lake

Willoughby, OH 44094 (440) 260-8300 EB, P, R County Adolescent

(440) 953-9600 E, EB, G, IB, P, Ages: 0-99 Provider ID: 003270531001 PL, R, RE, S, T NPI: 1821300211 Ages: 0-99 Mezaris, Michelle N, MA, (F) 1083 Mentor Ave Group Name: Signature Health Painesville, OH 44077

Mccormick, Katherine E, MA, (F) Provider ID: 007480962001 (440) 497-1977 EB, P, R Group Name: Signature Health NPI: 1295351005 Ages: 0-99 Provider ID: 006948950002 462 Chardon St Areas of Expertise: A010, A025, NPI: 1023595139 Painesville, OH 44077 A070, E010, E015, E017, E020,

462 Chardon St (440) 578-8200 EB, P, R E025, E070, E112, E130, E165, Painesville, OH 44077 Ages: 0-99 E200, E287, E320, E398, P030

(440) 578-8200 EB, P, R Areas of Expertise: E020, E070, Ages: 0-99 E112, E165, P010

604

Behavioral Health Providers Ohio - Lake Mongenel, Jennifer, MS, (F) Ndonye, Selina, MA, (F) North East Ohio Health Services Group Name: Crossroads Lake Group Name: Signature Health Provider ID: 006852948001 County Adolescent Provider ID: 006472521002 NPI: 1770671562 Provider ID: 003270531001 NPI: 1326338484 9220 Mentor Ave NPI: 1821300211 462 Chardon St Mentor, OH 44060

8445 Munson Rd Painesville, OH 44077 (440) 639-3509 E, RE, S, T

Mentor, OH 44060 (440) 953-9999 EB, P, R Ages: 0-99

(440) 255-1700 EB, P, R, RE, S, Ages: 0-99 T Areas of Expertise: E112 Orlowski, Robin J, MA, (F) Mo,We,Th,Fr - 9:00 AM - 9:00 PM Group Name: Signature Health Sa - 9:00 AM - 1:00 PM Neal, Jeffrey A, MA, (M) Inc Ages: 0-99 Group Name: Rakesh Ranjan Md Provider ID: 007039031001 Areas of Expertise: A010, A025, And Assoc NPI: 1518438407 A070, E010, E015, E017, E020, Provider ID: 006788032002 462 Chardon St E025, E070, E112, E130, E165, NPI: 1689173908 Painesville, OH 44077

E200, E287, E320, E398, P030 8532 Mentor Ave (440) 953-9999 EB, P, R Mentor, OH 44060 Ages: 0-99

Nancy Lowrie And Associates (440) 205-1008 EB, RE, S, T LLC Ages: 0-99 Pahlman, Abigail D, MA, (F) Provider ID: 002440214001 Group Name: Crossroads Lake NPI: 1003927187 New Directions County Adolescent 34900 Chardon Rd Ste 107 Provider ID: 000840897003 Provider ID: 006904290001 Willoughby Hills, OH 44094 NPI: 1013097542 NPI: 1679057483

(440) 846-0862 EB, P, R 35104 Euclid Ave Ste 300 8445 Munson Rd Ages: 0-99 Willoughby, OH 44094 Mentor, OH 44060

(216) 591-0324 EB, P, R, RE, T (440) 255-1700 EB, P, R, RE, S, Ndonye, Selina, MA, (F) T Group Name: Signature Health Languages Spoken: Ages: 0-99 Provider ID: 006472521002 Provider: Spanish NPI: 1326338484 Ages: 0-99 Partners Physician Group 38882 Mentor Ave Areas of Expertise: A021 Provider ID: 001478152881 Willoughby, OH 44094 NPI: 1992138028 North East Ohio Health Services (440) 953-9999 EB, P, R 2570 Som Center Rd Ages: 0-99 Provider ID: 006852948001 Willoughby Hills, OH 44094 NPI: 1770671562 Areas of Expertise: E112 (440) 943-2500 EB, IB, P, R, RE, 38882 Mentor Ave T Willoughby, OH 44094 Ages: 0-99 (216) 831-6466 EB, P, R Areas of Expertise: E112 Ages: 0-99

605

Ohio - Lake Behavioral Health Providers Partners Physician Group Porter, Dan K, MSW, (M) Puffer, Shelley J, CSW, (F) Provider ID: 001478152416 Group Name: Crossroads Lake Group Name: Catholic Charities NPI: 1992138028 County Adolescent Corporation 2999 Mcmackin Rd Provider ID: 002066672002 Provider ID: 007030336002 Madison, OH 44057 NPI: 1750420113 NPI: 1407153075

(440) 428-1111 EB, P, R 8445 Munson Rd 8 N State St Ste 455 Ages: 0-99 Mentor, OH 44060 Painesville, OH 44077

Areas of Expertise: E112 (440) 255-1700 EB, P, R, RE, S, (440) 352-6191 EB, IB, P, R, RE, T T Partners Physician Group Ages: 0-99 Web address: www.ccdocle.org Provider ID: 001478152407 Areas of Expertise: E287, E320, Ages: 0-99 NPI: 1992138028 E398 7533 Center St Quinn, Kucia, MA, (F) Mentor, OH 44060 Porter, Dan K, MSW, (M) Group Name: Lake Health

(440) 205-1714 EB, P, R Group Name: Crossroads Lake Provider ID: 006842832002 Ages: 0-99 County Adolescent NPI: 1386803096 Areas of Expertise: E112 Provider ID: 002066672001 36000 Euclid Ave NPI: 1750420113 Willoughby, OH 44094

Plott, Lauren A, MS, (F) 8445 Munson Rd # Ms14 (440) 953-9600 E, EB, G, IB, P, Group Name: The Behavioral Mentor, OH 44060 PL, R, RE, S, T

Wellness Group (440) 255-1700 EB, P, R Ages: 0-99 Provider ID: 002700624003 Ages: 0-99 Areas of Expertise: E112 NPI: 1083777502 Areas of Expertise: E287, E320, 8224 Mentor Ave Ste 208 E398 Ramos, Carmen D, MA, (F) Mentor, OH 44060 Group Name: Crossroads Lake

(440) 392-2222 E, EB, IB, P, R, Prepetit, Melanie J, MA, (F) County Adolescent RE, S, T Group Name: Signature Health Provider ID: 006810974001 Mo - 1:00 PM - 5:00 PM Provider ID: 006629089002 NPI: 1154454783 Tu - 2:00 PM - 6:00 PM NPI: 1891003588 8445 Munson Rd We - 3:00 PM - 7:00 PM 38882 Mentor Ave Mentor, OH 44060

Cultural Competency: Y Willoughby, OH 44094 (440) 255-1700 EB, P, R, RE, S,

Ages: 0-99 (440) 953-9999 EB, P, R T Areas of Expertise: E020, E070, Ages: 0-99 Ages: 0-99 E112, E115, E165, E170, E185, E392, P010, P030 Psychology Consultants Rexrode, Kathleen, MA, (F) Provider ID: 001810818001 Group Name: Signature Health NPI: 1205882941 Provider ID: 006849187002 1919 Bishop Rd NPI: 1841658358 Wickliffe, OH 44092 38882 Mentor Ave

(330) 764-7916 EB, P, R Willoughby, OH 44094

Ages: 0-99 (440) 953-9999 EB, P, R Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112

606

Behavioral Health Providers Ohio - Lake Robinson, Tyrone D, MA, (M) Rexrode, Kathleen, MA, (F) Group Name: Signature Health Row, Jenny R, MS, (F) Group Name: Signature Health Provider ID: 006906030002 Group Name: Signature Health Provider ID: 006849187002 NPI: 1598273922 Provider ID: 002626961007 NPI: 1841658358 462 Chardon St NPI: 1689775702 462 Chardon St Painesville, OH 44077 38882 Mentor Ave

Painesville, OH 44077 (440) 953-9999 EB, P, R Willoughby, OH 44094

(440) 953-9999 EB, P, R Ages: 0-99 (440) 953-9999 EB, P, R Ages: 0-99 Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E010, E017, Roche, Shacara D, MA, (F) E020, E025, E055, E070, E085, Ritzenthaler, Holli R, MA, (F) Group Name: Signature Health E090, E105, E112, E115, E165, Group Name: Ohioguidestone Provider ID: 006772831002 E170, E185, E190, E200, E210, Provider ID: 006629064001 NPI: 1023498169 P010, P020, P030 NPI: 1306065545 38882 Mentor Ave 90 N State St Willoughby, OH 44094 Row, Jenny R, MS, (F)

Painesville, OH 44077 (440) 953-9999 EB, P, R Group Name: Signature Health

(440) 260-8300 EB, P, R Ages: 0-99 Provider ID: 002626961007 Ages: 0-99 Areas of Expertise: E112 NPI: 1689775702 462 Chardon St Robinson, Sarah A, MA, (F) Rochford, Megan, MS, (F) Painesville, OH 44077

Group Name: Coleman Group Name: Crossroads Lake (440) 953-9999 EB, P, R Professional Services Inc County Adolescent Ages: 0-99 Provider ID: 002721429001 Provider ID: 003563874003 Areas of Expertise: E010, E017, NPI: 1093001463 NPI: 1245598507 E020, E025, E055, E070, E085, 38882 Mentor Ave 8445 Munson Rd E090, E105, E112, E115, E165, Willoughby, OH 44094 Mentor, OH 44060 E170, E185, E190, E200, E210,

(440) 953-9999 EB, P, R (440) 354-9924 EB, P, R, RE, S, P010, P020, P030 Cultural Competency: Y T Ages: 0-99 Ages: 0-99 Row, Jenny R, MS, (F) Areas of Expertise: E020, E070, Group Name: Signature Health Robinson, Tyrone D, MA, (M) E085, E112, E115, E165, E170, Provider ID: 002626961007 Group Name: Signature Health E185, E198, E200, E210, P010 NPI: 1689775702 Provider ID: 006906030002 9220 Mentor Ave NPI: 1598273922 Rodgers, Allison, MA Mentor, OH 44060

38882 Mentor Ave Group Name: Crossroads Lake (440) 639-3509 E, RE, S, T Willoughby, OH 44094 County Adolescent Ages: 0-99

(440) 953-9999 EB, P, R Provider ID: 007561951001 Areas of Expertise: E010, E017, Ages: 0-99 NPI: 1649866740 E020, E025, E055, E070, E085, Areas of Expertise: E112 9220 Mentor Ave E090, E105, E112, E115, E165, Mentor, OH 44060 E170, E185, E190, E200, E210,

(440) 255-1700 E, RE, S, T P010, P020, P030 Ages: 0-99

607

Ohio - Lake Behavioral Health Providers Rowles, Daniel, MA, (M) Schartman, Cynthia, MA, (F) Areas of Expertise: E165 Group Name: Signature Health Group Name: Signature Health Provider ID: 006849174002 Provider ID: 006761559002 Shavonne, Morgan, MA, (F) NPI: 1396258315 NPI: 1093214652 Group Name: Lake Health 38882 Mentor Ave 462 Chardon St Provider ID: 006840195002 Willoughby, OH 44094 Painesville, OH 44077 NPI: 1215384375

(440) 953-9999 EB, P, R (440) 953-9999 EB, P, R 36000 Euclid Ave Ages: 0-99 Ages: 0-99 Willoughby, OH 44094

Areas of Expertise: E112 Areas of Expertise: E112 (440) 953-9600 E, EB, G, IB, P, PL, R, RE, S, T Rowles, Daniel, MA, (M) Seifried Ash, Karolin, MA, (F) Ages: 0-99 Group Name: Signature Health Group Name: Lake Health Areas of Expertise: E112 Provider ID: 006849174002 Provider ID: 007260292001 NPI: 1396258315 NPI: 1477013373 Sidlo, Virginia, MS, (F) 462 Chardon St 36000 Euclid Ave Group Name: Lifestance Health Painesville, OH 44077 Willoughby, OH 44094 Pbc

(440) 953-9999 EB, P, R (440) 953-9600 E, EB, G, IB, P, Provider ID: 006767881001 Ages: 0-99 PL, R, RE, S, T NPI: 1831586478 Areas of Expertise: E112 Ages: 0-99 4212 State Route 306 Ste 100 Willoughby, OH 44094

Schaefer, Elizabeth C, CCM, (F) Sestito, Joseph, MS, (F) (216) 831-6611 EB, P, R, RE, T Group Name: Signature Health Group Name: Humanistic Provider ID: 007286168002 Counseling Center Mo-Fr - 9:00 AM - 5:00 PM NPI: 1578107983 Provider ID: 003356001001 Ages: 0-99 462 Chardon St NPI: 1083901920 Areas of Expertise: A101 Painesville, OH 44077 8351 Mentor Ave Sinclair, Patricia, MA, (F) (440) 578-8200 EB, P, R Mentor, OH 44060 Group Name: Lifestance Health Ages: 0-99 (216) 839-2273 RE, T Mo,Tu,We,Fr - 9:00 AM - 5:00 PM Pbc Schartman, Cynthia, MA, (F) Th - 9:30 AM - 5:00 PM Provider ID: 002545107005 Group Name: Signature Health Ages: 0-99 NPI: 1306176557 Provider ID: 006761559002 4212 State Route 306 Ste 100 NPI: 1093214652 Setlak Micheller, Diane K, CSW, Willoughby, OH 44094 38882 Mentor Ave (F) (216) 468-5000 EB, P, R, RE, T Willoughby, OH 44094 Group Name: Catholic Charities Mo-Fr - 9:00 AM - 5:00 PM (440) 953-9999 EB, P, R Corporation Cultural Competency: Y Ages: 0-99 Provider ID: 003661033002 Web address: https://psychbc.com/ Areas of Expertise: E112 NPI: 1336488162 Ages: 0-99 8 N State St Ste 455 Areas of Expertise: A101, E010, Painesville, OH 44077 E017, E020, E025, E055, E070, (440) 352-6191 EB, IB, P, R, RE, E080, E085, E090, E105, E112, T E115, E165, E170, E185, E190, Ages: 0-99 E198, E200, E210, E215, E230,

608

Behavioral Health Providers Ohio - Lake E235, E240, P010, P035 Sloane, Steven, MA, (M) St Vincent Medical Group Group Name: Signature Health Provider ID: 001945275140 Sipple, Beth A, MS, (F) Provider ID: 006847292001 NPI: 1134119829 Group Name: Diane Eden And NPI: 1245723980 34600 Chardon Rd Unit 8 Associates Inc 38882 Mentor Ave Willoughby Hills, OH 44094

Provider ID: 003150175002 Willoughby, OH 44094 (216) 369-2830 EB, P, R, RE, S,

NPI: 1144418823 (440) 953-9999 EB, P, R T 34900 Chardon Rd Ste 200 Ages: 0-99 Ages: 0-99 Willoughby Hills, OH 44094 Areas of Expertise: E112

(440) 951-5600 RE, T St Vincent Medical Group We - 5:00 AM - 7:00 PM Smith, Angela, BA, (F) Provider ID: 001945275122 Th - 5:00 PM - 7:00 PM Group Name: Angela Marie NPI: 1134119829 Cultural Competency: Y Smith 34600 Chardon Rd Unit 9 Ages: 0-99 Provider ID: 007505776002 Willoughby Hills, OH 44094

Areas of Expertise: A050, E020, NPI: 1396381711 (440) 585-2640 EB, IB, P, R E055, E070, E112, E115, E165, 15 W Main St Ages: 0-99 E168, E185, E200, E210, P010 Madison, OH 44057

(440) 428-0118 EB, P, R St Vincent Medical Group Sipple, Beth A, MS, (F) Mo-Th - 9:00 AM - 8:00 PM Provider ID: 001945275035 Group Name: Psycho Social Ages: 0-99 NPI: 1134119829 Therapies Areas of Expertise: A101, E020, 35040 Chardon Rd Ste 101 Provider ID: 003150175001 E070, P010 Willoughby Hills, OH 44094

NPI: 1144418823 (440) 946-4642 EB, P, R 8881 Schaeffer St Smith, Howell R, MA, (F) Ages: 0-99 Mentor, OH 44060 Group Name: Signature Health

(216) 292-2880 EB, P, R Provider ID: 007533080001 St Vincent Medical Group Mo-Fr - 9:00 AM - 4:00 PM NPI: 1154928810 Provider ID: 001945275075 Cultural Competency: Y 462 Chardon St NPI: 1134119829 Ages: 0-99 Painesville, OH 44077 36060 Euclid Ave Ste 107

Areas of Expertise: A050, E020, (440) 578-8200 EB, P, R Willoughby, OH 44094

E055, E070, E112, E115, E165, Ages: 0-99 (440) 269-8346 EB, P, R E168, E185, E200, E210, P010 Ages: 0-99 Smith, Jacqulyn, MA, (F) Siracuse, Danielle A, MSW, (F) Group Name: Lake Health St Vincent Medical Group Group Name: Crossroads Lake Provider ID: 006845156002 Provider ID: 001945275016 County Adolescent NPI: 1619325917 NPI: 1134119829 Provider ID: 007420991002 36000 Euclid Ave 9944 Johnnycake Ridge Rd NPI: 1912532458 Willoughby, OH 44094 Painesville, OH 44077

9220 Mentor Ave (440) 953-9600 E, EB, G, IB, P, (440) 354-6122 EB, P, R Mentor, OH 44060 PL, R, RE, S, T Ages: 0-99

(440) 255-1700 E, RE, S, T Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

609

Ohio - Lake Behavioral Health Providers Stevenson, Kelly A, MS, (F) Toney, Ashley, CM, (F) Tucker, Karen V, MSW, (F) Group Name: Crossroads Lake Group Name: Rakesh Ranjan Md Group Name: Cleveland Clinic County Adolescent And Assoc Foundation Provider ID: 003555014009 Provider ID: 006649737004 Provider ID: 001168034002 NPI: 1346427374 NPI: 1528577236 NPI: 1891723615 8445 Munson Rd 8532 Mentor Ave 2785 Som Center Rd Mentor, OH 44060 Mentor, OH 44060 Willoughby Hills, OH 44094

(440) 255-1700 EB, P, R, RE, S, (440) 205-1008 EB, RE, S, T (440) 602-8601 E, EB, G, IB, P, T Ages: 0-99 PL, R, RE, S, T Cultural Competency: Y Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Towns Scott, Mattie, MS, (F) Cultural Competency: Y Areas of Expertise: E010, E017, Group Name: En Pointe Web address: http://www.cleveland E020, E025, E055, E070, E075, Behavioral Services LLC clinic.org E080, E085, E090, E112, E165, Provider ID: 007436567001 Ages: 0-99 E170, E185, E190, E198, E200, NPI: 1285173005 Areas of Expertise: A010, E010, E210, E215, E230, P010, P030 34950 Chardon Rd Ste 210 E020, E070, E080, E090, E105, Willoughby Hills, OH 44094 E112, E115, E165, E200, E215,

Stevenson, Kelly A, MS, (F) (216) 224-7080 R, RE, S, T P010, P030 Group Name: Rakesh Ranjan Md Tu,We - 8:30 AM - 1:00 PM & Assoc Inc Th - 3:00 PM - 6:00 PM University Hospitals Medical Provider ID: 003555014002 Ages: 0-99 Group NPI: 1346427374 Areas of Expertise: E017, E050, Provider ID: 003154419004 9002 Mentor Ave E055, P010, P080 NPI: 1669499414 Mentor, OH 44060 9000 Mentor Ave

(440) 205-1008 EB, P, R Trennel, Patricia A, MA, (F) Mentor, OH 44060

Cultural Competency: Y Group Name: Crossroads Lake (216) 844-1000 EB, P, R Ages: 0-99 County Adolescent Ages: 0-99 Provider ID: 006849212003 Stine, Alexandra R, MA, (F) NPI: 1265946719 University Hospitals Medical Group Name: Rakesh Ranjan Md 9220 Mentor Ave Group And Assoc Mentor, OH 44060 Provider ID: 003154419007

Provider ID: 007304792001 (440) 255-1700 E, RE, S, T NPI: 1669499414 NPI: 1861030793 Ages: 0-99 9000 Mentor Ave Ste 100 8532 Mentor Ave Areas of Expertise: E020, E070, Mentor, OH 44060

Mentor, OH 44060 E112, E165 (216) 844-1000

(440) 205-1008 EB, RE, S, T Ages: 0-99 Ages: 0-99

610

Behavioral Health Providers Ohio - Lake University Hospitals Medical University Primary Care University Primary Care Group Practices Practices Provider ID: 003154419007 Provider ID: 000387283788 Provider ID: 000387283834 NPI: 1669499414 NPI: 1043461890 NPI: 1043461890 9000 Mentor Ave Ste 220 701 N Lake St Ste 101 7535 Fredle Dr Mentor, OH 44060 Madison, OH 44057 Concord Township, OH 44077

(216) 844-7330 EB, IB, P, R (216) 383-0100 E, EB, G, P, R, (440) 357-3100 EB, P, R Ages: 0-99 RE, S Ages: 0-99 Ages: 0-99 University Primary Care University Primary Care Practices University Primary Care Practices Provider ID: 000387283216 Practices Provider ID: 000387283952 NPI: 1043461890 Provider ID: 000387283929 NPI: 1043461890 1919 Bishop Rd NPI: 1043461890 9000 Mentor Ave Wickliffe, OH 44092 7500 Auburn Rd Ste 1200 Mentor, OH 44060

(440) 354-9900 EB, P, R Concord Township, OH 44077 (216) 383-0100 EB, P, R

Ages: 0-99 (440) 358-5400 EB, P, R Ages: 0-99 Ages: 0-99 University Primary Care University Primary Care Practices University Primary Care Practices Provider ID: 000387283452 Practices Provider ID: 000387283831 NPI: 1043461890 Provider ID: 000387283993 NPI: 1043461890 470 Bacon Rd NPI: 1043461890 9000 Mentor Ave Ste 100 Painesville, OH 44077 7500 Auburn Rd Ste 1500 Mentor, OH 44060

(440) 354-9900 EB, P, R Concord Township, OH 44077 (216) 383-0100

Ages: 0-99 (440) 358-5480 EB, P, R Ages: 0-99 Ages: 0-99 University Primary Care University Primary Care Practices University Primary Care Practices Provider ID: 000387283873 Practices Provider ID: 000387283906 NPI: 1043461890 Provider ID: 000387283927 NPI: 1043461890 60 Wood St NPI: 1043461890 9000 Mentor Ave Ste 101 Painesville, OH 44077 7500 Auburn Rd Ste 2400 Mentor, OH 44060

(216) 383-0100 E, EB, G, IB, P, Concord Township, OH 44077 (216) 383-0100 EB, P, R

PL, R, RE, T (440) 358-5440 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

611

Ohio - Lake Behavioral Health Providers University Primary Care Vanbrook, Wienel Y, MA, (F) Wachs, Rhonda L, MS, (F) Practices Group Name: Signature Health Group Name: Cleveland Clinic Provider ID: 000387283832 Inc Foundation NPI: 1043461890 Provider ID: 007281578003 Provider ID: 003545909001 9000 Mentor Ave Ste 105 NPI: 1871139758 NPI: 1013252394 Mentor, OH 44060 38882 Mentor Ave 2785 Som Center Rd

(440) 974-4404 E, EB, IB, P, R Willoughby, OH 44094 Willoughby Hills, OH 44094

(440) 578-8200 EB, P, R (440) 602-8601 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 PL, R, RE, S, T Cultural Competency: Y University Primary Care Vanscoyoc, Karen L, MA, (F) Ages: 0-99 Practices Group Name: Crossroads Lake Hospital Affiliations: Provider ID: 000387283786 County Adolescent Cleveland Clinic Foundation NPI: 1043461890 Provider ID: 007130839001 9000 Mentor Ave Ste 107 NPI: 1225536014 Walker-Askew, Tracey, MA, (F) Mentor, OH 44060 8445 Munson Rd Group Name: Signature Health (844) 463-7669 EB, P, R Mentor, OH 44060 Provider ID: 007658364001 Ages: 0-99 (440) 255-1700 EB, P, R, RE, S, NPI: 1164676888 T 462 Chardon St University Primary Care Web address: https://crossroadshealt Painesville, OH 44077 Practices h.org (440) 578-8200 EB, P, R Provider ID: 000387283982 Ages: 0-99 Ages: 0-99 NPI: 1043461890 9000 Mentor Ave Ste 204 Vojtush, Nicole L, MA, (F) Wallin, John A, MA, (M) Mentor, OH 44060 Group Name: Crossroads Lake Group Name: Lake Health (440) 708-1555 EB, P, R County Adolescent Provider ID: 006839942002 Ages: 0-99 Provider ID: 007056337001 NPI: 1326497355 NPI: 1538625314 36000 Euclid Ave University Primary Care 8445 Munson Rd Willoughby, OH 44094 Practices Mentor, OH 44060 (440) 953-9600 E, EB, G, IB, P, Provider ID: 000387283907 (440) 255-1700 EB, P, R, RE, S, PL, R, RE, S, T NPI: 1043461890 T Ages: 0-99 9000 Mentor Ave Ste 205 Ages: 0-99 Areas of Expertise: E112 Mentor, OH 44060 (440) 974-4200 EB, P, R Welch, Casey O, MA, (F) Ages: 0-99 Group Name: Signature Health Provider ID: 006850516003 NPI: 1235643719 38882 Mentor Ave Willoughby, OH 44094

(440) 953-9999 EB, P, R Ages: 0-99 Areas of Expertise: E020, E070,

612

Behavioral Health Providers Ohio - Lorain

E112, E165 Yard, Lynsey, MA, (F) Group Name: Coleman Social Worker - Registered Welch, Casey O, MA, (F) Professional Services Inc Roche, Shacara D, MA, (F) Group Name: Signature Health Provider ID: 006855894001 Group Name: Signature Health Provider ID: 006850516003 NPI: 1093214454 Provider ID: 006772831002 NPI: 1235643719 8445 Munson Rd NPI: 1023498169 462 Chardon St Mentor, OH 44060 38882 Mentor Ave Painesville, OH 44077 (440) 255-1700 EB, P, R, RE, S, Willoughby, OH 44094

(440) 953-9999 EB, P, R T (440) 953-9999 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E020, E070, Areas of Expertise: E112 E112, E165 Yergin, Courtney J, MA, (F) Group Name: Ohioguidestone Lorain Welch, Casey O, MA, (F) Provider ID: 006551030001

Group Name: Crossroads Lake NPI: 1972874717 County Adolescent 90 N State St Adv Practice Reg Psych Np Provider ID: 006850516002 Painesville, OH 44077 Belcher, Wendelyn L, MS, (F) NPI: 1235643719 (440) 260-8300 EB, P, R Group Name: Nord Center 8445 Munson Rd Ages: 0-99 Provider ID: 006355244005 Mentor, OH 44060 NPI: 1578010989 (440) 255-1700 EB, P, R, RE, S, Ziegler-Alban, Kristin K, MA, (F) 6140 S Broadway T Group Name: Signature Health Lorain, OH 44053

Ages: 0-99 Provider ID: 006850544002 (440) 233-7232 EB, P, R Areas of Expertise: E020, E070, NPI: 1386072981 Ages: 0-99 E112, E165 38882 Mentor Ave Areas of Expertise: A060, E010, Willoughby, OH 44094 E020, E025, E042, E070, E090, Wolen, James, MA, (M) (440) 953-9999 EB, P, R E105, E170, E185, E198, E285, Group Name: Signature Health Ages: 0-99 E392, P010, P013, P035 Provider ID: 004212782002 Areas of Expertise: E020, E070, NPI: 1043633571 E112, E165 Berlin, Praveena P, MS, (F) 38882 Mentor Ave Group Name: Ohioguidestone Willoughby, OH 44094 Ziegler-Alban, Kristin K, MA, (F) Provider ID: 003668111003 (440) 953-9999 EB, P, R Group Name: Signature Health NPI: 1285067355 Ages: 0-99 Provider ID: 006850544002 2173 N Ridge Rd E Ste E Areas of Expertise: E112 NPI: 1386072981 Lorain, OH 44055

462 Chardon St (440) 260-8300 EB, P, R, RE, T Painesville, OH 44077 Ages: 0-99 (440) 953-9999 EB, P, R Ages: 0-99 Areas of Expertise: E020, E070, E112, E165

613

Ohio - Lorain Behavioral Health Providers Bofah, Isaac O, MA, (M) Edmondson, Tonya, MS, (F) E165, E168, E170, E185, E210, Group Name: T Arthur Mensah Group Name: Ohioguidestone E377, P010, P035 Provider ID: 006895926005 Provider ID: 006335836004 NPI: 1316427172 NPI: 1588808364 Ghanem, Yassin I, MS, (M) 5343 Meadow Lane Ct Ste B 2173 N Ridge Rd E Ste E Group Name: University Primary Sheffield Village, OH 44035 Lorain, OH 44055 Care Practices

(440) 934-2311 EB, P, R (440) 260-8300 EB, P, R, RE, T Provider ID: 007548695003 Mo-Fr - 9:00 AM - 8:00 PM Ages: 0-99 NPI: 1689286726 Ages: 0-99 Areas of Expertise: E112 630 E River St Areas of Expertise: A060, A101, Elyria, OH 44035

E020, E025, E070, E112, E160, Edmondson, Tonya, MS, (F) (440) 329-7596 EB, P, R E165, E180, E190, E200, E377, Group Name: Ohioguidestone Languages Spoken: MAT1, P010 Provider ID: 006335836004 Provider: Arabic NPI: 1588808364 Mo-Fr - 8:30 AM - 4:30 PM Budny, Paul A, MA, (M) 2173 N Ridge Rd E Ste L Cultural Competency: Y Group Name: University Primary Lorain, OH 44055 Ages: 0-99

Care Practices (440) 260-8300 EB, P, R Areas of Expertise: A060, E010, Provider ID: 007237140006 Ages: 0-99 E015, E017, E020, E025, E055, NPI: 1730742719 Areas of Expertise: E112 E060, E062, E070, E075, E080, 630 E River St E160, E165, E170, E185, E200, Elyria, OH 44035 Edmondson, Tonya, MS, (F) E205, E210, E220, E230, E235,

(440) 329-7596 EB, P, R Group Name: Nord Center E240, E285, E374, E377, E385, Mo-Fr - 8:00 AM - 4:30 PM Provider ID: 006335836003 E390, P080 Ages: 0-99 NPI: 1588808364 Areas of Expertise: A060, E160, 6140 S Broadway Gilbert, Kimberly M, MS, (F) P010 Lorain, OH 44053 Group Name: Nord Center

(440) 233-7232 EB, P, R Provider ID: 006793661002 Danevich, Lisa M, MA, (F) Ages: 0-99 NPI: 1114229986 Group Name: Nord Center Areas of Expertise: E112 6140 S Broadway Provider ID: 006632003002 Lorain, OH 44053

NPI: 1801256904 Forte Sullen, Kara, MS, (F) (440) 233-7232 EB, P, R 6140 S Broadway Group Name: Rakesh Ranjan Md Ages: 0-99 Lorain, OH 44053 And Assoc Areas of Expertise: E112, E160

(440) 204-4228 EB, P, R Provider ID: 007263150003 Mo,Fr - 8:00 AM - 5:00 PM NPI: 1083180129 Tu,We,Th - 8:00 AM - 8:00 PM 347 Midway Blvd Ste 210 Cultural Competency: Y Elyria, OH 44035

Ages: 0-99 (440) 324-5555 EB, P, R, RE, S, T Cultural Competency: Y Ages: 0-99 Areas of Expertise: A060, E020, E042, E055, E070, E115, E160,

614

Behavioral Health Providers Ohio - Lorain Hasenstaub, Mary M, DNP, (F) Lanham, Jaclyn A, NP, (F) Miller, Brittany L, MA, (F) Group Name: University Primary Group Name: Cnp Operating Co Group Name: University Primary Care Practices Provider ID: 003265229010 Care Practices Provider ID: 003230438001 NPI: 1609178755 Provider ID: 006767443004 NPI: 1710150891 3364 Kolbe Rd NPI: 1124532445 630 E River St Lorain, OH 44053 630 E River St

Elyria, OH 44035 (440) 960-7960 E, EB, G, IB, P, Elyria, OH 44035

(440) 329-7596 EB, P, R R, RE, S, T (440) 329-7596 E, EB, G, IB, P, Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Areas of Expertise: A060, E020, Cleveland Clinic Foundation Ages: 0-99 E070, P010 Lutheran Hospital Areas of Expertise: A060, E070, Areas of Expertise: A060, A101, E160, P010, P080 Jenkins Garrett, Richelle D, MS, E020, E070, E112, E160, E165, (F) P010 Norman, Michele M, RN, (F) Group Name: Nord Center Group Name: Lifestance Health Provider ID: 007055215001 Mcdonough, John W, MA, (M) Pbc NPI: 1205307287 Group Name: Firelands Regional Provider ID: 006852757003 6140 S Broadway Medical Center NPI: 1679088025 Lorain, OH 44053 Provider ID: 006039745002 1426 Center Rd

(440) 233-7232 EB, P, R NPI: 1760782502 Avon, OH 44011

Ages: 0-99 6150 Park Square Dr Ste B (216) 468-5000 EB, P, R Lorain, OH 44053 Mo-Fr - 9:00 AM - 5:00 PM

Jones, Jeffrey S, MS, (M) (440) 984-3882 EB, P, R Web address: www.psychbc.com Group Name: Psych And Psych Ages: 0-99 Ages: 0-99 Services Areas of Expertise: A060, A101, Provider ID: 002740654006 Meleca, Vildan A, MS, (F) E160, P010, P013, P080 NPI: 1891855482 Group Name: Ohioguidestone 750 Abbe Rd S Provider ID: 007128996002 Smith, Jessica, NP, (F) Elyria, OH 44035 NPI: 1326515602 Group Name: Nord Center

(440) 323-5121 RE, T 2173 N Ridge Rd E Ste E Provider ID: 007168457001 We,Th,Fr - 9:00 AM - 5:00 PM Lorain, OH 44055 NPI: 1336673425

Web address: psychandpsych.com (440) 260-8300 EB, P, R, RE, T 6140 S Broadway Ages: 0-99 Ages: 0-99 Lorain, OH 44053

Areas of Expertise: A060, E020, (440) 233-7232 E, EB, G, IB, P, E042, E062, E070, E160, E165, PL, R, RE, S, T E185, E210, E377, P010, P035 Mo-Th - 8:00 AM - 8:00 PM Fr - 8:00 AM - 5:00 PM Ages: 0-99

615

Ohio - Lorain Behavioral Health Providers

Stone, Julie M, MA, (F) Group Name: Nord Center Alcohol & Drug Counselor Fumich, Dacia, LPC, (F) Provider ID: 003622592007 Beach, Jennifer, LPC , (F) Group Name: Lorain County Alc NPI: 1477803419 Group Name: Psych And Psych Drug Abs Svcs 6140 S Broadway Services Provider ID: 007123359001 Lorain, OH 44053 Provider ID: 007284515001 NPI: 1760042816 (440) 233-7232 E, EB, G, IB, P, NPI: 1124678503 1882 E 32nd St PL, R, RE, S, T 750 Abbe Rd S Lorain, OH 44055 Cultural Competency: Y Elyria, OH 44035 (440) 989-4900 EB, P, R, RE, T

Ages: 0-99 (440) 323-5121 RE, T Ages: 0-99 Areas of Expertise: A060, A100, Ages: 0-99 E010, E015, E017, E020, E025, Fumich, Dacia, LPC, (F) E030, E055, E060, E062, E070, Dayka, Suzann K, MSW, (F) Group Name: Lorain County Alc E075, E080, E085, E090, E100, Group Name: Psych And Psych Drug Abs Svcs E112, E115, E150, E155, E160, Services Provider ID: 007123359001 E165, E168, E170, E172, E185, Provider ID: 005145765005 NPI: 1760042816 E190, E198, E200, E205, E210, NPI: 1740214857 2115 W Park Dr E215, E220, E230, E235, E240, 750 Abbe Rd S Lorain, OH 44053 E285, E365, MAT1, P010, P020, Elyria, OH 44035 (440) 989-4900 EB, P, R, RE, T

P030 (440) 323-5121 RE, T Ages: 0-99 Web address: psychandpsych.com Warholici, Kristin H, MA, (F) Ages: 0-99 Hainline, Angela, MA, (F) Group Name: Cleveland Clinic Group Name: Medmark Foundation Dee, Maureen E, LPC, (F) Treatment Centers Provider ID: 006075447001 Group Name: Catholic Charities Provider ID: 007562845001 NPI: 1295196475 Corporation NPI: 1801492012 36901 American Way Ste C Provider ID: 003094772001 530 N Leavitt Rd Avon, OH 44011 NPI: 1649402801 Amherst, OH 44001 (440) 930-6250 EB, P, R 628 Poplar St (440) 328-4213 EB, P, R Cultural Competency: Y Elyria, OH 44035 Ages: 0-99

Web address: http://www.cleveland (440) 366-1106 EB, P, R clinic.org Languages Spoken: Kimberlin, Jessica M, MA, (F) Ages: 0-99 Provider: Spanish Group Name: Medmark Hospital Affiliations: Ages: 0-99 Treatment Centers Cleveland Clinic Foundation Provider ID: 007557826001 Areas of Expertise: A010, E020, Difilippo, Sarah M, MA, (F) NPI: 1093227597 E025, E042, E070, E112, E160, Group Name: Ohioguidestone 530 N Leavitt Rd E165, E185, E200, E210 Provider ID: 003736629001 Amherst, OH 44001 NPI: 1659602795 (440) 328-4213 EB, P, R 2173 N Ridge Rd E Ste E Ages: 0-99 Lorain, OH 44055

(440) 260-6108 EB, P, R Ages: 0-99

616

Behavioral Health Providers Ohio - Lorain

Maldonado Rivera, Karen L, MA, Pratt, Kaitlin, BA, (F) (F) Group Name: Ohioguidestone Psychiatry

Group Name: Ohioguidestone Provider ID: 007159360001 Prior authorization is required to Provider ID: 006914567001 NPI: 1215599519 obtain some covered services from NPI: 1508395542 2173 N Ridge Rd E Ste L these providers. You will not be 2173 N Ridge Rd E Lorain, OH 44055 covered for those services without Lorain, OH 44055 (440) 260-8327 EB, P, R such approval by UnitedHealthcare (440) 260-8327 EB, P, R Ages: 0-99 Community Plan. Please see your Ages: 0-99 member handbook, or call Member Wrice, Danae B, MA, (F) Services for details.

Mclellan, Brendon M, LPC, (M) Group Name: Firelands Regional Group Name: Psych And Psych Medical Center Abou Haidar, Said N, MD, (M), B Services Provider ID: 006983942001 Group Name: Haidar Almhana Provider ID: 007175826001 NPI: 1962971184 And Neiding LLC NPI: 1174176358 6150 Park Square Dr Ste B Provider ID: 000982946002 750 Abbe Rd S Lorain, OH 44053 NPI: 1952487712 223 Miller Rd Elyria, OH 44035 (440) 984-3882 EB, P, R Avon Lake, OH 44012 (440) 323-5121 RE, T Ages: 0-99 Ages: 0-99 (440) 930-2002 E, EB, P, R, RE, S, T Twining, Shannon K, LPC, (F) Neuropsychology Languages Spoken: Group Name: Lorain County Alc Manos, Michael J, PHD, (M) Provider: Arabic Drug Abs Svcs Group Name: Cleveland Clinic Mo-Th - 9:00 AM - 8:00 PM Provider ID: 007123024001 Foundation Fr,Sa - 9:00 AM - 4:00 PM NPI: 1659931863 Provider ID: 002349690001 Cultural Competency: Y 2115 W Park Dr NPI: 1629121140 Ages: 0-99 Lorain, OH 44053 36901 American Way Areas of Expertise: A010, A050, E017, E020, E025, E042, E055, (440) 989-4900 EB, P, R, RE, T Avon, OH 44011 E070, E112, E160, E165, E168, Ages: 0-99 (440) 930-6250 E, EB, IB, P, R Web address: http://www.cleveland E170, E185, E190, E198, E200, clinic.org E230, E390, P010, P035 Autism Behavioral Analyst Ages: 0-99 Pratt, Kaitlin, BA , (F) Hospital Affiliations: Group Name: Ohioguidestone Cleveland Clinic Foundation Provider ID: 007159360001 Areas of Expertise: E020, E025, NPI: 1215599519 E062, E070, E080, E112, E165, 2173 N Ridge Rd E Ste E P030 Lorain, OH 44055

(800) 639-4974 EB, P, R, RE, T Ages: 0-99

617

Ohio - Lorain Behavioral Health Providers Adityanjee, A, MD, (M) E381, E385, P010, P035, P080 Almhana, Diab M, MD, (M), B Group Name: Nirvana Health Group Name: Haidar Almhana & And Wellness Ahmed, Razia, MD, (F) Nieding Provider ID: 001018282005 Group Name: University Primary Provider ID: 002110890001 NPI: 1174677389 Care Practices NPI: 1619053477 1212 Abbe Rd S Provider ID: 000057435003 223 Miller Rd Elyria, OH 44035 NPI: 1922123231 Avon Lake, OH 44012

(440) 872-6548 630 E River St (440) 930-2002 E, EB, P, R, RE, Languages Spoken: Elyria, OH 44035 S, T

Provider: Hindi, Punjabi, Urdu (440) 329-7596 E, EB, G, IB, P, Mo - 8:00 AM - 5:00 PM Web address: www.nirvanahealthan PL, R, RE, S, T Tu - 7:30 AM - 6:00 PM dwellnessinc.com Ages: 0-99 We - 8:00 AM - 8:00 PM Ages: 0-99 Hospital Affiliations: Th - 8:30 AM - 5:00 PM Hospital Affiliations: Fairview Hospital Fr - 8:00 AM - 4:30 PM St Elizabeth Youngstown Hospital Areas of Expertise: E160 Ages: 0-99 Areas of Expertise: A100, E017, Areas of Expertise: A010, E020, E020, E025, E042, E062, E070, Akkireddi, Padmalatha, MD, (F) E025, E055, E070, E112, E160, E085, E100, E112, E160, E165, Group Name: Nord Center E165, E170, E190, E200, E210, E168, E172, E185, E198, E200, Provider ID: 006419704001 E230, P010 E210, E235, E285, E365, E377, NPI: 1881869659 E381, E385, P010, P035, P080 6140 S Broadway Applewood Centers Lorain, OH 44053 Provider ID: 001817633005

Adityanjee, A, MD, (M) (440) 233-7232 EB, P, R NPI: 1780652966 Group Name: Nirvana Health Mo,Fr - 8:00 AM - 5:00 PM 1865 N Ridge Rd And Wellness Tu,We,Th - 8:00 AM - 8:00 PM Lorain, OH 44055 Provider ID: 001018282005 Cultural Competency: Y (440) 324-1300 NPI: 1174677389 Ages: 0-99 Ages: 0-99 4520 Oberlin Ave Areas of Expertise: E017, E020, Lorain, OH 44053 E042, E070, E165, E185, E200, Applewood Centers

(440) 434-2030 E, EB, P, R P010 Provider ID: 001817633006 Languages Spoken: NPI: 1780652966 Provider: Hindi, Punjabi, Urdu 1865 N Ridge Rd E Mo,We - 11:00 AM - 5:00 PM Lorain, OH 44055

Web address: www.nirvanahealthan (440) 324-1300 EB, P, R dwellnessinc.com Ages: 0-99 Ages: 0-99 Hospital Affiliations: Applewood Centers St Elizabeth Youngstown Hospital Provider ID: 001817633005 Areas of Expertise: A100, E017, NPI: 1780652966 E020, E025, E042, E062, E070, 1865 N Ridge Rd E Ste C E085, E100, E112, E160, E165, Lorain, OH 44055

E168, E172, E185, E198, E200, (440) 462-1473 EB, P, R E210, E235, E285, E365, E377, Ages: 0-99

618

Behavioral Health Providers Ohio - Lorain Applewood Centers E165, E170, E190, E200, E210, Applewood Centers Provider ID: 001817633005 E377, E392 Provider ID: 001817633006 NPI: 1780652966 NPI: 1780652966 5255 N Abbe Rd Ste 1 Basu, Basanti, MD, (F) 18655 North Ridge Rd East Sheffield Village, OH 44035 Group Name: Firelands Regional

Lorain, OH 44055 (440) 934-9930 EB, P, R Medical Center

(216) 459-9827 EB, P, R Ages: 0-99 Provider ID: 001351736003 Ages: 0-99 NPI: 1801988969 Applewood Centers 6150 Park Square Dr Ste B Applewood Centers Provider ID: 001817633005 Lorain, OH 44053

Provider ID: 001817633005 NPI: 1780652966 (440) 984-3882 EB, P, R NPI: 1780652966 6140 S Broadway Cultural Competency: Y 347 Midway Blvd Lorain, OH 44053 Ages: 0-99

Elyria, OH 44035 (440) 233-4470 E, EB, G, IB, P, Areas of Expertise: E112

(440) 324-1300 EB, P, R PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Beeman, Patrick C, MD, (M) Group Name: Mercy Health Applewood Centers Applewood Centers Physicians Lorain Provider ID: 001817633005 Provider ID: 001817633005 Provider ID: 005227778001 NPI: 1780652966 NPI: 1780652966 NPI: 1497066112 347 Midway Blvd Ste 200 618 Leona St 3700 Kolbe Rd Elyria, OH 44035 Elyria, OH 44035 Lorain, OH 44053

(440) 723-5494 EB, P, R (216) 365-2218 EB, P, R (440) 988-1009 EB, G, IB, P, PL, Ages: 0-99 Ages: 0-99 R, RE, S, T Languages Spoken: Applewood Centers Austerman, Joseph M, DO, (M), B Provider: French, Latin, Spanish Provider ID: 001817633005 Group Name: Cleveland Clinic Ages: 0-99 NPI: 1780652966 Foundation Hospital Affiliations: 347 Midway Blvd Ste 204 Provider ID: 002769975001 Mercy Regional Medical Center Elyria, OH 44035 NPI: 1003906223 Communtiy Health Partners Rgnl

(440) 324-4980 EB, P, R 36901 American Way Mdcl Ctr Ages: 0-99 Avon, OH 44011 Areas of Expertise: MAT1

(440) 930-6250 E, EB, IB, P, R Applewood Centers Cultural Competency: Y Bej, Mark D, MD, (M) Provider ID: 001817633005 Web address: http://www.cleveland Group Name: Northern Oh NPI: 1780652966 clinic.org Medical Specialist 347 Midway Blvd Ste 306 Ages: 0-99 Provider ID: 001122193001 Elyria, OH 44035 Hospital Affiliations: NPI: 1427040914

(440) 324-1300 EB, P, R Cleveland Clinic Foundation 224 W Lorain St Ste 500 Ages: 0-99 Fairview Hospital Oberlin, OH 44074

Lutheran Hospital (440) 776-7030 EB, P, R, RE, T Areas of Expertise: E020, E025, Mo,We,Fr - 8:00 AM - 4:00 PM E042, E070, E085, E112, E160, Ages: 0-99

619

Ohio - Lorain Behavioral Health Providers Hospital Affiliations: Brown, Cynthia L, MD, (F) Christian, Lorraine M, MD, (F), B University Hospitals Elyria Group Name: Lorain County Alc Group Name: Nord Center Medical Ctr Drug Abs Svcs Provider ID: 000777776001 Uh Elyria Medical Center Provider ID: 001840498003 NPI: 1376682104 Cleveland Clinic Foundation NPI: 1528051661 6140 S Broadway Mercy Allen Hospital 120 East Ave Lorain, OH 44053

Elyria, OH 44035 (440) 233-7232 E, EB, G, IB, P,

Bej, Mark D, MD, (M) (440) 989-4900 EB, P, R, RE, T PL, R, RE, S, T Group Name: Northern Oh Mo,Fr - 8:00 AM - 5:00 PM Medical Specialist Languages Spoken: Tu,We,Th - 8:00 AM - 8:00 PM Provider ID: 001122193001 Provider: Ukrainian Cultural Competency: Y NPI: 1427040914 Ages: 0-99 Ages: 0-99 5319 Hoag Dr Ste 111 Hospital Affiliations: Areas of Expertise: E020, E070, Sheffield Village, OH 44035 Cleveland Clinic Foundation E112, E160, E165, E170, E185, Areas of Expertise: A021, A100, (440) 934-2272 EB, P, R, RE, T E190, E200, P010, P030 Web address: nomshealthcare.com E020, E055, E070, E112, E155, Ages: 0-99 E165, MAT1, P010 Cleveland Clinic Foundation Hospital Affiliations: Provider ID: 002255988009 University Hospitals Elyria Brown, Cynthia L, MD, (F) NPI: 1326175183 Medical Ctr Group Name: Lorain County Alc 1130 Tower Blvd Ste B Uh Elyria Medical Center Drug Abs Svcs Lorain, OH 44052 Provider ID: 001840498003 Cleveland Clinic Foundation (440) 989-4874 EB, P, R Mercy Allen Hospital NPI: 1528051661 Ages: 0-99 1882 E 32nd St Bellefaire Jcb Lorain, OH 44055 Cleveland Clinic Foundation Provider ID: 003165414001 (440) 989-4900 EB, P, R, RE, T Provider ID: 002255988018 NPI: 1952369514 Languages Spoken: NPI: 1326175183 1865 N Ridge Rd E Provider: Ukrainian 1142 W 37th St Lorain, OH 44055 Ages: 0-99 Lorain, OH 44052 Hospital Affiliations: (440) 723-5493 EB, P, R (440) 282-6669 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Areas of Expertise: A021, A100, Bellefaire Jcb E020, E055, E070, E112, E155, Cleveland Clinic Foundation Provider ID: 003165414001 E165, MAT1, P010 Provider ID: 002255988018 NPI: 1952369514 NPI: 1326175183 347 Midway Blvd Ste 200 1260 Abbe Rd N Elyria, OH 44035 Elyria, OH 44035

(440) 324-5701 EB, P, R (440) 366-8822 EB, IB, P, R, RE, Ages: 0-99 T Ages: 0-99

620

Behavioral Health Providers Ohio - Lorain Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988018 Provider ID: 002255988717 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 210 E Broad St 330 Chestnut Commons Dr 33355 Health Campus Blvd Elyria, OH 44035 Elyria, OH 44035 Avon, OH 44011

(440) 322-4510 EB, P, R (440) 366-9444 EB, P, R (440) 937-9099 Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988394 Provider ID: 002255988715 Provider ID: 002255988001 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 254 Cleveland Ave 33100 Cleveland Clinic Blvd 35105 Center Ridge Rd Amherst, OH 44001 Avon, OH 44011 North Ridgeville, OH 44039

(440) 988-6190 EB, P, R (440) 695-4600 (440) 327-1050 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988708 Provider ID: 002255988653 Provider ID: 002255988003 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 303 Chestnut Commons Dr 33300 Cleveland Clinic 3600 Kolbe Rd Ste 100 Elyria, OH 44035 Avon, OH 44011 Lorain, OH 44053

(440) 366-9444 (440) 695-5000 EB, P, R (440) 204-7800 Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988720 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 309 W Lorain St 33300 Cleveland Clinic Blvd 36901 American Way Oberlin, OH 44074 Avon, OH 44011 Avon, OH 44011

(440) 775-1015 EB, P, R (440) 695-5000 EB, P, R (440) 930-6200 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988596 Provider ID: 002255988009 Provider ID: 002255988584 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 32150 Just Imagine Dr 33300 Clveland Clinic Blvd 36901 American Way Ste A Avon, OH 44011 Avon, OH 44011 Avon, OH 44011

(440) 937-7000 EB, P, R (216) 538-9022 EB, P, R (440) 930-6200 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

621

Ohio - Lorain Behavioral Health Providers Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988625 Provider ID: 002255988688 Provider ID: 002255988691 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 36901 American Way Ste C 450 Avon Belden Rd 5275 N Abbe Rd Avon, OH 44011 Avon Lake, OH 44012 Sheffield Village, OH 44035

(440) 930-6250 EB, P, R (440) 930-6800 (216) 445-7050 Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988464 Provider ID: 002255988706 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 3700 Kolbe Rd 450 Avon Beldenrd 5334 Meadow Lane Ct Lorain, OH 44053 Avon Lake, OH 44012 Sheffield Village, OH 44035

(440) 960-4000 EB, G, IB, P, PL, (440) 930-6800 EB, P, R (440) 934-5454 R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988713 Provider ID: 002255988018 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 5172 Leavitt Rd 5334 Meadow Lane Ct Fl 1 417 S Main St Lorain, OH 44053 Sheffield Village, OH 44035

Oberlin, OH 44074 (216) 448-4325 (440) 934-5454 EB, P, R

(800) 223-2273 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988003 Provider ID: 002255988248 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 5172 Leavitt Rd Fl 2 5334 Meadow Lane Ct Fl 2 445 Avon Belden Rd Lorain, OH 44053 Sheffield Village, OH 44035

Avon Lake, OH 44012 (440) 282-7420 EB, P, R (440) 934-5454 EB, P, R

(440) 930-6800 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988003 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 5172 Leavitt Rd Fl 3 5334 Meadow Lane Ct Fl 3 445 Avon Belden Rd Ste B4 Lorain, OH 44053 Sheffield Village, OH 44035

Avon Lake, OH 44012 (440) 282-7420 EB, P, R (440) 934-5454 EB, P, R

(440) 930-6800 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

622

Behavioral Health Providers Ohio - Lorain Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988009 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 5338 Meadow Lane Ct 5700 Cooper Foster Pk Rd W 630 E River St Sheffield Village, OH 44035 Lorain, OH 44053 Elyria, OH 44035

(440) 934-5454 RE, T (440) 204-7400 EB, P, R (440) 329-7500 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 PL, R, RE, S, T Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988001 Provider ID: 002255988018 Cleveland Clinic Foundation NPI: 1326175183 NPI: 1326175183 Provider ID: 002255988001 5700 Cooper Foster Park Rd 5800 Cooper Foster Park Rd NPI: 1326175183 Lorain, OH 44053 Lorain, OH 44053 805 Patriot Dr Ste D

(440) 204-7800 (440) 985-3113 EB, P, R Wellington, OH 44090

Ages: 0-99 Ages: 0-99 (440) 647-0004 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988692 Cleveland Clinic Foundation NPI: 1326175183 NPI: 1326175183 Provider ID: 002255988003 5700 Cooper Foster Park Rd Ln 10 5800 Cooper Foster Park Rd W NPI: 1326175183 Lorain, OH 44053 Lorain, OH 44053 805 Patriot Dr Ste E

(440) 204-7400 EB, P, R (440) 204-7800 Wellington, OH 44090

Ages: 0-99 Ages: 0-99 (440) 204-7800 EB, P, R, RE, T Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988693 Provider ID: 002255988606 Cleveland Clinic Foundation NPI: 1326175183 NPI: 1326175183 Provider ID: 002255988244 5700 Cooper Foster Park Rd W 5800 Cooper Foster Pk Rd NPI: 1326175183 Lorain, OH 44053 Lorain, OH 44053 824 E Broad St

(440) 988-4040 (440) 985-3113 EB, P, R Elyria, OH 44035

Ages: 0-99 Ages: 0-99 (440) 322-0829 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988278 Provider ID: 002255988018 Firelands Comm Hosp/Prof Fees NPI: 1326175183 NPI: 1326175183 Provider ID: 000402215006 5700 Cooper Foster Pk Rd 5800 Cooper Foster Pk Rd W NPI: 1346200144 Lorain, OH 44053 Lorain, OH 44053 315 N Leavitt Rd

(440) 204-7400 EB, P, R (440) 985-3113 EB, P, R Amherst, OH 44001

Ages: 0-99 Ages: 0-99 (419) 557-7400 Ages: 0-99

623

Ohio - Lorain Behavioral Health Providers Firelands Comm Hosp/Prof Fees Gostkowski, Michal, DO, (M) E112, E160, E165 Provider ID: 000402215007 Group Name: Cleveland Clinic NPI: 1346200144 Foundation Ibrahim, Rim S, MD, (F), B 6150 Park Square Dr Ste B Provider ID: 003249318001 Group Name: Woodland Centers Lorain, OH 44053 NPI: 1386827715 Inc

(440) 984-3882 EB, P, R 33100 Cleveland Clinic Blvd Provider ID: 003326230004 Ages: 0-99 Avon, OH 44011 NPI: 1861552291

(440) 695-4000 EB, P, R 6140 S Broadway Firelands Regional Medical Cultural Competency: Y Lorain, OH 44053

Center Ages: 0-99 (440) 204-4228 EB, P, R Provider ID: 006930942001 Hospital Affiliations: Languages Spoken: NPI: 1629028600 Cleveland Clinic Foundation Provider: Arabic, French 401 Broadway Ste 387b Fairview Hospital Cultural Competency: Y Lorain, OH 44052 Lakewood Hospital Ages: 0-99

(419) 557-5177 EB, P, R Cleveland Clinic Lakewood Areas of Expertise: A010, A021, Ages: 0-99 Cleveland Clinic Avon Hospital A025, A070, E010, E015, E017, E020, E025, E030, E055, E070, Firelands Regional Medical Hegde, Shura S, MD, (M), B E075, E080, E085, E100, E112, Center Group Name: Center For E120, E142, E150, E160, E165, Provider ID: 006930942001 Children And Youth Service E170, E185, E190, E198, E200, NPI: 1629028600 Provider ID: 002106726001 E210, E235, E390, E392, P010 554 N Leavitt Rd NPI: 1710093661 Amherst, OH 44001 42707 N Ridge Rd Khan, Zia U, MD, (M)

(419) 557-5177 EB, P, R Elyria, OH 44035 Group Name: Fortaleza LLC Ages: 0-99 (440) 324-6113 Provider ID: 007048207002 Languages Spoken: NPI: 1871752519 Firelands Regional Medical Provider: Hindi, Russian 41641 N Ridge Rd Ste B Center Cultural Competency: Y Elyria, OH 44035

Provider ID: 006930942001 Ages: 0-99 (440) 324-7406 EB, G, IB, P, PL, NPI: 1629028600 R, RE, T 6150 Park Square Dr Ste B Hottois, Michael D, MD, (M) Ages: 0-99 Lorain, OH 44053 Group Name: Nord Center Areas of Expertise: MAT1

(440) 984-3882 EB, P, R Provider ID: 001393855003 Ages: 0-99 NPI: 1710027933 Kottapalli, Manjula, MD, (F), B 6140 S Broadway Group Name: Nord Center Lorain, OH 44053 Provider ID: 002517906002

(440) 233-7232 E, EB, G, IB, P, NPI: 1730201229 PL, R, RE, S, T 6140 S Broadway Mo,Fr - 8:00 AM - 5:00 PM Lorain, OH 44053

Tu,We,Th - 8:00 AM - 8:00 PM (440) 233-7232 EB, P, R Cultural Competency: Y Languages Spoken: Ages: 0-99 Provider: Hindi Areas of Expertise: E020, E070, Ages: 0-99

624

Behavioral Health Providers Ohio - Lorain Areas of Expertise: E020, E070, Messerly, Margaret M, MD, (F), E112, E160, E165 Lifestance Health Pbc B Provider ID: 002244199001 Group Name: Nord Center Lederer, Joan A, MD, (F) NPI: 1811915713 Provider ID: 001563674001 Group Name: Nord Center 1426 Center Rd NPI: 1053450700 Provider ID: 001770228003 Avon, OH 44011 6140 S Broadway

NPI: 1881604775 (216) 831-6611 EB, P, R Lorain, OH 44053

6140 S Broadway Mo-Fr - 9:00 AM - 5:00 PM (440) 233-7232 E, EB, G, IB, P, Lorain, OH 44053 Ages: 0-99 PL, R, RE, S, T

(440) 233-7232 EB, P, R Areas of Expertise: E112 Cultural Competency: Y Ages: 0-99 Ages: 0-99 Areas of Expertise: E010, E015, Lifestance Health Pbc Areas of Expertise: A050, E020, E017, E025, E055, E085, E090, Provider ID: 002244199002 E070, E112, E155, E160, E165, E105, E112, E115, E160, E170, NPI: 1811915713 E210, P010 E185, E190, E198, E200, E210, 36701 American Way E215, E225, E230, E240, P010, Avon, OH 44011 Mohan, Amit, MD, (M), B

P020, P030 (216) 831-6611 EB, P, R Group Name: University Primary Ages: 0-99 Care Practices Lefevre, Larry E, MD, (M) Areas of Expertise: E112 Provider ID: 003419428009 Group Name: Applegate NPI: 1821219841 Recovery Lifestance Health Pbc 630 E River St Provider ID: 000137750008 Provider ID: 002244199002 Elyria, OH 44035

NPI: 1225005622 NPI: 1811915713 (440) 329-7596 EB, P, R 833 E Broad St Unit 1 36701 American Way Ste 2 Languages Spoken: Elyria, OH 44035 Avon, OH 44011 Provider: Hindi

(440) 472-1924 EB, IB, P, R (216) 831-6611 EB, P, R Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Sa,Su - 8:00 AM - 10:00 AM Hospital Affiliations: Areas of Expertise: E112 Cultural Competency: Y Upper Valley Medical Center Ages: 0-99 Springfield Regional Medical Ctr Mathew, Sunita A, MD, (F) Areas of Expertise: A010, A050, Group Name: Nord Center A100, A102, A103, A112, E020, Levandovski, Yelena, PA, (F) Provider ID: 003458418001 E025, E030, E042, E055, E070, Group Name: Rakesh Ranjan Md NPI: 1265607444 E085, E095, E115, E147, E155, And Assoc 6140 S Broadway E160, E165, E168, E170, E185, Provider ID: 007123114002 Lorain, OH 44053 E198, E200, E210, E225, E230,

NPI: 1366907891 (440) 233-7232 E, EB, G, IB, P, E235, E285, E365, E374, E377, 347 Midway Blvd Ste 210 PL, R, RE, S, T E381, E404, P010, P013, P035, Elyria, OH 44035 Mo,Th,Fr - 8:00 AM - 5:00 PM P080

(440) 324-5555 EB, P, R, RE, S, Tu,We - 9:00 AM - 4:30 PM T Cultural Competency: Y Mo-Fr - 9:00 AM - 5:30 PM Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: MAT1

625

Ohio - Lorain Behavioral Health Providers Nancy Lowrie And Associates New Leaf Counseling Services Nockowitz, Richard A, MD, (M), LLC LLC B Provider ID: 002440214001 Provider ID: 003273382004 Group Name: Nord Center NPI: 1003927187 NPI: 1609197631 Provider ID: 001802386013 1830 W 40th St 215 Miller Rd NPI: 1245228717 Lorain, OH 44053 Avon Lake, OH 44012 6140 S Broadway

(440) 571-0108 EB, P, R (440) 969-5983 EB, P, PL, R, RE, Lorain, OH 44053

Ages: 0-99 T (440) 233-7232 EB, P, R Ages: 0-99 Ages: 0-99 Nancy Lowrie And Associates Areas of Expertise: A021, A050, LLC New Leaf Counseling Services A101, E020, E025, E070, E095, Provider ID: 002440214001 LLC E112, E140, E155, E160, E165, NPI: 1003927187 Provider ID: 003273382004 E168, E170, E185, E190, E198, 2700 Washington Ave NPI: 1609197631 E200, E210, E225, E230, E235, Lorain, OH 44052 215 Miller Rd Ste 7 MAT1, P010

(440) 846-0862 EB, P, R Avon Lake, OH 44012

Ages: 0-99 (440) 742-1661 EB, P, R, RE, T Noffsinger, Stephen, MD, (M), B Ages: 0-99 Group Name: University Nationwide Childrens Hospital Hospitals Medical Group Provider ID: 006965810004 New Leaf Counseling Services Provider ID: 000977507002 NPI: 1669542643 LLC NPI: 1578669321 347 Midway Blvd Ste 306 Provider ID: 003273382001 630 E River St Elyria, OH 44035 NPI: 1609197631 Elyria, OH 44035

(216) 320-8375 EB, P, R 223 Miller Rd (216) 286-6669 EB, P, R Ages: 0-99 Avon Lake, OH 44012 Mo-Fr - 8:30 AM - 4:30 PM

(440) 742-1661 E, EB, P, R, RE, Ages: 0-99 New Leaf Counseling Services S, T Areas of Expertise: E010, E015, LLC Ages: 0-99 E017, E020, E025, E055, E060, Provider ID: 003273382002 E062, E070, E075, E080, E085, NPI: 1609197631 New Leaf Counseling Services E090, E100, E105, E115, E120, 12868 Grafton Rd LLC E147, E150, E155, E160, E165, Grafton, OH 44044 Provider ID: 003273382004 E170, E180, E185, E187, E190,

(440) 748-2122 EB, P, R NPI: 1609197631 E198, E200, E210, E215, E220, Ages: 0-99 33420 Liberty Pkwy Bldg 2 E225, E230, E235, E240, E285, North Ridgeville, OH 44039 E373, E374, E375, E376, E377, (440) 742-1661 E390, E394, P010 Ages: 0-99

626

Behavioral Health Providers Ohio - Lorain Northern Oh Medical Specialist Northern Oh Medical Specialist Northern Oh Medical Specialist Provider ID: 002066903006 Provider ID: 002066903015 Provider ID: 002066903006 NPI: 1003044371 NPI: 1003044371 NPI: 1003044371 1317 Cooper Foster Rd 224 W Lorain St Ste I 32730 Walker Rd Ste J1 Amherst, OH 44001 Oberlin, OH 44074 Avon Lake, OH 44012

(440) 282-3341 EB, P, R (419) 626-6161 EB, P, R (440) 961-2040 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99

Northern Oh Medical Specialist Northern Oh Medical Specialist Northern Oh Medical Specialist Provider ID: 002066903003 Provider ID: 002066903003 Provider ID: 002066903003 NPI: 1003044371 NPI: 1003044371 NPI: 1003044371 224 W Lorain St 254 Cleveland Ave 5319 Hoag Dr Oberlin, OH 44074 Amherst, OH 44001 Sheffield Village, OH 44035

(440) 934-2272 EB, P, R (440) 455-3090 (440) 930-6020 EB, IB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Northern Oh Medical Specialist Northern Oh Medical Specialist Northern Oh Medical Specialist Provider ID: 002066903003 Provider ID: 002066903003 Provider ID: 002066903015 NPI: 1003044371 NPI: 1003044371 NPI: 1003044371 224 W Lorain St Ste 500 254 Cleveland Ave Ste 101 5319 Hoag Dr Ste 111 Oberlin, OH 44074 Amherst, OH 44001 Sheffield Village, OH 44035

(440) 776-7030 EB, P, R (440) 455-3090 EB, P, R (440) 934-2272 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99

Northern Oh Medical Specialist Northern Oh Medical Specialist Northern Oh Medical Specialist Provider ID: 002066903003 Provider ID: 002066903003 Provider ID: 002066903003 NPI: 1003044371 NPI: 1003044371 NPI: 1003044371 224 W Lorain St Ste A 254 Cleveland St Ste 101 5319 Hoag Dr Ste 130 Oberlin, OH 44074 Amherst, OH 44001 Sheffield Village, OH 44035

(440) 774-5518 E, EB, IB, P, R (440) 723-5685 EB, P, R (440) 930-6020 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Northern Oh Medical Specialist Northern Oh Medical Specialist Northern Oh Medical Specialist Provider ID: 002066903003 Provider ID: 002066903003 Provider ID: 002066903003 NPI: 1003044371 NPI: 1003044371 NPI: 1003044371 224 W Lorain St Ste C 319 W Lorain St 5319 Hoag Dr Ste 210a Oberlin, OH 44074 Oberlin, OH 44074 Sheffield Village, OH 44035

(440) 934-2272 E, EB, IB, P, R (440) 774-5518 EB, P, R (440) 925-5378 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

627

Ohio - Lorain Behavioral Health Providers Northern Oh Medical Specialist Northern Oh Medical Specialist Northern Oh Medical Specialist Provider ID: 002066903015 Provider ID: 002066903003 Provider ID: 002066903015 NPI: 1003044371 NPI: 1003044371 NPI: 1003044371 5319 Hoag Dr Ste 210b 5319 Hoag Dr Ste 240c 600 Kendal Dr Ste A Sheffield Village, OH 44035 Sheffield Village, OH 44035 Oberlin, OH 44074

(419) 627-1471 EB, P, R (440) 387-4607 EB, P, R (440) 775-0094 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Northern Oh Medical Specialist Northern Oh Medical Specialist Northern Oh Medical Specialist Provider ID: 002066903003 Provider ID: 002066903006 Provider ID: 002066903003 NPI: 1003044371 NPI: 1003044371 NPI: 1003044371 5319 Hoag Dr Ste 210c 5319 Hoag Dr Ste 250 6055 Park Square Dr Sheffield Village, OH 44035 Sheffield Village, OH 44035 Lorain, OH 44053

(419) 626-6161 E, EB, G, IB, P, (419) 626-6161 EB, P, R, RE, T (440) 723-5685 EB, P, PL, R PL, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Northern Oh Medical Specialist Northern Oh Medical Specialist Northern Oh Medical Specialist Provider ID: 002066903006 Provider ID: 002066903006 Provider ID: 002066903003 NPI: 1003044371 NPI: 1003044371 NPI: 1003044371 5334 Meadow Lane Ct 807 West Ave Ste 3013 5319 Hoag Dr Ste 210d Sheffield Village, OH 44035 Elyria, OH 44035

Sheffield Village, OH 44035 (440) 934-5454 EB, P, R (330) 793-0566

(440) 723-5685 E, EB, IB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Northern Oh Medical Specialist Noveske, F Gregory F, MD, (M), Northern Oh Medical Specialist Provider ID: 002066903003 B Provider ID: 002066903003 NPI: 1003044371 Group Name: Nord Center NPI: 1003044371 570 N Leavitt Rd Provider ID: 001230927001 5319 Hoag Dr Ste 240 Amherst, OH 44001 NPI: 1730178872

Sheffield Village, OH 44035 (440) 340-1970 EB, P, R 6140 S Broadway

(440) 420-4234 EB, P, R Ages: 0-99 Lorain, OH 44053

Ages: 0-99 (440) 204-4315 E, EB, G, IB, P, Northern Oh Medical Specialist PL, R, RE, S, T Northern Oh Medical Specialist Provider ID: 002066903003 Mo,Fr - 8:00 AM - 5:00 PM Provider ID: 002066903003 NPI: 1003044371 Tu,We,Th - 8:00 AM - 8:00 PM NPI: 1003044371 600 Kendal Dr Cultural Competency: Y 5319 Hoag Dr Ste 240b Oberlin, OH 44074 Ages: 0-99

Sheffield Village, OH 44035 (440) 775-0094 EB, P, R Areas of Expertise: E112

(419) 627-1471 EB, P, R Ages: 0-99 Ages: 0-99

628

Behavioral Health Providers Ohio - Lorain Ohio Mentor Areas of Expertise: E112 Plas, Jeffrey C, MD, (M), B Provider ID: 006808793004 Group Name: Cleveland Clinic NPI: 1861568990 Partners Physician Group Foundation 1350 W River Rd N Provider ID: 001478152927 Provider ID: 000810752001 Elyria, OH 44035 NPI: 1992138028 NPI: 1972604072

(216) 525-1885 EB, P, R 33100 Cleveland Clinic Blvd 33100 Cleveland Clinic Blvd Languages Spoken: Avon, OH 44011 Avon, OH 44011

Provider: Spanish (440) 695-4000 EB, P, R (440) 695-4000 EB, P, R Ages: 0-99 Ages: 0-99 Cultural Competency: Y Areas of Expertise: E070, E075, Areas of Expertise: E112 Web address: http://www.cleveland E115, E170, E185, E210, E320 clinic.org Partners Physician Group Ages: 0-99 Ohio Mentor Provider ID: 001478152657 Areas of Expertise: E020, E070, Provider ID: 006808793004 NPI: 1992138028 E112, E160, E165 NPI: 1861568990 5700 Cooper Foster Park Rd W 1530 W River Rd N Lorain, OH 44053 Plas, Jeffrey C, MD, (M), B

Elyria, OH 44035 (440) 204-7400 E, EB, IB, P, R Group Name: Cleveland Clinic

(440) 657-5658 EB, P, R Ages: 0-99 Foundation Languages Spoken: Areas of Expertise: E112 Provider ID: 000810752001 Provider: Spanish NPI: 1972604072 Ages: 0-99 Patel, Achala A, MD, (F) 33300 Cleveland Clinic Blvd Areas of Expertise: E070, E075, Group Name: Nord Center Avon, OH 44011

E115, E170, E185, E210, E320 Provider ID: 001926717001 (440) 695-5000 EB, P, R NPI: 1366581035 Cultural Competency: Y Okon, Roseline E, MD, (F), B 6140 S Broadway Web address: http://www.cleveland Group Name: Nord Center Lorain, OH 44053 clinic.org

Provider ID: 002754991017 (440) 204-4315 E, EB, G, IB, P, Ages: 0-99 NPI: 1801998547 PL, R, RE, S, T Areas of Expertise: E020, E070, 6140 S Broadway Languages Spoken: E112, E160, E165 Lorain, OH 44053 Provider: Gujarati, Hindi

(440) 204-4315 EB, P, R Mo,Fr - 8:00 AM - 5:00 PM Pozuelo, Leopoldo J, MD, (M), B Cultural Competency: Y Tu,We,Th - 8:00 AM - 8:00 PM Group Name: Cleveland Clinic Ages: 0-99 Cultural Competency: Y Foundation Areas of Expertise: E017, E042, Ages: 0-99 Provider ID: 001783003002 E055, E062, E085, E230, E377 Areas of Expertise: E020, E055, NPI: 1497711642 E070, E112, E115, E160, E165, 33300 Cleveland Clinic Blvd Partners Physician Group E170, E185, E190, E200, P010, Avon, OH 44011

Provider ID: 001478152641 P030 (440) 695-5000 EB, P, R NPI: 1992138028 Web address: http://www.cleveland 303 Chestnut Commons Dr clinic.org Elyria, OH 44035 Ages: 0-99

(440) 336-9444 EB, P, R Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation

629

Ohio - Lorain Behavioral Health Providers South Pointe Hospital Areas of Expertise: A025, E010, Rao, Kancherla S, MD, (M) Lutheran Hospital E017, E020, E025, E042, E043, Group Name: Nord Center Cleveland Clinic Avon Hospital E055, E060, E070, E090, E105, Provider ID: 000114717001 Areas of Expertise: E020, E070, E115, E160, E165, E170, E185, NPI: 1154461572 E095, E112, E155, E160, E165, E190, E198, E200, E205, E220, 6140 S Broadway MAT1, P010 E240, E285, E374, E385, E392, Lorain, OH 44053

P010, P020, P030 (440) 204-4315 E, EB, G, IB, P, Pratt, Donna E, MD, (F) PL, R, RE, S, T Group Name: Lorain County Alc Ralofsky, Louis W, MD, (M) Languages Spoken: Drug Abs Svcs Group Name: Integr8 Health Ltd Provider: Hindi Provider ID: 007477615001 Provider ID: 002005274004 Ages: 0-99 NPI: 1730585886 NPI: 1780643056 Hospital Affiliations: 2115 W Park Dr 2250 Kresge Dr University Hospitals Elyria Lorain, OH 44053 Amherst, OH 44001 Medical Ctr

(440) 989-4987 EB, P, R, RE, T (419) 239-2088 EB, P, R Uh Elyria Medical Center Ages: 0-99 Ages: 0-99 Areas of Expertise: E020, E070, Hospital Affiliations: E075, E112, E160, E165, E170, Psych And Psych Services Memorial Hospital E190, E200, E210, P010 Provider ID: 005546008001 Promedica Memorial Hospital NPI: 1457740052 Bellevue Hospital Royak, Boris, MD, (M), B 2173 N Ridge Rd E Ste E Group Name: University Primary Lorain, OH 44055 Ranjan, Rakesh, MD, (M), B Care Practices

(440) 260-8327 EB, P, R, RE, T Group Name: Rakesh Ranjan Md Provider ID: 002450144006 Ages: 0-99 And Assoc NPI: 1528091899 Areas of Expertise: A025, E010, Provider ID: 001184474006 630 E River St E017, E020, E025, E042, E043, NPI: 1073549606 Elyria, OH 44035

E055, E060, E070, E090, E105, 347 Midway Blvd Ste 210 (440) 329-7596 E, EB, G, IB, P, E115, E160, E165, E170, E185, Elyria, OH 44035 PL, R, RE, S, T

E190, E198, E200, E205, E220, (440) 324-5555 EB, P, R, RE, S, Mo-Fr - 8:00 AM - 4:30 PM E240, E285, E374, E385, E392, T Cultural Competency: Y P010, P020, P030 Languages Spoken: Ages: 0-99 Provider: Hindi Hospital Affiliations: Psych And Psych Services Mo-Fr - 9:00 AM - 5:30 PM University Hospitals Elyria Provider ID: 005546008001 Ages: 0-99 Medical Ctr NPI: 1457740052 Areas of Expertise: E165, MAT1 Uh Elyria Medical Center 750 Abbe Rd S St Vincent Charity Medical Center Elyria, OH 44035 Areas of Expertise: A050, A102,

(440) 323-5121 RE, T E020, E025, E070, E112, E155, Mo-Th - 8:00 AM - 8:00 PM E160, E165, E200, E210, MAT1, Fr - 8:00 AM - 5:00 PM P010 Sa - 8:00 AM - 2:00 PM Web address: psychandpsych.com Ages: 0-99

630

Behavioral Health Providers Ohio - Lorain Saravanan, Balaji, MD, (M), B Schuldt, Stephen E, MD, (M), B Solaro, Lori R, MD, (F) Group Name: Mercy Health Group Name: Firelands Regional Group Name: Lifestance Health Physicians Lorain Medical Center Pbc Provider ID: 002961613008 Provider ID: 003565956002 Provider ID: 001879846005 NPI: 1538351358 NPI: 1174751788 NPI: 1043374143 3700 Kolbe Rd 6150 Park Square Dr Ste B 1426 Center Rd Lorain, OH 44053 Lorain, OH 44053 Avon, OH 44011

(440) 960-4000 EB, G, IB, P, PL, (440) 984-3882 EB, P, R (216) 468-5000 EB, P, R R, RE, S, T Cultural Competency: Y Web address: http://psychbc.com Mo - 8:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Areas of Expertise: A101, E020, Ages: 0-99 Seleshi, Ermias, MD, (M), B E025, E042, E070, E160, E170, Hospital Affiliations: Group Name: Nord Center E190, E200, E390, P013, P080 Cleveland Clinic Foundation Provider ID: 006262665004 Areas of Expertise: E020, E070, NPI: 1699969725 Sprout, Kelly L, MD, (F), B E112, E155, E160, E165, E170, 6140 S Broadway Group Name: Firelands Regional E185, E190, E200, E210, E235, Lorain, OH 44053 Medical Center

MAT1, P010 (440) 233-7232 EB, P, R Provider ID: 002014901002 Mo,Fr - 8:00 AM - 5:00 PM NPI: 1659422129 Saravanan, Balaji, MD, (M), B Tu,We,Th - 8:00 AM - 8:00 PM 6150 Park Square Dr Ste B Group Name: University Primary Cultural Competency: Y Lorain, OH 44053

Care Practices Ages: 0-99 (440) 984-3882 EB, P, R Provider ID: 002961613009 Areas of Expertise: E112 Cultural Competency: Y NPI: 1538351358 Ages: 0-99 630 E River St Sheth, Aditi M, MD, (F) Elyria, OH 44035 Group Name: Rakesh Ranjan Md St Vincent Medical Group

(440) 329-7596 E, EB, G, IB, P, & Assoc Inc Provider ID: 001945275103 PL, R, RE, S, T Provider ID: 003648007003 NPI: 1134119829 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1154597839 3700 Kolbe Rd Ste 17 Cultural Competency: Y 347 Midway Blvd Ste 210 Lorain, OH 44053

Ages: 0-99 Elyria, OH 44035 (216) 241-8654 E, EB, IB, P, R,

Hospital Affiliations: (440) 324-5555 EB, P, R, RE, S, RE Cleveland Clinic Foundation T Ages: 0-99 Areas of Expertise: E020, E070, Cultural Competency: Y E112, E155, E160, E165, E170, Ages: 0-99 St Vincent Medical Group E185, E190, E200, E210, E235, Provider ID: 001945275077 MAT1, P010 NPI: 1134119829 38530 Chester Rd Ste 200 Avon, OH 44011

(440) 746-1055 E, EB, G, IB, P, R, RE, S, T Ages: 0-99

631

Ohio - Lorain Behavioral Health Providers St Vincent Medical Group Hospital Affiliations: Fairview Hospital Provider ID: 001945275034 Wooster Community Hospital Lakewood Hospital NPI: 1134119829 Anderson Hospital Cleveland Clinic Lakewood 4804 Leavitt Rd Cleveland Clinic Foundation Euclid Hospital Lorain, OH 44053 Hillcrest Hospital

(440) 989-2066 EB, G, IB, P, R, Fairview Hospital Sundaram, Murali, MD, (M) RE, T Lakewood Hospital Group Name: Cleveland Clinic Ages: 0-99 Cleveland Clinic Lakewood Foundation Euclid Hospital Provider ID: 000811726001 St Vincent Medical Group NPI: 1326005562 Provider ID: 001945275033 Sundaram, Murali, MD, (M) 33355 Health Campus Blvd NPI: 1134119829 Group Name: Cleveland Clinic Avon, OH 44011

5319 Hoag Dr Foundation (440) 937-9099 EB, P, R Sheffield Village, OH 44035 Provider ID: 000811726001 Ages: 0-99

(440) 934-0270 E, EB, IB, P, R, NPI: 1326005562 Hospital Affiliations: RE, S, T 33100 Cleveland Clinic Blvd Wooster Community Hospital Ages: 0-99 Avon, OH 44011 Anderson Hospital

(440) 695-4000 EB, P, R Cleveland Clinic Foundation St Vincent Medical Group Ages: 0-99 Hillcrest Hospital Provider ID: 001945275032 Hospital Affiliations: Fairview Hospital NPI: 1134119829 Wooster Community Hospital Lakewood Hospital 5323 Meadow Lane Ct Ste B Anderson Hospital Cleveland Clinic Lakewood Sheffield Village, OH 44035 Cleveland Clinic Foundation Euclid Hospital

(440) 834-0270 EB, P, R Hillcrest Hospital Ages: 0-99 Fairview Hospital Sundaram, Murali, MD, (M) Lakewood Hospital Group Name: Cleveland Clinic St Vincent Medical Group Cleveland Clinic Lakewood Foundation Provider ID: 001945275076 Euclid Hospital Provider ID: 000811726001 NPI: 1134119829 NPI: 1326005562 5334 Meadow Lane Ct Sundaram, Murali, MD, (M) 450 Avon Belden Rd Sheffield Village, OH 44035 Group Name: Cleveland Clinic Avon Lake, OH 44012

(440) 934-8922 EB, P, R Foundation (440) 930-6800 EB, P, R Ages: 0-99 Provider ID: 000811726001 Ages: 0-99 NPI: 1326005562 Hospital Affiliations: Sundaram, Murali, MD, (M) 33300 Cleveland Clinic Blvd Wooster Community Hospital Group Name: Cleveland Clinic Avon, OH 44011 Anderson Hospital

Foundation (440) 695-5000 EB, P, R Cleveland Clinic Foundation Provider ID: 000811726001 Ages: 0-99 Hillcrest Hospital NPI: 1326005562 Hospital Affiliations: Fairview Hospital 303 Chestnut Commons Dr Wooster Community Hospital Lakewood Hospital Elyria, OH 44035 Anderson Hospital Cleveland Clinic Lakewood

(440) 366-9444 EB, P, R Cleveland Clinic Foundation Euclid Hospital Ages: 0-99 Hillcrest Hospital

632

Behavioral Health Providers Ohio - Lorain Sundaram, Murali, MD, (M) Sundaram, Murali, MD, (M) Sundaram, Murali, MD, (M) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 000811726001 Provider ID: 000811726001 Provider ID: 000811726001 NPI: 1326005562 NPI: 1326005562 NPI: 1326005562 5172 Leavitt Rd 5334 Meadow Lane Ct 5700 Cooper Foster Park Rd W Lorain, OH 44053 Sheffield Village, OH 44035 Lorain, OH 44053

(440) 282-7420 EB, P, R (440) 934-5454 EB, P, R (440) 204-7400 EB, IB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Wooster Community Hospital Wooster Community Hospital Wooster Community Hospital Anderson Hospital Anderson Hospital Anderson Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Hillcrest Hospital Hillcrest Hospital Hillcrest Hospital Fairview Hospital Fairview Hospital Fairview Hospital Lakewood Hospital Lakewood Hospital Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Cleveland Clinic Lakewood Euclid Hospital Euclid Hospital Euclid Hospital

Sundaram, Murali, MD, (M) Sundaram, Murali, MD, (M) University Hospitals Medical Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Foundation Foundation Provider ID: 003154419004 Provider ID: 000811726001 Provider ID: 000811726001 NPI: 1669499414 NPI: 1326005562 NPI: 1326005562 630 E River St 5275 N Abbe Rd 5700 Cooper Foster Park Rd Elyria, OH 44035

Sheffield Village, OH 44035 Lorain, OH 44053 (216) 286-6669 EB, P, R

(216) 445-7050 EB, P, R (440) 204-7400 Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: University Primary Care Wooster Community Hospital Wooster Community Hospital Practices Anderson Hospital Anderson Hospital Provider ID: 000387283779 Cleveland Clinic Foundation Cleveland Clinic Foundation NPI: 1043461890 Hillcrest Hospital Hillcrest Hospital 101 Cooper Foster Park Rd Fairview Hospital Fairview Hospital Amherst, OH 44001

Lakewood Hospital Lakewood Hospital (440) 998-6060 EB, P, R Cleveland Clinic Lakewood Cleveland Clinic Lakewood Ages: 0-99 Euclid Hospital Euclid Hospital

633

Ohio - Lorain Behavioral Health Providers University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283859 Provider ID: 000387283946 Provider ID: 000387283687 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 1120 E Broad St Ste 200 1997 Healthway Dr Ste 203 32800 Lorain Rd Ste 1100 Elyria, OH 44035 Avon, OH 44011 North Ridgeville, OH 44039

(440) 326-4410 EB, P, R (440) 988-6884 EB, IB, P, R, RE, (440) 329-2800 EB, P, R, RE, T Ages: 0-99 T Ages: 0-99 Ages: 0-99 University Primary Care Practices University Primary Care University Primary Care Provider ID: 000387283053 Practices Practices NPI: 1043461890 Provider ID: 000387283733 Provider ID: 000387283858 125 E Broad St Ste 302 NPI: 1043461890 NPI: 1043461890 Elyria, OH 44035 224 W Lorain St Ste B 32800 Lorain Rd Ste 2100 North Ridgeville, OH 44039 (440) 323-0258 EB, P, R Oberlin, OH 44074 (440) 353-3433 EB, P, R Ages: 0-99 (440) 329-2800 EB, P, R Ages: 0-99 Ages: 0-99 University Primary Care Practices University Primary Care University Primary Care Provider ID: 000387283867 Practices Practices NPI: 1043461890 Provider ID: 000387283915 Provider ID: 000387283868 125 E Broad St Ste 322 NPI: 1043461890 NPI: 1043461890 Elyria, OH 44035 2535 Hale St Ste A 34960 Center Ridge Rd North Ridgeville, OH 44039 (440) 328-3400 EB, P, R Avon, OH 44011 (440) 353-3433 EB, P, R Ages: 0-99 (440) 934-8810 EB, P, R Ages: 0-99 Ages: 0-99 University Primary Care Practices University Primary Care University Primary Care Provider ID: 000387283780 Practices Practices NPI: 1043461890 Provider ID: 000387283187 Provider ID: 000387283801 1480 Center Rd NPI: 1043461890 NPI: 1043461890 Avon, OH 44011 254 Cleveland Ave Ste 101 3600 Kolbe Rd Ste 100 Lorain, OH 44053 (440) 695-6550 EB, P, R Amherst, OH 44001 (440) 329-2800 Ages: 0-99 (440) 934-2650 EB, G, P, PL, R, RE, S, T Ages: 0-99 Ages: 0-99

634

Behavioral Health Providers Ohio - Lorain

University Primary Care University Primary Care Practices Practices Psychology

Provider ID: 000387283318 Provider ID: 000387283238 Prior authorization is required to NPI: 1043461890 NPI: 1043461890 obtain some covered services from 3600 Kolbe Rd Ste 120 5001 Transportation Dr these providers. You will not be Lorain, OH 44053 Sheffield Village, OH 44054 covered for those services without (440) 282-7408 EB, P, R (440) 329-2800 EB, P, R, RE such approval by UnitedHealthcare Ages: 0-99 Ages: 0-99 Community Plan. Please see your member handbook, or call Member University Primary Care University Primary Care Services for details.

Practices Practices Provider ID: 000387283840 Provider ID: 000387283943 Barker, Cheryl, PHD, (F) NPI: 1043461890 NPI: 1043461890 Group Name: Lifestance Health 36855 American Way Ste A 5001 Transportation Dr Ste 300 Pbc Avon, OH 44011 Sheffield Village, OH 44054 Provider ID: 000022799002 NPI: 1255780334 (440) 934-2200 EB, IB, P, R, RE, (440) 328-3420 EB, P, R T Ages: 0-99 1426 Center Rd Ages: 0-99 Avon, OH 44011 University Primary Care (216) 831-6611 EB, P, R University Primary Care Practices Mo,We - 1:30 PM - 9:00 PM Practices Provider ID: 000387283617 Ages: 0-99 Provider ID: 000387283950 NPI: 1043461890 Areas of Expertise: A101, E020, NPI: 1043461890 630 E River St E055, E070, E080, E105, E112, 39000 Center Ridge Rd Elyria, OH 44035 E115, E145, E165, E198, P010, P020 North Ridgeville, OH 44039 (216) 844-4004 E, EB, G, IB, P,

(440) 329-7490 EB, P, R PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Beech Brook Provider ID: 000603661001 University Primary Care West, Sara G, MD, (F), B NPI: 1093816209 Practices Group Name: Nord Center 2173 N Ridge Rd E Ste E Provider ID: 000387283866 Provider ID: 005323624001 Lorain, OH 44055 NPI: 1043461890 NPI: 1639382062 (440) 260-8327 EB, P, R, RE, T 41201 Schadden Rd 6140 S Broadway Ages: 0-99 Elyria, OH 44035 Lorain, OH 44053 Areas of Expertise: E010, E015, E017, E020, E025, E043, E055, (216) 383-0100 EB, IB, P, R (440) 233-7232 EB, P, R Ages: 0-99 Mo,Fr - 8:00 AM - 5:00 PM E062, E070, E075, E080, E085, Tu,We,Th - 8:00 AM - 8:00 PM E112, E115, E147, E160, E165, Cultural Competency: Y E170, E187, E190, E200, E210, Ages: 0-99 E212, E215, E218, E281, E320, Areas of Expertise: E112, E160 E325, E374, E375, E377, E379, E390, E395, E398, P010, P030

635

Ohio - Lorain Behavioral Health Providers Beech Brook E070, E105, E112, E115, E165, De Luca, Kenneth A, PHD, (M) Provider ID: 000603661001 E170, E200, P010, P020 Group Name: Kenneth A Deluca NPI: 1093816209 Phd & Associates 347 Midway Blvd Ste 204 Clinger, Michelle D, PHD, (F) Provider ID: 000120129001 Elyria, OH 44035 Group Name: Firelands Regional NPI: 1942238266

(216) 831-2255 EB, P, R Medical Center 35888 Center Ridge Rd Ste 5 Ages: 0-99 Provider ID: 002288776005 North Ridgeville, OH 44039

Areas of Expertise: E010, E015, NPI: 1003834896 (440) 327-1800 E, EB, RE, S, T E017, E020, E025, E043, E055, 554 N Leavitt Rd Mo-We - 8:00 AM - 7:00 PM E062, E070, E075, E080, E085, Amherst, OH 44001 Th - 9:00 AM - 7:00 PM

E112, E115, E147, E160, E165, (440) 984-3882 EB, P, R Fr - 8:00 AM - 5:00 PM E170, E187, E190, E200, E210, Mo,We,Fr - 8:00 AM - 5:00 PM Sa - 8:00 AM - 1:00 PM E212, E215, E218, E281, E320, Tu,Th - 8:00 AM - 8:00 PM Web address: www.kendelucainc.or E325, E374, E375, E377, E379, Cultural Competency: Y g E390, E395, E398, P010, P030 Accepting Existing Patients Only Ages: 0-99 Ages: 0-99 Beech Brook Denton, Robert, PHD, (M) Provider ID: 000603661001 Clinger, Michelle D, PHD, (F) Group Name: Ohioguidestone NPI: 1093816209 Group Name: Firelands Regional Provider ID: 006152163001 37698 Stoney Lake Dr Medical Center NPI: 1871952051 North Ridgeville, OH 44039 Provider ID: 002288776005 2173 N Ridge Rd E Ste E

(216) 990-3994 EB, P, R NPI: 1003834896 Lorain, OH 44055

Ages: 0-99 6150 Park Square Dr Ste B (440) 260-6108 EB, P, R, RE, T Areas of Expertise: E010, E015, Lorain, OH 44053 Ages: 0-99

E017, E020, E025, E043, E055, (440) 984-3882 EB, P, R E062, E070, E075, E080, E085, Cultural Competency: Y Erikson, Robert C, PHD, (M) E112, E115, E147, E160, E165, Accepting Existing Patients Only Group Name: Humanistic E170, E187, E190, E200, E210, Ages: 0-99 Counseling Center E212, E215, E218, E281, E320, Provider ID: 000989421001 E325, E374, E375, E377, E379, NPI: 1376527325 E390, E395, E398, P010, P030 5350 Oberlin Ave Ste 201 Lorain, OH 44053

Bielefeld, Marie G, PHD, (F) (216) 839-2273 EB, P, R Group Name: Marie Bielefeld Cultural Competency: Y Phd And Associates Inc Ages: 0-99 Provider ID: 000829741002 NPI: 1528030574 707 Jaycox Rd Avon Lake, OH 44012 (216) 695-7230 Mo-Fr - 10:00 AM - 6:00 PM Ages: 0-99 Areas of Expertise: E020, E055,

636

Behavioral Health Providers Ohio - Lorain Frantz, Elizabeth, PSY, (F) Maccluskie, Kathryn C, PHD, (F) P010 Group Name: Mercy Health Group Name: Pathways Physicians Lorain Counseling And Growth Center Reidy, Tara, MA, (F) Provider ID: 003325351002 Provider ID: 002521628003 Group Name: Lifestance Health NPI: 1437453529 NPI: 1346325552 Pbc 3600 Kolbe Rd Ste 106 312 3rd St Provider ID: 003227594002 Lorain, OH 44053 Elyria, OH 44035 NPI: 1538485354

(440) 960-3954 EB, P, R, RE, T (440) 323-5707 RE, T 1426 Center Rd Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Avon, OH 44011

Ages: 0-99 Areas of Expertise: E112 (216) 831-6611 EB, P, R Areas of Expertise: E010, E015, Mo - 8:00 AM - 5:00 PM E017, E020, E070, E075, E150, Manos, Michael J, PHD, (M) Tu,We,Th,Fr - 9:00 AM - 5:00 PM E155, E165, E170, E185, E190, Group Name: Cleveland Clinic Ages: 0-99 E200, P010 Foundation Areas of Expertise: A101 Provider ID: 002349690001 Frantz, Elizabeth, PSY, (F) NPI: 1629121140 Santantonio, Diana S, PHD, (F) Group Name: Mercy Health 36901 American Way Group Name: Psych And Psych Physicians Lorain Avon, OH 44011 Services

Provider ID: 003325351002 (440) 930-6250 E, EB, IB, P, R Provider ID: 000114743004 NPI: 1437453529 Web address: http://www.cleveland NPI: 1194761064 5940 Oak Point Rd clinic.org 750 Abbe Rd S Lorain, OH 44053 Ages: 0-99 Elyria, OH 44035

(440) 988-3705 RE, T Hospital Affiliations: (440) 323-5121 RE, T Mo-Fr - 8:00 AM - 4:30 PM Cleveland Clinic Foundation Ages: 0-99 Ages: 0-99 Areas of Expertise: E020, E025, Areas of Expertise: E010, E015, Areas of Expertise: E010, E015, E062, E070, E080, E112, E165, E017, E020, E025, E030, E055, E017, E020, E070, E075, E150, P030 E070, E085, E090, E105, E112, E155, E165, E170, E185, E190, E115, E145, E155, E165, E170, E200, P010 Mericle, Megan M, PSY, (F) E185, E190, E198, E200, E205, Group Name: Psych And Psych E215, E225, E230, E392, P010, Kawaguchi, Myra C, PHD, (F) Services P020, P030 Group Name: Allied Behavioral Provider ID: 003582020002 Health Services NPI: 1790042489 Provider ID: 002758191002 750 Abbe Rd S NPI: 1285647834 Elyria, OH 44035

1740 Cooper Foster Park Rd W (440) 323-5121 RE, T Lorain, OH 44053 Mo,We - 4:00 PM - 8:00 PM

(440) 282-1383 EB, P, R Fr - 4:00 PM - 9:00 PM Mo - 9:00 AM - 6:00 PM Sa - 8:00 AM - 2:00 PM Tu,We,Th - 8:00 AM - 6:00 PM Su - 8:00 AM - 5:00 PM Fr - 9:00 AM - 4:00 PM Ages: 0-99 Ages: 0-99 Areas of Expertise: E017, E020, E070, E080, E085, E112, E185,

637

Ohio - Lorain Behavioral Health Providers

Teitelbaum, Mary A, PHD, (F) Areas of Expertise: A055, A101, Group Name: Mary A Teitelbaum A107, A108, E010, E020, E025, Social Worker - Licensed Provider ID: 001939858001 E030, E042, E055, E056, E060, Acosta, Kim M, MA , (F) NPI: 1306903349 E062, E070, E075, E080, E115, Group Name: Bellfaire Jewish 5321 Meadow Lane Ct E147, E150, E155, E165, E168, Childrens Bureau Sheffield Village, OH 44035 E170, E180, E187, E190, E200, Provider ID: 006838940001 (440) 934-7800 EB, P, R, RE E205, E235, E373, E374, E376, NPI: 1750871695 Mo,We - 4:00 PM - 9:00 PM E394, P010, P020, P030, P035 1865 N Ridge Rd E Tu - 5:00 PM - 9:00 PM Lorain, OH 44055

Th - 10:00 AM - 8:00 PM Yezzi Shareef, Ann Marie, PHD, (440) 723-5493 EB, P, R Fr - 4:00 PM - 8:00 PM (F) Ages: 0-99 Sa - 8:00 AM - 6:00 PM Group Name: Beach Glass Cultural Competency: Y Psychology Adams, Diana M, CSW, (F) Web address: no website address Provider ID: 002853872011 Group Name: Nord Center Ages: 0-99 NPI: 1336172584 Provider ID: 002980749001 Areas of Expertise: A010, A025, 37000 Center Ridge Rd Ste 4 NPI: 1841317203 A045, A070, E010, E015, E020, North Ridgeville, OH 44039 6140 S Broadway E025, E055, E070, E075, E112, (440) 412-3041 Lorain, OH 44053

E115, E150, E165, E190, E200, Ages: 0-99 (440) 233-7232 E, EB, G, IB, P, E205, E361, E373, E374, E379, PL, R, RE, S, T E391, P010, P020, P030, P035 Mo,Fr - 8:00 AM - 5:00 PM Social Worker Tu,We,Th - 8:00 AM - 8:00 PM Williams, Lynn A, PHD, (F) Diturno, Kelly, MSW , (F) Cultural Competency: Y Group Name: Bellfaire Jewish Group Name: Nord Center Ages: 0-99 Childrens Bureau Provider ID: 007155490001 Areas of Expertise: E112 Provider ID: 002600899001 NPI: 1912492166 NPI: 1922213693 6140 S Broadway Ali, Jonetha A, MA, (F) 347 Midway Blvd Lorain, OH 44053 Group Name: Nord Center

Elyria, OH 44035 (440) 204-4315 E, EB, G, IB, P, Provider ID: 007466373002 (440) 324-5701 EB, P, R PL, R, RE, S, T NPI: 1467077305 Ages: 0-99 Ages: 0-99 6140 S Broadway Areas of Expertise: E112 Lorain, OH 44053

Yezzi Shareef, Ann Marie, PHD, (440) 204-4315 EB, P, R (F) Ages: 0-99 Group Name: Beach Glass Psychology Provider ID: 002853872011 NPI: 1336172584 37000 Center Ridge Rd Ste 3 North Ridgeville, OH 44039

(440) 412-3041 E, EB, P, R, RE, S, T Ages: 0-99

638

Behavioral Health Providers Ohio - Lorain Allgeier, Rebecca A, MS, (F) Applewood Centers Applewood Centers Group Name: Humanistic Provider ID: 001817633005 Provider ID: 001817633005 Counseling Center NPI: 1780652966 NPI: 1780652966 Provider ID: 001279426003 1865 N Ridge Rd E Ste C 347 Midway Blvd Ste 306 NPI: 1942367347 Lorain, OH 44055 Elyria, OH 44035

5350 Oberlin Ave Ste 201 (440) 462-1473 EB, P, R (440) 324-1300 EB, P, R Lorain, OH 44053 Ages: 0-99 Ages: 0-99

(216) 839-2273 EB, P, R Cultural Competency: Y Applewood Centers Applewood Centers Ages: 0-99 Provider ID: 001817633006 Provider ID: 001817633005 NPI: 1780652966 NPI: 1780652966 Andrzejewski, Charles P, MA, 18655 North Ridge Rd East 5255 N Abbe Rd Ste 1 (M) Lorain, OH 44055 Sheffield Village, OH 44035

Group Name: Fortaleza LLC (216) 459-9827 EB, P, R (440) 934-9930 EB, P, R Provider ID: 007411066002 Ages: 0-99 Ages: 0-99 NPI: 1568084077 41641 N Ridge Rd Ste B Applewood Centers Applewood Centers Elyria, OH 44035 Provider ID: 001817633005 Provider ID: 001817633005

(440) 324-7406 EB, G, IB, P, PL, NPI: 1780652966 NPI: 1780652966 R, RE, T 347 Midway Blvd 6140 S Broadway Ages: 0-99 Elyria, OH 44035 Lorain, OH 44053

(440) 324-1300 EB, P, R (440) 233-4470 E, EB, G, IB, P, Applewood Centers Ages: 0-99 PL, R, RE, S, T Provider ID: 001817633005 Ages: 0-99 NPI: 1780652966 Applewood Centers 1865 N Ridge Rd Provider ID: 001817633005 Applewood Centers Lorain, OH 44055 NPI: 1780652966 Provider ID: 001817633005 (440) 324-1300 347 Midway Blvd Ste 200 NPI: 1780652966 Ages: 0-99 Elyria, OH 44035 618 Leona St

(440) 723-5494 EB, P, R Elyria, OH 44035

Applewood Centers Ages: 0-99 (216) 365-2218 EB, P, R Provider ID: 001817633006 Ages: 0-99 NPI: 1780652966 Applewood Centers 1865 N Ridge Rd E Provider ID: 001817633005 Archer, Michelle J, CSW, (F) Lorain, OH 44055 NPI: 1780652966 Group Name: Lorain County Alc

(440) 324-1300 EB, P, R 347 Midway Blvd Ste 204 Drug Abs Svcs Ages: 0-99 Elyria, OH 44035 Provider ID: 002695947002

(440) 324-4980 EB, P, R NPI: 1194868547 Ages: 0-99 120 East Ave Elyria, OH 44035

(440) 989-4900 EB, P, R, RE, T Ages: 0-99 Areas of Expertise: E112

639

Ohio - Lorain Behavioral Health Providers Aussem, Kasandra M, MS, (F) Bale, Allison A, MA, (F) Archer, Michelle J, CSW, (F) Group Name: Lifestance Health Group Name: Fortaleza LLC Group Name: Lorain County Alc Pbc Provider ID: 006627589004 Drug Abs Svcs Provider ID: 006617762002 NPI: 1487938239 Provider ID: 002695947002 NPI: 1942660394 41641 N Ridge Rd Ste B NPI: 1194868547 1426 Center Rd Elyria, OH 44035

525 Avon Belden Rd Avon, OH 44011 (440) 324-7406 EB, G, IB, P, PL,

Avon Lake, OH 44012 (216) 831-6611 EB, P, R R, RE, T

(440) 989-4900 EB, P, R Mo - 8:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Web address: [email protected] Areas of Expertise: E112 Ages: 0-99 Barber, Elizabeth V, MA, (F) Areas of Expertise: A101, E043, Group Name: Ohioguidestone Aston, Anne G, CSW, (F) E374, P010, P013, P030, P035, Provider ID: 006910249001 Group Name: Lorain County Alc P080 NPI: 1821580259 Drug Abs Svcs 2173 N Ridge Rd E Ste E Provider ID: 007178206002 Ayers, Daphne C, MA, (F) Lorain, OH 44055

NPI: 1033771027 Group Name: Lorain County Alc (440) 260-8300 EB, P, R, RE, T 2115 W Park Dr Drug Abs Svcs Mo,Tu,Th - 8:00 AM - 7:00 PM Lorain, OH 44053 Provider ID: 006809525003 We - 9:00 AM - 7:00 PM

(440) 989-4987 EB, P, R, RE, T NPI: 1194242792 Fr - 9:00 AM - 5:00 PM Ages: 0-99 2115 W Park Dr Ages: 0-99 Lorain, OH 44053

Aston, Anne G, CSW, (F) (440) 989-4987 EB, P, R, RE, T Baumann, Danielle, MSW, (F) Group Name: Ohioguidestone Ages: 0-99 Group Name: Fortaleza LLC Provider ID: 007178206001 Areas of Expertise: E112 Provider ID: 007687418001 NPI: 1033771027 NPI: 1609458033 2173 N Ridge Rd E Ste E Bale, Allison A, MA, (F) 41641 N Ridge Rd Ste B Lorain, OH 44055 Group Name: Fortaleza LLC Elyria, OH 44035

(440) 260-8300 EB, P, R, RE, T Provider ID: 006627589003 (440) 324-7406 EB, G, IB, P, PL, Ages: 0-99 NPI: 1487938239 R, RE, T 41641 N Ridge Rd Ages: 0-99 Atanasovski, Ilija, MA, (M) Elyria, OH 44035

Group Name: Nord Center (440) 324-7406 EB, P, R Beech Brook Provider ID: 006876937001 Ages: 0-99 Provider ID: 000603661001 NPI: 1285051649 NPI: 1093816209 6140 S Broadway 2173 N Ridge Rd E Ste E Lorain, OH 44053 Lorain, OH 44055

(440) 233-7232 EB, P, R (440) 260-8327 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Areas of Expertise: E010, E015, E017, E020, E025, E043, E055, E062, E070, E075, E080, E085, E112, E115, E147, E160, E165,

640

Behavioral Health Providers Ohio - Lorain E170, E187, E190, E200, E210, Bellefaire Jcb E212, E215, E218, E281, E320, Provider ID: 003165414001 Berman, Jeffrey S, MA, (M) E325, E374, E375, E377, E379, NPI: 1952369514 Group Name: Lifestance Health E390, E395, E398, P010, P030 1865 N Ridge Rd E Pbc Lorain, OH 44055 Provider ID: 006629070003

Beech Brook (440) 723-5493 EB, P, R NPI: 1548631617 Provider ID: 000603661001 Ages: 0-99 1426 Center Rd NPI: 1093816209 Avon, OH 44011

347 Midway Blvd Ste 204 Bellefaire Jcb (216) 831-6611 EB, P, R Elyria, OH 44035 Provider ID: 003165414002 Mo-Fr - 9:00 AM - 5:00 PM

(216) 831-2255 EB, P, R NPI: 1952369514 Web address: www.psychbc.com Ages: 0-99 347 Midway Blvd Ste 200 Ages: 0-99 Areas of Expertise: E010, E015, Elyria, OH 44035

E017, E020, E025, E043, E055, (440) 324-5701 EB, P, R Bishop, Madison, MA, (F) E062, E070, E075, E080, E085, Ages: 0-99 Group Name: Firelands Regional E112, E115, E147, E160, E165, Medical Center E170, E187, E190, E200, E210, Bellefaire/Prof Fees Provider ID: 006993462002 E212, E215, E218, E281, E320, Provider ID: 001169720001 NPI: 1144714734 E325, E374, E375, E377, E379, NPI: 1205893070 554 N Leavitt Rd E390, E395, E398, P010, P030 1865 N Ridge Rd E Ste D Amherst, OH 44001

Lorain, OH 44055 (419) 557-5177 EB, P, R

Beech Brook (440) 723-5489 E, EB, P, R, RE, Ages: 0-99 Provider ID: 000603661001 S, T NPI: 1093816209 Ages: 0-99 Black, Kenzie E, MA, (F) 37698 Stoney Lake Dr Group Name: Ohioguidestone North Ridgeville, OH 44039 Benko, Elle K, MA, (F) Provider ID: 006914573001

(216) 990-3994 EB, P, R Group Name: Ohioguidestone NPI: 1083102966 Ages: 0-99 Provider ID: 006914552001 2173 N Ridge Rd E Ste E Areas of Expertise: E010, E015, NPI: 1194275206 Lorain, OH 44055

E017, E020, E025, E043, E055, 2173 N Ridge Rd E Ste E (440) 260-8300 EB, P, R, RE, T E062, E070, E075, E080, E085, Lorain, OH 44055 Ages: 0-99

E112, E115, E147, E160, E165, (440) 260-8300 EB, P, R, RE, T E170, E187, E190, E200, E210, Ages: 0-99 Blackwell, Samantha, MS, (F) E212, E215, E218, E281, E320, Group Name: Pathways E325, E374, E375, E377, E379, Bering, Shana, MA, (F) Counseling And Growth Center E390, E395, E398, P010, P030 Group Name: Ohioguidestone Provider ID: 005428121003 Provider ID: 006834033001 NPI: 1821277112 NPI: 1730670969 312 3rd St 2173 N Ridge Rd E Ste E Elyria, OH 44035

Lorain, OH 44055 (440) 323-5707 RE, T

(440) 260-8300 EB, P, R, RE, T Cultural Competency: Y Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E010, E017,

641

Ohio - Lorain Behavioral Health Providers E020, E040, E043, E055, E062, Bond, Alayla S, MA, (F) Boyer, Katharina A, MA, (F) E065, E070, E075, E080, E085, Group Name: Ohioguidestone Group Name: Firelands Regional E090, E100, E112, E115, E147, Provider ID: 006914532001 Medical Center E150, E165, E170, E185, E186, NPI: 1447740113 Provider ID: 006993308001 E190, E200, E210, E212, E215, 2173 N Ridge Rd E Ste E NPI: 1093292252 E225, E230, E235, E285, E287, Lorain, OH 44055 6150 Park Square Dr Ste B

E320, E325, E373, E374, E377, (440) 260-8300 EB, P, R, RE, T Lorain, OH 44053

E385 Ages: 0-99 (440) 984-3882 EB, P, R Ages: 0-99 Blackwell, Samantha, MS, (F) Boone, Markia B, MA, (F) Group Name: Cleveland Clinic Group Name: Ohioguidestone Boyle, Patrick E, MS, (M) Foundation/Or Provider ID: 006939699001 Group Name: Humanistic Provider ID: 005428121002 NPI: 1992270037 Counseling Center NPI: 1821277112 2173 N Ridge Rd E Ste E Provider ID: 003665464001 5700 Cooper Foster Park Rd W Lorain, OH 44055 NPI: 1174853055

Lorain, OH 44053 (440) 260-8300 EB, P, R, RE, T 5350 Oberlin Ave Ste 201

(800) 223-2273 EB, P, R Ages: 0-99 Lorain, OH 44053

Cultural Competency: Y Areas of Expertise: E112 (216) 839-2273 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E010, E017, Bowens, Devon A, MA, (M) E020, E040, E043, E055, E062, Group Name: Nord Center Brasse, Lauren E, MA, (F) E065, E070, E075, E080, E085, Provider ID: 007327871001 Group Name: Catholic Charities E090, E100, E112, E115, E147, NPI: 1871151258 Corporation E150, E165, E170, E185, E186, 6140 S Broadway Provider ID: 006953642001 E190, E200, E210, E212, E215, Lorain, OH 44053 NPI: 1114494127

E225, E230, E235, E285, E287, (440) 204-4315 EB, P, R 628 Poplar St E320, E325, E373, E374, E377, Ages: 0-99 Elyria, OH 44035

E385 (440) 366-1106 EB, P, R Bowers, Ashley M, MA, (F) Web address: www.ccdocle.org Blair, Rachael H, MA, (F) Group Name: Ohioguidestone Ages: 0-99 Group Name: Nord Center Provider ID: 006914539001 Provider ID: 006925584003 NPI: 1295223907 Brockmeyer, Samantha J, MA, NPI: 1497256218 2173 N Ridge Rd E Ste E (F) 6140 S Broadway Lorain, OH 44055 Group Name: Lorain County Alc

Lorain, OH 44053 (440) 260-8300 EB, P, R, RE, T Drug Abs Svcs

(440) 204-4315 EB, P, R Ages: 0-99 Provider ID: 006899669005 Ages: 0-99 NPI: 1962980888 2115 W Park Dr Lorain, OH 44053

(440) 989-4987 EB, P, R, RE, T Ages: 0-99

642

Behavioral Health Providers Ohio - Lorain Brockmeyer, Samantha J, MA, Cavallaro, Joseph, MA, (M) (F) Campbell, Kathleen M, MS, (F) Group Name: Pathways Group Name: Rakesh Ranjan Md Group Name: Nord Center Counseling And Growth Center & Assoc Inc Provider ID: 001171185001 Provider ID: 006596067001 Provider ID: 006899669002 NPI: 1043353311 NPI: 1366998726 NPI: 1962980888 5338 Meadow Lane Ct 2800 Pearl Ave 347 Midway Blvd Ste 210 Sheffield Village, OH 44035 Lorain, OH 44055

Elyria, OH 44035 (440) 233-7232 RE, T (440) 323-5707 EB, P, R

(440) 324-5555 EB, P, R, RE, S, Mo,We,Fr - 8:30 AM - 5:00 PM Ages: 0-99 T Tu,Th - 8:30 AM - 8:00 PM Ages: 0-99 Cultural Competency: Y Cavallaro, Joseph, MA, (M) Ages: 0-99 Group Name: Pathways Brummitt, Mike D, CSW, (M) Areas of Expertise: A021, E020, Counseling And Growth Center Group Name: Nord Center E050, E070, E080, E090, E112, Provider ID: 006596067001 Provider ID: 007000535001 E165, E185, E200, P010, P020 NPI: 1366998726 NPI: 1225572878 312 Third St 6140 S Broadway Casalini, Nicole, MA, (F) Elyria, OH 44035

Lorain, OH 44053 Group Name: The Village (440) 323-5707 EB, P, R

(440) 233-7232 E, EB, G, IB, P, Network Ages: 0-99 PL, R, RE, S, T Provider ID: 006868696001 Ages: 0-99 NPI: 1093264772 Cernoia, Mark, MA, (M) Areas of Expertise: E112 346 Illinois Ave Group Name: Ohioguidestone Lorain, OH 44052 Provider ID: 006146939001 Burrer, Rachel, MA, (F) (330) 641-3418 NPI: 1518366889 Group Name: Nord Center Ages: 0-99 2173 N Ridge Rd E Ste E Provider ID: 006719589001 Lorain, OH 44055

NPI: 1588186431 Castele Smith, Kathryn L, MA, (440) 260-6108 EB, P, R, RE, T 6140 S Broadway (F) Ages: 0-99 Lorain, OH 44053 Group Name: Nord Center

(440) 233-7232 EB, P, R Provider ID: 006385529002 Citak, Rachel A, MA, (F) Mo,Fr - 8:00 AM - 5:00 PM NPI: 1568761542 Group Name: Nord Center Tu,We,Th - 8:00 AM - 8:00 PM 6140 S Broadway Provider ID: 006293595001 Ages: 0-99 Lorain, OH 44053 NPI: 1932456654

(440) 233-7232 EB, P, R 6140 S Broadway Buskirk, Donna J, CSW, (F) Ages: 0-99 Lorain, OH 44053

Group Name: Nord Center Areas of Expertise: E112 (440) 233-7232 EB, P, R Provider ID: 007139788001 Mo,Fr - 8:00 AM - 5:00 PM NPI: 1225695257 Tu,We,Th - 8:00 AM - 8:00 PM 6140 S Broadway Cultural Competency: Y Lorain, OH 44053 Ages: 0-99

(440) 204-4315 E, EB, G, IB, P, Areas of Expertise: E112 PL, R, RE, S, T Ages: 0-99

643

Ohio - Lorain Behavioral Health Providers Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988009 Provider ID: 002255988708 Provider ID: 002255988653 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 1130 Tower Blvd Ste B 303 Chestnut Commons Dr 33300 Cleveland Clinic Lorain, OH 44052 Elyria, OH 44035 Avon, OH 44011

(440) 989-4874 EB, P, R (440) 366-9444 (440) 695-5000 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988018 Provider ID: 002255988481 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 1142 W 37th St 309 W Lorain St 33300 Cleveland Clinic Blvd Lorain, OH 44052 Oberlin, OH 44074 Avon, OH 44011

(440) 282-6669 EB, P, R (440) 775-1015 EB, P, R (440) 695-5000 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988596 Provider ID: 002255988009 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 1260 Abbe Rd N 32150 Just Imagine Dr 33300 Clveland Clinic Blvd Elyria, OH 44035 Avon, OH 44011 Avon, OH 44011

(440) 366-8822 EB, IB, P, R, RE, (440) 937-7000 EB, P, R (216) 538-9022 EB, P, R T Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988717 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 330 Chestnut Commons Dr 33355 Health Campus Blvd 210 E Broad St Elyria, OH 44035 Avon, OH 44011

Elyria, OH 44035 (440) 366-9444 EB, P, R (440) 937-9099

(440) 322-4510 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988715 Provider ID: 002255988001 Provider ID: 002255988394 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 33100 Cleveland Clinic Blvd 35105 Center Ridge Rd 254 Cleveland Ave Avon, OH 44011 North Ridgeville, OH 44039

Amherst, OH 44001 (440) 695-4600 (440) 327-1050 EB, P, R

(440) 988-6190 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

644

Behavioral Health Providers Ohio - Lorain Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988003 Provider ID: 002255988018 Provider ID: 002255988713 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 3600 Kolbe Rd Ste 100 417 S Main St 5172 Leavitt Rd Lorain, OH 44053 Oberlin, OH 44074 Lorain, OH 44053

(440) 204-7800 (800) 223-2273 EB, P, R (216) 448-4325 Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988248 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 36901 American Way 445 Avon Belden Rd 5172 Leavitt Rd Fl 2 Avon, OH 44011 Avon Lake, OH 44012 Lorain, OH 44053

(440) 930-6200 EB, P, R (440) 930-6800 EB, P, R (440) 282-7420 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988584 Provider ID: 002255988018 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 36901 American Way Ste A 445 Avon Belden Rd Ste B4 5172 Leavitt Rd Fl 3 Avon, OH 44011 Avon Lake, OH 44012 Lorain, OH 44053

(440) 930-6200 EB, P, R (440) 930-6800 EB, P, R (440) 282-7420 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988625 Provider ID: 002255988688 Provider ID: 002255988691 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 36901 American Way Ste C 450 Avon Belden Rd 5275 N Abbe Rd Avon, OH 44011 Avon Lake, OH 44012 Sheffield Village, OH 44035

(440) 930-6250 EB, P, R (440) 930-6800 (216) 445-7050 Ages: 0-99 Ages: 0-99 Ages: 0-99

(440) 960-4000 EB, G, IB, P, PL, (440) 930-6800 EB, P, R (440) 934-5454 R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99

645

Ohio - Lorain Behavioral Health Providers Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988018 Provider ID: 002255988692 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 5334 Meadow Lane Ct Fl 1 5700 Cooper Foster Park Rd Ln 10 5800 Cooper Foster Park Rd W Sheffield Village, OH 44035 Lorain, OH 44053 Lorain, OH 44053

(440) 934-5454 EB, P, R (440) 204-7400 EB, P, R (440) 204-7800 Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988003 Provider ID: 002255988693 Provider ID: 002255988606 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 5334 Meadow Lane Ct Fl 2 5700 Cooper Foster Park Rd W 5800 Cooper Foster Pk Rd Sheffield Village, OH 44035 Lorain, OH 44053 Lorain, OH 44053

(440) 934-5454 EB, P, R (440) 988-4040 (440) 985-3113 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988278 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 5334 Meadow Lane Ct Fl 3 5700 Cooper Foster Pk Rd 5800 Cooper Foster Pk Rd W Sheffield Village, OH 44035 Lorain, OH 44053 Lorain, OH 44053

(440) 934-5454 EB, P, R (440) 204-7400 EB, P, R (440) 985-3113 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988009 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 5338 Meadow Lane Ct 5700 Cooper Foster Pk Rd W 630 E River St Sheffield Village, OH 44035 Lorain, OH 44053 Elyria, OH 44035

(440) 204-7800 (440) 985-3113 EB, P, R Wellington, OH 44090

Ages: 0-99 Ages: 0-99 (440) 647-0004 EB, P, R Ages: 0-99

646

Behavioral Health Providers Ohio - Lorain Cleveland Clinic Foundation Constantino, Regina, CSW, (F) Corrao, Angela M, CSW, (F) Provider ID: 002255988003 Group Name: Ohioguidestone Group Name: Nord Center NPI: 1326175183 Provider ID: 007206239001 Provider ID: 006960817001 805 Patriot Dr Ste E NPI: 1629624655 NPI: 1629519509 Wellington, OH 44090 2173 N Ridge Rd E Ste E 6140 S Broadway

(440) 204-7800 EB, P, R, RE, T Lorain, OH 44055 Lorain, OH 44053

Ages: 0-99 (800) 639-4974 EB, P, R, RE, T (440) 204-4315 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Cleveland Clinic Foundation Ages: 0-99 Provider ID: 002255988244 Coon, Regina D, MA, (F) NPI: 1326175183 Group Name: Ohioguidestone Corso, Heidi L, MA, (F) 824 E Broad St Provider ID: 006257907001 Group Name: Ohioguidestone Elyria, OH 44035 NPI: 1881942985 Provider ID: 006146886001

(440) 322-0829 EB, P, R 2173 N Ridge Rd E Ste E NPI: 1043570492 Ages: 0-99 Lorain, OH 44055 2173 N Ridge Rd E Ste E

(440) 260-6108 EB, P, R Lorain, OH 44055

Coleman, Darrell, MA, (M) Ages: 0-99 (440) 260-8300 EB, P, R, RE, T Group Name: Nord Center Mo,Tu,Th - 8:00 AM - 7:00 PM Provider ID: 006929009001 Copeland, Philip R, MS, (M) We - 9:00 AM - 7:00 PM NPI: 1396228045 Group Name: Philip R Copeland Fr - 9:00 AM - 5:00 PM 6140 S Broadway Provider ID: 001387828001 Ages: 0-99 Lorain, OH 44053 NPI: 1609950948

(440) 233-7232 EB, P, R 5321 Meadow Lane Ct Ste 5 Cortes, Maximino, MSW, (M) Ages: 0-99 Sheffield Village, OH 44035 Group Name: Catholic Charities

Areas of Expertise: E112 (440) 934-7800 E, EB, P, R, RE, Corporation S, T Provider ID: 005645393001 Combs, Madison B, MA, (F) Mo,We,Th - 9:00 AM - 5:00 PM NPI: 1598013617 Group Name: Ohioguidestone Fr - 10:00 AM - 6:00 PM 628 Poplar St Provider ID: 006910301001 Sa - 9:00 AM - 3:00 PM Elyria, OH 44035

NPI: 1902383300 Cultural Competency: Y (440) 366-1106 EB, P, R 2173 N Ridge Rd E Ste E Ages: 0-99 Languages Spoken: Lorain, OH 44055 Areas of Expertise: E010, E017, Provider: Spanish

(440) 260-8300 EB, P, R, RE, T E020, E030, E042, E043, E055, Ages: 0-99 Ages: 0-99 E060, E062, E070, E085, E090, Areas of Expertise: E112 Areas of Expertise: E112 E105, E112, E115, E135, E147, E165, E170, E185, E187, E190, E200, E220, E225, E230, E240, E285, E363, E366, E374, E376, E378, E379, E385, P010, P020, P030, P035

647

Ohio - Lorain Behavioral Health Providers Costantini, Nadine R, MA, (F) Cunningham, Craig T, MA, (M) Group Name: Pathways Group Name: Recovery Dealexandro, Michella F, MA, (F) Counseling And Growth Center Resources Group Name: Nord Center Provider ID: 003310709004 Provider ID: 006718272003 Provider ID: 006301002003 NPI: 1194024265 NPI: 1407397383 NPI: 1154870616 312 3rd St 6140 S Broadway 6140 S Broadway Elyria, OH 44035 Lorain, OH 44053 Lorain, OH 44053

(440) 323-5707 RE, T (440) 204-4228 EB, P, R (440) 233-7232 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A101, E010, Areas of Expertise: E112 E015, E017, E020, E055, E070, Daniels, Kathy A, MA, (F) E090, E115, E210, E218, E377, Group Name: Ohioguidestone Dee, Maureen E, LPC, (F) P010, P013, P030, P035, P080 Provider ID: 006911432001 Group Name: Catholic Charities NPI: 1679845556 Corporation Crowe, Myesha M, MA, (F) 2173 N Ridge Rd E Ste E Provider ID: 003094772001 Group Name: Ohioguidestone Lorain, OH 44055 NPI: 1649402801

Provider ID: 006916869001 (440) 260-8300 EB, P, R, RE, T 628 Poplar St NPI: 1649788290 Ages: 0-99 Elyria, OH 44035

41641 N Ridge Rd Ste B (440) 366-1106 EB, P, R Elyria, OH 44035 Daugherty, Danielle, MSW, (F) Languages Spoken:

(440) 324-7406 EB, G, IB, P, PL, Group Name: New Leaf Provider: Spanish R, RE, T Counseling Services LLC Ages: 0-99 Ages: 0-99 Provider ID: 003665718002 NPI: 1255689576 Diturno, Kelly, MSW, (F) Cuellar, Tyjaunna L, MA, (F) 215 Miller Rd Ste 7 Group Name: Nord Center Group Name: Nord Center Avon Lake, OH 44012 Provider ID: 007155490001

Provider ID: 006903119001 (440) 742-1661 EB, P, R, RE, T NPI: 1912492166 NPI: 1720560048 Languages Spoken: 6140 S Broadway 6140 S Broadway Provider: Spanish Lorain, OH 44053

Lorain, OH 44053 Ages: 0-99 (440) 204-4315 E, EB, G, IB, P,

(440) 233-7232 EB, P, R Areas of Expertise: E017, E070, PL, R, RE, S, T Ages: 0-99 E165, E170, P010, P013, P080 Ages: 0-99 Areas of Expertise: E112 Cunningham, Craig T, MA, (M) Dayka, Suzann K, MSW, (F) Group Name: Nord Center Group Name: Psych And Psych Provider ID: 006718272001 Services NPI: 1407397383 Provider ID: 005145765005 5338 Meadow Lane Ct NPI: 1740214857 Sheffield Village, OH 44035 750 Abbe Rd S

(440) 233-7232 RE, T Elyria, OH 44035

Ages: 0-99 (440) 323-5121 RE, T Web address: psychandpsych.com Ages: 0-99

648

Behavioral Health Providers Ohio - Lorain Divis, Amanda B, MA, (F) Durell, Kristen, MA, (F) Elliott, Melissa M, MA, (F) Group Name: Nord Center Group Name: Catholic Charities Group Name: Nord Center Provider ID: 005708145002 Corporation Provider ID: 007617086001 NPI: 1962822577 Provider ID: 006886565001 NPI: 1295207736 6140 S Broadway NPI: 1376032649 6140 S Broadway Lorain, OH 44053 628 Poplar St Lorain, OH 44053

(440) 233-7232 EB, P, R Elyria, OH 44035 (440) 204-4315 E, EB, G, IB, P,

Mo,Fr - 8:00 AM - 5:00 PM (440) 366-1106 EB, P, R PL, R, RE, S, T Tu,We,Th - 8:00 AM - 8:00 PM Web address: www.ccdocle.org Ages: 0-99 Cultural Competency: Y Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Eltrich, Pamela P, MS, (F) Areas of Expertise: E112 Group Name: Psych And Psych Ebersole, Rachel A, MA, (F) Services Dorsey, Mary E, MA, (F) Group Name: Ohioguidestone Provider ID: 003308284002 Group Name: Bellfaire Jewish Provider ID: 006152203001 NPI: 1366743288 Childrens Bureau NPI: 1073847315 750 Abbe Rd S Provider ID: 007284041001 2173 N Ridge Rd E Ste E Elyria, OH 44035

NPI: 1831735901 Lorain, OH 44055 (440) 323-5121 RE, T

1865 N Ridge Rd E (440) 260-8300 EB, P, R Mo-Th - 8:00 AM - 7:00 PM Lorain, OH 44055 Mo,We,Fr - 9:00 AM - 5:00 PM Fr - 8:00 AM - 6:00 PM

(440) 406-3049 EB, P, R Tu,Th - 9:00 AM - 7:00 PM Sa - 9:00 AM - 3:00 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: A010, A025, Drake, Lauren, MA, (F) A070, E010, E017, E020, E025, Group Name: Lauren Drake LLC Edgington, Angela M, MA, (F) E055, E070, E090, E112, E115, Provider ID: 006503779003 Group Name: Lorain County Alc E160, E165, E198, P010, P020, NPI: 1659710028 Drug Abs Svcs P030 400 Tenney Ave Ste 114 Provider ID: 005412727002 Amherst, OH 44001 NPI: 1437542370 Emerson, Phillip H, MS, (M)

(567) 623-9049 E, EB, P, R, RE, 2115 W Park Dr Group Name: Nord Center S Lorain, OH 44053 Provider ID: 006904368001

Mo-Fr - 9:00 AM - 5:00 PM (440) 989-4900 EB, P, R, RE, T NPI: 1265956098 Ages: 0-99 Ages: 0-99 6140 S Broadway Areas of Expertise: E010, E017, Areas of Expertise: E112 Lorain, OH 44053

E020, E055, E070, E112, E165, (440) 233-7232 EB, P, R E200, P010 Languages Spoken: Provider: Spanish Ages: 0-99 Areas of Expertise: A101, E017, E020, E070, E115, E165, E190, E200, P010, P013, P020, P030, P080

649

Ohio - Lorain Behavioral Health Providers Ferriols, Jessie, MSW, (F) Firelands Comm Hosp/Prof Fees Group Name: Firelands Regional Provider ID: 000402215007 Ford, Tasha, MA, (F) Medical Center NPI: 1346200144 Group Name: Ohioguidestone Provider ID: 001953006001 6150 Park Square Dr Ste B Provider ID: 004162016002 NPI: 1689901456 Lorain, OH 44053 NPI: 1982030219

554 N Leavitt Rd (440) 984-3882 EB, P, R 2173 N Ridge Rd E Ste E Amherst, OH 44001 Ages: 0-99 Lorain, OH 44055

(419) 557-5177 EB, P, R (440) 260-8300 EB, P, R, RE, T Ages: 0-99 Firelands Regional Medical Ages: 0-99 Center Ferriols, Jessie, MSW, (F) Provider ID: 006930942001 Foreman, Emily L, CSW, (F) Group Name: Firelands Regional NPI: 1629028600 Group Name: Lorain County Alc Medical Center 401 Broadway Ste 387b Drug Abs Svcs Provider ID: 001953006001 Lorain, OH 44052 Provider ID: 007268402002

NPI: 1689901456 (419) 557-5177 EB, P, R NPI: 1699325167 6150 Park Square Dr Ste B Ages: 0-99 2115 W Park Dr Lorain, OH 44053 Lorain, OH 44053

(440) 984-3882 EB, P, R Firelands Regional Medical (440) 989-4987 EB, P, R, RE, T Ages: 0-99 Center Ages: 0-99 Provider ID: 006930942001 Fillmore, Michelle A, MA, (F) NPI: 1629028600 Franklin, Sharon R, CSW, (F) Group Name: Firelands Regional 554 N Leavitt Rd Group Name: Nord Center Medical Center Amherst, OH 44001 Provider ID: 002700612001

Provider ID: 007030765001 (419) 557-5177 EB, P, R NPI: 1588782049 NPI: 1407378615 Ages: 0-99 6140 S Broadway 554 N Leavitt Rd Lorain, OH 44053

Amherst, OH 44001 Firelands Regional Medical (440) 204-4315 E, EB, G, IB, P,

(419) 557-5177 EB, P, R Center PL, R, RE, S, T Ages: 0-99 Provider ID: 006930942001 Ages: 0-99 NPI: 1629028600 Firelands Comm Hosp/Prof Fees 6150 Park Square Dr Ste B Gallagher, Emily B, MA, (F) Provider ID: 000402215006 Lorain, OH 44053 Group Name: Ohioguidestone

NPI: 1346200144 (440) 984-3882 EB, P, R Provider ID: 006366877001 315 N Leavitt Rd Ages: 0-99 NPI: 1871964981 Amherst, OH 44001 2173 N Ridge Rd E Ste E

(419) 557-7400 Ford, Grace C, MA, (F) Lorain, OH 44055

Ages: 0-99 Group Name: Nord Center (440) 260-6108 EB, P, R Provider ID: 007258730001 Ages: 0-99 NPI: 1013426212 6140 S Broadway Lorain, OH 44053

(440) 233-7232 EB, P, R Ages: 0-99

650

Behavioral Health Providers Ohio - Lorain Geller, Laura, MA, (F) Gfell, James A, MSW, (M) Gooch-Brown, Laura M, CSW, Group Name: Nord Center Group Name: Nord Center (F) Provider ID: 007467612001 Provider ID: 006913799002 Group Name: Applewood Center NPI: 1962011098 NPI: 1952880700 Inc 6140 S Broadway 6140 S Broadway Provider ID: 007050734001 Lorain, OH 44053 Lorain, OH 44053 NPI: 1205309960

(440) 204-4315 EB, P, R (440) 204-4315 E, EB, G, IB, P, 1865 N Ridge Rd E Ste A Ages: 0-99 PL, R, RE, S, T Lorain, OH 44055

Ages: 0-99 (440) 324-1300 E, EB, P, R, RE, Gellner, Eve, MA, (F) S, T Group Name: The Village Giblin, Meghan E, MA, (F) Ages: 0-99 Network Group Name: Nord Center Areas of Expertise: E112 Provider ID: 003549412003 Provider ID: 005326120001 NPI: 1629225719 NPI: 1265830988 Gray, Leslie A, MS, (F) 346 Illinois Ave 6140 S Broadway Group Name: Humanistic Lorain, OH 44052 Lorain, OH 44053 Counseling Center

(440) 233-2271 EB, P, R (440) 233-7232 EB, P, R Provider ID: 005272755001 Ages: 0-99 Mo,Fr - 8:00 AM - 5:00 PM NPI: 1699054619 Areas of Expertise: A101 Tu,We,Th - 8:00 AM - 8:00 PM 5350 Oberlin Ave Ste 201 Cultural Competency: Y Lorain, OH 44053

Gentile, Maria A, MA, (F) Ages: 0-99 (216) 839-2273 EB, P, R Group Name: Ohioguidestone Areas of Expertise: E112 Cultural Competency: Y Provider ID: 006838942001 Ages: 0-99 NPI: 1922598903 Gilchrist, Dorena L, MA, (F) 2173 N Ridge Rd E Ste E Group Name: Nord Center Green, Karen S, MS, (F) Lorain, OH 44055 Provider ID: 006293570001 Group Name: Ohioguidestone

(440) 260-8300 EB, P, R, RE, T NPI: 1164834990 Provider ID: 001747057002 Ages: 0-99 6140 S Broadway NPI: 1780612093 Areas of Expertise: E112 Lorain, OH 44053 2173 N Ridge Rd E Ste E

(440) 233-7232 EB, P, R Lorain, OH 44055

Gerber, Cheryl L, MS, (F) Mo,Fr - 8:00 AM - 5:00 PM (440) 260-6108 EB, P, R, RE, T Group Name: Firelands Regional Tu,We,Th - 8:00 AM - 8:00 PM Cultural Competency: Y Medical Center Cultural Competency: Y Ages: 0-99 Provider ID: 003405738002 Ages: 0-99 Areas of Expertise: E010, E017, NPI: 1144542564 Areas of Expertise: E112 E020, E042, E050, E055, E062, 6150 Park Square Dr Ste B E070, E080, E085, E090, E112, Lorain, OH 44053 E115, E155, E165, E185, E187,

(440) 984-3882 EB, P, R E198, E200, E210, E377, E392, Languages Spoken: P010, P035 Provider: German Ages: 0-99

651

Ohio - Lorain Behavioral Health Providers Gregg, Alice J, MA, (F) Gullette, Danielle M, MA, (F) Hand, Andrea L, MA, (F) Group Name: Nord Center Group Name: Bellfaire Jewish Group Name: Firelands Regional Provider ID: 007133172001 Childrens Bureau Medical Center NPI: 1821591298 Provider ID: 006804694001 Provider ID: 007030669001 6140 S Broadway NPI: 1659670073 NPI: 1295250421 Lorain, OH 44053 1865 N Ridge Rd E 554 N Leavitt Rd

(440) 233-7232 EB, P, R Lorain, OH 44055 Amherst, OH 44001

Ages: 0-99 (440) 723-5493 EB, P, R (419) 557-5177 EB, P, R Ages: 0-99 Ages: 0-99 Guenther, Donald E, MA, (M) Areas of Expertise: P013, P080 Group Name: Nord Center Hanna, Rita, MA, (F) Provider ID: 005704118001 Hall, Elizabeth A, MA, (F) Group Name: Reach Counseling NPI: 1629463203 Group Name: Firelands Regional Services 6140 S Broadway Medical Center Provider ID: 007698090001 Lorain, OH 44053 Provider ID: 007202800001 NPI: 1316514854

(440) 233-7232 EB, P, R NPI: 1477107357 992 Abbe Rd N Mo,Fr - 8:00 AM - 5:00 PM 6150 Park Square Dr Ste B Elyria, OH 44035

Tu,We,Th - 8:00 AM - 8:00 PM Lorain, OH 44053 (440) 406-5323 EB, P, R

Cultural Competency: Y (440) 984-3882 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Harper, Roseann, CSW, (F) Hamilton, William F, MS, (M) Group Name: Nord Center Guidestone A Group Name: Lifestance Health Provider ID: 002785416001 Provider ID: 001569330006 Pbc NPI: 1710003314 NPI: 1174680557 Provider ID: 002338696001 6140 S Broadway 2173 N Ridge Rd E Ste E NPI: 1346349198 Lorain, OH 44053

Lorain, OH 44055 1426 Center Rd (440) 204-4315 EB, P, R

(440) 260-6108 EB, P, R, RE, T Avon, OH 44011 Ages: 0-99

Ages: 0-99 (216) 468-5000 EB, P, R Areas of Expertise: E112 Areas of Expertise: A010, A021, Mo-Fr - 8:00 AM - 5:30 PM A025, A060, A070, A075, A099, Cultural Competency: Y Hauff, Tamara, MA, (F) E010, E015, E017, E020, E025, Ages: 0-99 Group Name: Ohioguidestone E043, E055, E056, E060, E062, Areas of Expertise: A010, A045, Provider ID: 006910337001 E065, E070, E075, E085, E090, E010, E020, E070, E085, E090, NPI: 1588067318 E105, E115, E120, E130, E145, E112, E150, E165, E200, E215, 2173 N Ridge Rd E Ste E E150, E160, E165, E170, E185, P030 Lorain, OH 44055

E187, E190, E198, E200, E205, (440) 260-8300 EB, P, R, RE, T E210, E212, E215, E218, E220, Ages: 0-99 E235, E285, E320, E374, E375, E376, E377, E378, E379, E385, P010, P020, P030

652

Behavioral Health Providers Ohio - Lorain Headlam, Isabella Blue, MA, (F) Areas of Expertise: A101, E010, Jones, Brylee, MA, (F) Group Name: Nord Center E025, E112, E200, E390, P010, Group Name: Ohioguidestone Provider ID: 006950964001 P013, P080 Provider ID: 007295641001 NPI: 1417422387 NPI: 1215583463 6140 S Broadway Hoon, Megan E, MA, (F) 2173 N Ridge Rd E Ste E Lorain, OH 44053 Group Name: Ohioguidestone Lorain, OH 44055

(440) 233-7232 EB, P, R Provider ID: 006152924001 (440) 260-8300 EB, P, R, RE, T Ages: 0-99 NPI: 1750717542 Ages: 0-99 Areas of Expertise: E112 2173 N Ridge Rd E Ste E Lorain, OH 44055 Juth, Kailyn N, CSW, (F)

Heidl, Robert J, MA, (M) (440) 260-6108 EB, P, R Group Name: Nord Center Group Name: Ohioguidestone Ages: 0-99 Provider ID: 006450935001 Provider ID: 006910322001 NPI: 1811421472 NPI: 1487147005 Hutchison, Laurie A, MSW, (F) 6140 S Broadway 2173 N Ridge Rd E Group Name: Nord Center Lorain, OH 44053

Lorain, OH 44055 Provider ID: 007124561002 (440) 233-7232 EB, P, R

(440) 260-8300 EB, P, R NPI: 1063976876 Ages: 0-99 Mo,Tu,Fr - 8:00 AM - 7:00 PM 6140 S Broadway We - 8:00 AM - 9:00 PM Lorain, OH 44053 Kacmarcik, Wendy, MA, (F)

Th - 9:00 AM - 7:00 PM (440) 204-4315 EB, P, R Group Name: Ohioguidestone Sa - 9:00 AM - 5:00 PM Ages: 0-99 Provider ID: 004333920002 Ages: 0-99 NPI: 1902918196 Jezewski, Donna, CSW, (F) 2173 N Ridge Rd E Ste E Henthorne, Edie, MA, (M) Group Name: Ohioguidestone Lorain, OH 44055

Group Name: Nord Center Provider ID: 002594444001 (440) 260-8300 EB, P, R, RE, T Provider ID: 007042751001 NPI: 1346262730 Mo,Tu,Th - 8:00 AM - 7:00 PM NPI: 1033573217 2173 N Ridge Rd E Ste E We - 9:00 AM - 7:00 PM 6140 S Broadway Lorain, OH 44055 Fr - 9:00 AM - 5:00 PM

Lorain, OH 44053 (440) 260-8300 EB, P, R, RE, T Ages: 0-99

(440) 233-7232 EB, P, R Ages: 0-99 Areas of Expertise: E112 Ages: 0-99 Johnson, Deborah J, CSW, (F) Karp, Tina C, CSW, (F) Hofelich, Barbara G, MS, (F) Group Name: Humanistic Group Name: Ohioguidestone Group Name: Lifestance Health Counseling Center Provider ID: 003290456002 Pbc Provider ID: 007351647002 NPI: 1356571582 Provider ID: 002803217003 NPI: 1326250986 2173 N Ridge Rd E Ste E NPI: 1265460042 37231 Colorado Ave Lorain, OH 44055

1426 Center Rd Avon, OH 44011 (440) 260-6108 EB, P, R

Avon, OH 44011 (216) 839-2273 EB, P, R, RE, T Ages: 0-99

(216) 831-6611 EB, P, R Ages: 0-99 Mo - 8:00 AM - 5:00 PM Cultural Competency: Y Ages: 0-99

653

Ohio - Lorain Behavioral Health Providers Kauble, Andrea M, MA, (F) Kerfonta, Christina R, MA, (F) King, Roxanne M, MA, (F) Group Name: Firelands Regional Group Name: Ohioguidestone Group Name: Firelands Regional Medical Center Provider ID: 006914542001 Medical Center Provider ID: 006892087001 NPI: 1609369727 Provider ID: 007034013001 NPI: 1174009906 2173 N Ridge Rd E NPI: 1568992444 6150 Park Square Dr Ste B Lorain, OH 44055 554 N Leavitt Rd

Lorain, OH 44053 (440) 260-8300 EB, P, R Amherst, OH 44001

(440) 984-3882 EB, P, R Ages: 0-99 (419) 557-5177 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E020, E070, Kerfonta, Christina R, MA, (F) E112, E165 Group Name: Ohioguidestone Kinney, Janelle, MA, (F) Provider ID: 006914542001 Group Name: Nord Center Kelly, Brittany J, MA, (F) NPI: 1609369727 Provider ID: 007532014001 Group Name: Lifestance Health 2409 Livingston Ave NPI: 1902412307 Pbc Lorain, OH 44052 6140 S Broadway

Provider ID: 002769548002 (440) 260-8300 EB, P, R Lorain, OH 44053

NPI: 1831253095 Ages: 0-99 (440) 204-4315 EB, P, R 1426 Center Rd Ages: 0-99 Avon, OH 44011 Kerfonta, Christina R, MA, (F)

(216) 831-6611 EB, P, R Group Name: Ohioguidestone Kiss, Megan A, MA, (F) Mo-Fr - 9:00 AM - 5:00 PM Provider ID: 006914542001 Group Name: Psych And Psych Web address: www.psychbc.com NPI: 1609369727 Services Ages: 0-99 41641 N Ridge Rd Ste B Provider ID: 007294078001 Areas of Expertise: A101, E062, Elyria, OH 44035 NPI: 1467002840

E147, P013 (440) 260-8300 EB, G, IB, P, PL, 750 Abbe Rd S R, RE, T Elyria, OH 44035

Kennard, Latasha S, MA, (F) Ages: 0-99 (440) 323-5121 RE, T Group Name: Bellfaire Jewish Ages: 0-99 Childrens Bureau Kerfonta, Christina R, MA, (F) Provider ID: 006894698001 Group Name: Ohioguidestone Klimas Morrison, Nicole M, MA, NPI: 1922588276 Provider ID: 006914542001 (F) 1865 N Ridge Rd E NPI: 1609369727 Group Name: Ohioguidestone Lorain, OH 44055 723 W 34th St Provider ID: 006919264001 (440) 723-5493 Lorain, OH 44052 NPI: 1962944678

Ages: 0-99 (440) 260-8300 EB, P, R 2173 N Ridge Rd E Areas of Expertise: E020, E070, Ages: 0-99 Lorain, OH 44055

E112, E165 (440) 260-8300 EB, P, R Mo,Tu,Th - 8:00 AM - 7:00 PM We - 9:00 AM - 7:00 PM Sa - 9:00 AM - 5:00 PM Ages: 0-99

654

Behavioral Health Providers Ohio - Lorain Knoepp, Lindsey D, MA, (F) Kroh, Dawn E, MA, (F) Lifestance Health Pbc Group Name: Bellfaire Jewish Group Name: Firelands Regional Provider ID: 002244199001 Childrens Bureau Medical Center NPI: 1811915713 Provider ID: 006804020001 Provider ID: 004281925001 1426 Center Rd NPI: 1144772914 NPI: 1609107812 Avon, OH 44011

1865 N Ridge Rd E 6150 Park Square Dr Ste B (216) 831-6611 EB, P, R Lorain, OH 44055 Lorain, OH 44053 Mo-Fr - 9:00 AM - 5:00 PM

(440) 723-5493 EB, P, R (440) 984-3882 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

Knott, Robin, MA, (F) Lahiff, Rachel K, MA, (F) Lifestance Health Pbc Group Name: Nord Center Group Name: Ohioguidestone Provider ID: 002244199002 Provider ID: 007042819001 Provider ID: 006154829001 NPI: 1811915713 NPI: 1558764415 NPI: 1790173151 36701 American Way 6140 S Broadway 2173 N Ridge Rd E Ste E Avon, OH 44011

Lorain, OH 44053 Lorain, OH 44055 (216) 831-6611 EB, P, R

(440) 233-7232 EB, P, R (440) 260-6108 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

Kobylski, Rebecca J, MA Lanzi, Michelle L, CSW, (F) Lifestance Health Pbc Group Name: Bellfaire Jewish Group Name: Rakesh Ranjan Md Provider ID: 002244199002 Childrens Bureau & Assoc Inc NPI: 1811915713 Provider ID: 007504206001 Provider ID: 002777371003 36701 American Way Ste 2 NPI: 1528674512 NPI: 1023170677 Avon, OH 44011

1865 N Ridge Rd E Ste E 347 Midway Blvd Ste 210 (216) 831-6611 EB, P, R Lorain, OH 44055 Elyria, OH 44035 Ages: 0-99

(440) 406-3020 EB, P, R (440) 324-5555 EB, P, R, RE, S, Areas of Expertise: E112 Ages: 0-99 T Cultural Competency: Y Loch, Amy E, BA, (F) Kretzmann, Kris W, MA, (F) Ages: 18-99 Group Name: Ohioguidestone Group Name: Ohioguidestone Areas of Expertise: E112 Provider ID: 007156539001 Provider ID: 006920425001 NPI: 1295397651 NPI: 1629497151 Lewis, Bethany, MA, (F) 2173 N Ridge Rd E Ste E 2173 N Ridge Rd E Ste E Group Name: Nord Center Lorain, OH 44055

Lorain, OH 44055 Provider ID: 007048636001 (440) 260-8300 EB, P, R, RE, T

(440) 260-8327 EB, P, R, RE, T NPI: 1841761756 Ages: 0-99 Ages: 0-99 6140 S Broadway Lorain, OH 44053

(440) 233-7232 EB, P, R Ages: 0-99

655

Ohio - Lorain Behavioral Health Providers Lorain County Alc Drug Abs Svcs Lorain County Alc Drug Abs Svcs Lorain County Alc Drug Abs Svcs Provider ID: 000174476001 Provider ID: 000174476001 Provider ID: 000174476001 NPI: 1912930314 NPI: 1912930314 NPI: 1912930314 1070 Infirmary Rd 1780 Infirmary Rd 1885 E 32nd St Elyria, OH 44035 Elyria, OH 44035 Lorain, OH 44055

(440) 989-4900 EB, P, R (440) 989-4900 EB, P, R (404) 989-4900 EB, P, R Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Provider: Spanish Ages: 0-99 Mo-Tu - 9:00 AM - 6:00 PM Ages: 0-99 Areas of Expertise: A010, A021, We,Th,Fr - 9:00 AM - 7:00 PM Areas of Expertise: A010, A021, A060, A100, E017, E020, E043, Ages: 0-99 A060, A100, E017, E020, E043, E060, E070, E147, E160, E165, Areas of Expertise: A010, A021, E060, E070, E147, E160, E165, E172, E177, E185, E186, E200, A060, A100, E017, E020, E043, E172, E177, E185, E186, E200, E218, E281, E285, E365, E374, E060, E070, E147, E160, E165, E218, E281, E285, E365, E374, E379, E381, P010, P080 E172, E177, E185, E186, E200, E379, E381, P010, P080 E218, E281, E285, E365, E374, Lorain County Alc Drug Abs Svcs E379, E381, P010, P080 Lorain County Alc Drug Abs Svcs Provider ID: 000174476001 Provider ID: 000174476001 NPI: 1912930314 Lorain County Alc Drug Abs Svcs NPI: 1912930314 120 East Ave Provider ID: 000174476001 2115 W Park Dr Elyria, OH 44035 NPI: 1912930314 Lorain, OH 44053

(440) 989-4900 EB, P, R, RE, T 1882 E 32nd St (440) 282-4777 EB, P, R, RE, T Lorain, OH 44055 Languages Spoken: Languages Spoken: (440) 989-4900 EB, P, R, RE, T Provider: Spanish Provider: Spanish Languages Spoken: Staff: Spanish Mo-Th - 8:00 AM - 8:00 PM Provider: Spanish Mo-Th - 8:00 AM - 6:00 PM Fr - 8:00 AM - 4:00 PM Staff: Spanish Fr - 8:00 AM - 4:00 PM Ages: 0-99 Mo-Th - 8:00 AM - 8:00 PM Ages: 0-99 Areas of Expertise: A010, A021, Fr - 8:00 AM - 4:00 PM Areas of Expertise: A010, A021, A060, A100, E017, E020, E043, Ages: 0-99 A060, A100, E017, E020, E043, E060, E070, E147, E160, E165, Areas of Expertise: A010, A021, E060, E070, E147, E160, E165, E172, E177, E185, E186, E200, A060, A100, E017, E020, E043, E172, E177, E185, E186, E200, E218, E281, E285, E365, E374, E060, E070, E147, E160, E165, E218, E281, E285, E365, E374, E379, E381, P010, P080 E172, E177, E185, E186, E200, E379, E381, P010, P080 E218, E281, E285, E365, E374, E379, E381, P010, P080

656

Behavioral Health Providers Ohio - Lorain Lorain County Alc Drug Abs Svcs Lorain County Alc Drug Abs Svcs Lusk, Megan, MA, (F) Provider ID: 000174476001 Provider ID: 000174476001 Group Name: Ohioguidestone NPI: 1912930314 NPI: 1912930314 Provider ID: 007257722001 2173 N Ridge Rd E Ste E 525 Avon Belden Rd NPI: 1467012450 Lorain, OH 44055 Avon Lake, OH 44012 2173 N Ridge Rd E Ste E

(440) 260-8327 EB, P, R, RE, T (440) 989-4900 EB, P, R Lorain, OH 44055

Languages Spoken: Languages Spoken: (440) 260-8300 EB, P, R, RE, T Provider: Spanish Provider: Spanish Ages: 0-99 Ages: 0-99 Mo-Th - 8:00 AM - 8:00 PM Areas of Expertise: A010, A021, Fr - 8:00 AM - 4:00 PM Lynch, Holly, MS, (F) A060, A100, E017, E020, E043, Ages: 0-99 Group Name: Nancy Lowrie And E060, E070, E147, E160, E165, Areas of Expertise: A010, A021, Associates LLC E172, E177, E185, E186, E200, A060, A100, E017, E020, E043, Provider ID: 005814755001 E218, E281, E285, E365, E374, E060, E070, E147, E160, E165, NPI: 1497052575 E379, E381, P010, P080 E172, E177, E185, E186, E200, 1830 W 40th St E218, E281, E285, E365, E374, Lorain, OH 44053

Lorain County Alc Drug Abs Svcs E379, E381, P010, P080 (440) 571-0108 EB, P, R Provider ID: 000174476001 Ages: 0-99 NPI: 1912930314 Lowery, Carly, CSW, (F) Areas of Expertise: E010, E015, 305 W 20th St Group Name: Nord Center E020, E025, E050, E055, E070, Lorain, OH 44052 Provider ID: 006981580002 E075, E090, E115, E150, E190,

(440) 989-4900 EB, P, R NPI: 1457851792 E205, E218, E230, E373, E374, Languages Spoken: 6140 S Broadway E375, P013, P080 Provider: Spanish Lorain, OH 44053

Mo-Th - 8:00 AM - 8:00 PM (440) 204-4315 EB, P, R Lynch, Holly, MS, (F) Fr - 8:00 AM - 4:00 PM Ages: 0-99 Group Name: Nancy Lowrie And Ages: 0-99 Associates LLC Areas of Expertise: A010, A021, Lu, Meng X, MA, (F) Provider ID: 005814755001 A060, A100, E017, E020, E043, Group Name: Nord Center NPI: 1497052575 E060, E070, E147, E160, E165, Provider ID: 006876971001 2700 Washington Ave E172, E177, E185, E186, E200, NPI: 1619456969 Lorain, OH 44052 E218, E281, E285, E365, E374, 6140 S Broadway (440) 571-0108 E379, E381, P010, P080 Lorain, OH 44053 Ages: 0-99

(440) 233-7232 EB, P, R Areas of Expertise: E010, E015, Ages: 0-99 E020, E025, E050, E055, E070, E075, E090, E115, E150, E190, E205, E218, E230, E373, E374, E375, P013, P080

657

Ohio - Lorain Behavioral Health Providers Maimone, Kathryn A, MA, (F) Marshall, Rachel, MA, (F) Matos, Larissa S, MA, (F) Group Name: Nord Center Group Name: Nord Center Group Name: Nord Center Provider ID: 006027389001 Provider ID: 006923871002 Provider ID: 006965045001 NPI: 1104285063 NPI: 1366929606 NPI: 1609240555 6140 S Broadway 6140 S Broadway 6140 S Broadway Lorain, OH 44053 Lorain, OH 44053 Lorain, OH 44053

(440) 204-4315 EB, P, R (440) 204-4315 EB, P, R (440) 233-7232 EB, P, R Mo,Th,Fr - 8:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Cultural Competency: Y Areas of Expertise: E112 Ages: 0-99 Matthews, Clarissa, MA, (F) Massey, Sara R, MS, (F) Group Name: Pathways Marple, Jennifer L, MA, (F) Group Name: Nord Center Counseling And Growth Center Group Name: Ohioguidestone Provider ID: 006971325001 Provider ID: 002995361001 Provider ID: 006259069001 NPI: 1821427899 NPI: 1982903647 NPI: 1205293065 6140 S Broadway 312 3rd St 2173 N Ridge Rd E Ste E Lorain, OH 44053 Elyria, OH 44035

Lorain, OH 44055 (440) 204-4145 E, EB, G, IB, P, (440) 323-5707 RE, T

(440) 260-6108 EB, P, R, RE, T PL, R, RE, S, T Cultural Competency: Y Ages: 0-99 Mo-Th - 8:00 AM - 8:00 PM Ages: 0-99 Fr - 8:00 AM - 5:00 PM Marple, Rebecca J, MA, (F) Ages: 0-99 Mcausland, Susan M, MA, (F) Group Name: Nord Center Areas of Expertise: E020, E025, Group Name: Nord Center Provider ID: 006633472001 E115, E200, P010, P080 Provider ID: 006970146002 NPI: 1174068167 NPI: 1073093126 6140 S Broadway Mathews, Samantha, MA, (F) 6140 S Broadway Lorain, OH 44053 Group Name: Ohioguidestone Lorain, OH 44053

(440) 204-4315 EB, P, R Provider ID: 006872051002 (440) 204-4315 E, EB, G, IB, P, Ages: 0-99 NPI: 1982196697 PL, R, RE, S, T 723 W 34th St Ages: 0-99 Marsh, Noah R, MA, (M) Lorain, OH 44052

Group Name: Nord Center (800) 639-4974 EB, P, R Mcclelland, Erika L, MA, (F) Provider ID: 007600297001 Ages: 0-99 Group Name: Rakesh Ranjan Md NPI: 1891387239 And Assoc 6140 S Broadway Matos, Jose G, MA, (M) Provider ID: 006828542003 Lorain, OH 44053 Group Name: Nord Center NPI: 1235633587

(440) 204-4315 EB, P, R Provider ID: 007359969001 347 Midway Blvd Ste 210 Ages: 0-99 NPI: 1124685359 Elyria, OH 44035

6140 S Broadway (440) 324-5555 EB, P, R, RE, S, Lorain, OH 44053 T

(440) 204-4315 EB, P, R Ages: 0-99 Ages: 0-99

658

Behavioral Health Providers Ohio - Lorain Mccoy, Christopher J, MA, (M) Mercy Health Physicians Lorain Mercy Health Physicians Lorain Group Name: Nord Center Provider ID: 003125270173 Provider ID: 003125270010 Provider ID: 007077143001 NPI: 1023347192 NPI: 1023347192 NPI: 1174064042 1480 Center Rd Ste A 319 W Lorain St 6140 S Broadway Avon, OH 44011 Oberlin, OH 44074

Lorain, OH 44053 (440) 937-4600 EB, P, R (440) 775-1881 EB, P, R, RE, T

(440) 233-7232 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Mercy Health Physicians Lorain Mercy Health Physicians Lorain Provider ID: 003125270388 Provider ID: 003125270305 Mckenna, Colleen A, MS, (F) NPI: 1023347192 NPI: 1023347192 Group Name: Catholic Charities 1813 Nagel Rd Ste 500 3600 Kolbe Rd Corporation Avon, OH 44011 Lorain, OH 44053

Provider ID: 001206147002 (440) 222-4661 EB, P, R, RE, T (440) 960-3954 EB, P, R NPI: 1194741132 Ages: 0-99 Ages: 0-99 628 Poplar St Elyria, OH 44035 Mercy Health Physicians Lorain Mercy Health Physicians Lorain

(440) 366-1106 EB, P, R Provider ID: 003125270394 Provider ID: 003125270419 Ages: 0-99 NPI: 1023347192 NPI: 1023347192 1813 Nagle Rd Ste 500 3600 Kolbe Rd Ste 011 Mendes, Shanon L, MA, (F) Avon, OH 44011 Lorain, OH 44053

Group Name: Ohioguidestone (440) 960-4416 EB, P, PL, R, RE, (440) 222-4803 EB, P, R Provider ID: 006154854001 T Ages: 0-99 NPI: 1366881690 Ages: 0-99 2173 N Ridge Rd E Ste E Mercy Health Physicians Lorain Lorain, OH 44055 Mercy Health Physicians Lorain Provider ID: 003125270174

(440) 260-6108 EB, P, R Provider ID: 003125270411 NPI: 1023347192 Ages: 0-99 NPI: 1023347192 3600 Kolbe Rd Ste 106 1957 Cooper Foster Park Rd Lorain, OH 44053

Mercy Health Physicians Lorain Amherst, OH 44001 (440) 282-1832 EB, P, R, RE, T

Provider ID: 003125270006 (440) 988-5234 E, EB, P, R, RE, Ages: 0-99 NPI: 1023347192 S, T 1120 E Broad St Ages: 0-99 Mercy Health Physicians Lorain Elyria, OH 44035 Provider ID: 003125270139

(440) 365-2600 EB, P, R, RE, T Mercy Health Physicians Lorain NPI: 1023347192 Ages: 0-99 Provider ID: 003125270404 3600 Kolbe Rd Ste 109 NPI: 1023347192 Lorain, OH 44053

224 W Lorain St Ste 100 (440) 960-6431 EB, P, PL, R, RE, Oberlin, OH 44074 T

(440) 960-3304 E, EB, P, R, RE, Ages: 0-99 S, T Ages: 0-99

659

Ohio - Lorain Behavioral Health Providers Mercy Health Physicians Lorain Mercy Health Physicians Lorain Mercy Health Physicians Lorain Provider ID: 003125270415 Provider ID: 003125270007 Provider ID: 003125270045 NPI: 1023347192 NPI: 1023347192 NPI: 1023347192 3600 Kolbe Rd Ste 206 3700 Kolbe Rd 578 N Leavitt Rd Lorain, OH 44053 Lorain, OH 44053 Amherst, OH 44001

(440) 282-1360 E, EB, IB, P, R, (440) 233-1003 EB, G, IB, P, R, (440) 988-5226 E, EB, IB, P, R, RE, S, T RE, S, T RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99

Mercy Health Physicians Lorain Mercy Health Physicians Lorain Mercy Health Physicians Lorain Provider ID: 003125270020 Provider ID: 003125270145 Provider ID: 003125270366 NPI: 1023347192 NPI: 1023347192 NPI: 1023347192 3600 Kolbe Rd Ste 209 41201 Schadden Rd 5940 Oak Point Rd Lorain, OH 44053 Elyria, OH 44035 Lorain, OH 44053

(440) 960-3237 E, EB, G, IB, P, (440) 222-4003 EB, IB, P, R (440) 988-3705 RE, T PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Mercy Health Physicians Lorain Mercy Health Physicians Lorain Mercy Health Physicians Lorain Provider ID: 003125270083 Provider ID: 003125270418 Provider ID: 003125270307 NPI: 1023347192 NPI: 1023347192 NPI: 1023347192 5054 Waterford Dr 5940 Oak Point Rd # 2 3600 Kolbe Rd Ste 210 Sheffield Village, OH 44035 Lorain, OH 44053

Lorain, OH 44053 (440) 934-8344 EB, P, R (440) 988-3705 EB, P, R, RE, T

(440) 960-3912 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Mercy Health Physicians Lorain Mercy Health Physicians Lorain Mercy Health Physicians Lorain Provider ID: 003125270423 Provider ID: 003125270181 Provider ID: 003125270309 NPI: 1023347192 NPI: 1023347192 NPI: 1023347192 5319 Hoag Dr Ste 100 840 Patriot Dr 3600 Kolbe Rd Ste 223 Sheffield Village, OH 44035 Wellington, OH 44090

Lorain, OH 44053 (440) 930-6015 EB, IB, P, R, RE, (440) 988-5226 EB, P, R, RE, T

(440) 989-1800 E, EB, P, R, RE, T Ages: 0-99 S, T Ages: 0-99 Ages: 0-99 Mercy Health Physicians Mercy Health Physicians Lorain Youngstown Mercy Health Physicians Lorain Provider ID: 003125270424 Provider ID: 003276354371 Provider ID: 003125270053 NPI: 1023347192 NPI: 1194264069 NPI: 1023347192 5319 Hoag Dr Ste 115 3700 Kolbe Rd 3600 Kolbe Rd Ste 227 Sheffield Village, OH 44035 Lorain, OH 44053

Lorain, OH 44053 (440) 930-6015 (440) 988-1009 EB, G, IB, P, R,

(440) 960-3304 EB, P, R Ages: 0-99 RE, S, T Ages: 0-99 Ages: 0-99

660

Behavioral Health Providers Ohio - Lorain Merkel, Kayla C, MA, (F) Miller, Bethaney, CSW, (F) Group Name: Ohioguidestone Group Name: Ohioguidestone Mitchell, Robert A, MS, (M) Provider ID: 006915849001 Provider ID: 007072847001 Group Name: Catholic Charities NPI: 1609367267 NPI: 1063976637 Corporation 2173 N Ridge Rd E 2173 N Ridge Rd E Ste E Provider ID: 002267023001 Lorain, OH 44055 Lorain, OH 44055 NPI: 1073604922

(440) 260-8327 EB, P, R (800) 999-3838 EB, P, R, RE, T 628 Poplar St Ages: 0-99 Ages: 0-99 Elyria, OH 44035

(440) 366-1106 EB, P, R Migra, Mary M, MS, (F) Misencik, Melissa, MA, (F) Ages: 0-99 Group Name: Psych And Psych Group Name: Misencik Melissa Areas of Expertise: E085, E185, Services Provider ID: 006216651004 E198, E200, E210, E320, E391, Provider ID: 002291878003 NPI: 1952752776 E398 NPI: 1427088145 156 Lear Rd 750 Abbe Rd S Avon Lake, OH 44012 Moss, Montrel T, MA, (M)

Elyria, OH 44035 (440) 395-0175 EB, P, R, RE, T Group Name: Firelands Regional

(440) 323-5121 RE, T Mo-Tu - 9:30 AM - 5:30 PM Medical Center Mo-Th - 9:00 AM - 8:00 PM Fr - 9:30 AM - 4:30 PM Provider ID: 006989766001 Fr - 9:00 AM - 5:00 PM Ages: 0-99 NPI: 1619462306 Sa - 9:00 AM - 2:00 PM Areas of Expertise: P010, P080 6150 Park Square Dr Ste B Ages: 0-99 Lorain, OH 44053

Areas of Expertise: A010, A021, Mistur, Joan E, MS, (F) (440) 984-3882 EB, P, R A045, A050, E017, E020, E055, Group Name: Joan E Mistur Ages: 0-99 E065, E070, E090, E105, E110, Provider ID: 001139807001 E112, E165, E185, P010, P020, NPI: 1013980465 Nancy Lowrie And Associates P030 32730 Walker Rd Ste I-5 LLC Avon Lake, OH 44012 Provider ID: 002440214001

Millar, Emily, CSW, (F) (440) 933-8770 EB, P, R, RE, T NPI: 1003927187 Group Name: Bellfaire Jewish Mo - 10:00 AM - 7:30 PM 1830 W 40th St Childrens Bureau Tu,Th - 8:00 AM - 8:00 PM Lorain, OH 44053

Provider ID: 007203404001 We - 12:00 PM - 6:00 PM (440) 571-0108 EB, P, R NPI: 1730745464 Fr - 8:00 AM - 6:00 PM Ages: 0-99 1865 N Ridge Rd E Ste E Sa - 8:00 AM - 12:00 PM Lorain, OH 44055 Cultural Competency: Y Nancy Lowrie And Associates

(440) 406-3020 EB, P, R Web address: www.landingsfampsy LLC Ages: 0-99 c.com Provider ID: 002440214001 Ages: 0-99 NPI: 1003927187 Areas of Expertise: A010, A021, 2700 Washington Ave A045, E010, E015, E017, E020, Lorain, OH 44052

E025, E055, E070, E090, E112, (440) 846-0862 EB, P, R E115, E120, E130, E155, E165, Ages: 0-99 E185, E190, E200, E225, P010, P020, P030, P035

661

Ohio - Lorain Behavioral Health Providers Nationwide Childrens Hospital New Leaf Counseling Services Norris, Joan, MSW, (F) Provider ID: 006965810004 LLC Group Name: Lifestance Health NPI: 1669542643 Provider ID: 003273382004 Pbc 347 Midway Blvd Ste 306 NPI: 1609197631 Provider ID: 002285855002 Elyria, OH 44035 215 Miller Rd Ste 7 NPI: 1699871889

(216) 320-8375 EB, P, R Avon Lake, OH 44012 1426 Center Rd

Ages: 0-99 (440) 742-1661 EB, P, R, RE, T Avon, OH 44011

Ages: 0-99 (216) 831-6611 EB, P, R Neal, Jeffrey A, MA, (M) Mo-Fr - 9:00 AM - 5:00 PM Group Name: Rakesh Ranjan Md New Leaf Counseling Services Ages: 0-99 And Assoc LLC Areas of Expertise: A010, A021, Provider ID: 006788032002 Provider ID: 003273382001 A045, A050, A101, E017, E112, NPI: 1689173908 NPI: 1609197631 E115, E155, E198, E200, E235, 347 Midway Blvd Ste 210 223 Miller Rd P010 Elyria, OH 44035 Avon Lake, OH 44012

(440) 324-5555 EB, P, R, RE, S, (440) 742-1661 E, EB, P, R, RE, O'connor, Corinne, MA, (F) T S, T Group Name: Nord Center Ages: 0-99 Ages: 0-99 Provider ID: 007672003001 NPI: 1336721489 New Leaf Counseling Services New Leaf Counseling Services 6140 S Broadway LLC LLC Lorain, OH 44053

Provider ID: 003273382002 Provider ID: 003273382004 (440) 204-4315 EB, P, R NPI: 1609197631 NPI: 1609197631 Ages: 0-99 12868 Grafton Rd 33420 Liberty Pkwy Bldg 2 Grafton, OH 44044 North Ridgeville, OH 44039 Oflaherty, Holly C, MS, (F)

(440) 748-2122 EB, P, R (440) 742-1661 Group Name: Ohioguidestone Ages: 0-99 Ages: 0-99 Provider ID: 006265184001 NPI: 1497885222 New Leaf Counseling Services Nissen, Lynn, MA, (F) 2173 N Ridge Rd E Ste E LLC Group Name: Applewood Center Lorain, OH 44055

Provider ID: 003273382004 Inc (440) 260-8300 EB, P, R, RE, T NPI: 1609197631 Provider ID: 006877074001 Mo,Tu,Th - 8:00 AM - 7:00 PM 215 Miller Rd NPI: 1114415262 We - 9:00 AM - 7:00 PM Avon Lake, OH 44012 1865 N Ridge Rd E Ste C Fr - 9:00 AM - 5:00 PM

(440) 969-5983 EB, P, PL, R, RE, Lorain, OH 44055 Ages: 0-99

T (440) 462-1473 EB, P, R Areas of Expertise: E017, E020, Ages: 0-99 Ages: 0-99 E025, E043, E070, E165, P010, P013, P030, P080

662

Behavioral Health Providers Ohio - Lorain Ohio Mentor Partners Physician Group Pietz, Ellen H, MS, (F) Provider ID: 006808793004 Provider ID: 001478152406 Group Name: Lifestance Health NPI: 1861568990 NPI: 1992138028 Pbc 1350 W River Rd N 5700 Cooper Foster Park Rd W Provider ID: 001749524003 Elyria, OH 44035 Lorain, OH 44053 NPI: 1982646436

(216) 525-1885 EB, P, R (440) 204-7400 EB, P, R 1426 Center Rd Languages Spoken: Ages: 0-99 Avon, OH 44011

Provider: Spanish Areas of Expertise: E112 (216) 468-5000 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E070, E075, Pember, Carolyn Y, MA, (F) Areas of Expertise: A101, E010, E115, E170, E185, E210, E320 Group Name: Nord Center E015, E020, E055, E070, E105, Provider ID: 006841171001 E112, E115, E155, E165, E200, Ohio Mentor NPI: 1902347362 E215, P010, P020, P030 Provider ID: 006808793004 6140 S Broadway NPI: 1861568990 Lorain, OH 44053 Popik, Audra M, MA, (F)

1530 W River Rd N (440) 233-7232 EB, P, R Group Name: Psych And Psych Elyria, OH 44035 Ages: 0-99 Services

(440) 657-5658 EB, P, R Provider ID: 007003818001 Languages Spoken: Peter, Mary A, MA, (F) NPI: 1205265188 Provider: Spanish Group Name: Fortaleza LLC 750 Abbe Rd S Ages: 0-99 Provider ID: 007106828002 Elyria, OH 44035

Areas of Expertise: E070, E075, NPI: 1629361407 (440) 323-5121 RE, T E115, E170, E185, E210, E320 41641 N Ridge Rd Ste B Web address: psychandpsych.com Elyria, OH 44035 Ages: 0-99

Partners Physician Group (440) 324-7406 EB, G, IB, P, PL, Areas of Expertise: P010, P080 Provider ID: 001478152404 R, RE, T NPI: 1992138028 Mo-Fr - 10:00 AM - 9:00 PM Porter, Michele, MA, (F) 303 Chestnut Commons Dr Sa - 10:00 AM - 1:00 PM Group Name: Firelands Regional Elyria, OH 44035 Ages: 0-99 Medical Center

(440) 336-9444 EB, P, R Provider ID: 006906374001 Ages: 0-99 Petrucci, Cynthia L, MSW, (F) NPI: 1205355013 Areas of Expertise: E112 Group Name: Bellfaire Jewish 6150 Park Square Dr Ste B Childrens Bureau Lorain, OH 44053

Partners Physician Group Provider ID: 003458801003 (440) 984-3882 EB, P, R Provider ID: 001478152927 NPI: 1164711289 Ages: 0-99 NPI: 1992138028 1865 N Ridge Rd E Ste C 33100 Cleveland Clinic Blvd Lorain, OH 44055

Avon, OH 44011 (440) 324-1300 EB, P, R

(440) 695-4000 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

663

Ohio - Lorain Behavioral Health Providers Priel, Lisa A, MS, (F) E115, E160, E165, E170, E185, Richards, Jessica A, CSW, (F) Group Name: Psych And Psych E190, E198, E200, E205, E220, Group Name: Firelands Regional Services E240, E285, E374, E385, E392, Medical Center Provider ID: 007282827001 P010, P020, P030 Provider ID: 003515733001 NPI: 1073158028 NPI: 1033449897 750 Abbe Rd S Redding, Carol J, CSW, (F) 554 N Leavitt Rd Elyria, OH 44035 Group Name: Nord Center Amherst, OH 44001

(440) 323-5121 RE, T Provider ID: 002593605001 (440) 984-3882 EB, P, R Mo-Th - 8:00 AM - 8:00 PM NPI: 1336282516 Mo,We,Fr - 8:00 AM - 5:00 PM Fr - 8:00 AM - 5:00 PM 6140 S Broadway Tu,Th - 8:00 AM - 8:00 PM Sa - 8:00 AM - 2:00 PM Lorain, OH 44053 Ages: 0-99

Web address: psychandpsych.com (440) 233-7232 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Rivera, Lindsy M, MA, (F) Languages Spoken: Group Name: Nord Center Psych And Psych Services Staff: Spanish Provider ID: 007605905001 Provider ID: 005546008001 Mo,Fr - 8:00 AM - 5:00 PM NPI: 1619329620 NPI: 1457740052 Tu,We,Th - 8:00 AM - 8:00 PM 6140 S Broadway 2173 N Ridge Rd E Ste E Web address: www.nordcenter.org Lorain, OH 44053

Lorain, OH 44055 Ages: 0-99 (440) 204-4315 EB, P, R

(440) 260-8327 EB, P, R, RE, T Areas of Expertise: E112 Ages: 0-99 Ages: 0-99 Areas of Expertise: A025, E010, Regan, Marsha B, CSW, (F) Rodemann, Sarah C, MS, (F) E017, E020, E025, E042, E043, Group Name: Humanistic Group Name: Nord Center E055, E060, E070, E090, E105, Counseling Center Provider ID: 006919210001 E115, E160, E165, E170, E185, Provider ID: 003411102001 NPI: 1801312079 E190, E198, E200, E205, E220, NPI: 1679863823 6140 S Broadway E240, E285, E374, E385, E392, 5350 Oberlin Ave Ste 201 Lorain, OH 44053

P010, P020, P030 Lorain, OH 44053 (440) 204-4315 E, EB, G, IB, P,

(216) 839-2273 EB, P, R PL, R, RE, S, T Psych And Psych Services Ages: 0-99 Ages: 0-99 Provider ID: 005546008001 NPI: 1457740052 Reid, Kathleen, MA Rodriguez, Delimar V, MA, (F) 750 Abbe Rd S Group Name: Nord Center Group Name: Nord Center Elyria, OH 44035 Provider ID: 007476593001 Provider ID: 006961166001

(440) 323-5121 RE, T NPI: 1649880279 NPI: 1790203958 Mo-Th - 8:00 AM - 8:00 PM 6140 S Broadway 6140 S Broadway Fr - 8:00 AM - 5:00 PM Lorain, OH 44053 Lorain, OH 44053

Sa - 8:00 AM - 2:00 PM (440) 204-4315 EB, P, R (440) 233-7232 EB, P, R Web address: psychandpsych.com Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: A025, E010, E017, E020, E025, E042, E043, E055, E060, E070, E090, E105,

664

Behavioral Health Providers Ohio - Lorain Russell, Hannah L, MA, (F) Sanford Russo, Janice, MS, (F) Group Name: Firelands Regional Sanford Russo, Janice, MS, (F) Group Name: Lorain County Medical Center Group Name: Lorain County Health & Dentis Provider ID: 006937122001 Health & Dentis Provider ID: 005587930001 NPI: 1588178321 Provider ID: 005587930001 NPI: 1528361474 6150 Park Square Dr Ste B NPI: 1528361474 412 E River St Lorain, OH 44053 260 S Main St Elyria, OH 44035

(440) 984-3882 EB, P, R Oberlin, OH 44074 (440) 240-1655 EB, G, IB, P, PL,

Ages: 0-99 (440) 240-1665 E, EB, G, IB, P, R, RE, S, T PL, R, RE, S, T Mo-Fr - 8:30 AM - 5:00 PM Sabin, John W, MS, (M) Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Group Name: Palmentera Cultural Competency: Y Ages: 0-99 Associates Ages: 0-99 Areas of Expertise: A010, A025, Provider ID: 002038074001 Areas of Expertise: A010, A025, E010, E015, E017, E020, E025, NPI: 1952413379 E010, E015, E017, E020, E025, E043, E055, E070, E080, E090, 23 Eric Nord Way Ste 12 E043, E055, E070, E080, E090, E112, E115, E130, E165, E187, Oberlin, OH 44074 E112, E115, E130, E165, E187, E200, E218, E285, E320, E374,

(440) 230-2564 E, EB, RE, S, T E200, E218, E285, E320, E374, P010, P020, P030 Mo - 3:00 PM - 5:30 PM P010, P020, P030 We - 9:00 AM - 3:00 PM Sanford Russo, Janice, MS, (F) Th - 9:00 AM - 2:30 PM Sanford Russo, Janice, MS, (F) Group Name: Lorain County Fr - 9:00 AM - 12:00 PM Group Name: Lorain County Health & Dentis Cultural Competency: Y Health & Dentis Provider ID: 005587930001 Ages: 0-99 Provider ID: 005587930001 NPI: 1528361474 NPI: 1528361474 801 West Ave Sanford Russo, Janice, MS, (F) 3745 Grove Ave Elyria, OH 44035

Group Name: Lorain County Lorain, OH 44055 (440) 240-1655 EB, P, R

Health & Dentis (440) 240-1655 E, EB, G, IB, P, Cultural Competency: Y Provider ID: 005587930001 PL, R, RE, S, T Ages: 0-99 NPI: 1528361474 Mo,Tu,Th,Fr - 8:00 AM - 5:00 PM 105 Louden Ct We - 8:00 AM - 7:30 PM Schaefer, Elizabeth C, CCM, (F) Elyria, OH 44035 Cultural Competency: Y Group Name: Nord Center

(440) 240-1655 EB, G, IB, P, R, Ages: 0-99 Provider ID: 007286168001 RE, S, T Areas of Expertise: A010, A025, NPI: 1578107983 Mo-Fr - 8:30 AM - 5:00 PM E010, E015, E017, E020, E025, 6140 S Broadway Cultural Competency: Y E043, E055, E070, E080, E090, Lorain, OH 44053

Ages: 0-99 E112, E115, E130, E165, E187, (440) 204-4315 E, EB, G, IB, P, Areas of Expertise: A010, A025, E200, E218, E285, E320, E374, PL, R, RE, S, T E010, E015, E017, E020, E025, P010, P020, P030 Ages: 0-99 E043, E055, E070, E080, E090, E112, E115, E130, E165, E187, E200, E218, E285, E320, E374, P010, P020, P030

665

Ohio - Lorain Behavioral Health Providers Schafer, Natalie, MA, (F) Shedron, Julie F, MS, (F) Speaker, Rae E, MS, (F) Group Name: Psych And Psych Group Name: Nord Center Group Name: Lifestance Health Services Provider ID: 002965416003 Pbc Provider ID: 007272506001 NPI: 1851557482 Provider ID: 000777733002 NPI: 1184171571 6140 S Broadway NPI: 1386686962 750 Abbe Rd S Lorain, OH 44053 1426 Center Rd

Elyria, OH 44035 (440) 233-7232 EB, P, R Avon, OH 44011

(440) 323-5121 RE, T Ages: 0-99 (216) 831-6611 EB, P, R Ages: 0-99 Areas of Expertise: A101, E020, Mo-Fr - 9:00 AM - 5:00 PM E042, P010, P080 Ages: 0-99 Serfozo, Rebecca A, MA, (F) Areas of Expertise: A101, E010, Group Name: Ohioguidestone Shephard, Leslie E, MA, (F) E020, E025, E055, E070, E090, Provider ID: 006970033002 Group Name: Fortaleza LLC E112, E165, E170, E200, E210, NPI: 1336620368 Provider ID: 006891798001 E215, E225, P010, P020, P030 2173 N Ridge Rd E Ste E NPI: 1629573001 Lorain, OH 44055 41641 N Ridge Rd Ste B Srebala, Paula L, MA, (F)

(440) 260-8300 EB, P, R, RE, T Elyria, OH 44035 Group Name: Psych And Psych

Ages: 0-99 (440) 324-7406 EB, G, IB, P, PL, Services R, RE, T Provider ID: 006892026001 Sestito, Joseph, MS, (F) Ages: 0-99 NPI: 1639580384 Group Name: Humanistic 750 Abbe Rd S Counseling Center Smith, Amber M, RSW, (F) Elyria, OH 44035

Provider ID: 003356001001 Group Name: Nord Center (440) 323-5121 RE, T NPI: 1083901920 Provider ID: 007098958001 Ages: 0-99 5350 Oberlin Ave Ste 201 NPI: 1538687405 Lorain, OH 44053 6140 S Broadway St Vincent Medical Group

(216) 839-2273 EB, P, R Lorain, OH 44053 Provider ID: 001945275103

Ages: 0-99 (440) 204-4315 E, EB, G, IB, P, NPI: 1134119829 PL, R, RE, S, T 3700 Kolbe Rd Ste 17 Setlak Micheller, Diane K, CSW, Ages: 0-99 Lorain, OH 44053

(F) (216) 241-8654 E, EB, IB, P, R, Group Name: Catholic Charities Sonnenberg, Emma, MA RE Corporation Group Name: Nord Center Ages: 0-99 Provider ID: 003661033002 Provider ID: 007624449001 NPI: 1336488162 NPI: 1235722828 St Vincent Medical Group 628 Poplar St 6140 S Broadway Provider ID: 001945275077 Elyria, OH 44035 Lorain, OH 44053 NPI: 1134119829

(440) 366-1106 EB, P, R (440) 204-4315 EB, P, R 38530 Chester Rd Ste 200 Ages: 0-99 Ages: 0-99 Avon, OH 44011

Areas of Expertise: E165 (440) 746-1055 E, EB, G, IB, P, R, RE, S, T Ages: 0-99

666

Behavioral Health Providers Ohio - Lorain St Vincent Medical Group Stacey, Nicole, LPC, (F) Stevenson, Laura A, MA, (F) Provider ID: 001945275034 Group Name: New Leaf Group Name: Pathways NPI: 1134119829 Counseling Services LLC Counseling And Growth Center 4804 Leavitt Rd Provider ID: 003259751001 Provider ID: 006628976001 Lorain, OH 44053 NPI: 1841505005 NPI: 1124486014

(440) 989-2066 EB, G, IB, P, R, 215 Miller Rd Ste 7 312 3rd St RE, T Avon Lake, OH 44012 Elyria, OH 44035

Ages: 0-99 (440) 742-1661 EB, P, R, RE, T (440) 323-5707 RE, T Mo,We,Th - 3:00 PM - 8:00 PM Ages: 0-99 St Vincent Medical Group Ages: 0-99 Provider ID: 001945275033 Areas of Expertise: E020, E070, Stewart, Jillian, MA NPI: 1134119829 E115, P010, P013, P030, P080 Group Name: Nord Center 5319 Hoag Dr Provider ID: 007629132001 Sheffield Village, OH 44035 Stallard, Kayla M, MA, (F) NPI: 1174108146

(440) 934-0270 E, EB, IB, P, R, Group Name: Ohioguidestone 6140 S Broadway RE, S, T Provider ID: 006842466002 Lorain, OH 44053

Ages: 0-99 NPI: 1427404425 (440) 204-4315 EB, P, R 2173 N Ridge Rd E Ste E Ages: 0-99 St Vincent Medical Group Lorain, OH 44055

Provider ID: 001945275032 (440) 260-8327 EB, P, R, RE, T Stine, Alexandra R, MA, (F) NPI: 1134119829 Ages: 0-99 Group Name: Rakesh Ranjan Md 5323 Meadow Lane Ct Ste B And Assoc Sheffield Village, OH 44035 Stephens, John, MA, (M) Provider ID: 007304792001

(440) 834-0270 EB, P, R Group Name: Firelands Regional NPI: 1861030793 Ages: 0-99 Medical Center 347 Midway Blvd Ste 210 Provider ID: 006308888002 Elyria, OH 44035

St Vincent Medical Group NPI: 1922407006 (440) 324-5555 EB, P, R, RE, S, Provider ID: 001945275076 554 N Leavitt Rd T NPI: 1134119829 Amherst, OH 44001 Ages: 0-99

5334 Meadow Lane Ct (419) 557-5177 EB, P, R Sheffield Village, OH 44035 Ages: 0-99 Stopper, Jennifer, MA, (F)

(440) 934-8922 EB, P, R Group Name: Nord Center Ages: 0-99 Stephens, John, MA, (M) Provider ID: 007605882001 Group Name: Firelands Regional NPI: 1770072225 Medical Center 6140 S Broadway Provider ID: 006308888002 Lorain, OH 44053

NPI: 1922407006 (440) 204-4315 EB, P, R 6150 Park Square Dr Ste B Ages: 0-99 Lorain, OH 44053

(440) 984-3882 EB, P, R Ages: 0-99

667

Ohio - Lorain Behavioral Health Providers Tellep, Darci, MSW, (F) Toney, Ashley, CM, (F) University Primary Care Group Name: Firelands Regional Group Name: Rakesh Ranjan Md Practices Medical Center And Assoc Provider ID: 000387283859 Provider ID: 005447836001 Provider ID: 006649737004 NPI: 1043461890 NPI: 1457730897 NPI: 1528577236 1120 E Broad St Ste 200 554 N Leavitt Rd 347 Midway Blvd Ste 210 Elyria, OH 44035

Amherst, OH 44001 Elyria, OH 44035 (440) 326-4410 EB, P, R

(440) 984-3882 EB, P, R (440) 324-5555 EB, P, R, RE, S, Ages: 0-99 Ages: 0-99 T Ages: 0-99 University Primary Care Tellep, Darci, MSW, (F) Practices Group Name: Firelands Regional Toothman, Jessica D, MA, (F) Provider ID: 000387283053 Medical Center Group Name: Nord Center NPI: 1043461890 Provider ID: 005447836002 Provider ID: 007103526001 125 E Broad St Ste 302 NPI: 1457730897 NPI: 1437666229 Elyria, OH 44035

6150 Park Square Dr Ste B 6140 S Broadway (440) 323-0258 EB, P, R Lorain, OH 44053 Lorain, OH 44053 Ages: 0-99

(440) 984-3882 EB, P, R (440) 233-7232 EB, P, R Ages: 0-99 Ages: 0-99 University Primary Care Practices Temple, Julie A, MA, (F) University Hospitals Medical Provider ID: 000387283867 Group Name: Nord Center Group NPI: 1043461890 Provider ID: 006293583001 Provider ID: 003154419004 125 E Broad St Ste 322 NPI: 1881143436 NPI: 1669499414 Elyria, OH 44035

6140 S Broadway 630 E River St (440) 328-3400 EB, P, R Lorain, OH 44053 Elyria, OH 44035 Ages: 0-99

(440) 233-7232 EB, P, R (216) 286-6669 EB, P, R Mo,Fr - 8:00 AM - 5:00 PM Ages: 0-99 University Primary Care Tu,We,Th - 8:00 AM - 8:00 PM Practices Cultural Competency: Y University Primary Care Provider ID: 000387283780 Ages: 0-99 Practices NPI: 1043461890 Areas of Expertise: E112 Provider ID: 000387283779 1480 Center Rd NPI: 1043461890 Avon, OH 44011

Tomco, Ashley, PSY, (F) 101 Cooper Foster Park Rd (440) 695-6550 EB, P, R Group Name: Nord Center Amherst, OH 44001 Ages: 0-99

Provider ID: 007584603001 (440) 998-6060 EB, P, R NPI: 1609471432 Ages: 0-99 6140 S Broadway Lorain, OH 44053

(440) 233-7232 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99

668

Behavioral Health Providers Ohio - Lorain University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283946 Provider ID: 000387283687 Provider ID: 000387283318 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 1997 Healthway Dr Ste 203 32800 Lorain Rd Ste 1100 3600 Kolbe Rd Ste 120 Avon, OH 44011 North Ridgeville, OH 44039 Lorain, OH 44053

(440) 988-6884 EB, IB, P, R, RE, (440) 329-2800 EB, P, R, RE, T (440) 282-7408 EB, P, R T Ages: 0-99 Ages: 0-99 Ages: 0-99 University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283840 Provider ID: 000387283733 Provider ID: 000387283858 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 36855 American Way Ste A 224 W Lorain St Ste B 32800 Lorain Rd Ste 2100 Avon, OH 44011 North Ridgeville, OH 44039 Oberlin, OH 44074 (440) 934-2200 EB, IB, P, R, RE, (440) 353-3433 EB, P, R (440) 329-2800 EB, P, R T Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283915 Provider ID: 000387283868 Provider ID: 000387283950 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 2535 Hale St Ste A 34960 Center Ridge Rd 39000 Center Ridge Rd Avon, OH 44011 North Ridgeville, OH 44039 North Ridgeville, OH 44039 (440) 353-3433 EB, P, R (440) 934-8810 EB, P, R (440) 329-7490 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283187 Provider ID: 000387283801 Provider ID: 000387283866 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 254 Cleveland Ave Ste 101 3600 Kolbe Rd Ste 100 41201 Schadden Rd Amherst, OH 44001 Lorain, OH 44053 Elyria, OH 44035 (440) 329-2800 (440) 934-2650 EB, G, P, PL, R, (216) 383-0100 EB, IB, P, R RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99

669

Ohio - Lorain Behavioral Health Providers University Primary Care Vogler, Caitlin M, CSW, (F) Wegelin, Susan Y, CSW, (F) Practices Group Name: Pathways Group Name: Pathways Provider ID: 000387283238 Counseling And Growth Center Counseling And Growth Center NPI: 1043461890 Provider ID: 006904004002 Provider ID: 002390977003 5001 Transportation Dr NPI: 1932699097 NPI: 1942425558 Sheffield Village, OH 44054 312 3rd St 2800 Pearl Ave

(440) 329-2800 EB, P, R, RE Elyria, OH 44035 Lorain, OH 44055

Ages: 0-99 (440) 323-5707 RE, T (440) 323-5707 EB, P, R Mo-Th - 9:00 AM - 8:00 PM Ages: 0-99 University Primary Care Fr - 9:00 AM - 3:00 PM Areas of Expertise: E112 Practices Ages: 0-99 Provider ID: 000387283943 Wegelin, Susan Y, CSW, (F) NPI: 1043461890 Watson, David J, MA, (M) Group Name: Pathways 5001 Transportation Dr Ste 300 Group Name: Nord Center Counseling And Growth Center Sheffield Village, OH 44054 Provider ID: 007290633001 Provider ID: 002390977003

(440) 328-3420 EB, P, R NPI: 1699273458 NPI: 1942425558 Ages: 0-99 6140 S Broadway 312 3rd St Lorain, OH 44053 Elyria, OH 44035

University Primary Care (440) 233-7232 E, EB, G, IB, P, (440) 323-5707 RE, T Practices PL, R, RE, S, T Ages: 0-99 Provider ID: 000387283617 Ages: 0-99 Areas of Expertise: E112 NPI: 1043461890 630 E River St Watson, Kelsey D, MA, (F) Wharton, Anysia I, CSW, (F) Elyria, OH 44035 Group Name: Ohioguidestone Group Name: Nord Center

(216) 844-4004 E, EB, G, IB, P, Provider ID: 006919627001 Provider ID: 003329566001 PL, R, RE, S, T NPI: 1659869410 NPI: 1083913966 Ages: 0-99 2173 N Ridge Rd E Ste E 6140 S Broadway Lorain, OH 44055 Lorain, OH 44053

Vanscoder, Jacquelyn J, MA, (F) (440) 260-8300 EB, P, R, RE, T (440) 233-7232 EB, P, R Group Name: Lorain County Alc Ages: 0-99 Ages: 0-99 Drug Abs Svcs Areas of Expertise: E112 Provider ID: 006045997002 White, Leah V, MA NPI: 1336507607 Wegelin, Susan Y, CSW, (F) Group Name: Nord Center 2115 W Park Dr Group Name: Pathways Provider ID: 007624483001 Lorain, OH 44053 Counseling And Growth Center NPI: 1578155602

(440) 989-4900 EB, P, R, RE, T Provider ID: 002390977003 6140 S Broadway Ages: 0-99 NPI: 1942425558 Lorain, OH 44053

Areas of Expertise: E112 1005 Abbe Rd N (440) 204-4315 EB, P, R Elyria, OH 44035 Ages: 0-99

(440) 323-5707 EB, P, R Ages: 0-99 Areas of Expertise: E112

670

Behavioral Health Providers Ohio - Medina Wiech, Lisbeth, MSW, (F) Yanetta, Stacey L, MA, (F) Areas of Expertise: A010, A025, Group Name: Nord Center Group Name: Cleveland Clinic A060, E017, E020, E025, E070, Provider ID: 003424813001 Foundation E112, E115, E160, E165, E170, NPI: 1295034288 Provider ID: 006826191001 E200, E210, E287, E320, E398 6140 S Broadway NPI: 1548758782 Lorain, OH 44053 33100 Cleveland Clinic Blvd Arhin, Jennifer, MS, (F)

(440) 204-4315 EB, P, R Avon, OH 44011 Group Name: Psych360

Ages: 0-99 (440) 695-4000 Provider ID: 007174665001 Ages: 0-99 NPI: 1558922286 Wikel, Leah A, MA, (F) Areas of Expertise: E020, E070, 3593 Medina Rd Ste 181 Group Name: Firelands Regional E112, E165 Medina, OH 44256

Medical Center (330) 536-3746 RE, T Provider ID: 007030751001 Zimmerman, Tina M, MS, (F) Ages: 0-99 NPI: 1720445927 Group Name: Nord Center 554 N Leavitt Rd Provider ID: 002286849002 Bednar, Ryan M, MS, (M) Amherst, OH 44001 NPI: 1437228376 Group Name: Alternative Paths

(419) 557-5177 EB, P, R 6140 S Broadway Inc Ages: 0-99 Lorain, OH 44053 Provider ID: 007038940001

(440) 204-4315 EB, P, R NPI: 1376015594 Williams, Jillian L, MSW, (F) Ages: 0-99 246 Northland Dr Ste 200a Group Name: Cleveland Clinic Areas of Expertise: A010, A025, Medina, OH 44256

Foundation A050, A070, E010, E015, E020, (330) 725-9195 EB, P, R Provider ID: 006182481001 E025, E055, E070, E075, E112, Ages: 0-99 NPI: 1689058893 E115, E130, E155, E165, E200, 5172 Leavitt Rd P010, P020, P030 Black, Joshua J, DNP, (M) Lorain, OH 44053 Group Name: Psych360

(216) 448-4325 EB, P, R Provider ID: 007175437001 Medina Ages: 0-99 NPI: 1669024246

3593 Medina Rd Ste 181 Witt, Anita, CSW, (F) Adv Practice Reg Psych Np Medina, OH 44256

Group Name: Applewood Center Adamo, John J, MSN, (M) (330) 536-3746 RE, T Inc Group Name: University Ages: 0-99 Provider ID: 000004998001 Hospitals Medical Group NPI: 1912206913 Provider ID: 003456010008 1865 N Ridge Rd E NPI: 1619249000 Lorain, OH 44055 4001 Carrick Dr Ste 160 (440) 324-1300 EB, P, R Medina, OH 44256

Ages: 0-99 (216) 844-7700 E, RE, S, T Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Fairview Hospital Uh Cleveland Medical Center

671

Ohio - Medina Behavioral Health Providers Bowling, Tamara L, FNP, (F) Elam, Ebony, NP, (F) Johnson, Nicole, MS, (F) Group Name: A New Day Lodi Group Name: Psych360 Group Name: Alternative Paths LLC Provider ID: 006323780002 Inc Provider ID: 003846525003 NPI: 1568582724 Provider ID: 007595737001 NPI: 1134569478 3593 Medina Rd Ste 181 NPI: 1982291530 737 Bank St Medina, OH 44256 246 Northland Dr Ste 200a

Lodi, OH 44254 (330) 536-3746 RE, T Medina, OH 44256

(330) 636-1741 EB, P, R Ages: 0-99 (330) 725-9195 E, EB, P, R, RE, Mo,Fr - 12:00 PM - 6:00 PM Areas of Expertise: E112 S, T Tu,We,Th - 12:00 PM - 9:00 PM Ages: 0-99 Ages: 0-99 Forte Sullen, Kara, MS, (F) Areas of Expertise: A060, E020, Areas of Expertise: MAT1 Group Name: Rakesh Ranjan Md E025, E042, E070, E160, P010 And Assoc Bradford Bank, Rachael L, MS, Provider ID: 007263150003 Montgomery, Kelly, MA, (F) (F) NPI: 1083180129 Group Name: Advanced Recovery Group Name: Ohioguidestone 801 E Washington St Ste 150 Concepts LLC Provider ID: 007449085001 Medina, OH 44256 Provider ID: 007693743001

NPI: 1528698099 (330) 722-1069 EB, P, R, RE, S, NPI: 1609466770 246 Northland Dr T 3591 Reserve Commons Dr Ste 100 Medina, OH 44256 Cultural Competency: Y Medina, OH 44256

(440) 260-8327 E, P, R, RE, S, T Ages: 0-99 (216) 450-1613 P, R, RE, T Ages: 0-99 Areas of Expertise: A060, E020, Ages: 0-99 E042, E055, E070, E115, E160, Areas of Expertise: A045, A060, Dye Perkins, Jamillah R, MS, (F) E165, E168, E170, E185, E210, A100, A101, E020, E042, E070, Group Name: University E377, P010, P035 E165, E168, P010, P035 Hospitals Medical Group Provider ID: 007106906003 Hoffman, Jacquelynn, NP, (F) Pacer, Kyra M, MA, (F) NPI: 1508337809 Group Name: Psych360 Group Name: University 4065 Center Rd Ste 214 Provider ID: 007231710001 Hospitals Medical Group Brunswick, OH 44212 NPI: 1306490248 Provider ID: 003663350003

(216) 844-3881 E, EB, G, IB, P, 3593 Medina Rd Ste 181 NPI: 1588910418 R, RE, S, T Medina, OH 44256 4065 Center Rd Ste 214

Mo-Fr - 8:30 AM - 4:30 PM (330) 536-3746 RE, T Brunswick, OH 44212

Web address: www.uhhospitals.org Ages: 0-99 (216) 844-2400 E, EB, G, IB, P, Ages: 0-99 Areas of Expertise: A060, E020, R, RE, S, T Areas of Expertise: A060, E160, E025, E042, E070, E075, E115, Mo-Fr - 8:30 AM - 4:30 PM P013 E150, E155, E160, E165, E170, Ages: 0-99 E185, E198, E205, E210, E373, Areas of Expertise: E017, E020, E377 E025, E070, E112, E115, E170, E200, P010, P035

672

Behavioral Health Providers Ohio - Medina Reljin, Emily D, MS, (F) Weber, Tristan P, NP, (M) Klubnik, Erin T, BA, (F) Group Name: Alternative Paths Group Name: University Group Name: Ohioguidestone Inc Hospitals Medical Group Provider ID: 006851485001 Provider ID: 006900552003 Provider ID: 007124363002 NPI: 1619467768 NPI: 1851885651 NPI: 1780153569 246 Northland Dr Ste 140 246 Northland Dr Ste 200a 4065 Center Rd Ste 214 Medina, OH 44256

Medina, OH 44256 Brunswick, OH 44212 (800) 639-4974 EB, P, R

(330) 725-9195 EB, P, R (216) 844-2400 E, EB, G, IB, P, Ages: 0-99 Ages: 0-99 R, RE, S, T Areas of Expertise: A060, E017, Web address: www.uhhospitals.org Montgomery, Kelly, MA, (F) E020, E042, E055, E160, E165, Ages: 0-99 Group Name: Advanced Recovery E180, E185, E210, P010, P020, Concepts LLC P030, P035 Whitt, Tana, MSN, (F) Provider ID: 007693743001 Group Name: Psych360 NPI: 1609466770 Tricaso-Torrence, Joanna, MA, Provider ID: 006526605001 3591 Reserve Commons Dr Ste 100 (F) NPI: 1992233456 Medina, OH 44256

Group Name: Psych360 3593 Medina Rd Ste 181 (216) 450-1613 P, R, RE, T Provider ID: 007563786001 Medina, OH 44256 Ages: 0-99

NPI: 1770184707 (330) 536-3746 RE, T Areas of Expertise: A045, A060, 3593 Medina Rd Ste 181 Mo-Fr - 9:00 AM - 5:00 PM A100, A101, E020, E042, E070, Medina, OH 44256 Cultural Competency: Y E165, E168, P010, P035

(330) 536-3746 RE, T Web address: www.psych360.org Ages: 0-99 Ages: 0-99 Areas of Expertise: A060, E010, Areas of Expertise: A060, E160, Developmental Pediatrics E017, E020, E025, E042, E055, MAT1, P010 Clark, Marie A, MD , (F), B E062, E070, E075, E085, E150, Group Name: University E160, E165, E170, E185, E205, Hospitals Medical Group E210, E230, E235, E285, E373, Alcohol & Drug Counselor Provider ID: 002826317003 E377, P010 Dee, Maureen E, LPC, (F) NPI: 1275739286 Group Name: Catholic Charities 4001 Carrick Dr Ste 220 Ventura, Jessica, MA, (F) Corporation Medina, OH 44256

Group Name: Cleveland Clinic Provider ID: 003094772001 (216) 844-7700 EB, P, R Foundation NPI: 1649402801 Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 006299121001 740 E Washington St Ste E4 Cultural Competency: Y NPI: 1386905560 Medina, OH 44256 Ages: 0-20

970 E Washington St Ste 302 (330) 723-9615 EB, IB, P, R Hospital Affiliations: Medina, OH 44256 Languages Spoken: Boston Childrens Hospital (330) 721-5700 Provider: Spanish Uh Cleveland Medical Center Cultural Competency: Y Ages: 0-99 Rainbow Babies & Childrens Ages: 0-99 Hosp Areas of Expertise: A060, E020, E070, E112, E160, E165

673

Ohio - Medina Behavioral Health Providers

Holan, Jane E, MD, (F), B Alam, Syed M, MD, (M) Group Name: University Psychiatry Group Name: Portage Path

Hospitals Medical Group Prior authorization is required to Community Mental Health Cen Provider ID: 001911966008 obtain some covered services from Provider ID: 007032079001 NPI: 1376560292 these providers. You will not be NPI: 1417311143 4001 Carrick Dr covered for those services without 941 Chadwick Ln Medina, OH 44256 such approval by UnitedHealthcare Medina, OH 44256 (216) 844-7700 EB, P, R Community Plan. Please see your (330) 331-5800 EB, P, R Cultural Competency: Y member handbook, or call Member Ages: 0-99 Ages: 0-20 Services for details.

Hospital Affiliations: Applewood Centers Southwest General Health Center A New Day Lodi LLC Provider ID: 001817633005 St John Medical Center Provider ID: 006522883001 NPI: 1780652966 Uh Cleveland Medical Center NPI: 1881049856 124 Lafayette Rd Ste 100 Rainbow Babies & Childrens 737 Bank St Medina, OH 44256 Lodi, OH 44254 Hosp (330) 410-8444 EB, P, R, RE Areas of Expertise: E160 (330) 636-1741 EB, P, R Ages: 0-99 Languages Spoken: Provider: Portuguese, Spanish Avenues Of Counseling And Nurse Prac - Mental Health Staff: Portuguese, Spanish Mediation Pacer, Kyra M, MA , (F) Mo,Fr - 12:00 PM - 6:00 PM Provider ID: 002313336002 Group Name: University Tu,We,Th - 12:00 PM - 9:00 PM NPI: 1225253107 Hospitals Medical Group Ages: 0-99 230 S Court St Provider ID: 003663350003 Medina, OH 44256 Alam, Syed M, MD, (M) NPI: 1588910418 (330) 723-7977 EB, P, R 4065 Center Rd Ste 214 Group Name: Portage Path Mo-Fr - 9:00 AM - 5:00 PM Brunswick, OH 44212 Community Mental Health Cen Ages: 0-99 Provider ID: 007032079001 (216) 844-2400 E, EB, G, IB, P, Areas of Expertise: E112 R, RE, S, T NPI: 1417311143 Mo-Fr - 8:30 AM - 4:30 PM 246 Northland Dr Ste 140 Avenues Of Counseling And Ages: 0-99 Medina, OH 44256 Mediation Areas of Expertise: E017, E020, (330) 723-9600 EB, P, R Provider ID: 002313336001 E025, E070, E112, E115, E170, Ages: 0-99 NPI: 1225253107 E200, P010, P035 230 S Court St Ste 5 Alam, Syed M, MD, (M) Medina, OH 44256 Group Name: Alternative Paths (330) 723-7977 E, EB, P, R, RE, Inc S, T Provider ID: 007032079005 Mo-Fr - 9:00 AM - 5:00 PM NPI: 1417311143 Ages: 0-99 246 Northland Dr Ste 200a Areas of Expertise: E112 Medina, OH 44256 (330) 725-9195 EB, P, R Ages: 0-99

674

Behavioral Health Providers Ohio - Medina Avenues Of Counseling And Brown, Cynthia L, MD, (F) Mediation Group Name: Lorain County Alc Childrens Hospital Medical Provider ID: 002313336001 Drug Abs Svcs Center Of Akr NPI: 1225253107 Provider ID: 001840498003 Provider ID: 000190527310 230 S Court St Ste 8 NPI: 1528051661 NPI: 1437365186 Medina, OH 44256 215 Wadsworth Rd 3443 Medina Rd Ste 110

(330) 723-7977 EB, P, R Wadsworth, OH 44281 Medina, OH 44256

Ages: 0-99 (330) 952-2536 EB, P, R (330) 543-8050 E, EB, IB, P, R, T Areas of Expertise: E112 Languages Spoken: Ages: 0-99 Provider: Ukrainian Brar, Ravinder K, MD, (F) Ages: 0-99 Childrens Hospital Medical Group Name: Alternative Paths Hospital Affiliations: Center Of Akr Inc Cleveland Clinic Foundation Provider ID: 000190527315 Provider ID: 000865468002 Areas of Expertise: A021, A100, NPI: 1437365186 NPI: 1740279199 E020, E055, E070, E112, E155, 3443 Medina Rd Ste 115 246 Northland Dr Ste 200a E165, MAT1, P010 Medina, OH 44256

Medina, OH 44256 (330) 764-3457 E, EB, IB, P, R, T

(330) 725-9195 EB, P, R Brown, Cynthia L, MD, (F) Ages: 0-99 Languages Spoken: Group Name: Lorain County Alc Provider: Hindi, Punjabi Drug Abs Svcs Clark, Marie A, MD, (F), B Mo-Fr - 9:00 AM - 5:00 PM Provider ID: 001840498003 Group Name: University Cultural Competency: Y NPI: 1528051661 Hospitals Medical Group Ages: 0-99 740 E Washington St Provider ID: 002826317003 Areas of Expertise: E020, E025, Medina, OH 44256 NPI: 1275739286

E070, E112, E160, E165, E185, (330) 952-1544 EB, P, R 4001 Carrick Dr Ste 220 E200, E210, P010, P035 Languages Spoken: Medina, OH 44256

Provider: Ukrainian (216) 844-7700 EB, P, R Brocco Kish, Karen J, MD, (F), B Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Group Name: Karen J Hospital Affiliations: Cultural Competency: Y Brocco-Kish Md Cleveland Clinic Foundation Ages: 0-20 Provider ID: 000266215002 Areas of Expertise: A021, A100, Hospital Affiliations: NPI: 1972536886 E020, E055, E070, E112, E155, Boston Childrens Hospital 3511 Center Rd Ste Ec E165, MAT1, P010 Uh Cleveland Medical Center Brunswick, OH 44212 Rainbow Babies & Childrens

(330) 273-4752 EB, IB, P, R, RE, Childrens Hospital Medical Hosp S, T Center Of Akr Tu,Th - 11:00 AM - 5:00 PM Provider ID: 000190527316 Cleveland Clinic Foundation Cultural Competency: Y NPI: 1437365186 Provider ID: 002255988018 Ages: 0-99 323 High St Ste A NPI: 1326175183 Areas of Expertise: A100, A101, Wadsworth, OH 44281 1 Park Center Dr

E020, E042, E050, E070, E165, (330) 336-3539 E, EB, IB, P, R, S, Wadsworth, OH 44281

E377, MAT1, P010 T (330) 334-4620 E, EB, IB, P, R Ages: 0-99 Ages: 0-99

675

Ohio - Medina Behavioral Health Providers Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988003 Provider ID: 002255988009 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 1000 Washington St 3574 Center Rd 1 Park Centre Dr Medina, OH 44256 Brunswick, OH 44212

Wadsworth, OH 44281 (216) 444-0933 EB, P, R (330) 225-8886 EB, P, R

(330) 334-4620 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988018 Provider ID: 002255988581 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 225 Elyria St 4087 Medina Rd Ste 400 1 Park Centre Dr Ste 304 Lodi, OH 44254 Medina, OH 44256

Wadsworth, OH 44281 (330) 948-3642 EB, G, IB, P, PL, (330) 725-3713 EB, P, R

(330) 334-4620 EB, P, R R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988572 Provider ID: 002255988018 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 6605 Center Rd 1000 E Washington 225 Elyria St Ste 102 Valley City, OH 44280 Medina, OH 44256 Lodi, OH 44254 (440) 312-7111

(216) 538-9022 EB, P, R (330) 948-5505 EB, P, R, RE, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988001 Provider ID: 002255988001 Provider ID: 002255988356 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 970 E Washington St 1000 E Washington St 3122 E Pointe Dr Medina, OH 44256 Medina, OH 44256 Medina, OH 44256 (330) 721-5700

(330) 721-5150 EB, IB, P, R, RE, (216) 337-8664 EB, P, R Ages: 0-99 T Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988001 Cleveland Clinic Foundation Provider ID: 002255988257 NPI: 1326175183 Provider ID: 002255988594 NPI: 1326175183 970 E Washington St Ste 1c NPI: 1326175183 3122 Eastpointe Dr Medina, OH 44256

1000 E Washington St Ste 348 Medina, OH 44256 (330) 725-1000 EB, P, R

Medina, OH 44256 (216) 337-8664 EB, P, R Ages: 0-99

(330) 725-1000 EB, P, R Ages: 0-99 Ages: 0-99

676

Behavioral Health Providers Ohio - Medina Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988018 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 970 E Washington St Ste 203 970 E Washington St Ste 4b 970 E Washington St Ste 6b Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-4955 EB, P, R (330) 721-5700 EB, P, R (330) 721-5856 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988567 Provider ID: 002255988568 Provider ID: 002255988570 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 970 E Washington St Ste 2c 970 E Washington St Ste 5a 970 E Washington St Ste 6c Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-5700 EB, P, R (330) 721-5700 EB, P, R (330) 721-5700 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988018 Provider ID: 002255988597 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 970 E Washington St Ste 302 970 E Washington St Ste 5f 970 E Washington St Ste A Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-5700 EB, P, R (330) 721-5700 EB, P, R (330) 721-5700 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Community Assessment And Provider ID: 002255988018 Provider ID: 002255988018 Treatment Servi NPI: 1326175183 NPI: 1326175183 Provider ID: 006654804001 970 E Washington St Ste 303 970 E Washington St Ste 6 NPI: 1497871719 Medina, OH 44256 Medina, OH 44256 205 Wadsworth Rd

(330) 721-5700 EB, P, R (216) 444-5600 EB, P, R Wadsworth, OH 44281

Ages: 0-99 Ages: 0-99 (216) 641-2316 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Areas of Expertise: A021, E010, Provider ID: 002255988593 Provider ID: 002255988569 E020, E043, E055, E062, E070, NPI: 1326175183 NPI: 1326175183 E105, E115, E165, E170, E172, 970 E Washington St Ste 3a 970 E Washington St Ste 6a E185, E186, E198, E200, E210, Medina, OH 44256 Medina, OH 44256 E240, E285, E365, E374, E377,

(330) 225-8886 EB, P, R (330) 723-6673 EB, P, R E385, P010 Ages: 0-99 Ages: 0-99

677

Ohio - Medina Behavioral Health Providers Delahunty, Carol M, MD, (F), B P035 Levandovski, Yelena, PA, (F) Group Name: Metrohealth Group Name: Rakesh Ranjan Md Professional Group Holan, Jane E, MD, (F), B And Assoc Provider ID: 001828258003 Group Name: University Provider ID: 007123114002 NPI: 1972536472 Hospitals Medical Group NPI: 1366907891 1299 Industrial Pkwy N Fl 2 Provider ID: 001911966008 801 E Washington St Ste 150 Brunswick, OH 44212 NPI: 1376560292 Medina, OH 44256

(216) 957-7450 EB, P, R 4001 Carrick Dr (330) 722-1069 EB, P, R, RE, S, Ages: 0-99 Medina, OH 44256 T

Hospital Affiliations: (216) 844-7700 EB, P, R Mo-Fr - 9:00 AM - 5:30 PM Childrens Hospital Med Ctr Akron Cultural Competency: Y Ages: 0-99 Cleveland Clinic Foundation Ages: 0-20 Areas of Expertise: MAT1 Hospital Affiliations: Delong, Victoria Y, MD, (F), B Southwest General Health Center Metrohealth Professional Group Group Name: Alternative Paths St John Medical Center Provider ID: 001454371378 Inc Uh Cleveland Medical Center NPI: 1053353896 Provider ID: 001318757003 Rainbow Babies & Childrens 111 W Reagan Pkwy NPI: 1831293398 Hosp Medina, OH 44256

246 Northland Dr Ste 200a Areas of Expertise: E160 (330) 725-6226 E, EB, IB, P, R Medina, OH 44256 Ages: 0-99

(330) 725-9195 EB, P, R Infinity Counseling Group Areas of Expertise: A010, A025, Cultural Competency: Y Provider ID: 006471180001 A050, A060, A065, A070, A073, Web address: alternativepaths.org NPI: 1386019438 A099, E020, E025, E030, E055, Ages: 0-99 1839 Pearl Rd Ste 101 E070, E095, E160, E165, E170, Areas of Expertise: E010, E020, Brunswick, OH 44212 E190, E198, E200, E210, E281,

E025, E043, E070, E112, E165, (330) 220-9679 EB, P, R E285, P010 E285, E375 Ages: 0-99 Metrohealth Professional Group Fitzgerald, Antonia L, MD, (F), B Infinity Counseling Group Provider ID: 001454371167 Group Name: Advanced Recovery Provider ID: 006471180001 NPI: 1053353896 Concepts LLC NPI: 1386019438 1299 Industrial Pkwy N Fl 2 Provider ID: 002719745007 1839 Pearl Rd Ste 103 Brunswick, OH 44212

NPI: 1255364576 Brunswick, OH 44212 (216) 957-1450 EB, P, R

3591 Reserve Commons Dr Ste 100 (330) 220-9679 EB, P, R Ages: 0-99 Medina, OH 44256 Ages: 0-99 Areas of Expertise: A010, A025,

(216) 450-1613 A050, A060, A065, A070, A073, Languages Spoken: A099, E020, E025, E030, E055, Provider: Bulgarian, French, E070, E095, E160, E165, E170, Russian E190, E198, E200, E210, E281, Ages: 0-99 E285, P010 Areas of Expertise: A050, A101, E017, E020, E025, E042, E070, E115, E165, E168, E200, P010,

678

Behavioral Health Providers Ohio - Medina Nancy Lowrie And Associates Northern Oh Medical Specialist Partners Physician Group LLC Provider ID: 002066903006 Provider ID: 001478152846 Provider ID: 002440214001 NPI: 1003044371 NPI: 1992138028 NPI: 1003927187 3443 Medina Rd Ste 103 225 Elyria St 445 W Liberty St Ste 225 Medina, OH 44256 Lodi, OH 44254

Medina, OH 44256 (330) 723-6600 EB, P, R (330) 344-7200 EB, G, IB, P, PL,

(330) 331-5800 EB, P, R Ages: 0-99 R, RE, S, T Ages: 0-99 Ages: 0-99 Novack, Peter S, DO, (M) Areas of Expertise: E112 New Leaf Counseling Services Group Name: A New Day Lodi LLC LLC Partners Physician Group Provider ID: 003273382004 Provider ID: 000877916007 Provider ID: 001478152807 NPI: 1609197631 NPI: 1205868908 NPI: 1992138028 3511 Center Rd 737 Bank St 225 Elyria St Ste 102 Brunswick, OH 44212 Lodi, OH 44254 Lodi, OH 44254

(440) 508-6059 EB, P, R (330) 636-1741 EB, P, R (330) 948-5533 EB, P, R, RE, T Ages: 0-99 Web address: www.galionhealth.org Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 New Leaf Counseling Services Hospital Affiliations: LLC Bucyrus Community Hospital Partners Physician Group Provider ID: 003273382004 Morrow County Hospital Provider ID: 001478152096 NPI: 1609197631 Galion Community Hospital NPI: 1992138028 3511 Center Rd Ste Ab 225 Elyria St Ste 103 Brunswick, OH 44212 Partners Physician Group Lodi, OH 44254

(440) 742-1661 EB, P, R Provider ID: 001478152403 (330) 864-8008 EB, P, R Ages: 0-99 NPI: 1992138028 Ages: 0-99 1 Park Center Dr Areas of Expertise: E112 New Leaf Counseling Services Wadsworth, OH 44281

LLC (330) 334-4620 E, EB, IB, P, R Partners Physician Group Provider ID: 003273382004 Ages: 0-99 Provider ID: 001478152732 NPI: 1609197631 Areas of Expertise: E112 NPI: 1992138028 3511 Center Rd Ste Ec 323 High St Brunswick, OH 44212 Partners Physician Group Wadsworth, OH 44281

(440) 742-1661 EB, IB, P, R, RE, Provider ID: 001478152926 (330) 336-3583 EB, P, R S, T NPI: 1992138028 Ages: 0-99 Ages: 0-99 1000 E Washington Areas of Expertise: E112 Medina, OH 44256

(330) 725-5282 EB, P, R Ages: 0-99 Areas of Expertise: E112

679

Ohio - Medina Behavioral Health Providers Partners Physician Group Scheidemantel, Thomas, MD, (M), Provider ID: 001478152642 Ranjan, Rakesh, MD, (M), B B NPI: 1992138028 Group Name: Rakesh Ranjan Md Group Name: University 3574 Center Rd And Assoc Hospitals Medical Group Brunswick, OH 44212 Provider ID: 001184474006 Provider ID: 006355346002

(330) 225-8886 EB, P, R NPI: 1073549606 NPI: 1356784516 Ages: 0-99 801 E Washington St Ste 150 4065 Center Rd Ste 214 Areas of Expertise: E112 Medina, OH 44256 Brunswick, OH 44212

(330) 722-1069 EB, P, R, RE, S, (216) 844-8749 E, EB, G, IB, P, Partners Physician Group T R, RE, S, T Provider ID: 001478152678 Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM NPI: 1992138028 Provider: Hindi Ages: 0-99 970 E Washington St Fl 6 Mo-Fr - 9:00 AM - 5:30 PM Medina, OH 44256 Ages: 0-99 Segraves, Robert T, MD, (M), B

(330) 721-5700 EB, P, R Areas of Expertise: E165, MAT1 Group Name: Solutions Ages: 0-99 Behavioral Healthcare Inc Areas of Expertise: E112 Rose, Richard F, MD, (M), B Provider ID: 000265984003 Group Name: Rose Richard F NPI: 1215963087 Psych And Psych Services Provider ID: 000484608001 246 Northland Dr Ste 140 Provider ID: 005546008001 NPI: 1033206552 Medina, OH 44256

NPI: 1457740052 970 E Washington St Ste 102 (330) 723-9600 EB, P, R 445 W Liberty St Medina, OH 44256 Ages: 0-99

Medina, OH 44256 (330) 722-1610 EB, P, R, RE Areas of Expertise: A050, E112,

(440) 323-5121 EB, IB, P, R Mo,We - 8:00 AM - 5:00 PM E140, E160, E170, E185, E200, Ages: 0-99 Tu,Th - 8:00 AM - 4:00 PM E225, MAT1, P010, P020 Areas of Expertise: A025, E010, Fr - 8:00 AM - 12:00 PM E017, E020, E025, E042, E043, Cultural Competency: Y Sheth, Aditi M, MD, (F) E055, E060, E070, E090, E105, Ages: 0-99 Group Name: Rakesh Ranjan Md E115, E160, E165, E170, E185, Hospital Affiliations: & Assoc Inc E190, E198, E200, E205, E220, Wadsworth Rittman Hospital Provider ID: 003648007003 E240, E285, E374, E385, E392, Medina Hospital NPI: 1154597839 P010, P020, P030 801 E Washington St Ste 150 Medina, OH 44256

Psychology Consultants (330) 722-1069 EB, P, R, RE, S, Provider ID: 001810818001 T NPI: 1205882941 Cultural Competency: Y 3591 Reserve Commons Dr Ste 301 Ages: 0-99 Medina, OH 44256

(330) 764-7916 EB, IB, P, R, RE, S, T Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Areas of Expertise: E112

680

Behavioral Health Providers Ohio - Medina St Vincent Medical Group Euclid Hospital University Hospitals Medical Provider ID: 001945275092 Group NPI: 1134119829 Unity Health Network Provider ID: 003154419007 3724 Center Rd Ste 103 Provider ID: 003118114142 NPI: 1669499414 Brunswick, OH 44212 NPI: 1306118690 4001 Carrick Dr Ste 220

(440) 746-1055 EB, P, R 195 Wadsworth Rd Medina, OH 44256

Ages: 0-99 Wadsworth, OH 44281 (216) 844-7700 EB, P, R (330) 331-4466 Ages: 0-99 St Vincent Medical Group Ages: 0-99 Provider ID: 001945275130 University Hospitals Medical NPI: 1134119829 University Hospitals Medical Group 5020 Victor Dr Group Provider ID: 003154419007 Medina, OH 44256 Provider ID: 003154419004 NPI: 1669499414

(216) 369-2830 E, EB, G, IB, P, NPI: 1669499414 4065 Center Rd PL, R, RE, S, T 4001 Carrick Dr Brunswick, OH 44212

Ages: 0-99 Medina, OH 44256 (216) 383-0100 EB, P, R, RE, T

(330) 486-9688 EB, P, R Summa Physicians Ages: 0-99 Ages: 0-99 Provider ID: 001229599855 NPI: 1073911145 University Hospitals Medical University Hospitals Medical 140 Wadsworth Rd Group Group Wadsworth, OH 44281 Provider ID: 003154419007 Provider ID: 003154419007 NPI: 1669499414 (330) 753-1001 EB, P, R NPI: 1669499414 Ages: 0-99 4001 Carrick Dr Ste 140 4065 Center Rd Ste 214 Areas of Expertise: E112 Medina, OH 44256 Brunswick, OH 44212 (216) 844-2400 E, EB, G, IB, P, (330) 486-9688 E, RE, S, T Sundaram, Murali, MD, (M) Ages: 0-99 R, RE, S, T Group Name: Cleveland Clinic Ages: 0-99 Foundation University Hospitals Medical Provider ID: 000811726001 Group University Primary Care NPI: 1326005562 Provider ID: 003154419007 Practices 3574 Center Rd NPI: 1669499414 Provider ID: 000387283975 Brunswick, OH 44212 4001 Carrick Dr Ste 160 NPI: 1043461890 3812 Center Rd Ste 100 (330) 225-8886 EB, P, R Medina, OH 44256 Brunswick, OH 44212 Ages: 0-99 (440) 646-2211 E, RE, S, T Hospital Affiliations: Ages: 0-99 (440) 599-7466 EB, P, R Wooster Community Hospital Ages: 0-99 Anderson Hospital Cleveland Clinic Foundation Hillcrest Hospital Fairview Hospital Lakewood Hospital Cleveland Clinic Lakewood

681

Ohio - Medina Behavioral Health Providers University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283901 Provider ID: 000387283856 Provider ID: 000387283925 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 3812 Center Rd Ste 106 4001 Carrick Dr Ste 170 4065 Center Rd Ste 212 Brunswick, OH 44212 Medina, OH 44256 Brunswick, OH 44212

(330) 220-8411 EB, P, R (330) 725-3009 EB, P, R (330) 225-6374 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283991 Provider ID: 000387283931 Provider ID: 000387283990 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 4001 Carrick Dr Ste 140 4001 Carrick Dr Ste 210 5133 Ridge Rd Medina, OH 44256 Medina, OH 44256 Wadsworth, OH 44281

(330) 721-8577 E, RE, S, T (330) 725-3009 EB, P, R (330) 239-4455 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283848 Provider ID: 000387283783 Provider ID: 000387283935 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 4001 Carrick Dr Ste 150 4015 Medina Rd Ste 50 5133 Ridge Rd Ste 3 Medina, OH 44256 Medina, OH 44256 Wadsworth, OH 44281

(330) 721-8500 E, EB, G, IB, P, (330) 723-7005 EB, P, R (330) 239-7250 EB, P, R PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 University Primary Care University Primary Care University Primary Care Practices Practices Practices Provider ID: 000387283988 Provider ID: 000387283976 Provider ID: 000387283556 NPI: 1043461890 NPI: 1043461890 NPI: 1043461890 4065 Center Rd Ste 210 805 E Washington St Ste 100 4001 Carrick Dr Ste 160 Brunswick, OH 44212 Medina, OH 44256

Medina, OH 44256 (330) 220-8411 EB, P, R (330) 721-4776 EB, P, R

(440) 646-9636 E, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99

682

Behavioral Health Providers Ohio - Medina Zuchowski, Sara E, MD, (F) Esty, Debora, PHD, (F) Group Name: Rakesh Ranjan Md Davis, Steven J, PHD, (M) Group Name: Cornerstone & Assoc Inc Group Name: Rakesh Ranjan Md Psychological And Counseling Provider ID: 002349796001 & Assoc Inc Provider ID: 003252715002 NPI: 1992817266 Provider ID: 000638981003 NPI: 1730323684 801 E Washington St # 203 NPI: 1083642060 4018 Medina Rd Ste D Medina, OH 44256 801 E Washington St # 203 Medina, OH 44256

(330) 722-1069 EB, P, R Medina, OH 44256 (330) 722-4166 P, R, RE, T

Languages Spoken: (330) 722-1069 EB, P, R Mo-Sa - 9:00 AM - 4:00 PM Provider: Spanish, Portuguese Cultural Competency: Y Cultural Competency: Y We - 9:00 AM - 5:00 PM Ages: 0-99 Web address: no website address Cultural Competency: Y Ages: 0-99 Ages: 0-99 Entwistle, David, PSY, (M) Areas of Expertise: A010, A021, Areas of Expertise: E020, E025, Group Name: Psychology E017, E020, E025, E055, E070, E070, E112, E160, E165, E170, Consultants E112, E165, E172, E200, E218, E198, E200, E210, P010 Provider ID: 007219308001 E374, P010 NPI: 1851956551 3591 Reserve Commons Dr Ste 301 Ford, Ramone, PHD, (M) Psychology Medina, OH 44256 Group Name: Psychology

Prior authorization is required to (330) 764-7916 EB, IB, P, R, RE, Consultants obtain some covered services from S, T Provider ID: 004371578001 these providers. You will not be Ages: 0-99 NPI: 1053736066 covered for those services without Areas of Expertise: E020, E055, 3591 Reserve Commons Dr Ste 301 such approval by UnitedHealthcare E070, P010, P035 Medina, OH 44256 Community Plan. Please see your (330) 764-7916 EB, IB, P, R, RE, member handbook, or call Member Eshelman Fields, Danelle R, MA, S, T Services for details. (F) Mo - 8:00 AM - 4:30 PM

Group Name: Solutions Cultural Competency: Y Ahmed, Samina, LPC, (F) Behavioral Healthcare Inc Ages: 0-99 Group Name: University Provider ID: 003135240001 Areas of Expertise: A050, E112, Hospitals Medical Group NPI: 1992959506 E168, P010 Provider ID: 007112853002 246 Northland Dr Ste 140 NPI: 1104256916 Medina, OH 44256 Hassinger, Hilary J, MD, (F) 4001 Carrick Dr Ste 140 (330) 723-9600 EB, P, R Group Name: Summa Physicians Medina, OH 44256 Cultural Competency: Y Provider ID: 002543870004 (330) 721-8582 E, RE, S, T Ages: 0-99 NPI: 1275567331 Mo-Fr - 8:30 AM - 4:30 PM Areas of Expertise: E020, E025, 195 Wadsworth Rd Ages: 0-99 E040, E070, E112, E150, P010, Wadsworth, OH 44281 Areas of Expertise: E010, E017, P035 (330) 375-6590 EB, P, R E020, E030, E040, E055, E070, Cultural Competency: Y E090, E115, E155, E160, E165, Ages: 0-99 E180, E185, E190, E200, E205, Areas of Expertise: A010, A050, E230, E374, E376, P010, P030, E017, E030, E055, E062, E112, P035, P080

683

Ohio - Medina Behavioral Health Providers E115, E155, E170, E180, E190, P010, P080 Moeller, Jessica M, PHD, (F) E198, E200, E205, E235, E392, Group Name: Summa Physicians P010, P020 Ievers-Landis, Carolyn E, PHD, Provider ID: 003846693001 (F) NPI: 1073861902 Hassinger, Hilary J, MD, (F) Group Name: University 807 E Washington St Ste 150 Group Name: Summa Physicians Hospitals Medical Group Medina, OH 44256

Provider ID: 002543870004 Provider ID: 003201400002 (330) 721-7604 EB, P, R NPI: 1275567331 NPI: 1376564732 Mo-Th - 7:30 AM - 4:00 PM 3780 Medina Rd 4001 Carrick Dr Fr - 7:30 AM - 12:00 PM Medina, OH 44256 Medina, OH 44256 Ages: 0-99

(330) 375-6590 E, EB, G, IB, P, (216) 844-7700 EB, P, R R, RE, S, T Cultural Competency: Y Oney, Kimberly M, PHD, (F) Cultural Competency: Y Ages: 0-99 Group Name: Summa Physicians Ages: 0-99 Areas of Expertise: A010, A025, Provider ID: 003277453004 Areas of Expertise: A010, A050, A070, E020, E025, E055, E070, NPI: 1740449321 E017, E030, E055, E062, E112, E112, E155, E165, E190, E200, 195 Wadsworth Rd E115, E155, E170, E180, E190, E205, E230, E235, P030 Wadsworth, OH 44281

E198, E200, E205, E235, E392, (330) 375-6590 E, EB, G, IB, P, P010, P020 Moeller, Jessica M, PHD, (F) PL, R, RE, S, T Group Name: Summa Physicians Mo-Fr - 8:00 AM - 4:30 PM Hrabowy, Ingeborg, PHD, (F) Provider ID: 003846693002 Cultural Competency: Y Group Name: Summa Physicians NPI: 1073861902 Ages: 0-99 Provider ID: 001171441001 3780 Medina Rd Ste 220 NPI: 1346456407 Medina, OH 44256 Oney, Kimberly M, PHD, (F)

3780 Medina Rd Ste 220 (330) 375-6590 E, EB, G, IB, P, Group Name: Summa Physicians Medina, OH 44256 R, RE, S, T Provider ID: 003277453004

(330) 375-6590 E, EB, G, IB, P, Mo-Th - 7:30 AM - 4:00 PM NPI: 1740449321 R, RE, S, T Fr - 7:30 AM - 12:00 PM 3780 Medina Rd Ste 220 Ages: 0-99 Ages: 0-99 Medina, OH 44256

Areas of Expertise: E020, E070, Areas of Expertise: A050, E020, (330) 721-7604 E, EB, G, IB, P, P010, P080 E030, E055, E070, E112, E115, R, RE, S, T E140, E155, E165, E205, E230, Mo-Fr - 8:00 AM - 4:30 PM Hrabowy, Ingeborg, PHD, (F) P010 Cultural Competency: Y Group Name: Summa Physicians Ages: 0-99 Provider ID: 001171441001 NPI: 1346456407 3780 Medina Rd Ste 310 Medina, OH 44256

(330) 725-8441 E, EB, G, IB, P, R, RE, S, T Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Areas of Expertise: E020, E070,

684

Behavioral Health Providers Ohio - Medina Persaud, Beena, PSY, (F) Tschannen Isabella, Theresa A, Group Name: Summa Physicians PHD, (F) Provider ID: 003569607002 Group Name: University Primary Social Worker NPI: 1811240732 Care Practices Akhigbe, Ruby J, MA, (F) 3780 Medina Rd Ste 220 Provider ID: 002154404002 Group Name: Rakesh Ranjan Md Medina, OH 44256 NPI: 1255669941 & Assoc Inc (330) 721-7604 E, EB, G, IB, P, 4001 Carrick Dr Ste 160 Provider ID: 003107313001 R, RE, S, T Medina, OH 44256 NPI: 1972744530 Ages: 0-99 (330) 723-7005 E, RE, S, T 801 E Washington St Ste 150 Areas of Expertise: E020, E025, Mo-Tu - 3:30 PM - 8:30 PM Medina, OH 44256

E042, E070, E080, E105, E170, Fr - 9:00 AM - 6:00 PM (330) 722-1069 EB, P, R E185, E198, E200, E210, E215, Sa - 8:00 AM - 1:00 PM Mo-Sa - 9:00 AM - 5:00 PM E392, P010, P035, P080 Ages: 0-99 Cultural Competency: Y Ages: 0-99 Sims, Danielle, PHD, (F) Waehler, Charles, PHD, (M) Group Name: Advanced Recovery Group Name: Cornerstone Walters, Faith, MSW, (F) Concepts LLC Psychological And Counseling Group Name: Alternative Paths Provider ID: 005390888002 Provider ID: 001485369002 Inc NPI: 1952499105 NPI: 1861458879 Provider ID: 006857498001 3591 Reserve Commons Dr Ste 100 4018 Medina Rd Ste D NPI: 1194254177 Medina, OH 44256 Medina, OH 44256 246 Northland Dr Ste 200a (216) 450-1613 P, R, RE, T (330) 722-4166 P, R, RE, T Medina, OH 44256

Ages: 0-99 Mo-Sa - 9:00 AM - 4:00 PM (330) 725-9195 EB, P, R Areas of Expertise: A055, E017, Ages: 0-99 Ages: 0-99 E020, E205, P010 Areas of Expertise: P010

Sims, Danielle, PHD, (F) White, Patrick, PHD, (M) Social Worker - Licensed Group Name: Advanced Recovery Group Name: Psychology A New Day Lodi LLC Concepts LLC Consultants Provider ID: 006522883001 Provider ID: 005390888002 Provider ID: 001395538001 NPI: 1881049856 NPI: 1952499105 NPI: 1750581021 737 Bank St 3591 Reserve Commons Dr Unit 3591 Reserve Commons Dr Ste 301 Lodi, OH 44254

U-2 Medina, OH 44256 (330) 636-1741 EB, P, R Medina, OH 44256 (330) 764-7916 EB, IB, P, R, RE, Languages Spoken: (216) 450-1613 EB, P, R S, T Provider: Portuguese, Spanish Ages: 0-99 Mo-Th - 8:00 AM - 4:30 PM Staff: Portuguese, Spanish Areas of Expertise: A055, E017, Fr - 7:30 AM - 4:00 PM Mo,Fr - 12:00 PM - 6:00 PM E020, E205, P010 Cultural Competency: Y Tu,We,Th - 12:00 PM - 9:00 PM Ages: 0-99 Ages: 0-99 Hospital Affiliations: Uh Cleveland Medical Center Areas of Expertise: A050, E020, E070, E112, E165, E168, P010

685

Ohio - Medina Behavioral Health Providers Adkins, Amber L, MA, (F) Andrews, Christine N, MS, (F) Avenues Of Counseling And Group Name: Ohioguidestone Group Name: Psychology Mediation Provider ID: 006914534001 Consultants Provider ID: 002313336001 NPI: 1871074781 Provider ID: 002583913002 NPI: 1225253107 246 Northland Dr NPI: 1578673604 230 S Court St Ste 5 Medina, OH 44256 3591 Reserve Commons Dr Ste 301 Medina, OH 44256

(440) 260-8327 E, P, R, RE, S, T Medina, OH 44256 (330) 723-7977 E, EB, P, R, RE,

Ages: 0-99 (330) 764-7916 EB, IB, P, R, RE, S, T Areas of Expertise: E112 S, T Mo-Fr - 9:00 AM - 5:00 PM Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Akhigbe, Ruby J, MA, (F) Sa - 9:00 AM - 12:00 PM Areas of Expertise: E112 Group Name: Rakesh Ranjan Md Cultural Competency: Y & Assoc Inc Ages: 0-99 Avenues Of Counseling And Provider ID: 003107313001 Areas of Expertise: A010, E010, Mediation NPI: 1972744530 E015, E017, E020, E025, E042, Provider ID: 002313336001 801 E Washington St Ste 150 E055, E062, E070, E090, E105, NPI: 1225253107 Medina, OH 44256 E112, E115, E145, E150, E155, 230 S Court St Ste 8

(330) 722-1069 EB, P, R E165, E168, E180, E186, E187, Medina, OH 44256

Mo-Sa - 9:00 AM - 5:00 PM E198, E200, E210, E215, E385, (330) 723-7977 EB, P, R Cultural Competency: Y P010, P013, P020, P030, P035, Ages: 0-99 Ages: 0-99 P080 Areas of Expertise: E112

Allen, Jeffrey S, MA, (M) Applewood Centers Behavioral Health Services Of Group Name: Alternative Paths Provider ID: 001817633005 Greater Cl Inc NPI: 1780652966 Provider ID: 002988765003 Provider ID: 002353078002 124 Lafayette Rd Ste 100 NPI: 1659522423 NPI: 1396822052 Medina, OH 44256 135 W Liberty St

246 Northland Dr Ste 200a (330) 410-8444 EB, P, R, RE Medina, OH 44256 Medina, OH 44256 Ages: 0-99 (866) 466-9591

(330) 725-9195 EB, P, R Ages: 0-99 Ages: 0-99 Avenues Of Counseling And Areas of Expertise: E112 Mediation Behavioral Health Services Of Provider ID: 002313336002 Greater Cl NPI: 1225253107 Provider ID: 002988765002 230 S Court St NPI: 1659522423 Medina, OH 44256 6636 River Styx Rd

(330) 723-7977 EB, P, R Medina, OH 44256

Mo-Fr - 9:00 AM - 5:00 PM (216) 456-5510 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E112

686

Behavioral Health Providers Ohio - Medina Bennett, Shevon M, MA, (F) Cernoia, Mark, MA, (M) Childrens Hospital Medical Group Name: Ohioguidestone Group Name: Ohioguidestone Center Of Akr Provider ID: 006911469001 Provider ID: 006146939001 Provider ID: 000190527315 NPI: 1487146254 NPI: 1518366889 NPI: 1437365186 246 Northland Dr 246 Northland Dr Ste 140 3443 Medina Rd Ste 115 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(440) 260-8327 E, P, R, RE, S, T (440) 260-8300 EB, P, R (330) 764-3457 E, EB, IB, P, R, T Ages: 0-99 Ages: 0-99 Ages: 0-99

Brockmeyer, Samantha J, MA, Chasteen, Linda, MA, (F) Clark, Lisa M, CSW, (F) (F) Group Name: Psych360 Group Name: Alternative Paths Group Name: Rakesh Ranjan Md Provider ID: 007583531001 Inc & Assoc Inc NPI: 1518205111 Provider ID: 003642454001 Provider ID: 006899669002 3593 Medina Rd NPI: 1790038982 NPI: 1962980888 Medina, OH 44256 246 Northland Dr Ste 200a 801 E Washington St Ste 150 (330) 536-3746 Medina, OH 44256

Medina, OH 44256 Ages: 0-99 (330) 725-9195 EB, P, R

(330) 722-1069 EB, P, R, RE, S, Areas of Expertise: P035 Ages: 0-99 T Ages: 0-99 Childrens Hospital Medical Cleveland Clinic Foundation Center Of Akr Provider ID: 002255988009 Brown, Vici L, MA, (F) Provider ID: 000190527316 NPI: 1326175183 Group Name: New Destiny NPI: 1437365186 1 Park Center Dr Treatment Center 323 High St Ste A Wadsworth, OH 44281

Provider ID: 007444029001 Wadsworth, OH 44281 (330) 334-4620 E, EB, IB, P, R

NPI: 1154858728 (330) 336-3539 E, EB, IB, P, R, S, Ages: 0-99 246 Northland Dr Ste 200a T Medina, OH 44256 Ages: 0-99 Cleveland Clinic Foundation

(330) 725-9195 EB, P, R Provider ID: 002255988018 Ages: 0-99 Childrens Hospital Medical NPI: 1326175183 Center Of Akr 1 Park Centre Dr Carsten, Jane M, MA, (F) Provider ID: 000190527310 Wadsworth, OH 44281

Group Name: Alternative Paths NPI: 1437365186 (330) 334-4620 EB, P, R Inc 3443 Medina Rd Ste 110 Ages: 0-99 Provider ID: 007292112001 Medina, OH 44256

NPI: 1356855860 (330) 543-8050 E, EB, IB, P, R, T Cleveland Clinic Foundation 246 Northland Dr Ste 200a Ages: 0-99 Provider ID: 002255988581 Medina, OH 44256 NPI: 1326175183

(330) 725-9195 EB, P, R 1 Park Centre Dr Ste 304 Ages: 0-99 Wadsworth, OH 44281

(330) 334-4620 EB, P, R Ages: 0-99

687

Ohio - Medina Behavioral Health Providers Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988517 Provider ID: 002255988018 Provider ID: 002255988572 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 1000 E Washington 225 Elyria St Ste 102 6605 Center Rd Medina, OH 44256 Lodi, OH 44254 Valley City, OH 44280

(216) 538-9022 EB, P, R (330) 948-5505 EB, P, R, RE, T (440) 312-7111 Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988001 Provider ID: 002255988356 Provider ID: 002255988001 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 1000 E Washington St 3122 E Pointe Dr 970 E Washington St Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-5150 EB, IB, P, R, RE, (216) 337-8664 EB, P, R (330) 721-5700 T Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988257 Provider ID: 002255988001 Provider ID: 002255988594 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 3122 Eastpointe Dr 970 E Washington St Ste 1c 1000 E Washington St Ste 348 Medina, OH 44256 Medina, OH 44256

Medina, OH 44256 (216) 337-8664 EB, P, R (330) 725-1000 EB, P, R

(330) 725-1000 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988003 Provider ID: 002255988018 Provider ID: 002255988003 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 3574 Center Rd 970 E Washington St Ste 203 1000 Washington St Brunswick, OH 44212 Medina, OH 44256

Medina, OH 44256 (330) 225-8886 EB, P, R (330) 721-4955 EB, P, R

(216) 444-0933 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988567 Provider ID: 002255988018 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 4087 Medina Rd Ste 400 970 E Washington St Ste 2c 225 Elyria St Medina, OH 44256 Medina, OH 44256

Lodi, OH 44254 (330) 725-3713 EB, P, R (330) 721-5700 EB, P, R

(330) 948-3642 EB, G, IB, P, PL, Ages: 0-99 Ages: 0-99 R, RE, S, T Ages: 0-99

688

Behavioral Health Providers Ohio - Medina Cleveland Clinic Foundation Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988018 Provider ID: 002255988018 Provider ID: 002255988597 NPI: 1326175183 NPI: 1326175183 NPI: 1326175183 970 E Washington St Ste 302 970 E Washington St Ste 5f 970 E Washington St Ste A Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-5700 EB, P, R (330) 721-5700 EB, P, R (330) 721-5700 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Cleveland Clinic Foundation Cleveland Clinic Foundation Coble, Valerie K, MA, (F) Provider ID: 002255988018 Provider ID: 002255988018 Group Name: Ohioguidestone NPI: 1326175183 NPI: 1326175183 Provider ID: 007360650001 970 E Washington St Ste 303 970 E Washington St Ste 6 NPI: 1235250101 Medina, OH 44256 Medina, OH 44256 246 Northland Dr Ste 140

(330) 721-5700 EB, P, R (216) 444-5600 EB, P, R Medina, OH 44256

Ages: 0-99 Ages: 0-99 (440) 260-8300 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002255988593 Provider ID: 002255988569 Community Assessment And NPI: 1326175183 NPI: 1326175183 Treatment Servi 970 E Washington St Ste 3a 970 E Washington St Ste 6a Provider ID: 006654804001 Medina, OH 44256 Medina, OH 44256 NPI: 1497871719

(330) 225-8886 EB, P, R (330) 723-6673 EB, P, R 205 Wadsworth Rd Ages: 0-99 Ages: 0-99 Wadsworth, OH 44281

(216) 641-2316 EB, P, R Cleveland Clinic Foundation Cleveland Clinic Foundation Ages: 0-99 Provider ID: 002255988018 Provider ID: 002255988018 Areas of Expertise: A021, E010, NPI: 1326175183 NPI: 1326175183 E020, E043, E055, E062, E070, 970 E Washington St Ste 4b 970 E Washington St Ste 6b E105, E115, E165, E170, E172, Medina, OH 44256 Medina, OH 44256 E185, E186, E198, E200, E210,

(330) 721-5700 EB, P, R (330) 721-5856 EB, P, R E240, E285, E365, E374, E377, Ages: 0-99 Ages: 0-99 E385, P010

Cleveland Clinic Foundation Cleveland Clinic Foundation Cortes, Maximino, MSW, (M) Provider ID: 002255988568 Provider ID: 002255988570 Group Name: Catholic Charities NPI: 1326175183 NPI: 1326175183 Corporation 970 E Washington St Ste 5a 970 E Washington St Ste 6c Provider ID: 005645393001 Medina, OH 44256 Medina, OH 44256 NPI: 1598013617

(330) 721-5700 EB, P, R (330) 721-5700 EB, P, R 740 E Washington St Ste E4 Ages: 0-99 Ages: 0-99 Medina, OH 44256

(330) 723-9615 EB, IB, P, R Languages Spoken: Provider: Spanish Ages: 0-99

689

Ohio - Medina Behavioral Health Providers Areas of Expertise: E112 Daugherty, Danielle, MSW, (F) Ebersole, Rachel A, MA, (F) Group Name: New Leaf Group Name: Ohioguidestone Crail, Morgan, MA, (F) Counseling Services LLC Provider ID: 006152203002 Group Name: Ohioguidestone Provider ID: 003665718002 NPI: 1073847315 Provider ID: 006916868001 NPI: 1255689576 246 Northland Dr Ste 140 NPI: 1861980617 3511 Center Rd Medina, OH 44256

246 Northland Dr Brunswick, OH 44212 (440) 260-8300 EB, P, R

Medina, OH 44256 (440) 508-6059 EB, P, R Ages: 0-99

(440) 260-8300 E, P, R, RE, S, T Languages Spoken: Areas of Expertise: E112 Mo-Fr - 8:00 AM - 4:30 PM Provider: Spanish Ages: 0-99 Ages: 0-99 Emmer, Robert N, MS, (M) Group Name: Infinity Counseling Cunningham, Kelly E, MS, (F) Dee, Maureen E, LPC, (F) Group Group Name: University Group Name: Catholic Charities Provider ID: 002836410002 Hospitals Medical Group Corporation NPI: 1831395060 Provider ID: 002745145007 Provider ID: 003094772001 1839 Pearl Rd Ste 103 NPI: 1780730788 NPI: 1649402801 Brunswick, OH 44212

4065 Center Rd Ste 214 740 E Washington St Ste E4 (330) 220-9679 EB, P, R Brunswick, OH 44212 Medina, OH 44256 Cultural Competency: Y

(216) 844-2400 E, EB, G, IB, P, (330) 723-9615 EB, IB, P, R Ages: 0-99 R, RE, S, T Languages Spoken: Areas of Expertise: E017, E170, Mo-Fr - 8:30 AM - 4:30 PM Provider: Spanish E198, P010, P013, P080 Cultural Competency: Y Ages: 0-99 Web address: http://www.uhhospital Foster, Julianne M, MA, (F) s.org Dougan, Virginia L, MS, (F) Group Name: Ohioguidestone Ages: 0-99 Group Name: Psychology Provider ID: 006951287001 Areas of Expertise: A010, A021, Consultants NPI: 1184089583 E010, E015, E017, E020, E025, Provider ID: 003110559001 246 Northland Dr E055, E060, E065, E070, E080, NPI: 1164652848 Medina, OH 44256

E085, E090, E105, E112, E145, 3591 Reserve Commons Dr Ste 301 (440) 260-8300 E, P, R, RE, S, T E150, E165, E170, E180, E185, Medina, OH 44256 Mo-Fr - 8:00 AM - 4:30 PM

E190, E198, E200, E215, E225, (330) 764-7916 EB, IB, P, R, RE, Ages: 0-99 E230, E235, E240, P010, P020, S, T P030 Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Areas of Expertise: E112

690

Behavioral Health Providers Ohio - Medina Fritz, Colleen M, MS, (F) Green, Karen S, MS, (F) Hoffart, Marie, CSW, (F) Group Name: Psychology Group Name: Ohioguidestone Group Name: Catholic Charities Consultants Provider ID: 001747057002 Corporation Provider ID: 005770124001 NPI: 1780612093 Provider ID: 002589308002 NPI: 1235505447 246 Northland Dr Ste 140 NPI: 1538132295 3591 Reserve Commons Dr Ste 301 Medina, OH 44256 246 Northland Dr

Medina, OH 44256 (440) 260-8300 EB, P, R Medina, OH 44256

(330) 764-7916 EB, IB, P, R, RE, Cultural Competency: Y (330) 723-9615 E, P, R, RE, S, T S, T Ages: 0-99 Cultural Competency: Y Mo - 8:00 AM - 4:30 PM Areas of Expertise: E010, E017, Ages: 0-99 Cultural Competency: Y E020, E042, E050, E055, E062, Areas of Expertise: E020, E025, Ages: 0-99 E070, E080, E085, E090, E115, E085, E112, E165, E185, E198, Areas of Expertise: A050, E055, E155, E165, E185, E187, E198, E200, E210, E320, E391, E398, E070, E112, E168, P010 E200, E210, E377, E392, P010, P020 P035 Gemberling, Christine, MSW, (F) Hoffart, Marie, CSW, (F) Group Name: Psychology Helfgott Emmer, Janet S, CSW, Group Name: Catholic Charities Consultants (F) Corporation Provider ID: 007054608001 Group Name: Infinity Counseling Provider ID: 002589308003 NPI: 1770055709 Group NPI: 1538132295 3591 Reserve Commons Dr Ste 301 Provider ID: 001358686001 740 E Washington St Ste E4 Medina, OH 44256 NPI: 1154512770 Medina, OH 44256

(330) 764-7916 EB, IB, P, R, RE, 1839 Pearl Rd Ste 101 (330) 723-9615 EB, P, R S, T Brunswick, OH 44212 Cultural Competency: Y

Mo-Th - 8:00 AM - 4:30 PM (330) 220-9679 EB, P, R Ages: 0-99 Fr - 7:30 AM - 4:00 PM Ages: 0-99 Areas of Expertise: E020, E025, Ages: 0-99 E085, E112, E165, E185, E198, Areas of Expertise: E020, E055, Hershey, Sarah, MA, (F) E200, E210, E320, E391, E398, E070, P010, P035 Group Name: Bellfaire Jewish P020 Childrens Bureau Gifford, Brooke E, MA, (F) Provider ID: 006840213001 Houghton, Blythe, CSW, (F) Group Name: Ohioguidestone NPI: 1649569500 Group Name: Psychology Provider ID: 006779378002 807 E Washington St Ste 150 Consultants NPI: 1801291612 Medina, OH 44256 Provider ID: 007193253001

246 Northland Dr Ste 140 (330) 241-4444 EB, P, R NPI: 1205248788 Medina, OH 44256 Ages: 0-99 3591 Reserve Commons Dr Ste 301

(440) 260-8300 EB, P, R Medina, OH 44256

Ages: 0-99 (330) 764-7916 EB, IB, P, R, RE, Areas of Expertise: E112 S, T Ages: 0-99 Areas of Expertise: E020, E055, E168

691

Ohio - Medina Behavioral Health Providers Householder, Kacie M, MA, (F) Jansen, Mary L, MA, (F) Kephart, Sharon, MA, (F) Group Name: Psych360 Group Name: A New Day Lodi Group Name: The Counseling Provider ID: 007300440002 LLC Center Of Wayne & Holmes NPI: 1528455524 Provider ID: 007665279001 Provider ID: 005272706001 3593 Medina Rd Ste 181 NPI: 1811577315 NPI: 1235536509 Medina, OH 44256 737 Bank St 8598 Hartman Rd

(330) 536-3746 RE, T Lodi, OH 44254 Wadsworth, OH 44281

Ages: 0-99 (330) 636-1741 EB, P, R (234) 217-8589 E, EB, P, R, RE, Ages: 0-99 S, T Infinity Counseling Group Mo - 8:00 AM - 5:00 PM Provider ID: 006471180002 Kaufman, Megan, MA, (F) Th - 8:00 AM - 8:00 PM NPI: 1386019438 Group Name: Avenues Of Ages: 0-99 1839 Pearl Rd Ste 101 Counseling And Mediation Areas of Expertise: E112 Brunswick, OH 44212 Provider ID: 002218533001

(330) 220-9679 EB, P, R NPI: 1326235706 Kerfonta, Christina R, MA, (F) Ages: 0-99 230 S Court St Ste 5 Group Name: Ohioguidestone Medina, OH 44256 Provider ID: 006914542001

Infinity Counseling Group (330) 723-7977 E, EB, P, R, RE, NPI: 1609369727 Provider ID: 006471180001 S, T 246 Northland Dr Ste 140 NPI: 1386019438 Mo-Fr - 9:00 AM - 5:00 PM Medina, OH 44256

1839 Pearl Rd Ste 103 Sa,Su - 9:00 AM - 1:00 PM (440) 260-8300 EB, P, R Brunswick, OH 44212 Ages: 0-99 Ages: 0-99

(330) 220-9679 EB, P, R Areas of Expertise: A045, A101, Ages: 0-99 E017, E020, E025, E042, E050, Knerem, Karen, MA, (F) E055, E070, E080, E090, E105, Group Name: Ohioguidestone Janezic, Kaci, MS, (F) E115, E170, E185, E187, E198, Provider ID: 006917887001 Group Name: Ohioguidestone E200, E215, E374, P010, P013, NPI: 1184141277 Provider ID: 006603518001 P020, P080 246 Northland Dr NPI: 1407236391 Medina, OH 44256

246 Northland Dr Kenderes, Kelly M, MA, (F) (440) 260-8327 E, P, R, RE, S, T Medina, OH 44256 Group Name: Ohioguidestone Ages: 0-99

(216) 645-1604 E, P, R, RE, S, T Provider ID: 006259073001 Ages: 0-99 NPI: 1073964391 Lanzi, Michelle L, CSW, (F) Areas of Expertise: E020, E025, 246 Northland Dr Ste 140 Group Name: Rakesh Ranjan Md E070, E150, E187, E218, P010, Medina, OH 44256 And Assoc

P013, P030, P080 (440) 260-8300 EB, P, R Provider ID: 002777371006 Ages: 0-99 NPI: 1023170677 801 E Washington St Ste 150 Medina, OH 44256

(330) 722-1069 EB, P, R, RE, S, T Cultural Competency: Y Ages: 0-99

692

Behavioral Health Providers Ohio - Medina Areas of Expertise: E112 Lorain County Alc Drug Abs Svcs Areas of Expertise: A010, A021, Provider ID: 000174476001 A060, A100, E017, E020, E043, Lee, Alexis R, MA, (F) NPI: 1912930314 E060, E070, E147, E160, E165, Group Name: Alternative Paths 536 Valley Dr Apt C E172, E177, E185, E186, E200, Inc Medina, OH 44256 E218, E281, E285, E365, E374, Provider ID: 006869276001 (330) 421-5738 E379, E381, P010, P080 NPI: 1942721675 Languages Spoken: 246 Northland Dr Ste 200a Provider: Spanish Marple, Jennifer L, MA, (F) Medina, OH 44256 Ages: 0-99 Group Name: Ohioguidestone

(330) 725-9195 EB, P, R Areas of Expertise: A010, A021, Provider ID: 006259069001 Ages: 0-99 A060, A100, E017, E020, E043, NPI: 1205293065 E060, E070, E147, E160, E165, 246 Northland Dr Ste 140 Lee, Alexis R, MA, (F) E172, E177, E185, E186, E200, Medina, OH 44256

Group Name: Alternative Paths E218, E281, E285, E365, E374, (440) 260-8300 EB, P, R Inc E379, E381, P010, P080 Ages: 0-99 Provider ID: 006869276001 NPI: 1942721675 Lorain County Alc Drug Abs Svcs Mcclelland, Erika L, MA, (F) 655 Independence Dr Provider ID: 000174476001 Group Name: Rakesh Ranjan Md Medina, OH 44256 NPI: 1912930314 And Assoc

(330) 764-8408 EB, P, R 740 E Washington St Provider ID: 006828542003 Ages: 0-99 Medina, OH 44256 NPI: 1235633587

(440) 989-4900 EB, P, R 801 E Washington St Ste 150 Lorain County Alc Drug Abs Svcs Languages Spoken: Medina, OH 44256

Provider ID: 000174476001 Provider: Spanish (330) 722-1069 EB, P, R, RE, S, NPI: 1912930314 Mo-Th - 8:00 AM - 8:00 PM T 215 Wadsworth Rd Fr - 8:00 AM - 4:00 PM Ages: 0-99 Wadsworth, OH 44281 Ages: 0-99

(440) 989-4900 EB, P, R Areas of Expertise: A010, A021, Mckenna, Colleen A, MS, (F) Languages Spoken: A060, A100, E017, E020, E043, Group Name: Catholic Charities Provider: Spanish E060, E070, E147, E160, E165, Corporation Mo-Th - 8:00 AM - 8:00 PM E172, E177, E185, E186, E200, Provider ID: 001206147002 Fr - 8:00 AM - 4:00 PM E218, E281, E285, E365, E374, NPI: 1194741132 Ages: 0-99 E379, E381, P010, P080 740 E Washington St Ste E4 Areas of Expertise: A010, A021, Medina, OH 44256

A060, A100, E017, E020, E043, Lorain County Alc Drug Abs Svcs (330) 723-9615 EB, P, R E060, E070, E147, E160, E165, Provider ID: 000174476001 Ages: 0-99 E172, E177, E185, E186, E200, NPI: 1912930314 E218, E281, E285, E365, E374, 740 E Washington St Ste E4 E379, E381, P010, P080 Medina, OH 44256

(330) 952-1544 EB, P, R Languages Spoken: Provider: Spanish Ages: 0-99

693

Ohio - Medina Behavioral Health Providers Mcrae, Trisha, MA, (F) Nall, Terence L, CSW, (M) New Leaf Counseling Services Group Name: Ohioguidestone Group Name: Cleveland Clinic LLC Provider ID: 006913482001 Foundation Provider ID: 003273382004 NPI: 1134617244 Provider ID: 002277821002 NPI: 1609197631 246 Northland Dr Ste 140 NPI: 1659346617 3511 Center Rd Medina, OH 44256 970 E Washington St Brunswick, OH 44212

(440) 260-8300 EB, P, R Medina, OH 44256 (440) 508-6059 EB, P, R

Ages: 0-99 (330) 721-5700 EB, P, R Ages: 0-99 Cultural Competency: Y Meager, Jahala K, MS, (F) Ages: 0-99 New Leaf Counseling Services Group Name: Psychology LLC Consultants Nancy Lowrie And Associates Provider ID: 003273382004 Provider ID: 003563198001 LLC NPI: 1609197631 NPI: 1295083566 Provider ID: 002440214001 3511 Center Rd Ste Ab 3591 Reserve Commons Dr Ste 301 NPI: 1003927187 Brunswick, OH 44212

Medina, OH 44256 445 W Liberty St Ste 225 (440) 742-1661 EB, P, R

(330) 764-7916 EB, IB, P, R, RE, Medina, OH 44256 Ages: 0-99

S, T (330) 331-5800 EB, P, R Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 New Leaf Counseling Services Cultural Competency: Y LLC Ages: 0-99 Neal, Jeffrey A, MA, (M) Provider ID: 003273382004 Group Name: Rakesh Ranjan Md NPI: 1609197631 Mitchell, Robert A, MS, (M) And Assoc 3511 Center Rd Ste Ec Group Name: Catholic Charities Provider ID: 006788032002 Brunswick, OH 44212

Corporation NPI: 1689173908 (440) 742-1661 EB, IB, P, R, RE, Provider ID: 002267023001 801 E Washington St Ste 150 S, T NPI: 1073604922 Medina, OH 44256 Ages: 0-99

740 E Washington St Ste E4 (330) 722-1069 EB, P, R, RE, S, Medina, OH 44256 T Oberlander, Nicole, RSW, (F)

(330) 723-9615 EB, IB, P, R Ages: 0-99 Group Name: Summa Physicians Ages: 0-99 Provider ID: 006806212001 Areas of Expertise: E085, E185, New Destiny Treatment Center NPI: 1093207524 E198, E200, E210, E320, E391, Provider ID: 003531812001 195 Wadsworth Rd E398 NPI: 1821411273 Wadsworth, OH 44281

246 Northland Dr Ste 200a (330) 375-6590 EB, P, R Medina, OH 44256 Mo-Fr - 8:30 AM - 4:00 PM

(330) 725-9195 EB, P, R Ages: 0-99 Ages: 0-99 Areas of Expertise: E020, E043, E070, E115, P010, P080

694

Behavioral Health Providers Ohio - Medina Partners Physician Group Partners Physician Group Petrill, Amy L, MS, (F) Provider ID: 001478152403 Provider ID: 001478152077 Group Name: Cornerstone NPI: 1992138028 NPI: 1992138028 Psychological And Counseling 1 Park Center Dr 231 Center St Provider ID: 007416139001 Wadsworth, OH 44281 Seville, OH 44273 NPI: 1407304470

(330) 334-4620 E, EB, IB, P, R (330) 769-4695 EB, P, R 195 Wadsworth Rd Ste 201b Ages: 0-99 Ages: 0-99 Wadsworth, OH 44281

Areas of Expertise: E112 Areas of Expertise: E112 (330) 722-4166 E, EB, P, R, RE, S, T Partners Physician Group Partners Physician Group Mo-Sa - 8:30 AM - 4:30 PM Provider ID: 001478152926 Provider ID: 001478152732 Ages: 0-99 NPI: 1992138028 NPI: 1992138028 Areas of Expertise: P010, P013, 1000 E Washington 323 High St P030, P080 Medina, OH 44256 Wadsworth, OH 44281

(330) 725-5282 EB, P, R (330) 336-3583 EB, P, R Psych And Psych Services Ages: 0-99 Ages: 0-99 Provider ID: 005546008001 Areas of Expertise: E112 Areas of Expertise: E112 NPI: 1457740052 445 W Liberty St Partners Physician Group Partners Physician Group Medina, OH 44256

Provider ID: 001478152846 Provider ID: 001478152642 (440) 323-5121 EB, IB, P, R NPI: 1992138028 NPI: 1992138028 Ages: 0-99 225 Elyria St 3574 Center Rd Areas of Expertise: A025, E010, Lodi, OH 44254 Brunswick, OH 44212 E017, E020, E025, E042, E043,

(330) 344-7200 EB, G, IB, P, PL, (330) 225-8886 EB, P, R E055, E060, E070, E090, E105, R, RE, S, T Ages: 0-99 E115, E160, E165, E170, E185, Ages: 0-99 Areas of Expertise: E112 E190, E198, E200, E205, E220, Areas of Expertise: E112 E240, E285, E374, E385, E392, Partners Physician Group P010, P020, P030 Partners Physician Group Provider ID: 001478152678 Provider ID: 001478152807 NPI: 1992138028 Psychology Consultants NPI: 1992138028 970 E Washington St Fl 6 Provider ID: 001810818001 225 Elyria St Ste 102 Medina, OH 44256 NPI: 1205882941

Lodi, OH 44254 (330) 721-5700 EB, P, R 3591 Reserve Commons Dr Ste 301

(330) 948-5533 EB, P, R, RE, T Ages: 0-99 Medina, OH 44256

Ages: 0-99 Areas of Expertise: E112 (330) 764-7916 EB, IB, P, R, RE, Areas of Expertise: E112 S, T Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Areas of Expertise: E112

695

Ohio - Medina Behavioral Health Providers Rair Krug, Susan J, MA, (F) Russell, Susan M, MS, (F) Spitzer, Ashley A, MS, (F) Group Name: Rair Susan J Group Name: Cornerstone Group Name: Serene Insights Provider ID: 003273173003 Psychological And Counseling Counseling Services NPI: 1487888947 Provider ID: 002396646002 Provider ID: 005894480003 242 Water St NPI: 1235348137 NPI: 1508145376 Wadsworth, OH 44281 4018 Medina Rd Ste D 1392 High St Ste 107

(330) 988-4346 EB, P, R Medina, OH 44256 Wadsworth, OH 44281

Cultural Competency: Y (330) 722-4166 P, R, RE, T (216) 258-7577 EB, P, R Ages: 0-99 Mo-Sa - 9:00 AM - 4:00 PM Mo - 9:30 AM - 6:30 PM Areas of Expertise: A021, A101, Ages: 0-99 Tu,Th - 10:00 AM - 7:00 PM E017, E020, E043, E055, E062, Areas of Expertise: A021, E010, We - 9:30 AM - 4:30 PM E070, E090, E100, E112, E200, E017, E020, E042, E062, E070, Fr - 11:00 AM - 3:00 PM E285, E287, P010, P080 E115, E165, E185, P010, P013, Web address: http://www.sereneinsi P030, P080 ghtscounseling.com Reyes, Christopher J, MA, (M) Ages: 0-99 Group Name: Ohioguidestone Setlak Micheller, Diane K, CSW, Areas of Expertise: E010, E017, Provider ID: 006910230001 (F) E020, E025, E043, E055, E062, NPI: 1881188803 Group Name: Catholic Charities E070, E075, E080, E090, E105, 246 Northland Dr Corporation E112, E115, E145, E165, E170, Medina, OH 44256 Provider ID: 003661033002 E185, E198, E200, E215, E218,

(440) 260-8327 E, P, R, RE, S, T NPI: 1336488162 E240, E285, E374, E375, E385, Ages: 0-99 740 E Washington St Ste E4 E390, E392, P010, P013, P030, Areas of Expertise: E112 Medina, OH 44256 P080

(330) 723-9615 EB, P, R Rohal, Lauren O, MA, (F) Ages: 0-99 St Vincent Medical Group Group Name: Alternative Paths Areas of Expertise: E165 Provider ID: 001945275092 Inc NPI: 1134119829 Provider ID: 007325430001 Shaw, Staci, MS, (F) 3724 Center Rd Ste 103 NPI: 1124490883 Group Name: Psychology Brunswick, OH 44212

246 Northland Dr Ste 200a Consultants (440) 746-1055 EB, P, R Medina, OH 44256 Provider ID: 007137712001 Ages: 0-99

(330) 725-9195 EB, P, R NPI: 1255722500 Ages: 0-99 3591 Reserve Commons Dr Ste 301 St Vincent Medical Group Medina, OH 44256 Provider ID: 001945275130

Ropelewski, Mattie K, MA, (F) (330) 764-7916 EB, IB, P, R, RE, NPI: 1134119829 Group Name: Ohioguidestone S, T 5020 Victor Dr Provider ID: 007017048001 Mo-Th - 8:00 AM - 4:30 PM Medina, OH 44256

NPI: 1033683008 Fr - 8:00 AM - 4:00 PM (216) 369-2830 E, EB, G, IB, P, 246 Northland Dr Ste 140 Ages: 0-99 PL, R, RE, S, T Medina, OH 44256 Ages: 0-99

(440) 260-8300 EB, P, R Ages: 0-99

696

Behavioral Health Providers Ohio - Medina Stacey, Nicole, LPC, (F) Stevenson, Kelly A, MS, (F) Summa Physicians Group Name: New Leaf Group Name: Rakesh Ranjan Md Provider ID: 001229599855 Counseling Services LLC & Assoc Inc NPI: 1073911145 Provider ID: 003259751001 Provider ID: 003555014002 140 Wadsworth Rd NPI: 1841505005 NPI: 1346427374 Wadsworth, OH 44281

3511 Center Rd Ste Ab 801 E Washington St Ste 150 (330) 753-1001 EB, P, R Brunswick, OH 44212 Medina, OH 44256 Ages: 0-99

(440) 742-1661 EB, P, R (330) 722-1069 EB, P, R Areas of Expertise: E112 Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Areas of Expertise: E020, E070, Cultural Competency: Y Summa Physicians E115, P010, P013, P030, P080 Ages: 0-99 Provider ID: 001229599595 NPI: 1073911145 Steiner, Eric M, MS, (M) Stine, Alexandra R, MA, (F) 147 Garfield St Group Name: Alternative Paths Group Name: Rakesh Ranjan Md Wadsworth, OH 44281

Inc And Assoc (330) 996-8603 EB, IB, P, R Provider ID: 003555051001 Provider ID: 007304792001 Ages: 0-99 NPI: 1164476461 NPI: 1861030793 Areas of Expertise: E112 225 Elyria St 801 E Washington St Ste 150 Lodi, OH 44254 Medina, OH 44256 Summa Physicians

(330) 725-9195 E, EB, P, R, RE, (330) 722-1069 EB, P, R, RE, S, Provider ID: 001229599064 S, T T NPI: 1073911145 Mo,Fr - 9:00 AM - 5:00 PM Ages: 0-99 185 Wadsworth Rd Ste D Tu,We,Th - 8:00 AM - 4:00 PM Wadsworth, OH 44281

Ages: 0-99 Summa Physicians (330) 336-7677 EB, P, R Areas of Expertise: E020, E070, Provider ID: 001229599135 Mo-Fr - 7:30 AM - 5:00 PM E112, E165, E168, P010 NPI: 1073911145 Ages: 0-99 1 Park Center Dr Ste 304 Areas of Expertise: E112 Steiner, Eric M, MS, (M) Wadsworth, OH 44281

Group Name: Alternative Paths (330) 336-3631 EB, P, R Summa Physicians Inc Ages: 0-99 Provider ID: 001229599063 Provider ID: 003555051001 Areas of Expertise: E112 NPI: 1073911145 NPI: 1164476461 195 Wadsworth Rd 246 Northland Dr Ste 200a Summa Physicians Wadsworth, OH 44281

Medina, OH 44256 Provider ID: 001229599050 (800) 890-6357 E, EB, G, IB, P,

(330) 725-9195 EB, P, R NPI: 1073911145 PL, R, RE, S, T Mo-Fr - 9:00 AM - 5:00 PM 1000 E Washington St Ages: 0-99 Ages: 0-99 Medina, OH 44256 Areas of Expertise: E112

Areas of Expertise: E020, E070, (330) 722-3083 EB, IB, P, R, RE, E112, E165, E168, P010 T Ages: 0-99 Areas of Expertise: E112

697

Ohio - Medina Behavioral Health Providers Summa Physicians Summa Physicians Summa Physicians Provider ID: 001229599144 Provider ID: 001229599711 Provider ID: 001229599723 NPI: 1073911145 NPI: 1073911145 NPI: 1073911145 195 Wadsworth Rd Ste 301 267 Center St 3780 Medina Rd 1st Fl Wadsworth, OH 44281 Seville, OH 44273 Medina, OH 44256

(330) 723-6060 E, EB, G, IB, P, (330) 769-2941 EB, P, R (330) 721-6825 EB, P, R R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E112 Areas of Expertise: E112 Summa Physicians Summa Physicians Summa Physicians Provider ID: 001229599057 Provider ID: 001229599169 Provider ID: 001229599714 NPI: 1073911145 NPI: 1073911145 NPI: 1073911145 3637 Medina Rd Ste 70 3780 Medina Rd Fl 1 195 Wadsworth Rd Ste 305 Medina, OH 44256 Medina, OH 44256

Wadsworth, OH 44281 (330) 764-7378 EB, P, R (330) 723-0597 EB, P, R

(330) 334-7700 E, EB, G, P, R, Ages: 0-99 Ages: 0-99 RE, S, T Areas of Expertise: E112 Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112 Summa Physicians Summa Physicians Provider ID: 001229599042 Provider ID: 001229599944 Summa Physicians NPI: 1073911145 NPI: 1073911145 Provider ID: 001229599795 3724 Center Rd Ste 103 3780 Medina Rd Ste 105 NPI: 1073911145 Brunswick, OH 44212 Medina, OH 44256

195 Wadsworth Road (330) 273-4443 EB, P, R (330) 375-4100 E, EB, G, IB, P, Wadsworth, OH 44281 Mo - 9:00 AM - 5:00 PM R, RE, S, T

(330) 375-6590 E, EB, G, IB, P, Th - 7:30 AM - 3:30 PM Ages: 0-99 R, RE, S, T Ages: 0-99 Areas of Expertise: E112 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E112 Summa Physicians Summa Physicians Provider ID: 001229599781 Summa Physicians Provider ID: 001229599796 NPI: 1073911145 Provider ID: 001229599062 NPI: 1073911145 3780 Medina Rd Ste 150 NPI: 1073911145 3780 Medina Rd Medina, OH 44256

251 Leatherman Rd Medina, OH 44256 (330) 721-6825 E, EB, G, IB, P,

Wadsworth, OH 44281 (330) 375-6590 E, EB, G, IB, P, R, RE, S, T

(330) 335-1551 EB, P, R R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E112 Areas of Expertise: E112

698

Behavioral Health Providers Ohio - Medina Summa Physicians Summa Physicians Summa Physicians Provider ID: 001229599826 Provider ID: 001229599771 Provider ID: 001229599056 NPI: 1073911145 NPI: 1073911145 NPI: 1073911145 3780 Medina Rd Ste 200 3780 Medina Rd Ste 250 807 E Washington St Ste 150 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 722-3083 E, EB, G, IB, P, (330) 723-3256 E, EB, G, IB, P, (330) 725-4777 EB, P, R R, RE, S, T PL, R, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Areas of Expertise: E112 Areas of Expertise: E112 Summa Physicians Summa Physicians Summa Physicians Provider ID: 001229599718 Provider ID: 001229599168 Provider ID: 001229599026 NPI: 1073911145 NPI: 1073911145 NPI: 1073911145 825 Ambassador Dr 3780 Medina Rd Ste 210 3780 Medina Rd Ste 310 Wadsworth, OH 44281

Medina, OH 44256 Medina, OH 44256 (330) 336-5457 EB, P, R

(330) 722-4578 E, EB, G, IB, P, (330) 725-8441 E, EB, G, IB, P, Ages: 0-99 R, RE, S, T R, RE, S, T Areas of Expertise: E112 Mo-Fr - 7:30 AM - 5:00 PM Ages: 0-99 Ages: 0-99 Areas of Expertise: E112 Summa Physicians Areas of Expertise: E112 Provider ID: 001229599138 Summa Physicians NPI: 1073911145 Summa Physicians Provider ID: 001229599816 9044 Center St Provider ID: 001229599807 NPI: 1073911145 Seville, OH 44273

NPI: 1073911145 621 School Dr (330) 478-3700 EB, P, R 3780 Medina Rd Ste 220 Wadsworth, OH 44281 Ages: 0-99

Medina, OH 44256 (330) 334-0035 E, EB, G, IB, P, Areas of Expertise: E112

(330) 375-6590 E, EB, G, IB, P, R, RE, S, T R, RE, S, T Ages: 0-99 Summa Physicians Ages: 0-99 Areas of Expertise: E112 Provider ID: 001229599051 Areas of Expertise: E112 NPI: 1073911145 Summa Physicians 970 E Washington St Ste 203 Summa Physicians Provider ID: 001229599060 Medina, OH 44256

Provider ID: 001229599823 NPI: 1073911145 (330) 475-1674 EB, P, R NPI: 1073911145 76 High St Ages: 0-99 3780 Medina Rd Ste 240 Seville, OH 44273 Areas of Expertise: E112

Medina, OH 44256 (330) 925-4911 EB, P, R

(330) 379-5051 EB, P, R Ages: 0-99 Summa Physicians Ages: 0-99 Areas of Expertise: E112 Provider ID: 001229599054 Areas of Expertise: E112 NPI: 1073911145 970 E Washington St Ste 301 Medina, OH 44256

(330) 725-8441 EB, P, R Ages: 0-99

699

Ohio - Medina Behavioral Health Providers Areas of Expertise: E112 Swirsky, Sarah, MA E042, E070, E115, E155, E180, Group Name: Alternative Paths E200, P010 Summa Physicians Inc Provider ID: 001229599055 Provider ID: 007592017001 Thompson, Stephanie M, MS, (F) NPI: 1073911145 NPI: 1568021277 Group Name: Comprehensive 970 E Washington St Ste 4b 246 Northland Dr Ste 200a Pain Management Specialist Medina, OH 44256 Medina, OH 44256 Provider ID: 006667258001

(330) 723-3256 EB, P, R (330) 725-9195 EB, P, R NPI: 1194131490 Sa - 8:00 AM - 12:00 PM Ages: 0-99 3780 Medina Rd Ste 110 Ages: 0-99 Medina, OH 44256

Areas of Expertise: E112 Tackett, Heather C, MA, (F) (330) 208-2720 EB, G, IB, P, R, Group Name: Psychology RE, S, T Summa Physicians Consultants Ages: 0-99 Provider ID: 001229599728 Provider ID: 006859055002 Areas of Expertise: E017, E020, NPI: 1073911145 NPI: 1588083455 E042, E070, E115, E155, E180, 970 E Washington St Ste 68 3591 Reserve Commons Dr Ste 301 E200, P010 Medina, OH 44256 Medina, OH 44256

(330) 723-6060 EB, P, R (330) 764-7916 EB, IB, P, R, RE, Thornton, Kristen M, CSW, (F) Ages: 0-99 S, T Group Name: Catholic Charities Areas of Expertise: E112 Ages: 0-99 Corporation Areas of Expertise: A101, P035 Provider ID: 006703636001 Summa Physicians NPI: 1932619152 Provider ID: 001229599052 Tenhuisen, Janna L, MA, (F) 4210 N Jefferson St Ste A NPI: 1073911145 Group Name: Paw Meadows Medina, OH 44256

970 E Washington St Ste 6b Provider ID: 001990830004 (330) 723-9615 IB, P, R, RE, T Medina, OH 44256 NPI: 1447351788 Mo-Fr - 9:00 AM - 5:00 PM

(330) 864-1916 EB, P, R 950 Fixler Rd Ages: 0-99 Ages: 0-99 Wadsworth, OH 44281

Areas of Expertise: E112 (330) 542-8555 P, RE Toney, Ashley, CM, (F) Mo-Fr - 9:00 AM - 8:00 PM Group Name: Rakesh Ranjan Md Summa Physicians Ages: 0-99 And Assoc Provider ID: 001229599053 Provider ID: 006649737004 NPI: 1073911145 Thompson, Stephanie M, MS, (F) NPI: 1528577236 970 E Washington St Ste 6c Group Name: Comprehensive 801 E Washington St Ste 150 Medina, OH 44256 Pain Management Specialist Medina, OH 44256

(330) 722-3083 EB, P, R Provider ID: 006667258001 (330) 722-1069 EB, P, R, RE, S, Ages: 0-99 NPI: 1194131490 T Areas of Expertise: E112 185 Wadsworth Rd Ages: 0-99 Wadsworth, OH 44281

(330) 208-2720 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 Areas of Expertise: E017, E020,

700

Behavioral Health Providers Ohio - Medina Toney, Ashley, CM, (F) University Hospitals Medical University Primary Care Group Name: Rakesh Ranjan Md Group Practices And Assoc Provider ID: 003154419007 Provider ID: 000387283901 Provider ID: 006649737004 NPI: 1669499414 NPI: 1043461890 NPI: 1528577236 4001 Carrick Dr Ste 220 3812 Center Rd Ste 106 89 E Washington St Ste 150 Medina, OH 44256 Brunswick, OH 44212

Medina, OH 44256 (216) 844-7700 EB, P, R (330) 220-8411 EB, P, R

(330) 722-1069 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 University Hospitals Medical University Primary Care University Hospitals Medical Group Practices Group Provider ID: 003154419007 Provider ID: 000387283991 Provider ID: 003154419004 NPI: 1669499414 NPI: 1043461890 NPI: 1669499414 4065 Center Rd 4001 Carrick Dr Ste 140 4001 Carrick Dr Brunswick, OH 44212 Medina, OH 44256

Medina, OH 44256 (216) 383-0100 EB, P, R, RE, T (330) 721-8577 E, RE, S, T

(330) 486-9688 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99 University Primary Care University Hospitals Medical University Hospitals Medical Practices Group Group Provider ID: 000387283848 Provider ID: 003154419007 Provider ID: 003154419007 NPI: 1043461890 NPI: 1669499414 NPI: 1669499414 4001 Carrick Dr Ste 150 4001 Carrick Dr Ste 140 4065 Center Rd Ste 214 Medina, OH 44256 Brunswick, OH 44212 Medina, OH 44256 (330) 721-8500 E, EB, G, IB, P, (216) 844-2400 E, EB, G, IB, P, (330) 486-9688 E, RE, S, T PL, R, RE, S, T Ages: 0-99 R, RE, S, T Ages: 0-99 Ages: 0-99 University Hospitals Medical University Primary Care Group University Primary Care Practices Provider ID: 003154419007 Practices Provider ID: 000387283745 NPI: 1669499414 Provider ID: 000387283975 NPI: 1043461890 4001 Carrick Dr Ste 160 NPI: 1043461890 4001 Carrick Dr Ste 160 Medina, OH 44256 3812 Center Rd Ste 100 Medina, OH 44256 Brunswick, OH 44212 (440) 646-2211 E, RE, S, T (440) 646-9636 E, RE, S, T Ages: 0-99 (440) 599-7466 EB, P, R Ages: 0-99 Ages: 0-99

701

Ohio - Medina Behavioral Health Providers University Primary Care University Primary Care Van Dyke, Cheryl M, MA, (F) Practices Practices Group Name: Wolf Creek Provider ID: 000387283856 Provider ID: 000387283925 Wellness NPI: 1043461890 NPI: 1043461890 Provider ID: 002190442003 4001 Carrick Dr Ste 170 4065 Center Rd Ste 212 NPI: 1841314085 Medina, OH 44256 Brunswick, OH 44212 680 High St Ste A

(330) 725-3009 EB, P, R (330) 225-6374 EB, P, R Wadsworth, OH 44281

Ages: 0-99 Ages: 0-99 (330) 690-2337 EB, P, R, RE, T Mo-Fr - 9:00 AM - 8:00 PM University Primary Care University Primary Care Ages: 0-99 Practices Practices Areas of Expertise: E010, E020, Provider ID: 000387283931 Provider ID: 000387283990 E025, E070, E090, E198, E240, NPI: 1043461890 NPI: 1043461890 E374, E385, P010, P013, P030, 4001 Carrick Dr Ste 210 5133 Ridge Rd P080, P100 Medina, OH 44256 Wadsworth, OH 44281

(330) 725-3009 EB, P, R (330) 239-4455 EB, P, R Wacker, Sheryl, MA, (F) Ages: 0-99 Ages: 0-99 Group Name: Alternative Paths Inc University Primary Care University Primary Care Provider ID: 007482062001 Practices Practices NPI: 1316550312 Provider ID: 000387283783 Provider ID: 000387283935 246 Northland Dr Ste 200a NPI: 1043461890 NPI: 1043461890 Medina, OH 44256

4015 Medina Rd Ste 50 5133 Ridge Rd Ste 3 (330) 725-9195 EB, P, R Medina, OH 44256 Wadsworth, OH 44281 Ages: 0-99

(330) 723-7005 EB, P, R (330) 239-7250 EB, P, R Ages: 0-99 Ages: 0-99 Walters, Faith, MSW, (F) Group Name: Alternative Paths University Primary Care University Primary Care Inc Practices Practices Provider ID: 006857498001 Provider ID: 000387283988 Provider ID: 000387283976 NPI: 1194254177 NPI: 1043461890 NPI: 1043461890 246 Northland Dr Ste 200a 4065 Center Rd Ste 210 805 E Washington St Ste 100 Medina, OH 44256

Brunswick, OH 44212 Medina, OH 44256 (330) 725-9195 EB, P, R

(330) 220-8411 EB, P, R (330) 721-4776 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

702

Behavioral Health Providers Ohio - Medina Wilkins, Alicia V, MA, (F) Group Name: Cornerstone Psychological And Counseling Provider ID: 001750698003 NPI: 1407814239 4018 Medina Rd Ste D Medina, OH 44256

(330) 722-4166 P, R, RE, T Mo-Sa - 9:00 AM - 4:00 PM Cultural Competency: Y Ages: 0-99 Areas of Expertise: E017, E020, E070, E112, E165, E170, E185, E198, P010, P020, P030

Wilkins, Margaret A, MS, (F) Group Name: Cornerstone Psychological And Counseling Provider ID: 003682357002 NPI: 1922366731 4018 Medina Rd Ste D Medina, OH 44256

(330) 722-4166 P, R, RE, T Mo-Sa - 9:00 AM - 4:00 PM Cultural Competency: Y Web address: no website address Ages: 0-99 Areas of Expertise: A010, A025, E015, E017, E020, E025, E055, E112, E115, E170, E200

Social Worker - Registered Solsman, Megan, RSW, (F) Group Name: Alternative Paths Inc Provider ID: 007033697002 NPI: 1528551736 246 Northland Dr Ste 200a Medina, OH 44256

(330) 725-9195 EB, P, R Ages: 0-99 Areas of Expertise: E112

703

Ohio - Lake Dental Providers

Dental Providers Alsaad, Ahmad M, DDS, (M) Ohio Parrish, Susanne L, DDS, (F) Provider ID: 109580249228 Provider ID: 054511249828 NPI: 1295966091 Geauga NPI: 1518048032 9161 Mentor Ave

8401 Chagrin Rd Mentor, OH 44060

Dentistry Ste 2 (440) 974-9530 E, EB, IB, P, R, T Chagrin Falls, OH 44023 Members may self-refer to these Languages Spoken: (440) 708-1331 E, EB, IB, P, R providers. Languages Spoken: Provider: Spanish, Arabic,

Brown, Lawrence E, DDS, (M) Provider: English Spanish, English, Arabic Provider ID: 056437249828 Ages: 0-15 Ages: 0-99 NPI: 1780726364 8401 Chagrin Rd Alshami, Loiy N, DDS, (M) Lake Ste 2 Provider ID: 147012249228

Chagrin Falls, OH 44023 NPI: 1457785362

(440) 708-1331 E, EB, IB, P, R Dentistry 9161 Mentor Ave Mentor, OH 44060 Languages Spoken: Members may self-refer to these (440) 974-9530 E, EB, IB, P, R, T Provider: English providers.

Ages: 0-24 Languages Spoken: Ali, Hayat A, DDS, (F) Provider: Spanish, Arabic, Parrish, Susanne L, DDS, (F) Provider ID: 054352250909 Spanish, English, Arabic Provider ID: 054511249828 NPI: 1295904605 Ages: 0-99 NPI: 1518048032 9853 Johnnycake Ridge Rd

8401 Chagrin Rd Ste 300 Armanazi, Mohammad Y, DDS, Ste 2 Mentor, OH 44060 (M) Chagrin Falls, OH 44023 (440) 352-6006 Provider ID: 056113402790 (440) 708-1331 E, EB, IB, P, R Languages Spoken: NPI: 1083769806 Languages Spoken: Provider: Arabic, Hindi, English, 8346 Mentor Ave Provider: English Arabic, Hindi Mentor, OH 44060 Ages: 0-15 Ages: 0-99 (440) 266-5437 E, EB, IB, P, R

Alsaad, Ahmad M, DDS, (M) Languages Spoken: Pediatric Dentistry Provider ID: 109580729803

Provider: Arabic, English, Arabic NPI: 1295966091 Brown, Lawrence E, DDS, (M) Ages: 1-14 7250 Center St Ste C Provider ID: 056437249828 NPI: 1780726364 Mentor, OH 44060 8401 Chagrin Rd (440) 701-8008 Ste 2 Languages Spoken: Chagrin Falls, OH 44023 Provider: Arabic, Arabic, English

(440) 708-1331 E, EB, IB, P, R Ages: 0-18 Languages Spoken: Provider: English Ages: 0-24

704

Dental Providers Ohio - Lake Asaad, Hossam, DMD, (M) Bae, Seung Yeon, DMD, (F) Berning, Jeremy L, DMD, (M) Provider ID: 188086249228 Provider ID: 185774258547 Provider ID: 173816258547 NPI: 1790326999 NPI: 1518452028 NPI: 1821437666 9161 Mentor Ave 7697 Mentor Ave 7697 Mentor Ave Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060

(440) 974-9530 E, EB, IB, P, R, T (440) 530-3500 E, EB, IB, P, R, (440) 530-3500 E, EB, IB, P, R, RE, T RE, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish, Arabic, Provider: English, Arabic, Provider: English, Arabic, Spanish, English, Arabic Russian, Ukrainian Russian, Ukrainian Ages: 0-99 Ages: 0-99 Ages: 0-99

Asaad, Reem, DMD, (F) Baghaie, Neena A, DMD, (F) Bous, Rany, DDS, (M) Provider ID: 164015258547 Provider ID: 185764258547 Provider ID: 189626359058 NPI: 1518317171 NPI: 1457855082 NPI: 1679923023 7697 Mentor Ave 7697 Mentor Ave 7697 Mentor Ave Mentor, OH 44060 Mentor, OH 44060 Ste G (440) 530-3500 E, EB, IB, P, R, (440) 530-3500 E, EB, IB, P, R, Concord Twp, OH 44060 RE, T RE, T (440) 530-3500 EB, IB, P Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English, Arabic, Provider: English Ages: 0-99 Russian, Ukrainian Ages: 0-99 Ages: 0-99 Atarchi, Ahmed R, DDS, (M) Brown, Lawrence E, DDS, (M) Provider ID: 179524249228 Bazin, Hisham Alhadi M, DDS, Provider ID: 056437250467 NPI: 1912473190 (M) NPI: 1780726364 9161 Mentor Ave Provider ID: 188758618106 2610 Hubbard Rd Mentor, OH 44060 NPI: 1962942953 Madison, OH 44057 (440) 974-9530 E, EB, IB, P, R, T 6325 N Ridge Rd (440) 428-7290 EB, IB, P Madison, OH 44057 Languages Spoken: Languages Spoken: (440) 428-1145 Provider: English Provider: Spanish, Arabic, Languages Spoken: Ages: 2-18 Spanish, English, Arabic Provider: English Ages: 0-99 Ages: 0-99

705

Ohio - Lake Dental Providers Buckley, William F, DDS, (M) Chen, Jeffery, DDS, (M) Dameri, Mohammed E, DMD, Provider ID: 089545258547 Provider ID: 054420249228 (M) NPI: 1366671133 NPI: 1386628006 Provider ID: 185787258547 7697 Mentor Ave 9161 Mentor Ave NPI: 1114413945 Mentor, OH 44060 Mentor, OH 44060 7697 Mentor Ave

(440) 530-3500 E, EB, IB, P, R, (440) 974-9530 E, EB, IB, P, R, T Mentor, OH 44060

RE, T (440) 530-3500 E, EB, IB, P, R, Languages Spoken: Languages Spoken: RE, T Provider: English, Arabic, Provider: Spanish, Arabic, Languages Spoken: Russian, Ukrainian Spanish, English, Arabic Provider: English, Arabic, Ages: 0-99 Ages: 0-99 Russian, Ukrainian Ages: 0-99 Burgos, Julissa, DDS, (F) Conboy, Cole B, DMD, (M) Provider ID: 193042258547 Provider ID: 116073724400 Dergham, Dergham, DDS, (M) NPI: 1417570250 NPI: 1881009249 Provider ID: 095965249228 7697 Mentor Ave 6325 N Ridge Rd NPI: 1396022703 Mentor, OH 44060 Madison, OH 44057 9161 Mentor Ave (440) 428-1145 (440) 530-3500 E, EB, IB, P, R, Mentor, OH 44060 Languages Spoken: RE, T (440) 974-9530 E, EB, IB, P, R, T Languages Spoken: Provider: English Provider: English Ages: 0-99 Languages Spoken: Ages: 0-99 Provider: Spanish, Arabic, Dai, Jia-Chun, DMD, (M) Spanish, English, Arabic Chane, Maya C, DMD, (F) Provider ID: 054788258547 Ages: 0-99 Provider ID: 111953249228 NPI: 1821291535 NPI: 1306117650 7697 Mentor Ave Dohar, Amanda, DDS, (F) 9161 Mentor Ave Mentor, OH 44060 Provider ID: 054471249228 Mentor, OH 44060 (440) 530-3500 E, EB, IB, P, R, NPI: 1992755177 RE, T 9161 Mentor Ave (440) 974-9530 E, EB, IB, P, R, T Languages Spoken: Mentor, OH 44060

Languages Spoken: Provider: English, Arabic, (440) 974-9530 E, EB, IB, P, R, T Provider: Spanish, Arabic, Russian, Ukrainian Spanish, English, Arabic Ages: 0-99 Languages Spoken: Ages: 12-99 Provider: Spanish, Arabic, Spanish, English, Arabic Ages: 0-99

706

Dental Providers Ohio - Lake Eapen, Binu A, DDS, (F) Elbatawi, Deena, DDS, (F) Geiss, Paul R, DDS, (M) Provider ID: 054497249228 Provider ID: 196840249228 Provider ID: 056027258547 NPI: 1306824370 NPI: 1932696986 NPI: 1912925678 9161 Mentor Ave 9161 Mentor Ave 7697 Mentor Ave Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060

(440) 974-9530 E, EB, IB, P, R, T (440) 974-9530 E, EB, IB, P, R, T (440) 530-3500 E, EB, IB, P, R, RE, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish, Arabic, Provider: Spanish, Arabic, Provider: English, Arabic, Spanish, English, Arabic Arabic, English, Spanish Russian, Ukrainian Ages: 1-99 Ages: 0-99 Ages: 0-99

Easton, Sarah J, DMD, (F) Ezzie, Fida E, DDS, (F) Ghreiwati, Nadine, DMD, (F) Provider ID: 193999593160 Provider ID: 057999249228 Provider ID: 055188249228 NPI: 1043833148 NPI: 1548368863 NPI: 1396898805 9500 Mentor Ave 9161 Mentor Ave 9161 Mentor Ave Ste 280 Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060 (440) 974-9530 E, EB, IB, P, R, T (440) 974-9530 E, EB, IB, P, R, T (440) 352-2887 E, EB, IB, P, R Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish, Arabic, Provider: Spanish, Arabic, Provider: English English, Spanish, Arabic English, Spanish, Arabic Ages: 0-99 Ages: 0-99 Ages: 0-99

El-Khoury, Mabelle, DDS, (F) Galvez, Maria Elena S, DMD, (F) Glowski, Edward J, DDS, (M) Provider ID: 055098258547 Provider ID: 081558249228 Provider ID: 055578258547 NPI: 1770772626 NPI: 1225260789 NPI: 1346285368 7697 Mentor Ave 9161 Mentor Ave 7697 Mentor Ave Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060 (440) 530-3500 E, EB, IB, P, R, (440) 974-9530 E, EB, IB, P, R, T (440) 530-3500 E, EB, IB, P, R, RE, T RE, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish, Arabic, Provider: English, Arabic, Provider: Russian, Ukrainian, Spanish, English, Arabic Russian, Ukrainian English, Arabic Ages: 1-99 Ages: 0-99 Ages: 0-99

707

Ohio - Lake Dental Providers Haddadeen, Yazan H, DDS, (M) Hudec, John A, DDS, (M) Kassim, Muhanad A, DDS, (M) Provider ID: 096236746147 Provider ID: 055500258547 Provider ID: 171309746147 NPI: 1205099520 NPI: 1295754240 NPI: 1053707430 27291 Chardon Rd 7697 Mentor Ave 27291 Chardon Rd Willoughby Hills, OH 44092 Mentor, OH 44060 Willoughby Hills, OH 44092

(440) 278-4042 E, EB, IB, P, PL, (440) 530-3500 E, EB, IB, P, R, (440) 278-4042 E, EB, IB, P, PL, R, T RE, T R, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Arabic, Spanish, Provider: English, Arabic, Provider: Arabic, Spanish, Spanish, Arabic, English Russian, Ukrainian Spanish, Arabic, English Ages: 5-99 Ages: 0-99 Ages: 0-99

Hudec, Brian J, DMD, (M) Jez, Joseph A, DDS, (M) Katharotiya, Pradip C, DDS, (M) Provider ID: 178509258547 Provider ID: 171411258547 Provider ID: 291395258547 NPI: 1780123042 NPI: 1568442937 NPI: 1588140990 7697 Mentor Ave 7697 Mentor Ave 7697 Mentor Ave Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060

(440) 530-3500 E, EB, IB, P, R, (440) 530-3500 E, EB, IB, P, R, (440) 530-3500 E, EB, IB, P, R, RE, T RE, T RE, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: English, Arabic, Provider: English, Arabic, Provider: English Russian, Ukrainian Russian, Ukrainian Ages: 0-99 Ages: 0-99 Ages: 0-99 Kim, Dug Soo, DMD, (M) Hudec, David E, DDS, (M) Karadsheh, Yazan F, DDS, (M) Provider ID: 116308258547 Provider ID: 055364258547 Provider ID: 118660670318 NPI: 1114332046 NPI: 1821016585 NPI: 1881972255 7697 Mentor Ave 7697 Mentor Ave 6248 N Ridge Rd Mentor, OH 44060

Mentor, OH 44060 Madison, OH 44057 (440) 530-3500 E, EB, IB, P, R,

(440) 530-3500 E, EB, IB, P, R, (440) 428-1101 RE, T RE, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Arabic, Arabic, English Provider: English, Arabic, Provider: English, Arabic, Ages: 5-99 Russian, Ukrainian Russian, Ukrainian Ages: 0-99 Ages: 0-99

708

Dental Providers Ohio - Lake Kim, Suh Hee, DMD, (F) Kulick, Victor B, DDS, (M) Manzoor, Nousheen B, DMD, (F) Provider ID: 163004258547 Provider ID: 056837258547 Provider ID: 113559250909 NPI: 1285084483 NPI: 1033108493 NPI: 1629401146 7697 Mentor Ave 7697 Mentor Ave 9853 Johnnycake Ridge Rd Mentor, OH 44060 Mentor, OH 44060 Ste 300

(440) 530-3500 E, EB, IB, P, R, (440) 530-3500 E, EB, IB, P, R, Mentor, OH 44060

RE, T RE, T (440) 352-6006 Languages Spoken: Languages Spoken: Languages Spoken: Provider: English, Arabic, Provider: English, Arabic, Provider: Arabic, Hindi, English, Russian, Ukrainian Russian, Ukrainian Arabic, Hindi Ages: 0-99 Ages: 0-99 Ages: 0-99

Kramer, Sylvia M, DDS, (F) Lorenzo, Caitlyn E, DDS, (F) Massari, Jessica V, DDS, (F) Provider ID: 056681729803 Provider ID: 199118258547 Provider ID: 110801258547 NPI: 1932199346 NPI: 1285242800 NPI: 1932547304 7250 Center St Ste C 7697 Mentor Ave 7697 Mentor Ave Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060

(440) 701-8008 (440) 530-3500 E, EB, IB, P, R, (440) 530-3500 E, EB, IB, P, R, Languages Spoken: RE, T RE, T Provider: Arabic, Arabic, English Languages Spoken: Languages Spoken: Ages: 1-18 Provider: English Provider: English, Arabic, Ages: 0-99 Russian, Ukrainian Kramer, Sylvia M, DDS, (F) Ages: 0-99 Provider ID: 056681249228 Mackert, Justin, DMD, (M) NPI: 1932199346 Provider ID: 193939258547 Mickles, Alicia J, DDS, (F) 9161 Mentor Ave NPI: 1528685369 Provider ID: 174033258547 Mentor, OH 44060 7697 Mentor Ave NPI: 1760897714

(440) 974-9530 E, EB, IB, P, R, T Mentor, OH 44060 7697 Mentor Ave

(440) 530-3500 E, EB, IB, P, R, Mentor, OH 44060 Languages Spoken: RE, T (440) 530-3500 E, EB, IB, P, R, Provider: Spanish, Arabic, Languages Spoken: RE, T Spanish, English, Arabic Provider: English Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: English, Arabic, Russian, Ukrainian Ages: 0-99

709

Ohio - Lake Dental Providers Misencik, Michael J, DDS, (M) Puliyel, Divya E, DDS, (F) Rudy, Nicholas, DDS, (M) Provider ID: 055057250909 Provider ID: 185986249228 Provider ID: 154938593160 NPI: 1902048754 NPI: 1891228524 NPI: 1326467747 9853 Johnnycake Ridge Rd 9161 Mentor Ave 9500 Mentor Ave Ste 300 Mentor, OH 44060 Ste 280

Mentor, OH 44060 (440) 974-9530 E, EB, IB, P, R, T Mentor, OH 44060

(440) 352-6006 (440) 352-2887 E, EB, IB, P, R Languages Spoken: Languages Spoken: Provider: Arabic, Hindi, Arabic, Provider: Spanish, Arabic, Languages Spoken: Hindi, English Spanish, English, Arabic Provider: English Ages: 0-99 Ages: 0-99 Ages: 0-99

Mubarak, Mohammed A, DDS, Rico, James M, DDS, (M) Sagar, Jyoti, DMD, (F) (M) Provider ID: 055227249228 Provider ID: 056645249228 Provider ID: 075386249228 NPI: 1285608851 NPI: 1801970835 NPI: 1083831762 9161 Mentor Ave 9161 Mentor Ave 9161 Mentor Ave Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060 (440) 974-9530 E, EB, IB, P, R, T (440) 974-9530 E, EB, IB, P, R, T

(440) 974-9530 E, EB, IB, P, R, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish, Arabic, Provider: Spanish, Arabic, Provider: Spanish, Arabic, Spanish, English, Arabic Spanish, English, Arabic Spanish, English, Arabic Ages: 1-99 Ages: 0-99 Ages: 0-99 Rosenthal, Jeffrey, DDS, (M) Saleem, Rubina, DDS, (F) Nouneh, Imad E, DDS, (M) Provider ID: 056313593160 Provider ID: 084484596581 Provider ID: 054808249228 NPI: 1427199181 NPI: 1447572177 NPI: 1396729299 9500 Mentor Ave 7697 Mentor Ave 9161 Mentor Ave Ste 280 Mentor, OH 44060 Mentor, OH 44060 Mentor, OH 44060 (440) 530-3500 (440) 352-2887 E, EB, IB, P, R Languages Spoken: (440) 974-9530 E, EB, IB, P, R, T Provider: English Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Spanish, Arabic, Provider: English Spanish, English, Arabic Ages: 0-99 Ages: 0-99

710

Dental Providers Ohio - Lake Schlesinger, Alan B, DDS, (M) Thabet, Walid R, DDS, (M) Williamson, Paulina, DDS, (F) Provider ID: 096253609982 Provider ID: 107592746147 Provider ID: 197042249228 NPI: 1811052301 NPI: 1710113170 NPI: 1558853036 5900 Som Center Rd 27291 Chardon Rd 9161 Mentor Ave Ste 10 Willoughby Hills, OH 44092 Mentor, OH 44060

Willoughby, OH 44094 (440) 278-4042 E, EB, IB, P, PL, (440) 974-9530 E, EB, IB, P, R, T

(440) 347-9880 E, EB, IB, P, PL, R, T R, RE, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Arabic, Spanish, Provider: Spanish, Arabic, Provider: English Arabic, Spanish, English English, Arabic, Spanish Ages: 0-99 Ages: 0-99 Ages: 0-99

Slodov, Andrew J, DDS, (M) Thaler, Donald C, DDS, (M) Yarovitsky, Dmitriy M, DDS, (M) Provider ID: 118248605150 Provider ID: 113051355993 Provider ID: 166171258547 NPI: 1902823651 NPI: 1609952464 NPI: 1043674617 7541 Fredle Dr 34586 Lake Shore Boulevard 7697 Mentor Ave Concord, OH 44077 Eastlake, OH 44095 Mentor, OH 44060 (440) 530-3500 E, EB, IB, P, R, (440) 357-9294 E, EB, IB, P, R, (440) 946-7878 E, EB, IB, P, R, T RE, T RE, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English Provider: English, Arabic, Ages: 0-99 Ages: 0-99 Russian, Ukrainian Ages: 0-99 Soetanto, Jun A, DMD, (M) Tran, Terri T, DMD, (F) Provider ID: 118560258547 Provider ID: 053961258547 Yarovitsky, Irina A, DMD, (F) NPI: 1154762599 NPI: 1003957648 Provider ID: 054140258547 7697 Mentor Ave 7697 Mentor Ave NPI: 1952435778 Mentor, OH 44060 Mentor, OH 44060 7697 Mentor Ave (440) 530-3500 E, EB, IB, P, R, Mentor, OH 44060 (440) 530-3500 E, EB, IB, P, R, RE, T RE, T (440) 530-3500 E, EB, IB, P, R, Languages Spoken: Languages Spoken: RE, T Provider: English Provider: English, Arabic, Languages Spoken: Ages: 0-99 Russian, Ukrainian Provider: English, Arabic, Ages: 0-99 Russian, Ukrainian Ages: 0-99

711

Ohio - Lake Dental Providers

Alsaad, Ahmad M, DDS, (M) Dergham, Dergham, DDS, (M) Orthodontics Provider ID: 109580249228 Provider ID: 095965249228 Bous, Rany, DDS , (M) NPI: 1295966091 NPI: 1396022703 Provider ID: 189626359058 9161 Mentor Ave 9161 Mentor Ave NPI: 1679923023 Mentor, OH 44060 Mentor, OH 44060 7697 Mentor Ave (440) 974-9530 E, EB, IB, P, R, T (440) 974-9530 E, EB, IB, P, R, T Ste G Concord Twp, OH 44060 Languages Spoken: Languages Spoken: Provider: Spanish, Arabic, Provider: Spanish, Arabic, (440) 530-3500 EB, IB, P Languages Spoken: Spanish, English, Arabic Spanish, English, Arabic Provider: English Ages: 0-99 Ages: 0-99 Ages: 0-99 Armanazi, Mohammad Y, DDS, Ghreiwati, Nadine, DMD, (F) Slodov, Andrew J, DDS, (M) (M) Provider ID: 055188249228 Provider ID: 118248605150 Provider ID: 056113402790 NPI: 1396898805 NPI: 1902823651 NPI: 1083769806 9161 Mentor Ave 7541 Fredle Dr 8346 Mentor Ave Mentor, OH 44060 Concord, OH 44077 Mentor, OH 44060 (440) 974-9530 E, EB, IB, P, R, T (440) 266-5437 E, EB, IB, P, R (440) 357-9294 E, EB, IB, P, R, Languages Spoken: RE, T Languages Spoken: Provider: Spanish, Arabic, Languages Spoken: Provider: Arabic, English, Arabic English, Spanish, Arabic Provider: English Ages: 1-14 Ages: 0-99 Ages: 0-99 Brown, Lawrence E, DDS, (M) Mubarak, Mohammed A, DDS,

Pediatric Dentistry Provider ID: 056437250467 (M)

NPI: 1780726364 Provider ID: 075386249228 Alsaad, Ahmad M, DDS, (M) 2610 Hubbard Rd NPI: 1083831762 Provider ID: 109580729803 Madison, OH 44057 9161 Mentor Ave NPI: 1295966091 (440) 428-7290 EB, IB, P Mentor, OH 44060 7250 Center St Ste C Languages Spoken: (440) 974-9530 E, EB, IB, P, R, T Mentor, OH 44060 Provider: English (440) 701-8008 Ages: 2-18 Languages Spoken: Languages Spoken: Provider: Spanish, Arabic, Provider: Arabic, Arabic, English Spanish, English, Arabic Ages: 0-18 Ages: 0-99

712

Dental Providers Ohio - Lorain

Al Ashqar, Hani, DDS, (M) Alshami, Loiy N, DDS, (M) Periodontics Provider ID: 154223413308 Provider ID: 147012250419 Atarchi, Ahmed R, DDS, (M) NPI: 1730515628 NPI: 1457785362 Provider ID: 179524249228 5349 Oberlin Ave 4785 Leavitt Rd NPI: 1912473190 Lorain, OH 44053 Lorain, OH 44053 9161 Mentor Ave (330) 773-7100 E, EB, IB, P, R (440) 282-6677 E, EB, IB, P, R, Mentor, OH 44060 Languages Spoken: RE, T

(440) 974-9530 E, EB, IB, P, R, T Provider: Arabic, Arabic, English Languages Spoken: Ages: 0-99 Provider: Spanish, Arabic, Hindi, Languages Spoken: Spanish, Arabic, English Provider: Spanish, Arabic, Alsaad, Ahmad M, DDS, (M) Ages: 0-99 Spanish, English, Arabic Provider ID: 109580250419 Ages: 0-99 NPI: 1295966091 Alshami, Loiy N, DDS, (M) 4785 Leavitt Rd Provider ID: 147012413308 Nouneh, Imad E, DDS, (M) Lorain, OH 44053 NPI: 1457785362 Provider ID: 054808249228 (440) 282-6677 E, EB, IB, P, R, 5349 Oberlin Ave NPI: 1396729299 RE, T Lorain, OH 44053 9161 Mentor Ave Languages Spoken: (330) 773-7100 E, EB, IB, P, R Mentor, OH 44060 Provider: Spanish, Arabic, Hindi, Languages Spoken: (440) 974-9530 E, EB, IB, P, R, T Spanish, Arabic, English Provider: Arabic, Arabic, English Ages: 0-99 Ages: 0-99 Languages Spoken:

Provider: Spanish, Arabic, Alsaad, Ahmad M, DDS, (M) Alshami, Loiy N, DDS, (M) Spanish, English, Arabic Provider ID: 109580250668 Provider ID: 147012250668 Ages: 0-99 NPI: 1295966091 NPI: 1457785362

667 Chestnut Commons Dr 667 Chestnut Commons Dr Elyria, OH 44035 Elyria, OH 44035 Lorain

(440) 324-2310 E, EB, IB, P, R (440) 324-2310 E, EB, IB, P, R

Dentistry Languages Spoken: Languages Spoken:

Provider: Spanish, Arabic, Provider: Spanish, Arabic, Members may self-refer to these Spanish, English, Arabic, Spanish, English, Arabic, providers. Kanarese, French Kanarese, French Abuzakyah, Saad A, DDS, (M) Ages: 0-99 Ages: 0-99 Provider ID: 089902413308 NPI: 1396999504 5349 Oberlin Ave Lorain, OH 44053

(330) 773-7100 E, EB, IB, P, R Languages Spoken: Provider: Arabic, Arabic, English Ages: 0-99

713

Ohio - Lorain Dental Providers Asaad, Hossam, DMD, (M) Baghaie, Neena A, DMD, (F) Provider ID: 188086250419 Atarchi, Ahmed R, DDS, (M) Provider ID: 185764635060 NPI: 1790326999 Provider ID: 179524250419 NPI: 1457855082 4785 Leavitt Rd NPI: 1912473190 280 S Logan St Lorain, OH 44053 4785 Leavitt Rd Elyria, OH 44035

(440) 282-6677 E, EB, IB, P, R, Lorain, OH 44053 (440) 365-4151

RE, T (440) 282-6677 E, EB, IB, P, R, Languages Spoken: Languages Spoken: RE, T Provider: English Provider: Spanish, Arabic, Hindi, Languages Spoken: Ages: 0-99 Spanish, Arabic, English Provider: Spanish, Arabic, Hindi, Ages: 0-99 Spanish, Arabic, English Berning, Jeremy L, DMD, (M) Ages: 0-99 Provider ID: 173816635060 Asaad, Hossam, DMD, (M) NPI: 1821437666 Provider ID: 188086250668 Atarchi, Ahmed R, DDS, (M) 280 S Logan St NPI: 1790326999 Provider ID: 179524250668 Elyria, OH 44035

667 Chestnut Commons Dr NPI: 1912473190 (440) 365-4151 Elyria, OH 44035 667 Chestnut Commons Dr Languages Spoken:

(440) 324-2310 E, EB, IB, P, R Elyria, OH 44035 Provider: English

Languages Spoken: (440) 324-2310 E, EB, IB, P, R Ages: 0-99 Provider: Spanish, Arabic, Languages Spoken: Spanish, English, Arabic, Provider: Spanish, Arabic, Bous, Rany, DDS, (M) Kanarese, French Spanish, English, Arabic, Provider ID: 189626649738 Ages: 0-99 Kanarese, French NPI: 1679923023 Ages: 0-99 280 S Logan St Asaad, Reem, DMD, (F) Elyria, OH 44035 Provider ID: 164015635060 Bae, Seung Yeon, DMD, (F) (440) 365-4151 NPI: 1518317171 Provider ID: 185774635060 Languages Spoken: 280 S Logan St NPI: 1518452028 Provider: English Elyria, OH 44035 280 S Logan St Ages: 0-99

(440) 365-4151 Elyria, OH 44035

Languages Spoken: (440) 365-4151 Buckley, William F, DDS, (M) Provider: English Languages Spoken: Provider ID: 089545635060 Ages: 0-99 Provider: English NPI: 1366671133 Ages: 0-99 280 S Logan St Assad, Ramez M, DMD, (M) Elyria, OH 44035

Provider ID: 090653690160 (440) 365-4151 NPI: 1477751634 Languages Spoken: 695 Poplar St Provider: English Elyria, OH 44035 Ages: 0-99

(440) 365-9359 Languages Spoken: Provider: Arabic, English, Arabic Ages: 2-99

714

Dental Providers Ohio - Lorain Burgos, Julissa, DDS, (F) Chen, Jeffery, DDS, (M) Dai, Jia-Chun, DMD, (M) Provider ID: 193042635060 Provider ID: 054420250419 Provider ID: 054788250002 NPI: 1417570250 NPI: 1386628006 NPI: 1821291535 280 S Logan St 4785 Leavitt Rd 42707 North Ridge Rd Elyria, OH 44035 Lorain, OH 44053 Elyria, OH 44035

(440) 365-4151 (440) 282-6677 E, EB, IB, P, R, (440) 324-3441 E, EB, IB, P, R, Languages Spoken: RE, T RE Provider: English Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Spanish, Arabic, Hindi, Provider: Spanish, German, Spanish, Arabic, English Ukrainian, English, Spanish, Chane, Maya C, DMD, (F) Ages: 0-99 Chinese Provider ID: 111953250419 Ages: 0-99 NPI: 1306117650 Chen, Jeffery, DDS, (M) 4785 Leavitt Rd Provider ID: 054420250668 Dameri, Mohammed E, DMD, Lorain, OH 44053 NPI: 1386628006 (M)

(440) 282-6677 E, EB, IB, P, R, 667 Chestnut Commons Dr Provider ID: 185787635060 RE, T Elyria, OH 44035 NPI: 1114413945

Languages Spoken: (440) 324-2310 E, EB, IB, P, R 280 S Logan St Provider: Spanish, Arabic, Hindi, Languages Spoken: Elyria, OH 44035

Spanish, Arabic, English Provider: Spanish, Arabic, (440) 365-4151 Ages: 12-99 Spanish, English, Arabic, Languages Spoken: Kanarese, French Provider: English Chane, Maya C, DMD, (F) Ages: 0-99 Ages: 0-99 Provider ID: 111953250668 NPI: 1306117650 Dai, Jia-Chun, DMD, (M) Dergham, Dergham, DDS, (M) 667 Chestnut Commons Dr Provider ID: 054788635060 Provider ID: 095965250419 Elyria, OH 44035 NPI: 1821291535 NPI: 1396022703

(440) 324-2310 E, EB, IB, P, R 280 S Logan St 4785 Leavitt Rd Languages Spoken: Elyria, OH 44035 Lorain, OH 44053

Provider: Spanish, Arabic, (440) 365-4151 (440) 282-6677 E, EB, IB, P, R, English, Arabic, Kanarese, Languages Spoken: RE, T French, Spanish Provider: English Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Spanish, Arabic, Hindi, Spanish, Arabic, English Ages: 0-99

715

Ohio - Lorain Dental Providers Dergham, Dergham, DDS, (M) Doroghazi, Bethany L, DMD, (F) Doroghazi, Bethany L, DMD, (F) Provider ID: 095965250668 Provider ID: 109821622662 Provider ID: 109821976118 NPI: 1396022703 NPI: 1750646188 NPI: 1750646188 667 Chestnut Commons Dr 105 Louden Ct 801 Middle Ave Elyria, OH 44035 Elyria, OH 44035 Elyria, OH 44035

(440) 324-2310 E, EB, IB, P, R (440) 240-1655 E, EB, IB, P, PL, (440) 240-1655 Languages Spoken: R, T Languages Spoken: Provider: Spanish, Arabic, Languages Spoken: Provider: English Spanish, English, Arabic, Provider: English, Spanish, Ages: 0-99 Kanarese, French Spanish Ages: 0-99 Ages: 0-99 El-Khoury, Mabelle, DDS, (F) Provider ID: 055098635060 Dohar, Amanda, DDS, (F) Doroghazi, Bethany L, DMD, (F) NPI: 1770772626 Provider ID: 054471250419 Provider ID: 109821249213 280 S Logan St NPI: 1992755177 NPI: 1750646188 Elyria, OH 44035

4785 Leavitt Rd 1205 Broadway Ave (440) 365-4151 Lorain, OH 44053 Lorain, OH 44052 Languages Spoken:

(440) 282-6677 E, EB, IB, P, R, (440) 240-1655 E, EB, IB, P, PL, Provider: English RE, T R, T Ages: 0-99 Languages Spoken: Languages Spoken: Provider: Spanish, Arabic, Hindi, Provider: English, Spanish, Elbatawi, Deena, DDS, (F) Spanish, Arabic, English Spanish Provider ID: 196840250419 Ages: 0-99 Ages: 0-99 NPI: 1932696986 4785 Leavitt Rd Dohar, Amanda, DDS, (F) Doroghazi, Bethany L, DMD, (F) Lorain, OH 44053

Provider ID: 054471250668 Provider ID: 109821618145 (440) 282-6677 E, EB, IB, P, R, NPI: 1992755177 NPI: 1750646188 RE, T 667 Chestnut Commons Dr 260 S Main St Languages Spoken: Elyria, OH 44035 Oberlin, OH 44074 Provider: Spanish, Arabic,

(440) 324-2310 E, EB, IB, P, R (440) 240-1655 E, EB, IB, P, PL, Arabic, Hindi, English, Spanish Languages Spoken: R, T Ages: 0-99 Provider: Spanish, Arabic, Languages Spoken: Spanish, English, Arabic, Provider: Spanish, English, Elbatawi, Deena, DDS, (F) Kanarese, French Spanish Provider ID: 196840250668 Ages: 0-99 Ages: 0-99 NPI: 1932696986 667 Chestnut Commons Dr Elyria, OH 44035

(440) 324-2310 E, EB, IB, P, R Languages Spoken: Provider: Spanish, Arabic, Arabic, English, Spanish, Kanarese Ages: 0-99

716

Dental Providers Ohio - Lorain Galvez, Maria Elena S, DMD, (F) Elrawy, Hussein F, DDS, (M) Provider ID: 081558250419 Ghreiwati, Nadine, DMD, (F) Provider ID: 054582413308 NPI: 1225260789 Provider ID: 055188250419 NPI: 1568687903 4785 Leavitt Rd NPI: 1396898805 5349 Oberlin Ave Lorain, OH 44053 4785 Leavitt Rd

Lorain, OH 44053 (440) 282-6677 E, EB, IB, P, R, Lorain, OH 44053

(330) 773-7100 E, EB, IB, P, R RE, T (440) 282-6677 E, EB, IB, P, R, Languages Spoken: Languages Spoken: RE, T Provider: Arabic, Arabic, English Provider: Spanish, Arabic, Hindi, Languages Spoken: Ages: 0-99 Spanish, Arabic, English Provider: Spanish, Arabic, Ages: 1-99 Arabic, English, Spanish, Hindi Ezzie, Fida E, DDS, (F) Ages: 0-99 Provider ID: 057999250419 Galvez, Maria Elena S, DMD, (F) NPI: 1548368863 Provider ID: 081558250668 Ghreiwati, Nadine, DMD, (F) 4785 Leavitt Rd NPI: 1225260789 Provider ID: 055188250668 Lorain, OH 44053 667 Chestnut Commons Dr NPI: 1396898805

(440) 282-6677 E, EB, IB, P, R, Elyria, OH 44035 667 Chestnut Commons Dr

RE, T (440) 324-2310 E, EB, IB, P, R Elyria, OH 44035

Languages Spoken: Languages Spoken: (440) 324-2310 E, EB, IB, P, R Provider: Spanish, Arabic, Hindi, Provider: Spanish, Arabic, Languages Spoken: Spanish, Arabic, English Spanish, English, Arabic, Provider: Spanish, Arabic, Ages: 0-99 Kanarese, French Arabic, English, French, Ages: 1-99 Kanarese, Spanish Ezzie, Fida E, DDS, (F) Ages: 0-99 Provider ID: 057999250668 Geiss, Paul R, DDS, (M) NPI: 1548368863 Provider ID: 056027635060 Glowski, Edward J, DDS, (M) 667 Chestnut Commons Dr NPI: 1912925678 Provider ID: 055578635060 Elyria, OH 44035 280 S Logan St NPI: 1346285368

(440) 324-2310 E, EB, IB, P, R Elyria, OH 44035 280 S Logan St

Languages Spoken: (440) 365-4151 Elyria, OH 44035

Provider: Spanish, Arabic, Languages Spoken: (440) 365-4151 Arabic, Kanarese, French, Provider: English Languages Spoken: Spanish, English Ages: 0-99 Provider: English Ages: 0-99 Ages: 0-99 Ghazal, Feras H, DDS, (M) Provider ID: 157523413308 NPI: 1871938027 5349 Oberlin Ave Lorain, OH 44053

(330) 773-7100 E, EB, IB, P, R Languages Spoken: Provider: Arabic, Arabic, English Ages: 0-99

717

Ohio - Lorain Dental Providers Haddadeen, Yazan H, DDS, (M) Hudec, John A, DDS, (M) Provider ID: 096236413308 Provider ID: 055500635060 Jordan, Joy A, DDS, (F) NPI: 1205099520 NPI: 1295754240 Provider ID: 054911249213 5349 Oberlin Ave 280 S Logan St NPI: 1821261843 Lorain, OH 44053 Elyria, OH 44035 1205 Broadway Ave

(330) 773-7100 E, EB, IB, P, R (440) 365-4151 Lorain, OH 44052

Languages Spoken: Languages Spoken: (440) 240-1655 E, EB, IB, P, PL, Provider: Arabic, Arabic, English Provider: English R, T Ages: 0-99 Ages: 0-99 Languages Spoken: Provider: Spanish, Spanish, Hallgarth, Kevin J, DDS, (M) Jabboure, Jose P, DDS, (M) English Provider ID: 177265602640 Provider ID: 054912250419 Ages: 0-99 NPI: 1679640338 NPI: 1649378936 5311 Leavitt Rd 4785 Leavitt Rd Jordan, Joy A, DDS, (F) Ste 201 Lorain, OH 44053 Provider ID: 054911618145

Lorain, OH 44053 (440) 282-6677 E, EB, IB, P, R, NPI: 1821261843

(440) 787-2868 EB, IB, P RE, T 260 S Main St Languages Spoken: Languages Spoken: Oberlin, OH 44074

Provider: Arabic, English, Arabic Provider: Spanish, Arabic, Hindi, (440) 240-1655 E, EB, IB, P, PL, Ages: 0-99 Spanish, Arabic, English R, T Ages: 0-99 Languages Spoken: Hudec, Brian J, DMD, (M) Provider: Spanish, English, Provider ID: 178509635060 Jez, Joseph A, DDS, (M) Spanish NPI: 1780123042 Provider ID: 171411635060 Ages: 0-99 280 S Logan St NPI: 1568442937 Elyria, OH 44035 280 S Logan St Jordan, Joy A, DDS, (F)

(440) 365-4151 Elyria, OH 44035 Provider ID: 054911976118

Languages Spoken: (440) 365-4151 NPI: 1821261843 Provider: English Languages Spoken: 801 Middle Ave Ages: 0-99 Provider: English Elyria, OH 44035

Ages: 0-99 (440) 240-1655 Hudec, David E, DDS, (M) Languages Spoken: Provider ID: 055364635060 Jordan, Joy A, DDS, (F) Provider: English NPI: 1821016585 Provider ID: 054911622662 Ages: 0-99 280 S Logan St NPI: 1821261843 Elyria, OH 44035 105 Louden Ct

(440) 365-4151 Elyria, OH 44035

Languages Spoken: (440) 240-1655 E, EB, IB, P, PL, Provider: English R, T Ages: 0-99 Languages Spoken: Provider: Spanish, English, Spanish Ages: 0-99

718

Dental Providers Ohio - Lorain Kassim, Muhanad A, DDS, (M) Kirby, Karen C, DDS, (F) Kulick, Victor B, DDS, (M) Provider ID: 171309413308 Provider ID: 055092249213 Provider ID: 056837635060 NPI: 1053707430 NPI: 1609929777 NPI: 1033108493 5349 Oberlin Ave 1205 Broadway Ave 280 S Logan St Lorain, OH 44053 Lorain, OH 44052 Elyria, OH 44035

(330) 773-7100 E, EB, IB, P, R (440) 240-1655 E, EB, IB, P, PL, (440) 365-4151 Languages Spoken: R, T Languages Spoken: Provider: Arabic, English, Arabic Languages Spoken: Provider: English Ages: 0-99 Provider: Spanish, English, Ages: 0-99 Spanish Katharotiya, Pradip C, DDS, (M) Ages: 0-99 Kunchik, Joseph A, DDS, (M) Provider ID: 291395635060 Provider ID: 055986622662 NPI: 1588140990 Kramer, Sylvia M, DDS, (F) NPI: 1487668356 280 S Logan St Provider ID: 056681250419 105 Louden Ct Elyria, OH 44035 NPI: 1932199346 Elyria, OH 44035

(440) 365-4151 4785 Leavitt Rd (440) 240-1655 E, EB, IB, P, PL, Languages Spoken: Lorain, OH 44053 R, T

Provider: English (440) 282-6677 E, EB, IB, P, R, Languages Spoken: Ages: 0-99 RE, T Provider: Spanish, English, Languages Spoken: Spanish Kim, Dug Soo, DMD, (M) Provider: Spanish, Arabic, Hindi, Ages: 0-99 Provider ID: 116308635060 Spanish, Arabic, English NPI: 1114332046 Ages: 0-99 Kunchik, Joseph A, DDS, (M) 280 S Logan St Provider ID: 055986249213 Elyria, OH 44035 Kramer, Sylvia M, DDS, (F) NPI: 1487668356

(440) 365-4151 Provider ID: 056681250668 1205 Broadway Ave Languages Spoken: NPI: 1932199346 Lorain, OH 44052

Provider: English 667 Chestnut Commons Dr (440) 240-1655 E, EB, IB, P, PL, Ages: 0-99 Elyria, OH 44035 R, T

(440) 324-2310 E, EB, IB, P, R Languages Spoken: Kim, Suh Hee, DMD, (F) Languages Spoken: Provider: Spanish, Spanish, Provider ID: 163004635060 Provider: Spanish, Arabic, English NPI: 1285084483 Spanish, English, Arabic, Ages: 0-99 280 S Logan St Kanarese, French Elyria, OH 44035 Ages: 0-99

(440) 365-4151 Languages Spoken: Provider: English Ages: 0-99

719

Ohio - Lorain Dental Providers Kunchik, Joseph A, DDS, (M) Lorenzo, Caitlyn E, DDS, (F) Provider ID: 055986618145 Provider ID: 199118635060 Martins, Moshood, DDS, (M) NPI: 1487668356 NPI: 1285242800 Provider ID: 104444602640 260 S Main St 280 S Logan St NPI: 1962761411 Oberlin, OH 44074 Elyria, OH 44035 5311 Leavitt Rd

(440) 240-1655 E, EB, IB, P, PL, (440) 365-4151 Ste 201 R, T Languages Spoken: Lorain, OH 44053

Languages Spoken: Provider: English (440) 787-2868 EB, IB, P Provider: Spanish, English, Ages: 0-99 Languages Spoken: Spanish Provider: Arabic, English, Arabic Ages: 0-99 Lynn, Bradley S, DDS, (M) Ages: 1-99 Provider ID: 165329250002 Kunchik, Joseph A, DDS, (M) NPI: 1831579705 Massari, Jessica V, DDS, (F) Provider ID: 055986976118 42707 North Ridge Rd Provider ID: 110801635060 NPI: 1487668356 Elyria, OH 44035 NPI: 1932547304

801 Middle Ave (440) 324-3441 E, EB, IB, P, R, 280 S Logan St Elyria, OH 44035 RE Elyria, OH 44035

(440) 240-1655 Languages Spoken: (440) 365-4151 Languages Spoken: Provider: Spanish, English, Languages Spoken: Provider: English Spanish, Chinese, Ukrainian, Provider: English Ages: 0-99 German Ages: 0-99 Ages: 0-99 Leidenheimer, Stephen T, DDS, Michalski, Charlotte A, DDS, (F) (M) Mackert, Justin, DMD, (M) Provider ID: 088304250002 Provider ID: 056000250002 Provider ID: 193939635060 NPI: 1245328996 NPI: 1194859702 NPI: 1528685369 42707 North Ridge Rd 42707 North Ridge Rd 280 S Logan St Elyria, OH 44035

Elyria, OH 44035 Elyria, OH 44035 (440) 324-3441 E, EB, IB, P, R,

(440) 324-3441 E, EB, IB, P, R, (440) 365-4151 RE RE Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English, Spanish, Provider: Spanish, English, Ages: 0-99 Ukrainian, Spanish Spanish, Chinese, Ukrainian, Ages: 0-99 German Marino, Carlo, DDS, (M) Ages: 0-99 Provider ID: 056014630756 Mickles, Alicia J, DDS, (F) NPI: 1114908019 Provider ID: 174033635060 36855 American Way NPI: 1760897714 Suite 2a 280 S Logan St Avon, OH 44011 Elyria, OH 44035

(440) 695-3353 E, EB, IB, P, R, T (440) 365-4151 Languages Spoken: Languages Spoken: Provider: Italian, English, Italian Provider: English Ages: 4-99 Ages: 0-99

720

Dental Providers Ohio - Lorain Nouneh, Imad E, DDS, (M) Petrov, Velizar, DMD, (M) Mubarak, Mohammed A, DDS, Provider ID: 054808250419 Provider ID: 171148250002 (M) NPI: 1396729299 NPI: 1881098531 Provider ID: 075386250419 4785 Leavitt Rd 42707 North Ridge Rd NPI: 1083831762 Lorain, OH 44053 Elyria, OH 44035

4785 Leavitt Rd (440) 282-6677 E, EB, IB, P, R, (440) 324-3441 E, EB, IB, P, R, Lorain, OH 44053 RE, T RE

(440) 282-6677 E, EB, IB, P, R, Languages Spoken: Languages Spoken: RE, T Provider: Spanish, Arabic, Hindi, Provider: Spanish, English, Languages Spoken: Spanish, Arabic, English Spanish, Chinese, German, Provider: Spanish, Arabic, Hindi, Ages: 0-99 Ukrainian Spanish, Arabic, English Ages: 0-99 Ages: 0-99 Nouneh, Imad E, DDS, (M) Provider ID: 054808250668 Puliyel, Divya E, DDS, (F) Mubarak, Mohammed A, DDS, NPI: 1396729299 Provider ID: 185986250419 (M) 667 Chestnut Commons Dr NPI: 1891228524 Provider ID: 075386250668 Elyria, OH 44035 4785 Leavitt Rd

NPI: 1083831762 (440) 324-2310 E, EB, IB, P, R Lorain, OH 44053

667 Chestnut Commons Dr Languages Spoken: (440) 282-6677 E, EB, IB, P, R, Elyria, OH 44035 Provider: Spanish, Arabic, RE, T

(440) 324-2310 E, EB, IB, P, R Spanish, English, Arabic, Languages Spoken: Languages Spoken: Kanarese, French Provider: Spanish, Arabic, Hindi, Provider: Spanish, Arabic, Ages: 0-99 Spanish, Arabic, English Spanish, English, Arabic, Ages: 0-99 Kanarese, French Palma, Michael M, DMD, (M) Ages: 0-99 Provider ID: 090621602640 Puliyel, Divya E, DDS, (F) NPI: 1477655165 Provider ID: 185986250668 Nassif, Christopher T, DDS, (M) 5311 Leavitt Rd NPI: 1891228524 Provider ID: 054128630756 Ste 201 667 Chestnut Commons Dr NPI: 1932210788 Lorain, OH 44053 Elyria, OH 44035

36855 American Way (440) 787-2868 EB, IB, P (440) 324-2310 E, EB, IB, P, R Suite 2a Languages Spoken: Languages Spoken: Avon, OH 44011 Provider: Arabic, Arabic, English Provider: Spanish, Arabic,

(440) 695-3353 E, EB, IB, P, R, T Ages: 0-99 Spanish, English, Arabic, Languages Spoken: Kanarese, French Provider: Italian, English, Italian Ages: 0-99 Ages: 4-99

721

Ohio - Lorain Dental Providers Rasanow, Matthew, DDS, (M) Sagar, Jyoti, DMD, (F) Shneyderman, Julia I, DMD, (F) Provider ID: 178967250002 Provider ID: 056645250419 Provider ID: 185180249213 NPI: 1255827606 NPI: 1801970835 NPI: 1215422001 42707 North Ridge Rd 4785 Leavitt Rd 1205 Broadway Ave Elyria, OH 44035 Lorain, OH 44053 Lorain, OH 44052

(440) 324-3441 E, EB, IB, P, R, (440) 282-6677 E, EB, IB, P, R, (440) 240-1655 E, EB, IB, P, PL, RE RE, T R, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish, English, Provider: Spanish, Arabic, Hindi, Provider: Spanish, Spanish, Spanish, Chinese, Ukrainian, Spanish, Arabic, English English German Ages: 0-99 Ages: 0-99 Ages: 0-99 Sagar, Jyoti, DMD, (F) Shneyderman, Julia I, DMD, (F) Rico, James M, DDS, (M) Provider ID: 056645250668 Provider ID: 185180618145 Provider ID: 055227250419 NPI: 1801970835 NPI: 1215422001 NPI: 1285608851 667 Chestnut Commons Dr 260 S Main St 4785 Leavitt Rd Elyria, OH 44035 Oberlin, OH 44074

Lorain, OH 44053 (440) 324-2310 E, EB, IB, P, R (440) 240-1655 E, EB, IB, P, PL,

(440) 282-6677 E, EB, IB, P, R, Languages Spoken: R, T RE, T Provider: Spanish, Arabic, Languages Spoken: Languages Spoken: Spanish, English, Arabic, Provider: Spanish, English, Provider: Spanish, Arabic, Hindi, Kanarese, French Spanish Spanish, Arabic, English Ages: 2-99 Ages: 0-99 Ages: 1-99 Shneyderman, Julia I, DMD, (F) Shneyderman, Julia I, DMD, (F) Rico, James M, DDS, (M) Provider ID: 185180622662 Provider ID: 185180976118 Provider ID: 055227250668 NPI: 1215422001 NPI: 1215422001 NPI: 1285608851 105 Louden Ct 801 Middle Ave 667 Chestnut Commons Dr Elyria, OH 44035 Elyria, OH 44035

Elyria, OH 44035 (440) 240-1655 E, EB, IB, P, PL, (440) 240-1655

(440) 324-2310 E, EB, IB, P, R R, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: Spanish, Arabic, Provider: Spanish, English, Ages: 0-99 Spanish, English, Arabic, Spanish Kanarese, French Ages: 0-99 Ages: 1-99

722

Dental Providers Ohio - Lorain Simantiris, Daman P, DMD, (M) Tran, Terri T, DMD, (F) Walsh, Patrick J, DDS, (M) Provider ID: 107324677937 Provider ID: 053961635060 Provider ID: 162470618145 NPI: 1619238854 NPI: 1003957648 NPI: 1780093955 4560 Oberlin Ave 280 S Logan St 260 S Main St Lorain, OH 44053 Elyria, OH 44035 Oberlin, OH 44074

(440) 434-2990 E, EB, IB, P, R (440) 365-4151 (440) 240-1655 E, EB, IB, P, PL, Languages Spoken: Languages Spoken: R, T Provider: Albanian (Tosk), Provider: English Languages Spoken: English, Greek, Spanish Ages: 0-99 Provider: Spanish, English, Ages: 0-99 Spanish Walsh, Patrick J, DDS, (M) Ages: 0-99 Simpson, Stephen P, DDS, (M) Provider ID: 162470622662 Provider ID: 096465602640 NPI: 1780093955 Walsh, Patrick J, DDS, (M) NPI: 1558384610 105 Louden Ct Provider ID: 162470976118 5311 Leavitt Rd Elyria, OH 44035 NPI: 1780093955

Ste 201 (440) 240-1655 E, EB, IB, P, PL, 801 Middle Ave Lorain, OH 44053 R, T Elyria, OH 44035

(440) 787-2868 EB, IB, P Languages Spoken: (440) 240-1655 Languages Spoken: Provider: Spanish, English, Languages Spoken: Provider: Arabic, English, Arabic Spanish Provider: English Ages: 0-99 Ages: 0-99 Ages: 0-99

Soetanto, Jun A, DMD, (M) Walsh, Patrick J, DDS, (M) Williamson, Paulina, DDS, (F) Provider ID: 118560635060 Provider ID: 162470249213 Provider ID: 197042250419 NPI: 1154762599 NPI: 1780093955 NPI: 1558853036 280 S Logan St 1205 Broadway Ave 4785 Leavitt Rd Elyria, OH 44035 Lorain, OH 44052 Lorain, OH 44053

(440) 365-4151 (440) 240-1655 E, EB, IB, P, PL, (440) 282-6677 E, EB, IB, P, R, Languages Spoken: R, T RE, T Provider: English Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Spanish, Spanish, Provider: Spanish, Arabic, English Arabic, Spanish, Hindi, English Thabet, Walid R, DDS, (M) Ages: 0-99 Ages: 0-99 Provider ID: 107592413308 NPI: 1710113170 5349 Oberlin Ave Lorain, OH 44053

(330) 773-7100 E, EB, IB, P, R Languages Spoken: Provider: Arabic, Arabic, English Ages: 0-99

723

Ohio - Lorain Dental Providers Williamson, Paulina, DDS, (F) Simpson, Stephen P, DDS, (M) Provider ID: 197042250668 Hallgarth, Kevin J, DDS, (M) Provider ID: 096465602640 NPI: 1558853036 Provider ID: 177265602640 NPI: 1558384610 667 Chestnut Commons Dr NPI: 1679640338 5311 Leavitt Rd Elyria, OH 44035 5311 Leavitt Rd Ste 201

(440) 324-2310 E, EB, IB, P, R Ste 201 Lorain, OH 44053

Languages Spoken: Lorain, OH 44053 (440) 787-2868 EB, IB, P

Provider: Spanish, Arabic, (440) 787-2868 EB, IB, P Languages Spoken: Kanarese, English, Arabic, Languages Spoken: Provider: Arabic, English, Arabic Spanish Provider: Arabic, English, Arabic Ages: 0-99 Ages: 0-99 Ages: 0-99

Yarovitsky, Dmitriy M, DDS, (M) Martins, Moshood, DDS, (M) Pediatric Dentistry Provider ID: 166171635060 Provider ID: 104444602640 Alsaad, Ahmad M, DDS, (M) NPI: 1043674617 NPI: 1962761411 Provider ID: 109580250419 280 S Logan St 5311 Leavitt Rd NPI: 1295966091 Elyria, OH 44035 Ste 201 4785 Leavitt Rd (440) 365-4151 Lorain, OH 44053 Lorain, OH 44053

Languages Spoken: (440) 787-2868 EB, IB, P (440) 282-6677 E, EB, IB, P, R, Provider: English Languages Spoken: RE, T Ages: 0-99 Provider: Arabic, English, Arabic Languages Spoken: Ages: 1-99 Provider: Spanish, Arabic, Hindi, Yarovitsky, Irina A, DMD, (F) Spanish, Arabic, English Provider ID: 054140635060 Palma, Michael M, DMD, (M) Ages: 0-99 NPI: 1952435778 Provider ID: 090621602640 280 S Logan St NPI: 1477655165 Alsaad, Ahmad M, DDS, (M) Elyria, OH 44035 5311 Leavitt Rd Provider ID: 109580250668 (440) 365-4151 Ste 201 NPI: 1295966091 Languages Spoken: Lorain, OH 44053 667 Chestnut Commons Dr Provider: English (440) 787-2868 EB, IB, P Elyria, OH 44035

Ages: 0-99 Languages Spoken: (440) 324-2310 E, EB, IB, P, R Provider: Arabic, Arabic, English Languages Spoken: Ages: 0-99 Provider: Spanish, Arabic, Orthodontics Spanish, English, Arabic, Bous, Rany, DDS , (M) Kanarese, French Provider ID: 189626649738 Ages: 0-99 NPI: 1679923023 280 S Logan St Elyria, OH 44035 (440) 365-4151 Languages Spoken: Provider: English Ages: 0-99

724

Dental Providers Ohio - Lorain

Dergham, Dergham, DDS, (M) Ghreiwati, Nadine, DMD, (F) Provider ID: 095965250419 Provider ID: 055188250668 Periodontics NPI: 1396022703 NPI: 1396898805 Atarchi, Ahmed R, DDS, (M) 4785 Leavitt Rd 667 Chestnut Commons Dr Provider ID: 179524250419 Lorain, OH 44053 Elyria, OH 44035 NPI: 1912473190 (440) 282-6677 E, EB, IB, P, R, (440) 324-2310 E, EB, IB, P, R 4785 Leavitt Rd RE, T Languages Spoken: Lorain, OH 44053

Languages Spoken: Provider: Spanish, Arabic, (440) 282-6677 E, EB, IB, P, R, Provider: Spanish, Arabic, Hindi, Arabic, English, French, RE, T Spanish, Arabic, English Kanarese, Spanish Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: Spanish, Arabic, Hindi, Spanish, Arabic, English Dergham, Dergham, DDS, (M) Mubarak, Mohammed A, DDS, Ages: 0-99 Provider ID: 095965250668 (M) NPI: 1396022703 Provider ID: 075386250419 Atarchi, Ahmed R, DDS, (M) 667 Chestnut Commons Dr NPI: 1083831762 Provider ID: 179524250668 Elyria, OH 44035 4785 Leavitt Rd NPI: 1912473190 (440) 324-2310 E, EB, IB, P, R Lorain, OH 44053 667 Chestnut Commons Dr Languages Spoken: (440) 282-6677 E, EB, IB, P, R, Elyria, OH 44035

Provider: Spanish, Arabic, RE, T (440) 324-2310 E, EB, IB, P, R Spanish, English, Arabic, Languages Spoken: Languages Spoken: Kanarese, French Provider: Spanish, Arabic, Hindi, Provider: Spanish, Arabic, Ages: 0-99 Spanish, Arabic, English Spanish, English, Arabic, Ages: 0-99 Kanarese, French Ghreiwati, Nadine, DMD, (F) Ages: 0-99 Provider ID: 055188250419 Mubarak, Mohammed A, DDS, NPI: 1396898805 (M) Nouneh, Imad E, DDS, (M) 4785 Leavitt Rd Provider ID: 075386250668 Provider ID: 054808250419 Lorain, OH 44053 NPI: 1083831762 NPI: 1396729299 (440) 282-6677 E, EB, IB, P, R, 667 Chestnut Commons Dr 4785 Leavitt Rd RE, T Elyria, OH 44035 Lorain, OH 44053

Languages Spoken: (440) 324-2310 E, EB, IB, P, R (440) 282-6677 E, EB, IB, P, R, Provider: Spanish, Arabic, Languages Spoken: RE, T Arabic, English, Spanish, Hindi Provider: Spanish, Arabic, Languages Spoken: Ages: 0-99 Spanish, English, Arabic, Provider: Spanish, Arabic, Hindi, Kanarese, French Spanish, Arabic, English Ages: 0-99 Ages: 0-99

725

Ohio - Medina Dental Providers Nouneh, Imad E, DDS, (M) Alsaad, Ahmad M, DDS, (M) Atarchi, Ahmed R, DDS, (M) Provider ID: 054808250668 Provider ID: 109580679219 Provider ID: 179524679219 NPI: 1396729299 NPI: 1295966091 NPI: 1912473190 667 Chestnut Commons Dr 4184 Pearl Rd 4184 Pearl Rd Elyria, OH 44035 Ste 103 Ste 103

(440) 324-2310 E, EB, IB, P, R Medina, OH 44256 Medina, OH 44256

Languages Spoken: (330) 236-0677 E, EB, IB, P, R, (330) 236-0677 E, EB, IB, P, R, Provider: Spanish, Arabic, RE, T RE, T Spanish, English, Arabic, Languages Spoken: Languages Spoken: Kanarese, French Provider: English Provider: English Ages: 0-99 Ages: 0-99 Ages: 0-99

Alshami, Loiy N, DDS, (M) Barket, Steven J, DMD, (M) Medina Provider ID: 147012679219 Provider ID: 116556251120

NPI: 1457785362 NPI: 1891074860 Dentistry 4184 Pearl Rd 4800 Ledgewood Dr

Members may self-refer to these Ste 103 Medina, OH 44256 providers. Medina, OH 44256 (330) 723-9688 E, EB, IB, P, R,

(330) 236-0677 E, EB, IB, P, R, RE, T Al Yafi, Mhdfiras, DDS, (M) RE, T Languages Spoken: Provider ID: 197234385319 Languages Spoken: Provider: Spanish, English, NPI: 1710408794 Provider: English Spanish 2496 Medina Rd Ages: 0-99 Ages: 0-99 Medina, OH 44256 (330) 591-9917 EB, IB, P Asaad, Hossam, DMD, (M) Bazin, Hisham Alhadi M, DDS, Languages Spoken: Provider ID: 188086679219 (M) Provider: English NPI: 1790326999 Provider ID: 188758607150 Ages: 0-99 4184 Pearl Rd NPI: 1962942953 Ste 103 2736 Medina Rd Al Yafi, Mhdfiras, DDS, (M) Medina, OH 44256 Unit 114 Provider ID: 197234625888 (330) 236-0677 E, EB, IB, P, R, Medina, OH 44256 NPI: 1710408794 RE, T (330) 721-0606 E, EB, IB, P, R, T 2736 Medina Rd Languages Spoken: Languages Spoken: Ste 114 Provider: English Provider: English Medina, OH 44256 Ages: 0-99 Ages: 0-99 (330) 721-0606 E, R, RE Ages: 0-99

726

Dental Providers Ohio - Medina Conboy, Cole B, DMD, (M) Eaker, Gwen C, DDS, (F) Ezzie, Fida E, DDS, (F) Provider ID: 116073607150 Provider ID: 185070607150 Provider ID: 057999679219 NPI: 1881009249 NPI: 1760539852 NPI: 1548368863 2736 Medina Rd 2736 Medina Rd 4184 Pearl Rd Unit 114 Unit 114 Ste 103 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-0606 E, EB, IB, P, R, T (330) 721-0606 E, EB, IB, P, R, T (330) 236-0677 E, EB, IB, P, R, Languages Spoken: Languages Spoken: RE, T Provider: English Provider: English Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: English Ages: 0-99 Dematteo, Brian J, DDS, (M) Elbatawi, Deena, DDS, (F) Provider ID: 057893607150 Provider ID: 196840679219 Galvez, Maria Elena S, DMD, (F) NPI: 1376691378 NPI: 1932696986 Provider ID: 081558679219 2736 Medina Rd 4184 Pearl Rd NPI: 1225260789 Unit 114 Ste 103 4184 Pearl Rd Medina, OH 44256 Medina, OH 44256 Ste 103

(330) 721-0606 E, EB, IB, P, R, T (330) 236-0677 E, EB, IB, P, R, Medina, OH 44256

Languages Spoken: RE, T (330) 236-0677 E, EB, IB, P, R, Provider: English Languages Spoken: RE, T Ages: 0-99 Provider: English Languages Spoken: Ages: 0-99 Provider: English Dohar, Amanda, DDS, (F) Ages: 0-99 Provider ID: 054471679219 Elshebiny, Tarek, DDS, (M) NPI: 1992755177 Provider ID: 174510385319 Guthrie, Robert R, DDS, (M) 4184 Pearl Rd NPI: 1518345867 Provider ID: 114345437082 Ste 103 2496 Medina Rd NPI: 1235346651 Medina, OH 44256 Medina, OH 44256 111 Main St

(330) 236-0677 E, EB, IB, P, R, (330) 591-9917 EB, IB, P Wadsworth, OH 44281

RE, T Languages Spoken: (330) 336-5788 E, EB, IB, P, R Languages Spoken: Provider: English Languages Spoken: Provider: English Ages: 0-99 Provider: English Ages: 0-99 Ages: 0-99

Hallgarth, Kevin J, DDS, (M) Provider ID: 177265385319 NPI: 1679640338 2496 Medina Rd Medina, OH 44256

(330) 591-9917 EB, IB, P Languages Spoken: Provider: English Ages: 0-99

727

Ohio - Medina Dental Providers Misencik, Michael J, DDS, (M) Hanna, Nagy, DMD, (M) Provider ID: 055057975412 Nouneh, Imad E, DDS, (M) Provider ID: 157284607150 NPI: 1902048754 Provider ID: 054808679219 NPI: 1689025454 109 Harris St NPI: 1396729299 2736 Medina Rd Lodi, OH 44254 4184 Pearl Rd

Unit 114 (330) 302-4005 Ste 103 Medina, OH 44256 Languages Spoken: Medina, OH 44256

(330) 721-0606 E, EB, IB, P, R, T Provider: English (330) 236-0677 E, EB, IB, P, R, Languages Spoken: Ages: 3-99 RE, T Provider: English Languages Spoken: Ages: 0-99 Mok, Sheu-Lun J, DMD, (M) Provider: English Provider ID: 146636607150 Ages: 0-99 Karbassi, Alireza, DMD, (M) NPI: 1144509225 Provider ID: 055205249351 2736 Medina Rd Palma, Michael M, DMD, (M) NPI: 1851325062 Unit 114 Provider ID: 090621385319 3705 Medina Rd Ste C Medina, OH 44256 NPI: 1477655165

Medina, OH 44256 (330) 721-0606 E, EB, IB, P, R, T 2496 Medina Rd

(330) 723-4800 E, EB, IB, P, R Languages Spoken: Medina, OH 44256

Languages Spoken: Provider: English (330) 591-9917 EB, IB, P Provider: English, Persian Ages: 1-99 Languages Spoken: Ages: 7-99 Provider: English Morcos Ebied, Sherif, DDS, (M) Ages: 0-99 Karbassi, Alireza, DMD, (M) Provider ID: 293362385319 Provider ID: 055205424522 NPI: 1740872266 Puliyel, Divya E, DDS, (F) NPI: 1851325062 2496 Medina Rd Provider ID: 185986679219 4003 Center Rd Medina, OH 44256 NPI: 1891228524

Brunswick, OH 44212 (330) 591-9917 EB, IB, P 4184 Pearl Rd

(330) 220-8002 E, EB, IB, P, R, T Languages Spoken: Ste 103 Provider: English Medina, OH 44256 Languages Spoken: Ages: 0-99 (330) 236-0677 E, EB, IB, P, R, Provider: Iranian, Iranian, RE, T English Mubarak, Mohammed A, DDS, Languages Spoken: Ages: 0-99 (M) Provider: English Provider ID: 075386679219 Ages: 0-99 Martins, Moshood, DDS, (M) NPI: 1083831762 Provider ID: 104444385319 4184 Pearl Rd NPI: 1962761411 Ste 103 2496 Medina Rd Medina, OH 44256 Medina, OH 44256 (330) 236-0677 E, EB, IB, P, R, (330) 591-9917 EB, IB, P RE, T Languages Spoken: Languages Spoken: Provider: English Provider: English Ages: 7-99 Ages: 0-99

728

Dental Providers Ohio - Medina Qureshi, Andleeb Z, DMD, (F) Sagar, Jyoti, DMD, (F) Williamson, Paulina, DDS, (F) Provider ID: 174561607150 Provider ID: 056645679219 Provider ID: 197042679219 NPI: 1053822817 NPI: 1801970835 NPI: 1558853036 2736 Medina Rd 4184 Pearl Rd 4184 Pearl Rd Unit 114 Ste 103 Ste 103 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-0606 E, EB, IB, P, R, T (330) 236-0677 E, EB, IB, P, R, (330) 236-0677 E, EB, IB, P, R, Languages Spoken: RE, T RE, T Provider: English Languages Spoken: Languages Spoken: Ages: 0-99 Provider: English Provider: English Ages: 0-99 Ages: 0-99 Reddy, Sailaja G, DMD, (F) Provider ID: 056289641551 Seneviratne, Saliya S, DMD, (M) Wilson, N S, DDS, (M) NPI: 1356445043 Provider ID: 155340607150 Provider ID: 053979607150 3617 Reserve Commons Dr NPI: 1801257282 NPI: 1780763730 Medina, OH 44256 2736 Medina Rd 2736 Medina Rd

(330) 722-7060 E, EB, IB, P, R, Unit 114 Unit 114 RE Medina, OH 44256 Medina, OH 44256

Languages Spoken: (330) 721-0606 E, EB, IB, P, R, T (330) 721-0606 E, EB, IB, P, R, T Provider: English Languages Spoken: Languages Spoken: Ages: 4-99 Provider: English Provider: English Ages: 0-99 Ages: 0-99 Rico, James M, DDS, (M) Provider ID: 055227679219 Simpson, Stephen P, DDS, (M) NPI: 1285608851 Provider ID: 096465385319 Orthodontics 4184 Pearl Rd NPI: 1558384610 Elshebiny, Tarek, DDS, (M) Ste 103 2496 Medina Rd Provider ID: 174510385319 Medina, OH 44256 Medina, OH 44256 NPI: 1518345867 (330) 236-0677 E, EB, IB, P, R, (330) 591-9917 EB, IB, P 2496 Medina Rd RE, T Languages Spoken: Medina, OH 44256

Languages Spoken: Provider: English (330) 591-9917 EB, IB, P Provider: English Ages: 0-99 Languages Spoken: Ages: 0-99 Provider: English Ages: 0-99

729

Ohio - Medina Dental Providers Hallgarth, Kevin J, DDS, (M) Morcos Ebied, Sherif, DDS, (M) Provider ID: 177265385319 Provider ID: 293362385319 Mubarak, Mohammed A, DDS, NPI: 1679640338 NPI: 1740872266 (M) 2496 Medina Rd 2496 Medina Rd Provider ID: 075386679219 Medina, OH 44256 Medina, OH 44256 NPI: 1083831762

(330) 591-9917 EB, IB, P (330) 591-9917 EB, IB, P 4184 Pearl Rd Languages Spoken: Languages Spoken: Ste 103 Provider: English Provider: English Medina, OH 44256

Ages: 0-99 Ages: 0-99 (330) 236-0677 E, EB, IB, P, R, RE, T Karbassi, Alireza, DMD, (M) Palma, Michael M, DMD, (M) Languages Spoken: Provider ID: 055205249351 Provider ID: 090621385319 Provider: English NPI: 1851325062 NPI: 1477655165 Ages: 0-99 3705 Medina Rd Ste C 2496 Medina Rd Medina, OH 44256 Medina, OH 44256 Periodontics (330) 723-4800 E, EB, IB, P, R (330) 591-9917 EB, IB, P Languages Spoken: Languages Spoken: Atarchi, Ahmed R, DDS, (M) Provider: English, Persian Provider: English Provider ID: 179524679219 Ages: 7-99 Ages: 0-99 NPI: 1912473190 4184 Pearl Rd Karbassi, Alireza, DMD, (M) Simpson, Stephen P, DDS, (M) Ste 103 Provider ID: 055205424522 Provider ID: 096465385319 Medina, OH 44256

NPI: 1851325062 NPI: 1558384610 (330) 236-0677 E, EB, IB, P, R, 4003 Center Rd 2496 Medina Rd RE, T Brunswick, OH 44212 Medina, OH 44256 Languages Spoken: (330) 220-8002 E, EB, IB, P, R, T (330) 591-9917 EB, IB, P Provider: English Languages Spoken: Ages: 0-99 Languages Spoken: Provider: English Provider: Iranian, Iranian, Ages: 0-99 Nouneh, Imad E, DDS, (M) English Provider ID: 054808679219 Ages: 0-99 NPI: 1396729299 Pediatric Dentistry 4184 Pearl Rd Martins, Moshood, DDS, (M) Alsaad, Ahmad M, DDS, (M) Ste 103 Provider ID: 104444385319 Provider ID: 109580679219 Medina, OH 44256 NPI: 1962761411 NPI: 1295966091 (330) 236-0677 E, EB, IB, P, R, 2496 Medina Rd 4184 Pearl Rd RE, T Medina, OH 44256 Ste 103 Languages Spoken: (330) 591-9917 EB, IB, P Medina, OH 44256 Provider: English Languages Spoken: (330) 236-0677 E, EB, IB, P, R, Ages: 0-99 Provider: English RE, T Ages: 7-99 Languages Spoken: Provider: English Ages: 0-99

730

Vision Providers Ohio - Lake

Vision Providers

Lake Ohio Optometry

Members may self-refer to these Ophthalmology Geauga

providers.

Members may self-refer to these Ophthalmology Barkan, Dawn M, OD, (F) providers. Group Name: Ophthalmology & Members may self-refer to these Oclplstc Surgery Beharry, Nicole C, MD, (F), B providers. Provider ID: 002296451001 Group Name: Retina Specialists Adams, Matthew K, MD, (M), B NPI: 1235238825 Of Ohio Group Name: Ophthalmology & 150 7th Ave Ste 100 Provider ID: 003634576003 Oclplstc Surgery Chardon, OH 44024 NPI: 1811125826 Provider ID: 006724625004 (440) 285-2020 EB, P, R, RE, T 34950 Chardon Rd Ste 102 NPI: 1124361076 Mo-Fr - 8:30 AM - 4:30 PM Willoughby Hills, OH 44094 150 7th Ave Ste 100 Sa - 8:00 AM - 12:00 PM (440) 975-8200 EB, IB, P, R, RE, Chardon, OH 44024 Ages: 0-99 S, T

(440) 285-2020 EB, P, R, RE, T Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Barkan, Dawn M, OD, (F) Cultural Competency: Y Hospital Affiliations: Group Name: Ophthalmology & Ages: 0-99 Childrens Hospital Med Ctr Akron Oclplstc Surgery Hospital Affiliations: Provider ID: 002296451002 Summa Health System Rom, Michael E, MD, (M), B NPI: 1235238825 Akron General Medical Ctr Group Name: Michael E Rom Md 150 Seventh Ave Provider ID: 001286972002 Chardon, OH 44024 Belkin, Julie K, MD, (F), B NPI: 1982643102 (440) 285-2020 EB, P, R Group Name: University 13170 Ravenna Rd Ste 204 Ages: 0-99 Hospitals Medical Group Chardon, OH 44024 Provider ID: 001338058001

(440) 286-1188 E, EB, IB, P, R, NPI: 1841223146 RE, S, T 4212 State Rt 306 Languages Spoken: Willoughby, OH 44094 Provider: Hebrew (216) 844-3601 EB, P, R Mo-Fr - 9:00 AM - 4:00 PM Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Web address: www.insighteyecenter Ages: 0-99 .com Hospital Affiliations: Ages: 0-99 Metrohealth Medical Center Hospital Affiliations: Uh Cleveland Medical Center Uh Geauga Medical Center St Vincent Charity Medical Center University Hospitals Geauga Rainbow Babies & Childrens Medical Ctr Hosp Highlands Hospital

731

Ohio - Lake Vision Providers Bello, Victor M, MD, (M), B Chung, Anthony T, MD, (M) Eippert, Gregory A, MD, (M), B Group Name: Retina Specialists Group Name: University Group Name: Ophthalmic Of Ohio Hospitals Medical Group Inc. Physicians Provider ID: 000524899002 Provider ID: CHUN479 Provider ID: 001572514002 NPI: 1326029554 NPI: 1104276617 NPI: 1730181934 34950 Chardon Rd Ste 102 9485 Mentor Avenue 8140 Norton Pkwy Ste 110 Willoughby Hills, OH 44094 Suite 1 Mentor, OH 44060

(440) 975-8200 EB, IB, P, R, RE, Mentor, OH 44060 (440) 255-1115 EB, P, R, RE, S,

S, T (216) 844-3601 T Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Provider: French, Italian, Ages: 0-99 Hospital Affiliations: Portuguese, Spanish Lake Health Mo-Fr - 8:30 AM - 2:00 PM Coney, Joseph M, MD, (M), B Uh Cleveland Medical Center Ages: 0-99 Group Name: Retina Associates Hospital Affiliations: Of Cleveland Happ-Smith, Carrie S, MD, (F), B Euclid Hospital Provider ID: 002480176001 Group Name: Ophthalmic NPI: 1528007101 Physicians Chung, Anthony T, MD, (M) 9485 Mentor Ave Ste 110 Provider ID: 005647229002 Group Name: University Mentor, OH 44060 NPI: 1124306485

Hospitals Medical Group (440) 205-4444 E, EB, P, R, RE, 8140 Norton Pkwy Ste 110 Provider ID: 007480422001 S, T Mentor, OH 44060

NPI: 1104276617 Sa - 8:00 AM - 1:00 PM (440) 255-1115 EB, P, R, RE, S, 9000 Mentor Ave Ste 102 Cultural Competency: Y T Mentor, OH 44060 Ages: 0-99 Ages: 0-99

(216) 844-3601 EB, P, R, RE, T Hospital Affiliations: Hospital Affiliations: Summa Health System Lake Health Mo-Fr - 8:30 AM - 4:30 PM Akron General Medical Ctr Ages: 18-99 Lakewood Hospital Hudak, Donald T, MD, (M), B Hospital Affiliations: Cleveland Clinic Lakewood Group Name: University Uh Cleveland Medical Center Upmc Horizon Hospitals Medical Group St Elizabeth Youngstown Hospital Provider ID: 002668732001 Chung, Anthony T, MD, (M) Southwest General Health Center NPI: 1396709234 Group Name: University Uh Parma Medical Center 4212 State Route 306 Ste 120 Hospitals Medical Group Inc. Willoughby, OH 44094 Provider ID: CHUN476 (216) 844-4780 EB, P, R NPI: 1104276617 Languages Spoken: 9000 Mentor Avenue Provider: Spanish Suite 102 Ages: 0-99 Mentor, OH 44060 Hospital Affiliations: (216) 844-3601 Atrium Medical Center Mo-Fr - 8:00 AM - 4:30 PM Children's Hospital Medical Ages: 0-99 Center Bethesda Hospital

732

Vision Providers Ohio - Lake Good Samaritan Hospital Hospital Affiliations: Novak, Michael A, MD, (M), B University Of Cincinnati Medical Euclid Hospital Group Name: Retina Associates Center St Vincent Charity Medical Center Of Cleveland Trihealth Evendale Hospital Provider ID: 000001949001 Good Samaritan Louis, Gregory J, MD, (M) NPI: 1265437867 Hospital-evendale Group Name: Cataract Eye 9485 Mentor Ave Ste 211 Center Mentor, OH 44060

Ice, Seema J, MD, (F), B Provider ID: LOUI082 (440) 205-4444 EB, P, R Group Name: Ice Ophthalmology NPI: 1346237344 Sa - 8:00 AM - 1:00 PM Provider ID: 003088068004 35010 Chardon Road Cultural Competency: Y NPI: 1184833873 Building Iv Suite 102 Ages: 0-99 2141 Mentor Ave Willoughby, OH 44094 Hospital Affiliations:

Painesville, OH 44077 (216) 574-8900 Hillcrest Hospital

(440) 354-6900 EB, P, R Mo-Fr - 8:00 AM - 4:00 PM Lakewood Hospital Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Cleveland Clinic Lakewood Ages: 0-99 Lutheran Hospital Hospital Affiliations: Novak, Michael A, MD, (M), B Uh Parma Medical Center Lake Health Group Name: Retina Associates University Hospitals Parma Southwest General Health Center Of Cleveland Medical Ctr Provider ID: 000001949001 Lane, James S, MD, (M), B NPI: 1265437867 Perla, Bernard D, MD, (M), B Group Name: Cleveland Clinic 9485 Mentor Ave Ste 110 Group Name: Lake Health Allied Foundation Mentor, OH 44060 Health Professionals

Provider ID: 003369108002 (440) 205-4444 E, EB, P, R, RE, Provider ID: 001356433002 NPI: 1013023829 S, T NPI: 1790774370 2550 Som Center Rd Sa - 8:00 AM - 1:00 PM 36100 Euclid Ave Ste 450 Willoughby Hills, OH 44094 Cultural Competency: Y Willoughby, OH 44094

(440) 943-2500 EB, P, R Ages: 0-99 (440) 946-9555 EB, P, R Ages: 0-99 Hospital Affiliations: Mo-Fr - 8:15 AM - 5:00 PM Hospital Affiliations: Hillcrest Hospital Ages: 0-99 Cleveland Clinic Foundation Lakewood Hospital Hospital Affiliations: Cleveland Clinic Lakewood Lake Health Louis, Gregory J, MD, (M), B Lutheran Hospital Metrohealth Medical Center Group Name: Cataract Eye Ctr Uh Parma Medical Center Fairview Hospital Of Cleve University Hospitals Parma St John Medical Center Provider ID: 000899862001 Medical Ctr St Vincent Charity Medical Center NPI: 1346237344 35010 Chardon Rd Ste 102 Willoughby Hills, OH 44094

(216) 574-8900 E, EB, G, IB, P, PL, R, RE, S, T Cultural Competency: Y Ages: 0-99

733

Ohio - Lake Vision Providers Pham, Hang T, MD, (F), B Rom, Michael E, MD, (M), B Salamon, Samuel M, MD, (M) Group Name: Retina Associates Group Name: Michael E Rom Md Group Name: Cataract Eye Of Cleveland Provider ID: 001286972002 Center Provider ID: 006741771008 NPI: 1982643102 Provider ID: SALA142 NPI: 1972920296 9485 Mentor Ave Ste 200 NPI: 1275520322 9485 Mentor Ave Ste 110 Mentor, OH 44060 35010 Chardon Road

Mentor, OH 44060 (440) 205-5840 EB, P, R Building Iv Suite 102

(440) 205-4444 E, EB, P, R, RE, Languages Spoken: Willoughby, OH 44094

S, T Provider: Hebrew (216) 574-8900 Languages Spoken: Staff: Croatian Languages Spoken: Provider: Vietnamese Mo-Fr - 8:30 AM - 4:00 PM Provider: Hebrew Ages: 0-99 Cultural Competency: Y Interpreter: Hebrew Web address: www.insighteyecenter Mo-Fr - 8:00 AM - 4:00 PM Platt, Sean M, MD, (M), B .com Ages: 0-99 Group Name: Retina Associates Ages: 0-99 Of Cleveland Hospital Affiliations: Schartman, Jerome P, MD, (M), B Provider ID: 006036338002 Uh Geauga Medical Center Group Name: Retina Associates NPI: 1518252915 University Hospitals Geauga Of Cleveland 9485 Mentor Ave Ste 110 Medical Ctr Provider ID: 002832947001 Mentor, OH 44060 Highlands Hospital NPI: 1912113069

(440) 205-4444 E, EB, P, R, RE, 9485 Mentor Ave Ste 110 S, T Salamon, Samuel M, MD, (M), B Mentor, OH 44060

Ages: 0-99 Group Name: Cataract Eye Ctr (440) 205-4444 E, EB, P, R, RE, Of Cleve S, T Purgert, Robert J, MD, (M) Provider ID: 000169597001 Cultural Competency: Y Group Name: Ophthalmic NPI: 1275520322 Web address: www.retina-doctors.c Physicians 35010 Chardon Rd Bldg Iv102 om Provider ID: 007147336004 Willoughby Hills, OH 44094 Ages: 0-99

NPI: 1831583129 (216) 574-8900 EB, P, R Hospital Affiliations: 9485 Mentor Ave Ste 110 Languages Spoken: Summa Health System Mentor, OH 44060 Provider: Hebrew, Yiddish Albany Medical Ctr South Clincal

(440) 255-1555 E, EB, P, R, RE, Cultural Competency: Y Albany Medical Center Hospital S, T Ages: 0-99 Lakewood Hospital Ages: 0-99 Hospital Affiliations: Cleveland Clinic Lakewood Hospital Affiliations: Euclid Hospital Uh Parma Medical Center Lake Health St Vincent Charity Medical Center University Hospitals Parma Wills Eye Hospital Medical Ctr Thomas Jefferson Univ Hsp Albany Memorial Hospital

734

Vision Providers Ohio - Lake Shafran, Tamar B, MD, (F), B Shin, Carl K, MD, (M), B Singerman, Lawrence J, MD, (M), Group Name: Cataract Eye Ctr Group Name: Ice Ophthalmology B Of Cleve Provider ID: 000158308002 Group Name: Retina Associates Provider ID: 005207652002 NPI: 1326046251 Of Cleveland NPI: 1306167135 2141 Mentor Ave Provider ID: 000604208001 35010 Chardon Rd Bldg Iv102 Painesville, OH 44077 NPI: 1780678029

Willoughby Hills, OH 44094 (440) 354-6900 EB, P, R 9485 Mentor Ave Ste 211

(216) 574-8900 EB, P, R Languages Spoken: Mentor, OH 44060

Ages: 0-99 Provider: Korean (440) 205-4444 EB, P, R Hospital Affiliations: Mo-Fr - 8:00 AM - 4:30 PM Sa - 8:00 AM - 1:00 PM Uh Cleveland Medical Center Ages: 0-99 Ages: 0-99 Rainbow Babies & Childrens Hospital Affiliations: Hospital Affiliations: Hosp Lake Health Umhc Bascom Palmer Eye Institute Shafran, Tamar B, MD, (F), B Singerman, Lawrence J, MD, (M), Dmoi Group Name: Cataract Eye Ctr B Summa Health System Of Cleve Group Name: Retina Associates Hillcrest Hospital Provider ID: 005207652002 Of Cleveland Lakewood Hospital NPI: 1306167135 Provider ID: 000604208001 Cleveland Clinic Lakewood 35010 Chardon Rd Ste 102 NPI: 1780678029 Southwest General Health Center Willoughby Hills, OH 44094 9485 Mentor Ave Ste 110 Uh Parma Medical Center

(216) 574-8900 E, EB, G, IB, P, Mentor, OH 44060

PL, R, RE, S, T (440) 205-4444 E, EB, P, R, RE, Sozeri, Yasemin G, MD, (F) Mo-Fr - 8:00 AM - 4:30 PM S, T Group Name: University Ages: 0-99 Ages: 0-99 Hospitals Medical Group Hospital Affiliations: Hospital Affiliations: Provider ID: 006860139002 Uh Cleveland Medical Center Umhc Bascom Palmer Eye NPI: 1215343827 Rainbow Babies & Childrens Institute 9000 Mentor Ave Ste 102 Hosp Dmoi Mentor, OH 44060

Summa Health System (216) 383-5900 EB, P, R, RE, T Shafran, Tamar B, MD, (F) Hillcrest Hospital Group Name: Cataract Eye Lakewood Hospital Languages Spoken: Center Cleveland Clinic Lakewood Provider: German, Turkish Provider ID: SHAF182 Southwest General Health Center Mo-Fr - 8:30 AM - 4:30 PM NPI: 1306167135 Uh Parma Medical Center Ages: 0-99 35010 Chardon Road Hospital Affiliations: Building Iv Suite 102 Eskenazi Health Willoughby, OH 44094 Iu Health University Hospital Iu Health Methodist Hospital (216) 574-8900 Mo-Fr - 8:00 AM - 3:00 PM Iu Health West Hospital Ages: 0-99 Iu Health North Hospital

735

Ohio - Lake Vision Providers

Sozeri, Yasemin G, MD, (F) Wyszynski, Richard E, MD, (M), Group Name: University Primary B Optometry

Care Practices, Inc Group Name: Vitreo Retinal Members may self-refer to these Provider ID: SOZE012 Consultants providers.

NPI: 1215343827 Provider ID: 001139022006 9000 Mentor Avenue NPI: 1134121577 Cherne, Robert M, OD, (M) Suite 102 2163 Mentor Ave Group Name: University Primary Mentor, OH 44060 Painesville, OH 44077 Care Practices Provider ID: 000935849001 (216) 844-3601 (440) 918-7417 P, R, RE, T Mo,Tu,We,Fr - 8:00 AM - 4:30 PM Web address: www.eyecareassociat NPI: 1063525483 Sa - 8:00 AM - 11:00 AM es.com 9000 Mentor Ave Ste 102 Ages: 0-99 Ages: 0-99 Mentor, OH 44060 Hospital Affiliations: (440) 974-4141 EB, P, R, RE, T Stephens, Donald C, MD, (M), B Cleveland Clinic Foundation Mo-Fr - 7:30 AM - 5:00 PM Group Name: Retina Specialists Hillcrest Hospital Sa - 7:30 AM - 12:00 PM Of Ohio Northside Medical Center Cultural Competency: Y Provider ID: 002048628001 Steward Northside Medical Center Ages: 0-99 NPI: 1952304685 St Elizabeth Youngstown Hospital Hospital Affiliations: 34950 Chardon Rd Ste 102 Uh Cleveland Medical Center Uh Cleveland Medical Center Willoughby Hills, OH 44094 (440) 975-8200 EB, IB, P, R, RE, Wyszynski, Richard E, MD, (M), Stokkermans, Thomas J, OD, (M) S, T B Group Name: University Languages Spoken: Group Name: Vitreo Retinal Hospitals Medical Group Provider: Italian, Spanish Consultants Provider ID: 001989152001 Mo-Fr - 8:00 AM - 4:00 PM Provider ID: 001139022006 NPI: 1073539870 Cultural Competency: Y NPI: 1134121577 7787 Mentor Ave Ages: 0-99 8140 Norton Pkwy Ste 230 Mentor, OH 44060 Hospital Affiliations: Mentor, OH 44060 (216) 844-3601 EB, P, R Robinson Memorial Hospital (440) 918-7417 EB, P, R Languages Spoken: Uh Portage Medical Center Web address: www.eyecareassociat Provider: Dutch Callahan Eye Foundation Hospital es.com Mo-Fr - 8:30 AM - 4:30 PM Summa Health System Ages: 0-99 Cultural Competency: Y Childrens Hospital Med Ctr Akron Hospital Affiliations: Ages: 0-99 Akron General Medical Ctr Cleveland Clinic Foundation Hospital Affiliations: Metrohealth Medical Center Hillcrest Hospital Uh Cleveland Medical Center Medina Hospital Northside Medical Center St Vincent Charity Medical Center Steward Northside Medical Center St Elizabeth Youngstown Hospital Uh Cleveland Medical Center

736

Vision Providers Ohio - Lorain Tuten, Weston C, OD, (M) Babiuch, Allison E, MD, (F), B Lakewood Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Cleveland Clinic Lakewood Foundation Foundation Provider ID: 006463735001 Provider ID: 003702404001 Babiuch, Amy S, MD, (F), B NPI: 1770010001 NPI: 1033347026 Group Name: Cleveland Clinic 2550 Som Center Rd 33100 Cleveland Clinic Blvd Foundation Willoughby Hills, OH 44094 Avon, OH 44011 Provider ID: 003107633002

(440) 943-2500 (440) 695-4600 EB, P, R NPI: 1720240922 Ages: 0-12 Cultural Competency: Y 33100 Cleveland Clinic Blvd Ages: 0-99 Avon, OH 44011

Hospital Affiliations: (440) 695-4010 EB, P, R Lorain Metrohealth Medical Center Ages: 0-99

Cleveland Clinic Foundation Hospital Affiliations: Ophthalmology Hillcrest Hospital Cleveland Clinic Foundation

Members may self-refer to these Fairview Hospital Lakewood Hospital providers. Cleveland Clinic Lakewood

Babiuch, Allison E, MD, (F), B Adams, Matthew K, MD, (M), B Group Name: Cleveland Clinic Babiuch, Amy S, MD, (F), B Group Name: Retina Associates Foundation Group Name: Cleveland Clinic Of Cleveland Provider ID: 003702404001 Foundation Provider ID: 006724625002 NPI: 1033347026 Provider ID: 003107633002 NPI: 1124361076 450 Avon Belden Rd NPI: 1720240922 36991 American Way Avon Lake, OH 44012 450 Avon Belden Rd Avon, OH 44011 (440) 933-8300 EB, P, R Avon Lake, OH 44012 (440) 366-6969 E, EB, G, IB, P, Cultural Competency: Y (440) 933-8300 EB, P, R PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Metrohealth Medical Center Cleveland Clinic Foundation Childrens Hospital Med Ctr Akron Cleveland Clinic Foundation Lakewood Hospital Hillcrest Hospital Cleveland Clinic Lakewood Adams, Matthew K, MD, (M), B Fairview Hospital Group Name: Retina Associates Babiuch, Amy S, MD, (F), B Of Cleveland Babiuch, Amy S, MD, (F), B Group Name: Cleveland Clinic Provider ID: 006724625002 Group Name: Cleveland Clinic Foundation NPI: 1124361076 Foundation Provider ID: 003107633002 6100 S Broadway Ste 200 Provider ID: 003107633002 NPI: 1720240922 Lorain, OH 44053 NPI: 1720240922 5700 Cooper Foster Park Rd W (440) 233-6100 EB, P, R, RE, T 303 Chestnut Commons Dr Lorain, OH 44053 Sa - 8:00 AM - 2:00 PM Elyria, OH 44035 (440) 988-4040 EB, IB, P, R, RE, T Ages: 0-99 (440) 366-9444 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Childrens Hospital Med Ctr Akron Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Lakewood Hospital

737

Ohio - Lorain Vision Providers Cleveland Clinic Lakewood Summa Health System Lutheran Hospital Akron General Medical Ctr Bafna, Shamik, MD, (M) Davis, Carrie B, MD, (F), B Group Name: Northern Ohio Eye Chong, Jillian, MD, (F), B Group Name: Cleveland Eye Consultants Inc Group Name: Cleveland Clinic Clinic Provider ID: BAFN019 Foundation Provider ID: 000996097002 NPI: 1740259829 Provider ID: 007456458001 NPI: 1447220199 36991 American Way NPI: 1952755662 1180 E Broad St Avon, OH 44011 33100 Cleveland Clinic Blvd Elyria, OH 44035

(440) 717-0591 Avon, OH 44011 (440) 366-6969 EB, G, IB, P, PL,

Ages: 0-99 (440) 696-4010 EB, IB, P, R R, RE, S, T Ages: 0-99 Ages: 0-99 Beharry, Nicole C, MD, (F), B Hospital Affiliations: Hospital Affiliations: Group Name: Retina Specialists Cleveland Clinic Foundation Uh Regional Hospital - Bedford Of Ohio Hillcrest Hospital Campus Provider ID: 003634576003 Hillcrest Hospital NPI: 1811125826 Chong, Jillian, MD, (F), B St Vincent Charity Medical Center 1131 E Broad St Unit C Group Name: Cleveland Clinic Elyria, OH 44035 Foundation Davis, Carrie, MD, (F)

(440) 975-8200 EB, P, R, RE, S, Provider ID: 007456458001 Group Name: Northern Ohio Eye T NPI: 1952755662 Consultants Inc Mo-Fr - 8:00 AM - 4:00 PM 5700 Cooper Foster Park Rd W Provider ID: DAVI1812 Cultural Competency: Y Lorain, OH 44053 NPI: 1447220199

Ages: 0-99 (440) 988-4040 EB, IB, P, R, RE, T 1180 East Broad Street Hospital Affiliations: Ages: 0-99 Elyria, OH 44035

Summa Health System Hospital Affiliations: (440) 366-6969 EB, ER, IB, P, R Akron General Medical Ctr Cleveland Clinic Foundation Ages: 0-99 Hillcrest Hospital Beharry, Nicole C, MD, (F), B Davis, Carrie, MD, (F) Group Name: Retina Specialists Costin, Bryan R, MD, (M), B Group Name: Northern Ohio Eye Of Ohio Group Name: Cleveland Eye Consultants Inc Provider ID: 003634576003 Clinic Provider ID: DAVI1813 NPI: 1811125826 Provider ID: 003495268005 NPI: 1447220199 37500 Harvest Ave NPI: 1871732206 1710 Cooper Foster Park Road West Avon, OH 44011 36991 American Way Lorain, OH 44053

(440) 975-8200 E, EB, G, IB, P, Avon, OH 44011 (440) 960-2020 EB, ER, IB, P, R

R, RE, S, T (440) 717-0591 E, EB, G, IB, P, Ages: 0-99 Languages Spoken: PL, R, RE, S, T Staff: Spanish Ages: 0-99 Mo-Fr - 8:00 AM - 4:00 PM Hospital Affiliations: Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99 Lakewood Hospital Hospital Affiliations: Cleveland Clinic Lakewood

738

Vision Providers Ohio - Lorain Davis, Carrie, MD, (F) Lakewood Hospital Group Name: Northern Ohio Eye Haber, Aimee V, MD, (F) Cleveland Clinic Lakewood Consultants Inc Group Name: Cleveland Clinic Provider ID: DAVI1817 Foundation Haber, Aimee V, MD, (F) NPI: 1447220199 Provider ID: 003424786001 Group Name: Cleveland Clinic 36505 Detroit Road NPI: 1851583322 Foundation Avon, OH 44011 303 Chestnut Commons Dr Provider ID: 003424786001

(440) 934-5816 EB, ER, IB, P, R Elyria, OH 44035 NPI: 1851583322

Ages: 0-99 (440) 366-9444 EB, P, R 5700 Cooper Foster Park Rd W Cultural Competency: Y Lorain, OH 44053

Davis, Carrie, MD, (F) Ages: 0-99 (440) 204-7400 EB, IB, P, R, RE, T Group Name: Northern Ohio Eye Hospital Affiliations: Cultural Competency: Y Consultants Inc Cleveland Clinic Foundation Ages: 0-99 Provider ID: DAVI1818 Lakewood Hospital Hospital Affiliations: NPI: 1447220199 Cleveland Clinic Lakewood Cleveland Clinic Foundation 36991 American Way Lakewood Hospital Avon, OH 44011 Haber, Aimee V, MD, (F) Cleveland Clinic Lakewood

(440) 517-3762 EB, ER, IB, P, R Group Name: Cleveland Clinic Ages: 0-99 Foundation Hwang, Catherine J, MD, (F), B Provider ID: 003424786001 Group Name: Cleveland Clinic Gupta, Ajay K, MD, (M), B NPI: 1851583322 Foundation Group Name: Dr Gupta Eye Md 309 W Lorain St Provider ID: 002811155001 Provider ID: 002323731002 Oberlin, OH 44074 NPI: 1801952890

NPI: 1316049265 (440) 775-1015 EB, P, R 33100 Cleveland Clinic Blvd 37500 Harvest Ave Cultural Competency: Y Avon, OH 44011

Avon, OH 44011 Ages: 0-99 (440) 695-4010 EB, P, R

(440) 260-0404 E, EB, G, IB, P, Hospital Affiliations: Ages: 0-99 R, RE, S, T Cleveland Clinic Foundation Hospital Affiliations: Mo-Th - 9:00 AM - 4:00 PM Lakewood Hospital Cleveland Clinic Foundation Cultural Competency: Y Cleveland Clinic Lakewood Fairview Hospital Ages: 0-99 Medina Hospital Hospital Affiliations: Haber, Aimee V, MD, (F) Ucla Medical Center University Hospitals Elyria Group Name: Cleveland Clinic Ronald Reagan Ucla Medical Medical Ctr Foundation Center Uh Elyria Medical Center Provider ID: 003424786001 Cleveland Clinic Avon Hospital Upmc Passavant Hospital NPI: 1851583322 Fairview Hospital 450 Avon Belden Rd St John Medical Center Avon Lake, OH 44012

Mercy Regional Medical Center (440) 930-6800 EB, P, R Communtiy Health Partners Rgnl Cultural Competency: Y Mdcl Ctr Ages: 0-99 Aurora Medical Ctr Of Sheboygan Hospital Affiliations: County Cleveland Clinic Foundation

739

Ohio - Lorain Vision Providers Hwang, Catherine J, MD, (F), B Jacobs, Katherine A, MD, (F), B Jee, Kathleen, MD, (F) Group Name: Cleveland Clinic Group Name: Jacobs Eye Center Group Name: Cleveland Eye Foundation Provider ID: 000698371003 Clinic Provider ID: 002811155001 NPI: 1376599712 Provider ID: 007115807001 NPI: 1801952890 37500 Harvest Ave NPI: 1063751436 5700 Cooper Foster Park Rd W Avon, OH 44011 1710 Cooper Foster Park Rd W

Lorain, OH 44053 (440) 934-2710 E, EB, G, IB, P, Lorain, OH 44053

(440) 988-4040 EB, IB, P, R, RE, T R, RE, S, T (440) 960-2020 EB, G, IB, P, PL, Ages: 0-99 Mo - 9:00 AM - 3:00 PM R, RE, S, T Hospital Affiliations: Tu - 9:00 AM - 2:30 PM Mo-Fr - 8:00 AM - 4:00 PM Cleveland Clinic Foundation We - 9:00 AM - 12:00 PM Ages: 0-99 Fairview Hospital Th - 1:00 PM - 3:30 PM Medina Hospital Fr - 1:00 PM - 4:00 PM Jee, Kathleen, MD, (F) Ucla Medical Center Sa - 9:30 AM - 11:30 AM Group Name: Cleveland Eye Ronald Reagan Ucla Medical Ages: 0-99 Clinic Center Hospital Affiliations: Provider ID: 007115807001 Cleveland Clinic Avon Hospital Wheeling Hospital NPI: 1063751436 University Hospitals Elyria 36505 Detroit Rd Jacobs, Katherine A, MD, (F), B Medical Ctr Avon, OH 44011

Group Name: Jacobs Eye Center Uh Elyria Medical Center (440) 934-5816 EB, G, IB, P, R, Provider ID: 000698371002 St John Medical Center RE, T NPI: 1376599712 Uh Cleveland Medical Center Mo-Fr - 8:00 AM - 4:00 PM 36505 Detroit Rd Mercy Regional Medical Center Ages: 0-99 Avon, OH 44011 Communtiy Health Partners Rgnl

(440) 934-5816 EB, G, IB, P, R, Mdcl Ctr Jee, Kathleen, MD, (F) RE, T Group Name: Cleveland Eye Mo-Fr - 9:00 AM - 5:00 PM Jee, Kathleen, MD, (F) Clinic Ages: 0-99 Group Name: Cleveland Eye Provider ID: 007115807001 Hospital Affiliations: Clinic NPI: 1063751436 Wheeling Hospital Provider ID: 007115807001 36991 American Way University Hospitals Elyria NPI: 1063751436 Avon, OH 44011

Medical Ctr 1180 E Broad St (440) 717-0591 E, EB, G, IB, P, Uh Elyria Medical Center Elyria, OH 44035 PL, R, RE, S, T

St John Medical Center (440) 366-6969 EB, G, IB, P, PL, Ages: 0-99 Uh Cleveland Medical Center R, RE, S, T Mercy Regional Medical Center Mo-Fr - 8:00 AM - 4:00 PM Communtiy Health Partners Rgnl Ages: 0-99 Mdcl Ctr

740

Vision Providers Ohio - Lorain Jee, Kathleen, MD, (F) Fairview Hospital Levine, Mark R, MD, (M), B Group Name: Cleveland Eye Ochsner Medical Center Group Name: Lakeland Eye Clinic Leonard J Chabert Medical Center Surg/Cnsltnts Provider ID: 007115807002 Provider ID: 000096366001 NPI: 1063751436 Kosmidis, Alexander P, MD, (M), NPI: 1679531628 5319 Hoag Dr B 5700 Cooper Foster Park Rd Sheffield Village, OH 44035 Group Name: Cleveland Eye Lorain, OH 44053

(440) 930-6050 E, EB, IB, P, R, Clinic (440) 988-4040 RE, S, T Provider ID: 003354983005 Cultural Competency: Y Ages: 0-99 NPI: 1598920407 Ages: 0-99 36505 Detroit Rd Hospital Affiliations: Kosmidis, Alexander P, MD, (M), Avon, OH 44011 Summa Health System

B (440) 934-5816 EB, G, IB, P, R, Cleveland Clinic Foundation Group Name: Cleveland Eye RE, T Hillcrest Hospital Clinic Languages Spoken: Lakewood Hospital Provider ID: 003354983005 Provider: Greek Cleveland Clinic Lakewood NPI: 1598920407 Ages: 0-99 Uh Cleveland Medical Center 1180 E Broad St Hospital Affiliations: Elyria, OH 44035 Fairview Hospital Li, Ang, MD, (F), B

(440) 366-9513 EB, G, IB, P, PL, Ochsner Medical Center Group Name: Cleveland Clinic R, RE, S, T Leonard J Chabert Medical Center Foundation Languages Spoken: Provider ID: 007153998002 Provider: Greek Kosmidis, Alexander P, MD, (M), NPI: 1881080703 Ages: 0-99 B 33100 Cleveland Clinic Blvd Hospital Affiliations: Group Name: Cleveland Eye Avon, OH 44011

Fairview Hospital Clinic (440) 696-4010 EB, IB, P, R Ochsner Medical Center Provider ID: 003354983005 Ages: 0-99 Leonard J Chabert Medical Center NPI: 1598920407 Hospital Affiliations: 36991 American Way Cleveland Clinic Foundation Kosmidis, Alexander P, MD, (M), Avon, OH 44011

B (440) 717-0591 E, EB, G, IB, P, Li, Ang, MD, (F), B Group Name: Cleveland Eye PL, R, RE, S, T Group Name: Cleveland Clinic Clinic Languages Spoken: Foundation Provider ID: 003354983005 Provider: Greek Provider ID: 007153998002 NPI: 1598920407 Ages: 0-99 NPI: 1881080703 1710 Cooper Foster Park Rd W Hospital Affiliations: 5700 Cooper Foster Park Rd W Lorain, OH 44053 Fairview Hospital Lorain, OH 44053

(440) 960-2020 EB, G, IB, P, PL, Ochsner Medical Center (440) 988-4040 EB, IB, P, R, RE, T R, RE, S, T Leonard J Chabert Medical Center Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider: Greek Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations:

741

Ohio - Lorain Vision Providers Ling, Joseph J, MD, (M) Ling, Joseph J, MD, (M) Mak, Tai-Hung M, MD, (M), B Group Name: Cleveland Eye Group Name: Cleveland Eye Group Name: Cleveland Eye Clinic Clinic Clinic Provider ID: 007397759001 Provider ID: 007397759002 Provider ID: 000150813004 NPI: 1316301765 NPI: 1316301765 NPI: 1679599450 1180 E Broad St 36991 American Way 36991 American Way Elyria, OH 44035 Avon, OH 44011 Avon, OH 44011

(440) 366-6969 EB, G, IB, P, PL, (440) 717-0591 E, EB, G, IB, P, (440) 717-0591 E, EB, G, IB, P, R, RE, S, T PL, R, RE, S, T PL, R, RE, S, T Ages: 0-99 Ages: 0-99 Languages Spoken: Provider: Chinese, German Ling, Joseph J, MD, (M) Ling, Joseph, MD, (M) Cultural Competency: Y Group Name: Cleveland Eye Group Name: Northern Ohio Eye Ages: 0-99 Clinic Consultants Inc Hospital Affiliations: Provider ID: 007397759001 Provider ID: LING142 Hillcrest Hospital NPI: 1316301765 NPI: 1316301765 Marymount Hospital 1710 Cooper Foster Park Rd W 1180 East Broad Street Ashtabula County Med Center Lorain, OH 44053 Elyria, OH 44035

(440) 960-2020 EB, G, IB, P, PL, (440) 366-6969 Morley, Wynne A, MD, (F), B R, RE, S, T Sa - 8:00 AM - 12:00 PM Group Name: Cleveland Clinic Mo,Th - 8:00 AM - 6:00 PM Ages: 0-99 Foundation Tu,Fr - 8:00 AM - 5:00 PM Provider ID: 001234165002 We - 8:00 AM - 12:00 PM Ling, Joseph, MD, (M) NPI: 1841257250 Ages: 0-99 Group Name: Northern Ohio Eye 33100 Cleveland Clinic Blvd Consultants Inc Avon, OH 44011

Ling, Joseph J, MD, (M) Provider ID: LING148 (440) 695-4000 EB, P, R Group Name: Cleveland Eye NPI: 1316301765 Ages: 0-99 Clinic 1710 Cooper Foster Park Road West Hospital Affiliations: Provider ID: 007397759001 Lorain, OH 44053 Cleveland Clinic Foundation

NPI: 1316301765 (440) 960-2020 Lakewood Hospital 36505 Detroit Rd Ages: 0-99 Cleveland Clinic Lakewood Avon, OH 44011 Mercy Allen Hospital

(440) 934-5816 EB, G, IB, P, R, Mak, T Matthew, MD, (M) Mercy Regional Medical Center RE, T Group Name: Northern Ohio Eye Communtiy Health Partners Rgnl Mo,We,Th - 8:00 AM - 5:00 PM Consultants Inc Mdcl Ctr Tu - 8:00 AM - 6:00 PM Provider ID: MAK0111 Fr - 9:00 AM - 5:00 PM NPI: 1679599450 Ages: 0-99 36991 American Way Avon, OH 44011

(440) 717-0591 Ages: 0-99

742

Vision Providers Ohio - Lorain Morley, Wynne A, MD, (F), B Novak, Michael A, MD, (M), B Paparizos, Stella C, MD, (F), B Group Name: Cleveland Clinic Group Name: Retina Associates Group Name: Cleveland Clinic Foundation Of Cleveland Foundation Provider ID: 001234165002 Provider ID: 000001949001 Provider ID: 003711803001 NPI: 1841257250 NPI: 1265437867 NPI: 1871737262 5700 Cooper Foster Park Rd W 6100 S Broadway Ste 200 33100 Cleveland Clinic Blvd Lorain, OH 44053 Lorain, OH 44053 Avon, OH 44011

(440) 988-4040 EB, IB, P, R, RE, T (440) 233-6100 EB, P, R, RE, T (440) 695-4000 EB, P, R Ages: 0-99 Sa - 8:00 AM - 1:00 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Lakewood Hospital Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Lakewood Hillcrest Hospital Fairview Hospital Mercy Allen Hospital Lakewood Hospital Lakewood Hospital Mercy Regional Medical Center Cleveland Clinic Lakewood Cleveland Clinic Lakewood Communtiy Health Partners Rgnl Lutheran Hospital Cleveland Clinic Avon Hospital Mdcl Ctr Uh Parma Medical Center University Hospitals Parma Paparizos, Stella C, MD, (F), B Morley, Wynne A, MD, (F), B Medical Ctr Group Name: Cleveland Clinic Group Name: Lakeland Eye Foundation Surg/Cnsltnts Paparizos, Stella C, MD, (F), B Provider ID: 003711803001 Provider ID: 001234165001 Group Name: Cleveland Clinic NPI: 1871737262 NPI: 1841257250 Foundation 5700 Cooper Foster Park Rd W 673 E River Rd Provider ID: 003711803001 Lorain, OH 44053

Elyria, OH 44035 NPI: 1871737262 (440) 204-7400 EB, IB, P, R, RE, T

(440) 323-5431 EB, P, R 303 Chestnut Commons Dr Cultural Competency: Y Ages: 0-99 Elyria, OH 44035 Ages: 0-99

Hospital Affiliations: (440) 366-9444 EB, P, R Hospital Affiliations: Cleveland Clinic Foundation Cultural Competency: Y Cleveland Clinic Foundation Lakewood Hospital Ages: 0-99 Fairview Hospital Cleveland Clinic Lakewood Hospital Affiliations: Lakewood Hospital Mercy Allen Hospital Cleveland Clinic Foundation Cleveland Clinic Lakewood Mercy Regional Medical Center Fairview Hospital Cleveland Clinic Avon Hospital Communtiy Health Partners Rgnl Lakewood Hospital Mdcl Ctr Cleveland Clinic Lakewood Cleveland Clinic Avon Hospital

743

Ohio - Lorain Vision Providers Pendergast, Scott D, MD, (M), B Center Childrens Hospital Med Ctr Akron Group Name: Retina Associates Lakewood Hospital Of Cleveland Pierre, Daniel J, MD, (M), B Cleveland Clinic Lakewood Provider ID: 001745015001 Group Name: Cleveland Eye Children's Hospital Medical NPI: 1386638682 Clinic Center 6100 S Broadway Ste 200 Provider ID: 003470692002 Lorain, OH 44053 NPI: 1659545051 Pierre, Daniel J, MD, (M), B

(440) 233-6100 EB, P, R, RE, T 1710 Cooper Foster Park Rd W Group Name: Cleveland Eye Sa - 8:00 AM - 1:00 PM Lorain, OH 44053 Clinic

Ages: 0-99 (440) 960-2020 EB, G, IB, P, PL, Provider ID: 003470692003 Hospital Affiliations: R, RE, S, T NPI: 1659545051 Summa Health System Languages Spoken: 36991 American Way Akron General Medical Ctr Provider: Spanish Avon, OH 44011

Fairview Hospital Cultural Competency: Y (440) 717-0591 E, EB, G, IB, P, Lakewood Hospital Ages: 0-99 PL, R, RE, S, T Cleveland Clinic Lakewood Hospital Affiliations: Languages Spoken: Uh Parma Medical Center University Hospitals Elyria Provider: Spanish University Hospitals Parma Medical Ctr Cultural Competency: Y Medical Ctr Uh Elyria Medical Center Ages: 0-99 St Elizabeth Hospital Childrens Hospital Med Ctr Akron Hospital Affiliations: Lakewood Hospital University Hospitals Elyria Pierre, Daniel J, MD, (M), B Cleveland Clinic Lakewood Medical Ctr Group Name: Cleveland Eye Children's Hospital Medical Uh Elyria Medical Center Clinic Center Childrens Hospital Med Ctr Akron Provider ID: 003470692002 Lakewood Hospital NPI: 1659545051 Pierre, Daniel J, MD, (M), B Cleveland Clinic Lakewood 1180 E Broad St Group Name: Cleveland Eye Children's Hospital Medical Elyria, OH 44035 Clinic Center

(440) 366-6969 EB, G, IB, P, PL, Provider ID: 003470692002 R, RE, S, T NPI: 1659545051 Rao, Llewelyn J, MD, (M), B Languages Spoken: 36505 Detroit Rd Group Name: Retina Associates Provider: Spanish Avon, OH 44011 Of Cleveland

Mo-Fr - 8:30 AM - 4:30 PM (440) 934-5816 EB, G, IB, P, R, Provider ID: 002923337008 Cultural Competency: Y RE, T NPI: 1518165448 Ages: 0-99 Languages Spoken: 36991 American Way Hospital Affiliations: Provider: Spanish Avon, OH 44011

University Hospitals Elyria Mo-Fr - 8:30 AM - 4:30 PM (440) 517-3761 E, EB, G, IB, P, Medical Ctr Cultural Competency: Y PL, R, RE, S, T Uh Elyria Medical Center Ages: 0-99 Languages Spoken: Childrens Hospital Med Ctr Akron Hospital Affiliations: Provider: Spanish Lakewood Hospital University Hospitals Elyria Cultural Competency: Y Cleveland Clinic Lakewood Medical Ctr Ages: 0-99 Children's Hospital Medical Uh Elyria Medical Center Hospital Affiliations:

744

Vision Providers Ohio - Lorain Aultman Hospital Summa Health System Schartman, Jerome P, MD, (M), B Mercy Medical Center Albany Medical Ctr South Clincal Group Name: Retina Associates Cleveland Clinic Mercy Hospital Albany Medical Center Hospital Of Cleveland New York Eye And Ear Infirmary Lakewood Hospital Provider ID: 002832947001 Uh Parma Medical Center Cleveland Clinic Lakewood NPI: 1912113069 University Hospitals Parma Uh Parma Medical Center 6100 S Broadway Ste 200 Medical Ctr University Hospitals Parma Lorain, OH 44053

Medical Ctr (440) 233-6100 EB, P, R, RE, T Rao, Llewelyn J, MD, (M), B Albany Memorial Hospital Sa - 8:00 AM - 1:00 PM Group Name: Retina Associates Cultural Competency: Y Of Cleveland Schartman, Jerome P, MD, (M), B Ages: 0-99 Provider ID: 002923337008 Group Name: Retina Associates Hospital Affiliations: NPI: 1518165448 Of Cleveland Summa Health System 6100 S Broadway Ste 200 Provider ID: 002832947001 Albany Medical Ctr South Clincal Lorain, OH 44053 NPI: 1912113069 Albany Medical Center Hospital

(440) 233-6100 EB, P, R, RE, T 36991 American Way Lakewood Hospital Languages Spoken: Avon, OH 44011 Cleveland Clinic Lakewood

Provider: Spanish (440) 934-5816 E, EB, G, IB, P, Uh Parma Medical Center Sa - 8:00 AM - 1:00 PM PL, R, RE, S, T University Hospitals Parma Cultural Competency: Y Mo-Fr - 9:00 AM - 5:00 PM Medical Ctr Ages: 0-99 Cultural Competency: Y Albany Memorial Hospital Hospital Affiliations: Web address: www.retina-doctors.c Aultman Hospital om Sears, Jonathan Eliot, MD, (M), B Mercy Medical Center Ages: 0-99 Group Name: Cleveland Clinic Cleveland Clinic Mercy Hospital Hospital Affiliations: Foundation New York Eye And Ear Infirmary Summa Health System Provider ID: 001385567002 Uh Parma Medical Center Albany Medical Ctr South Clincal NPI: 1962439166 University Hospitals Parma Albany Medical Center Hospital 5700 Cooper Foster Park Rd W Medical Ctr Lakewood Hospital Lorain, OH 44053

Cleveland Clinic Lakewood (440) 988-4040 EB, IB, P, R, RE, T Schartman, Jerome P, MD, (M), B Uh Parma Medical Center Cultural Competency: Y Group Name: Retina Associates University Hospitals Parma Ages: 0-99 Of Cleveland Medical Ctr Hospital Affiliations: Provider ID: 002832947001 Albany Memorial Hospital Childrens Healthcare At Egleston NPI: 1912113069 Metrohealth Medical Center 1180 E Broad St Cleveland Clinic Foundation Elyria, OH 44035 Fairview Hospital

(440) 366-6969 EB, G, IB, P, PL, Emory University Hospital R, RE, S, T Emory University Hospital Mo-Fr - 9:00 AM - 5:00 PM Midtown Cultural Competency: Y Ages: 0-99 Hospital Affiliations:

745

Ohio - Lorain Vision Providers Singh, Annapurna, MD, (F), B Stephens, Donald C, MD, (M), B Talcott, Katherine E, MD, (F), B Group Name: Cleveland Clinic Group Name: Retina Specialists Group Name: Cleveland Clinic Foundation Of Ohio Foundation Provider ID: 002043043005 Provider ID: 002048628001 Provider ID: 005468994004 NPI: 1851380158 NPI: 1952304685 NPI: 1447545587 5700 Cooper Foster Park Rd W 37500 Harvest Ave 450 Avon Belden Rd Lorain, OH 44053 Avon, OH 44011 Avon Lake, OH 44012

(440) 988-4440 EB, IB, P, R, RE, T (440) 975-8200 E, EB, G, IB, P, (440) 933-8300 EB, P, R Cultural Competency: Y R, RE, S, T Ages: 0-99 Ages: 0-99 Languages Spoken: Hospital Affiliations: Hospital Affiliations: Provider: Italian, Spanish Cleveland Clinic Foundation Cleveland Clinic Foundation Mo-Fr - 8:00 AM - 4:00 PM Fairview Hospital Hillcrest Hospital Cultural Competency: Y Massachusetts Eye & Ear Hospital Of University Of Pa Ages: 0-99 Infirmary Uh Cleveland Medical Center Hospital Affiliations: Massachusetts Eye & Ear Infirm St Vincent Charity Medical Center Robinson Memorial Hospital Wills Eye Hospital Uh Portage Medical Center Thomas Jefferson Univ Hsp Stephens, Donald C, MD, (M), B Callahan Eye Foundation Hospital Group Name: Retina Specialists Summa Health System Talcott, Katherine E, MD, (F), B Of Ohio Childrens Hospital Med Ctr Akron Group Name: Cleveland Clinic Provider ID: 002048628001 Akron General Medical Ctr Foundation NPI: 1952304685 Metrohealth Medical Center Provider ID: 005468994004 1131 E Broad St Unit C Medina Hospital NPI: 1447545587 Elyria, OH 44035 5700 Cooper Foster Park Rd W

(440) 975-8200 EB, P, R, RE, S, Talcott, Katherine E, MD, (F), B Lorain, OH 44053

T Group Name: Cleveland Clinic (440) 988-4040 EB, IB, P, R, RE, T Languages Spoken: Foundation Ages: 0-99 Provider: Italian, Spanish Provider ID: 005468994004 Hospital Affiliations: Mo-Fr - 8:00 AM - 4:00 PM NPI: 1447545587 Cleveland Clinic Foundation Cultural Competency: Y 33100 Cleveland Clinic Blvd Fairview Hospital Ages: 0-99 Avon, OH 44011 Massachusetts Eye & Ear

Hospital Affiliations: (440) 695-4010 EB, P, R Infirmary Robinson Memorial Hospital Ages: 0-99 Massachusetts Eye & Ear Infirm Uh Portage Medical Center Hospital Affiliations: Wills Eye Hospital Callahan Eye Foundation Hospital Cleveland Clinic Foundation Thomas Jefferson Univ Hsp Summa Health System Fairview Hospital Childrens Hospital Med Ctr Akron Massachusetts Eye & Ear Akron General Medical Ctr Infirmary Metrohealth Medical Center Massachusetts Eye & Ear Infirm Medina Hospital Wills Eye Hospital Thomas Jefferson Univ Hsp

746

Vision Providers Ohio - Lorain Thall, Edmond H, MD, (M) Lakewood Hospital Communtiy Health Partners Rgnl Group Name: University Cleveland Clinic Lakewood Mdcl Ctr Hospitals Medical Group Inc. St Vincent Charity Medical Center Provider ID: THAL025 Mercy Regional Medical Center Wiley, William F, MD, (M), B NPI: 1063475358 Communtiy Health Partners Rgnl Group Name: Cleveland Eye 850 East Broad Street Mdcl Ctr Clinic Elyria, OH 44035 Provider ID: 002200062005 (216) 844-3601 Wiley, William F, MD, (M), B NPI: 1689687147 Mo-Fr - 8:30 AM - 5:00 PM Group Name: Cleveland Eye 36505 Detroit Rd Ages: 0-99 Clinic Avon, OH 44011

Provider ID: 002200062005 (440) 934-5816 EB, G, IB, P, R, Thomas, Roy H, MD, (M), B NPI: 1689687147 RE, T Group Name: UPCP 1710 Cooper Foster Park Rd W Mo,Tu,We,Fr - 9:00 AM - 5:00 PM Provider ID: 001309385002 Lorain, OH 44053 Th - 1:00 PM - 5:00 PM

NPI: 1437355120 (440) 960-2020 EB, G, IB, P, PL, Cultural Competency: Y 850 E Broad St R, RE, S, T Ages: 0-99 Elyria, OH 44035 Cultural Competency: Y Hospital Affiliations:

(440) 366-9411 EB, P, R Ages: 0-99 Lakewood Hospital Languages Spoken: Hospital Affiliations: Cleveland Clinic Lakewood Provider: French, Germanic Lakewood Hospital St Vincent Charity Medical Center (Other), German Cleveland Clinic Lakewood Mercy Regional Medical Center Mo-Fr - 8:30 AM - 4:30 PM St Vincent Charity Medical Center Communtiy Health Partners Rgnl Web address: www.elyriaeyeclinic.c Mercy Regional Medical Center Mdcl Ctr om Communtiy Health Partners Rgnl Ages: 0-99 Mdcl Ctr Wiley, William F, MD, (M), B Hospital Affiliations: Group Name: Cleveland Eye University Hospitals Elyria Wiley, William F, MD, (M), B Clinic Medical Ctr Group Name: Cleveland Eye Provider ID: 002200062007 Uh Elyria Medical Center Clinic NPI: 1689687147 Provider ID: 002200062005 36991 American Way Wiley, William F, MD, (M), B NPI: 1689687147 Avon, OH 44011

Group Name: Cleveland Eye 1927 Cooper Foster Park Rd (440) 717-0591 E, EB, G, IB, P, Clinic Amherst, OH 44001 PL, R, RE, S, T

Provider ID: 002200062005 (440) 526-1974 EB, P, R, RE, T Cultural Competency: Y NPI: 1689687147 Mo,Tu,We,Fr - 9:00 AM - 5:00 PM Ages: 0-99 1180 E Broad St Th - 1:00 PM - 5:00 PM Hospital Affiliations: Elyria, OH 44035 Cultural Competency: Y Lakewood Hospital

(440) 366-6969 EB, G, IB, P, PL, Ages: 0-99 Cleveland Clinic Lakewood R, RE, S, T Hospital Affiliations: St Vincent Charity Medical Center Mo-Fr - 9:00 AM - 5:00 PM Lakewood Hospital Mercy Regional Medical Center Cultural Competency: Y Cleveland Clinic Lakewood Communtiy Health Partners Rgnl Ages: 0-99 St Vincent Charity Medical Center Mdcl Ctr Hospital Affiliations: Mercy Regional Medical Center

747

Ohio - Lorain Vision Providers

Chatterjee, Arup K, OD, (M) Cox, Douglas R, OD, (M) Optometry Group Name: Master Eye Group Name: Cleveland Eye

Members may self-refer to these Associates Clinic providers. Provider ID: 001757711001 Provider ID: 000098418003

NPI: 1508830118 NPI: 1497712004 Bingham, Barbara A, OD, (F) 3547 Midway Mall 36991 American Way Group Name: Cleveland Clinic Elyria, OH 44035 Avon, OH 44011 Foundation (440) 324-9779 EB, P, R (440) 717-0591 E, EB, G, IB, P, Provider ID: 003467142001 Languages Spoken: PL, R, RE, S, T NPI: 1750642815 Provider: German, Hindi Cultural Competency: Y 33100 Cleveland Clinic Blvd Staff: Spanish Ages: 0-99 Avon, OH 44011 Mo-Fr - 10:00 AM - 6:30 PM (440) 695-4000 EB, P, R Sa - 10:00 AM - 4:00 PM Erwin, Christopher D, OD, (M) Ages: 0-99 Su - 12:00 PM - 4:00 PM Group Name: Cleveland Clinic Hospital Affiliations: Ages: 0-99 Foundation Cleveland Clinic Foundation Provider ID: 005494521004 Lakewood Hospital Cox, Douglas R, OD, (M) NPI: 1932580206 Cleveland Clinic Lakewood Group Name: Cleveland Eye 33100 Cleveland Clinic Blvd Clinic Avon, OH 44011 Bingham, Barbara A, OD, (F) Provider ID: 000098418001 (440) 696-4010 EB, P, R Group Name: Cleveland Clinic NPI: 1497712004 Ages: 0-99 Foundation 1180 E Broad St Hospital Affiliations: Provider ID: 003467142001 Elyria, OH 44035 Cleveland Clinic Foundation NPI: 1750642815 (440) 366-6969 EB, G, IB, P, PL, 5700 Cooper Foster Park Rd W R, RE, S, T Erwin, Christopher D, OD, (M) Lorain, OH 44053 Cultural Competency: Y Group Name: Cleveland Clinic (440) 988-4040 EB, IB, P, R, RE, T Ages: 0-99 Foundation Ages: 0-99 Provider ID: 005494521004 Hospital Affiliations: Cox, Douglas R, OD, (M) NPI: 1932580206 Cleveland Clinic Foundation Group Name: Cleveland Eye 450 Avon Belden Rd Lakewood Hospital Clinic Avon Lake, OH 44012 Cleveland Clinic Lakewood Provider ID: 000098418001 (440) 933-8300 EB, P, R NPI: 1497712004 Ages: 0-99 36505 Detroit Rd Hospital Affiliations: Avon, OH 44011 Cleveland Clinic Foundation

(440) 934-5816 EB, G, IB, P, R, RE, T Cultural Competency: Y Ages: 0-99

748

Vision Providers Ohio - Lorain Erwin, Stephanie L, OD, (F) Immler, Wes, OD, (M) Cleveland Clinic Lakewood Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Kosunick, Gregory M, OD, (M) Provider ID: 005872589002 Provider ID: 003509688001 Group Name: Cleveland Clinic NPI: 1801270475 NPI: 1841555000 Foundation 5700 Cooper Foster Park Rd W 33100 Cleveland Clinic Blvd Provider ID: 002207095001 Lorain, OH 44053 Avon, OH 44011 NPI: 1699865931

(440) 988-4040 EB, IB, P, R, RE, T (440) 695-4010 EB, P, R 35105 Center Ridge Rd Mo-Fr - 8:00 AM - 3:30 PM Cultural Competency: Y North Ridgeville, OH 44039

Ages: 0-99 Ages: 0-99 (440) 327-1050 EB, P, R Hospital Affiliations: Cultural Competency: Y Hershner, Todd A, OD, (M) Cleveland Clinic Foundation Ages: 0-99 Group Name: Cleveland Clinic Lakewood Hospital Hospital Affiliations: Foundation Cleveland Clinic Lakewood Cleveland Clinic Foundation Provider ID: 001162561002 Lakewood Hospital NPI: 1528063229 Kosunick, Gregory M, OD, (M) Cleveland Clinic Lakewood 303 Chestnut Commons Dr Group Name: Cleveland Clinic Elyria, OH 44035 Foundation Kosunick, Gregory M, OD, (M)

(440) 366-9444 EB, P, R Provider ID: 002207095001 Group Name: Cleveland Clinic Ages: 0-99 NPI: 1699865931 Foundation Hospital Affiliations: 303 Chestnut Commons Dr Provider ID: 002207095001 Cleveland Clinic Foundation Elyria, OH 44035 NPI: 1699865931

(440) 366-9444 EB, P, R 5700 Cooper Foster Park Rd W Hershner, Todd A, OD, (M) Cultural Competency: Y Lorain, OH 44053

Group Name: Cleveland Clinic Ages: 0-99 (440) 988-4040 EB, IB, P, R, RE, T Foundation Hospital Affiliations: Mo-Fr - 7:30 AM - 6:00 PM Provider ID: 001162561002 Cleveland Clinic Foundation Cultural Competency: Y NPI: 1528063229 Lakewood Hospital Ages: 0-99 5700 Cooper Foster Park Rd W Cleveland Clinic Lakewood Hospital Affiliations: Lorain, OH 44053 Cleveland Clinic Foundation

(440) 988-4040 EB, IB, P, R, RE, T Kosunick, Gregory M, OD, (M) Lakewood Hospital Ages: 0-99 Group Name: Cleveland Clinic Cleveland Clinic Lakewood Hospital Affiliations: Foundation Cleveland Clinic Foundation Provider ID: 002207095001 NPI: 1699865931 33100 Cleveland Clinic Blvd Avon, OH 44011

(440) 695-4000 EB, P, R Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Lakewood Hospital

749

Ohio - Lorain Vision Providers Kosunick, Gregory M, OD, (M) Lin, Beth E, OD, (F) Parker, Michael R, OD, (M) Group Name: Cleveland Clinic Group Name: Cleveland Eye Group Name: Cleveland Clinic Foundation Clinic Foundation Provider ID: 002207095001 Provider ID: 003390797002 Provider ID: 001431142002 NPI: 1699865931 NPI: 1457639239 NPI: 1316099120 5700 Cooper Foster Pk Rd W Ln12 36505 Detroit Rd 303 Chestnut Commons Dr Lorain, OH 44053 Avon, OH 44011 Elyria, OH 44035

(440) 988-4040 EB, P, R (440) 934-5816 EB, G, IB, P, R, (440) 366-9444 EB, P, R Mo-Fr - 7:30 AM - 6:00 PM RE, T Ages: 0-99 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Lin, Beth E, OD, (F) Cleveland Clinic Foundation Group Name: Cleveland Eye Parker, Michael R, OD, (M) Lakewood Hospital Clinic Group Name: Cleveland Clinic Cleveland Clinic Lakewood Provider ID: 003390797002 Foundation NPI: 1457639239 Provider ID: 001431142002 Lin, Beth E, OD, (F) 36991 American Way NPI: 1316099120 Group Name: Cleveland Eye Avon, OH 44011 5700 Cooper Foster Park Rd W

Clinic (440) 717-0591 E, EB, G, IB, P, Lorain, OH 44053

Provider ID: 003390797002 PL, R, RE, S, T (440) 204-7400 EB, IB, P, R, RE, T NPI: 1457639239 Ages: 0-99 Ages: 0-99 1180 E Broad St Hospital Affiliations: Elyria, OH 44035 Loudenslager, Randall S, OD, (M) Cleveland Clinic Foundation

(440) 366-6969 EB, G, IB, P, PL, Group Name: Cleveland Clinic R, RE, S, T Foundation Roseman, Charles A, OD, (M) Ages: 0-99 Provider ID: 002423773001 Group Name: Cleveland Eye NPI: 1104853522 Clinic Lin, Beth E, OD, (F) 5700 Cooper Foster Park Rd W Provider ID: 003355547004 Group Name: Cleveland Eye Lorain, OH 44053 NPI: 1659668937

Clinic (440) 988-4040 EB, IB, P, R, RE, T 1180 E Broad St Provider ID: 003390797002 Ages: 0-99 Elyria, OH 44035

NPI: 1457639239 Hospital Affiliations: (440) 366-6969 EB, G, IB, P, PL, 1710 Cooper Foster Park Rd W Cleveland Clinic Foundation R, RE, S, T Lorain, OH 44053 Lakewood Hospital Mo-Fr - 8:00 AM - 4:00 PM

(440) 960-2020 EB, G, IB, P, PL, Cleveland Clinic Lakewood Sa - 8:00 AM - 12:00 PM R, RE, S, T Cleveland Clinic Avon Hospital Ages: 0-99 Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Lakewood Hospital Cleveland Clinic Lakewood

750

Vision Providers Ohio - Lorain Roseman, Charles A, OD, (M) Sutton, Diane L, OD, (F) Group Name: Cleveland Eye Seipel, Scott H, OD, (M) Group Name: Cleveland Clinic Clinic Group Name: Cleveland Clinic Foundation Provider ID: 003355547004 Foundation Provider ID: 002574168001 NPI: 1659668937 Provider ID: 000697507001 NPI: 1821055435 1710 Cooper Foster Park Rd W NPI: 1780641985 309 W Lorain St Lorain, OH 44053 450 Avon Belden Rd Oberlin, OH 44074

(440) 960-2020 EB, G, IB, P, PL, Avon Lake, OH 44012 (440) 775-1015 EB, P, R

R, RE, S, T (440) 933-8300 EB, P, R Cultural Competency: Y Ages: 0-99 Mo-Sa - 8:00 AM - 5:00 PM Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Cleveland Clinic Foundation Lakewood Hospital Cleveland Clinic Foundation Lakewood Hospital Cleveland Clinic Lakewood Lakewood Hospital Cleveland Clinic Lakewood Cleveland Clinic Lakewood Roseman, Charles A, OD, (M) Cleveland Clinic Avon Hospital Sutton, Diane L, OD, (F) Group Name: Cleveland Eye Group Name: Cleveland Clinic Clinic Sterna, David J, OD, (M), B Foundation Provider ID: 003355547004 Group Name: Cleveland Eye Provider ID: 002574168001 NPI: 1659668937 Clinic NPI: 1821055435 1710 Cooper Foster Prk Rd W #b Provider ID: 000087005003 5700 Cooper Foster Park Rd W Lorain, OH 44053 NPI: 1992870265 Lorain, OH 44053

(440) 960-2020 EB, P, R 1710 Cooper Foster Park Rd W (440) 988-4040 EB, P, R Ages: 0-99 Lorain, OH 44053 Cultural Competency: Y

Hospital Affiliations: (440) 960-2020 EB, G, IB, P, PL, Ages: 0-99 Cleveland Clinic Foundation R, RE, S, T Hospital Affiliations: Lakewood Hospital Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Lakewood Lakewood Hospital Sterna, David J, OD, (M), B Cleveland Clinic Lakewood Roseman, Charles A, OD, (M) Group Name: Cleveland Eye Group Name: Cleveland Eye Clinic Ward, Eric, OD, (M) Clinic Provider ID: 000087005004 Group Name: Cleveland Eye Provider ID: 003355547005 NPI: 1992870265 Clinic NPI: 1659668937 36991 American Way Provider ID: 007013370002 36991 American Way Avon, OH 44011 NPI: 1821581554

Avon, OH 44011 (440) 717-0591 E, EB, G, IB, P, 36991 American Way

(440) 717-0591 E, EB, G, IB, P, PL, R, RE, S, T Avon, OH 44011

PL, R, RE, S, T Ages: 0-99 (440) 717-0591 E, EB, G, IB, P, Ages: 0-99 PL, R, RE, S, T Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Lakewood Hospital Cleveland Clinic Lakewood

751

Ohio - Lorain Vision Providers Weitzel, Corrie D, OD, (F) Cleveland Clinic Foundation Yarham, Abby L, OD, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Weitzel, Corrie D, OD, (F) Foundation Provider ID: 002932570001 Group Name: Cleveland Clinic Provider ID: 003142775001 NPI: 1063602928 Foundation NPI: 1255584926 303 Chestnut Commons Dr Provider ID: 002932570001 303 Chestnut Commons Dr Elyria, OH 44035 NPI: 1063602928 Elyria, OH 44035

(440) 204-7400 EB, P, R 450 Avon Belden Rd (440) 366-9444 EB, P, R Languages Spoken: Avon Lake, OH 44012 Ages: 0-99

Provider: Spanish (440) 933-8300 EB, P, R Hospital Affiliations: Cultural Competency: Y Languages Spoken: Cleveland Clinic Foundation Ages: 0-99 Provider: Spanish Lakewood Hospital Hospital Affiliations: Mo-Tu - 8:00 AM - 7:00 PM Cleveland Clinic Lakewood Cleveland Clinic Foundation We,Th,Fr - 8:00 AM - 5:00 PM Cultural Competency: Y Yarham, Abby L, OD, (F) Weitzel, Corrie D, OD, (F) Ages: 0-99 Group Name: Cleveland Clinic Group Name: Cleveland Clinic Hospital Affiliations: Foundation Foundation Cleveland Clinic Foundation Provider ID: 003142775001 Provider ID: 002932570001 NPI: 1255584926 NPI: 1063602928 Williamson, Alexandra K, OD, (F) 309 W Lorain St 32900 Detroit Rd Group Name: Cleveland Clinic Oberlin, OH 44074

Avon, OH 44011 Foundation (440) 775-1015 EB, P, R

(800) 223-2273 EB, P, R Provider ID: 004068115006 Ages: 0-99 Languages Spoken: NPI: 1366878167 Hospital Affiliations: Provider: Spanish 33100 Cleveland Clinic Blvd Cleveland Clinic Foundation Cultural Competency: Y Avon, OH 44011 Lakewood Hospital

Ages: 0-99 (440) 696-4010 EB, P, R Cleveland Clinic Lakewood Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Yarham, Abby L, OD, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Weitzel, Corrie D, OD, (F) Foundation Group Name: Cleveland Clinic Williamson, Alexandra K, OD, (F) Provider ID: 003142775001 Foundation Group Name: Cleveland Clinic NPI: 1255584926 Provider ID: 002932570001 Foundation 35105 Center Ridge Rd NPI: 1063602928 Provider ID: 004068115006 North Ridgeville, OH 44039

33100 Cleveland Clinic Blvd NPI: 1366878167 (440) 327-1050 EB, P, R Avon, OH 44011 5700 Cooper Foster Pk Rd W Ages: 0-99

(440) 695-4000 EB, P, R Lorain, OH 44053 Hospital Affiliations:

Languages Spoken: (440) 988-4040 EB, P, R Cleveland Clinic Foundation Provider: Spanish Ages: 0-99 Lakewood Hospital Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Lakewood Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations:

752

Vision Providers Ohio - Medina Yarham, Abby L, OD, (F) Zurkey, Adam W, OD, (M) Medina Group Name: Cleveland Clinic Group Name: Cleveland Clinic

Foundation Foundation Provider ID: 003142775001 Provider ID: 005164038002 Ophthalmology

NPI: 1255584926 NPI: 1801201256 Members may self-refer to these 450 Avon Belden Rd 303 Chestnut Commons Dr providers.

Avon Lake, OH 44012 Elyria, OH 44035 Biedenbach, Rachel A, MD, (F), B (440) 933-8300 EB, P, R (440) 366-9444 EB, P, R Ages: 0-99 Ages: 0-99 Group Name: Wadsworth Eye Hospital Affiliations: Hospital Affiliations: Clinic Cleveland Clinic Foundation Cleveland Clinic Foundation Provider ID: 002608889001 Lakewood Hospital NPI: 1225112279 Cleveland Clinic Lakewood Zurkey, Adam W, OD, (M) 1197 High St Ste 106 Group Name: Cleveland Clinic Wadsworth, OH 44281 Yarham, Abby L, OD, (F) Foundation (330) 247-2480 EB, P, R Group Name: Cleveland Clinic Provider ID: 005164038002 Cultural Competency: Y Foundation NPI: 1801201256 Ages: 0-99 Provider ID: 003142775001 309 W Lorain St Hospital Affiliations: NPI: 1255584926 Oberlin, OH 44074 Summa Health System Akron General Medical Ctr 5700 Cooper Foster Park Rd W (440) 775-1015 EB, P, R Lorain, OH 44053 Ages: 0-99 Bodnar, Myron E, MD, (M), B (440) 988-4040 EB, IB, P, R, RE, T Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Group Name: Medina Eye Hospital Affiliations: Associates Cleveland Clinic Foundation Zurkey, Adam W, OD, (M) Provider ID: 001092366001 Lakewood Hospital Group Name: Cleveland Clinic NPI: 1457356032 Cleveland Clinic Lakewood Foundation 970 E Washington St Ste 201 Provider ID: 005164038002 Medina, OH 44256 Yoder, Beth A, OD, (F) NPI: 1801201256 (330) 725-7748 EB, P, R, RE Group Name: North Coast Eye 33100 Cleveland Clinic Blvd Languages Spoken: Care Avon, OH 44011 Provider: Polish, Russian, Ukrainian Provider ID: 002067251001 (440) 696-4010 EB, P, R NPI: 1689771255 Ages: 0-99 Mo,Tu,Th,Fr - 8:00 AM - 4:30 PM 35888 Center Ridge Rd Ste 2 Hospital Affiliations: We - 8:00 AM - 2:00 PM North Ridgeville, OH 44039 Cleveland Clinic Foundation Cultural Competency: Y Ages: 0-99 (440) 327-2747 EB, P, R, RE, S, T Hospital Affiliations: Mo,Fr - 8:00 AM - 3:00 PM Medina Hospital Tu - 9:00 AM - 7:00 PM We - 9:00 AM - 1:00 PM Th - 9:00 AM - 6:00 PM Ages: 0-99

753

Ohio - Medina Vision Providers Cingle, Kimberly A, MD, (F), B Esparaz, Elizabeth S, MD, (F), B Hull, Thomas P, MD, (M), B Group Name: Cleveland Clinic Group Name: Northeast Ohio Eye Group Name: Retina Group Of Foundation Surgeons Ne Ohio Provider ID: 002570038008 Provider ID: 006470060002 Provider ID: 002000995001 NPI: 1275567885 NPI: 1053654004 NPI: 1578535811 970 E Washington St Ste 303 4463 Weymouth Rd 3591 Reserve Commons Dr Ste 101 Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-5444 EB, P, R (330) 678-0201 EB, G, IB, P, PL, (330) 721-2727 EB, IB, P, R, RE, Cultural Competency: Y R, RE, S, T T Ages: 0-99 Ages: 0-99 Mo-Fr - 7:30 AM - 4:30 PM Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Robinson Memorial Hospital Boston Medical Center Ages: 0-99 Uh Portage Medical Center Hospital Affiliations: Summa Health System Hull, Thomas P, MD, (M), B Robinson Memorial Hospital Akron General Medical Ctr Group Name: Retina Associates Uh Portage Medical Center Metrohealth Medical Center Of Cleveland Summa Health System Cleveland Clinic Foundation Provider ID: 002000995005 Childrens Hospital Med Ctr Akron Fairview Hospital NPI: 1578535811 Akron General Medical Ctr Lakewood Hospital 3591 Reserve Commons Dr Ste 10 Aultman Hospital Medina, OH 44256 Mercy Medical Center

Cirino, Anthony J, DO, (M), B (330) 721-2727 EB, P, R Cleveland Clinic Mercy Hospital Group Name: Cirino Eye Center Cultural Competency: Y Provider ID: 002205430001 Ages: 0-99 Mayer, Daniel J, MD, (M), B NPI: 1588629976 Hospital Affiliations: Group Name: Daniel J Mayer Md 3898 Center Rd Robinson Memorial Hospital Provider ID: 000034554002 Brunswick, OH 44212 Uh Portage Medical Center NPI: 1225130446

(330) 273-5588 EB, P, R, RE, T Summa Health System 4067 N Jefferson St Childrens Hospital Med Ctr Akron Medina, OH 44256 Cultural Competency: Y Akron General Medical Ctr (330) 725-4174 EB, P, R Ages: 0-99 Aultman Hospital Mo,We,Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Mercy Medical Center Tu,Th - 9:00 AM - 4:30 PM Summa Health System Cleveland Clinic Mercy Hospital Cultural Competency: Y Childrens Hospital Med Ctr Akron Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Medina Hospital Wadsworth Rittman Hospital Summa Health System Medina Hospital Southwest General Health Center

754

Vision Providers Ohio - Medina Pham, Hang T, MD, (F), B Hospital Affiliations: Group Name: Retina Associates Summa Health System Of Cleveland Albany Medical Ctr South Clincal Optometry

Provider ID: 006741771008 Albany Medical Center Hospital Members may self-refer to these NPI: 1972920296 Lakewood Hospital providers.

3591 Reserve Commons Dr Ste 101 Cleveland Clinic Lakewood Medina, OH 44256 Uh Parma Medical Center Chitluri, Anita R, OD, (F) Group Name: Cleveland Clinic (330) 721-2727 EB, IB, P, R, RE, University Hospitals Parma T Medical Ctr Foundation Languages Spoken: Albany Memorial Hospital Provider ID: 002602035001 Provider: Vietnamese NPI: 1396784351 Ages: 0-99 Tsai, Thomas J, MD, (M), B 3574 Center Rd Group Name: Retina Group Of Brunswick, OH 44212 Pophal, Mark D, MD, (M), B Ne Ohio (330) 225-8886 EB, P, R Group Name: Medina Eye Provider ID: 000231059001 Cultural Competency: Y Associates NPI: 1316919640 Ages: 0-99 Provider ID: 001276154001 3591 Reserve Commons Dr Ste 101 Hospital Affiliations: NPI: 1407849516 Medina, OH 44256 Cleveland Clinic Foundation

970 E Washington St #201 (330) 434-1185 EB, IB, P, R, RE, Medina, OH 44256 T Cimino, Heather, OD, (F) Group Name: Cleveland Clinic (330) 725-7748 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Cultural Competency: Y Foundation Provider: Russian Ages: 0-99 Provider ID: 002258626001 Mo-Th - 8:00 AM - 5:00 PM Hospital Affiliations: NPI: 1609933977 Fr - 8:00 AM - 4:00 PM Robinson Memorial Hospital 3574 Center Rd Cultural Competency: Y Uh Portage Medical Center Brunswick, OH 44212 Ages: 0-99 Summa Health System (330) 225-8886 EB, P, R Hospital Affiliations: Childrens Hospital Med Ctr Akron Ages: 0-99 Hillcrest Hospital Akron General Medical Ctr Hospital Affiliations: Uh Cleveland Medical Center Aultman Hospital Cleveland Clinic Foundation Mercy Medical Center Schartman, Jerome P, MD, (M), B Cleveland Clinic Mercy Hospital Reiss, Samuel L, OD, (M) Group Name: Retina Associates Group Name: System Optics Of Cleveland Wall, Palak B, MD, (F) Provider ID: 001401574003 Provider ID: 002832947001 Group Name: Children's Hospital NPI: 1801865936 NPI: 1912113069 Medical Center 409 N Court St 3591 Reserve Commons Dr Ste 101 Provider ID: WALL494 Medina, OH 44256 Medina, OH 44256 NPI: 1821253253 (330) 725-4680 EB, P, R Mo,Tu,We,Fr - 9:00 AM - 5:00 PM (216) 831-5700 EB, IB, P, R, RE, 3443 Medina Road T Medina, OH 44256 Th - 9:00 AM - 7:00 PM Sa - 9:00 AM - 12:00 PM Mo - 8:00 AM - 5:00 PM (330) 543-5290 Cultural Competency: Y Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Ages: 0-99

755

Ohio - Lake Certified Nurse Midwives

Certified Nurse Midwives

Lake Ohio Midwifery

Certified Midwife All female members are allowed to Geauga

self-refer to certified nurse

Crites, Shannon E, CM, (F) midwives (CNMs), obstetricians and Midwifery Group Name: Cleveland Clinic gynecologists on UnitedHealthcare Foundation All female members are allowed to Community Plan's provider panel. Provider ID: 005618223003 self-refer to certified nurse In addition female members are also NPI: 1639563208 midwives (CNMs), obstetricians and allowed to self-refer to women's 2570 Som Center Rd gynecologists on UnitedHealthcare health specialists on Willoughby Hills, OH 44094 Community Plan's provider panel. UnitedHealthcare Community (440) 943-2500 EB, IB, P, R, RE, In addition female members are also Plan's panel for routine and T allowed to self-refer to women's preventative health care services if Ages: 0-99 health specialists on their PCP is not a women's health Hospital Affiliations: UnitedHealthcare Community specialist. For a list of women's Cleveland Clinic Foundation Plan's panel for routine and health specialists on Hillcrest Hospital preventative health care services if UnitedHealthcare Community

their PCP is not a women's health Plan's panel, please call specialist. For a list of women's 1.877-542-9236; Relay: 711. health specialists on Cover, Cynthia J, CNM, (F) UnitedHealthcare Community Group Name: Cleveland Clinic Plan's panel, please call Foundation 1.877-542-9236; Relay: 711. Provider ID: 001328971002 Landon, Gabrielle, CNM, (F) NPI: 1013945765 Group Name: Dr Natalina 2570 Som Center Rd Andreani Willoughby Hills, OH 44094 Provider ID: 006989104002 (440) 943-6160 EB, IB, P, R, RE, NPI: 1962979955 T 13170 Ravenna Rd Ste 116 Cultural Competency: Y Chardon, OH 44024 Ages: 0-99

(440) 285-0828 EB, IB, P, R, RE, Hospital Affiliations: T Cleveland Clinic Foundation Ages: 0-99 Hillcrest Hospital Hospital Affiliations: Lakewood Hospital Robinson Memorial Hospital Cleveland Clinic Lakewood Uh Portage Medical Center Uh Cleveland Medical Center

756

Certified Nurse Midwives Ohio - Lake Miller, Melissa G, CNM, (F) Lorain Group Name: Cleveland Clinic Pustelnik, Iola, CNM, (F)

Foundation Group Name: Lake Health Allied Provider ID: 007326425002 Health Professionals Midwifery

NPI: 1275181109 Provider ID: 002582911005 All female members are allowed to 2570 Som Center Rd NPI: 1275566556 self-refer to certified nurse Willoughby Hills, OH 44094 9485 Mentor Ave Ste 202 midwives (CNMs), obstetricians and (440) 943-2500 EB, P, R Mentor, OH 44060 gynecologists on UnitedHealthcare Ages: 0-99 (440) 205-5862 EB, P, R Community Plan's provider panel. Does Not Accept Male Patients Mo-Fr - 9:00 AM - 5:00 PM In addition female members are also Hospital Affiliations: Web address: www.ppgoh.org allowed to self-refer to women's Cleveland Clinic Foundation Ages: 0-99 health specialists on Hillcrest Hospital Hospital Affiliations: UnitedHealthcare Community Fairview Hospital Lake Health Plan's panel for routine and Uh Cleveland Medical Center preventative health care services if Pustelnik, Iola, CNM, (F) their PCP is not a women's health Group Name: Lake Health Allied Simmons, Brianna M, CNM, (F) specialist. For a list of women's Health Professionals Group Name: Cleveland Clinic health specialists on Provider ID: 002582911005 Foundation UnitedHealthcare Community NPI: 1275566556 Provider ID: 006881762001 Plan's panel, please call 36001 Euclid Ave Ste C7 NPI: 1871079129 1.877-542-9236; Relay: 711.

Willoughby, OH 44094 2570 Som Center Rd Alverson, Mary Jo, CNM, (F) (440) 602-6710 EB, P, R Willoughby Hills, OH 44094 Group Name: UPCP Mo-Fr - 9:00 AM - 5:00 PM (440) 943-2500 EB, IB, P, R, RE, Web address: www.ppgoh.org T Provider ID: 003442131002 Ages: 0-99 Ages: 0-99 NPI: 1881796704 Hospital Affiliations: Hospital Affiliations: 32800 Lorain Rd Ste 1200 Lake Health Cleveland Clinic Foundation North Ridgeville, OH 44039 Uh Cleveland Medical Center Hillcrest Hospital (440) 835-6996 EB, P, R, RE, T Fairview Hospital Mo-Fr - 8:30 AM - 4:30 PM Pustelnik, Iola, CNM, (F) Ages: 0-99 Group Name: The Parker Skin & Tabin, Jenifer, CNM, (F) Hospital Affiliations: Aest Clin Group Name: UPCP Southview Hospital Provider ID: 002582911007 Provider ID: 002666870004 Fairview Hospital NPI: 1275566556 NPI: 1083624290 St John Medical Center 5105 Som Center Rd Ste 201 9000 Mentor Ave Ste 215 Uh Parma Medical Center Willoughby, OH 44094 Mentor, OH 44060 University Hospitals Parma (440) 602-6710 EB, P, PL, R, RE, (440) 205-5870 EB, P, R Medical Ctr T Languages Spoken:

Ages: 0-99 Provider: Spanish Hospital Affiliations: Staff: Spanish Lake Health Ages: 0-99 Uh Cleveland Medical Center

757

Ohio - Lorain Certified Nurse Midwives Bloom, Linda S, CNM, (F) Cover, Cynthia J, CNM, (F) Grove, Michelle L, CNM, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: UPCP Foundation Foundation Provider ID: 002255732004 Provider ID: 001569487001 Provider ID: 001328971002 NPI: 1164484671 NPI: 1548206766 NPI: 1013945765 1997 Healthway Dr Ste 203 450 Avon Belden Rd 450 Avon Belden Rd Avon, OH 44011

Avon Lake, OH 44012 Avon Lake, OH 44012 (440) 988-6884 EB, IB, P, R, RE,

(440) 930-6800 EB, P, R (440) 930-6800 EB, P, R T Cultural Competency: Y Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Ages: 13-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation University Hospitals Elyria Hillcrest Hospital Hillcrest Hospital Medical Ctr Lakewood Hospital Lakewood Hospital Uh Elyria Medical Center Cleveland Clinic Lakewood Cleveland Clinic Lakewood Mercy Regional Medical Center Huron Hospital Communtiy Health Partners Rgnl Grove, Michelle L, CNM, (F) Mdcl Ctr Bruderer, Heather A, CNM, (F) Group Name: UPCP Group Name: Mercy Health Provider ID: 002255732004 Grove, Michelle L, CNM, (F) Physicians Lorain NPI: 1164484671 Group Name: UPCP Provider ID: 007410904001 125 E Broad St Ste 218 Provider ID: 002255732004 NPI: 1689149189 Elyria, OH 44035 NPI: 1164484671

5054 Waterford Dr (440) 329-7310 E, EB, G, IB, P, 32800 Lorain Rd Ste 1200 Sheffield Village, OH 44035 R, RE North Ridgeville, OH 44039

(440) 934-8344 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM (440) 989-5111 EB, P, R, RE, T Ages: 12-99 Ages: 0-99 Does Not Accept Male Patients Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM University Hospitals Elyria Ages: 0-99 Bruderer, Heather A, CNM, (F) Medical Ctr Hospital Affiliations: Group Name: Mercy Health Uh Elyria Medical Center University Hospitals Elyria Physicians Lorain Mercy Regional Medical Center Medical Ctr Provider ID: 007410904001 Communtiy Health Partners Rgnl Uh Elyria Medical Center NPI: 1689149189 Mdcl Ctr Mercy Regional Medical Center 578 N Leavitt Rd Communtiy Health Partners Rgnl Amherst, OH 44001 Mdcl Ctr

(440) 960-3912 E, EB, IB, P, R, RE, S, T Ages: 12-99 Does Not Accept Male Patients

758

Certified Nurse Midwives Ohio - Lorain Grove, Michelle L, CNM, (F) Hudson, Susan J, CNM, (F) Lamb, Catherine M, CNM, (F) Group Name: UPCP Group Name: Cleveland Clinic Group Name: UPCP Provider ID: 002255732004 Foundation Provider ID: 002739511002 NPI: 1164484671 Provider ID: 002644199006 NPI: 1124112206 508 E Broad St NPI: 1861467730 125 E Broad St Ste 218 Elyria, OH 44035 36901 American Way Elyria, OH 44035

(440) 329-7689 EB, P, R Avon, OH 44011 (440) 329-7310 E, EB, G, IB, P,

Mo-Fr - 8:30 AM - 4:30 PM (440) 930-6200 EB, P, R R, RE Ages: 0-99 Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Ages: 0-99 University Hospitals Elyria Does Not Accept Male Patients Does Not Accept Male Patients Medical Ctr Hospital Affiliations: Hospital Affiliations: Uh Elyria Medical Center Wadsworth Rittman Hospital University Hospitals Elyria Mercy Regional Medical Center Cleveland Clinic Foundation Medical Ctr Communtiy Health Partners Rgnl Hillcrest Hospital Uh Elyria Medical Center Mdcl Ctr Fairview Hospital Mercy Regional Medical Center Lutheran Hospital Communtiy Health Partners Rgnl Grove, Michelle L, CNM, (F) Areas of Expertise: MAT1 Mdcl Ctr Group Name: UPCP Provider ID: 002255732004 Klein, Susan, CNM, (F) Lamb, Catherine M, CNM, (F) NPI: 1164484671 Group Name: Cleveland Clinic Group Name: UPCP 910 Liberty Bell Dr Foundation Provider ID: 002739511002 Amherst, OH 44001 Provider ID: 002659857001 NPI: 1124112206

(440) 989-5111 EB, P, R NPI: 1265481691 1997 Healthway Dr Ste 203 Mo-Fr - 8:30 AM - 4:30 PM 36901 American Way Avon, OH 44011

Ages: 0-99 Avon, OH 44011 (440) 988-6884 EB, IB, P, R, RE,

Hospital Affiliations: (440) 930-6200 E, EB, IB, P, R T University Hospitals Elyria Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Medical Ctr Ages: 0-99 Ages: 0-99 Uh Elyria Medical Center Does Not Accept Male Patients Does Not Accept Male Patients Mercy Regional Medical Center Hospital Affiliations: Hospital Affiliations: Communtiy Health Partners Rgnl Cleveland Clinic Foundation University Hospitals Elyria Mdcl Ctr Fairview Hospital Medical Ctr Lakewood Hospital Uh Elyria Medical Center Cleveland Clinic Lakewood Mercy Regional Medical Center Lutheran Hospital Communtiy Health Partners Rgnl Mdcl Ctr

759

Ohio - Lorain Certified Nurse Midwives Lamb, Catherine M, CNM, (F) Lamb, Catherine M, CNM, (F) Mitchell, Darla G, CNM, (F) Group Name: UPCP Group Name: UPCP Group Name: UPCP Provider ID: 002739511002 Provider ID: 002739511002 Provider ID: 003249278002 NPI: 1124112206 NPI: 1124112206 NPI: 1669772885 32800 Lorain Rd Ste 1200 910 Liberty Bell Dr 125 E Broad St Ste 218 North Ridgeville, OH 44039 Amherst, OH 44001 Elyria, OH 44035

(440) 989-5111 EB, P, R, RE, T (440) 989-5111 EB, P, R (440) 329-7310 E, EB, G, IB, P, Mo-Fr - 8:30 AM - 4:30 PM R, RE Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Mo-Fr - 9:00 AM - 5:00 PM Ages: 0-99 Does Not Accept Male Patients Cultural Competency: Y Does Not Accept Male Patients Hospital Affiliations: Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Hospital Affiliations: University Hospitals Elyria Medical Ctr University Hospitals Elyria Medical Ctr Uh Elyria Medical Center Medical Ctr Uh Elyria Medical Center Mercy Regional Medical Center Uh Elyria Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Communtiy Health Partners Rgnl Mdcl Ctr Mitchell, Darla G, CNM, (F) Mdcl Ctr Group Name: UPCP Mitchell, Darla G, CNM, (F) Provider ID: 003249278002 Lamb, Catherine M, CNM, (F) Group Name: UPCP NPI: 1669772885 Group Name: UPCP Provider ID: 003249278002 630 E River St Provider ID: 002739511002 NPI: 1669772885 Elyria, OH 44035 NPI: 1124112206 1205 Broadway (440) 989-5111 EB, P, R 508 E Broad St Lorain, OH 44052 Mo-Fr - 8:00 AM - 4:30 PM Elyria, OH 44035 (440) 989-5111 EB, G, IB, P, PL, Cultural Competency: Y (440) 329-7689 EB, P, R R, RE, S, T Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:00 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Cultural Competency: Y University Hospitals Elyria Does Not Accept Male Patients Ages: 0-99 Medical Ctr Hospital Affiliations: Hospital Affiliations: Uh Elyria Medical Center University Hospitals Elyria University Hospitals Elyria Medical Ctr Medical Ctr Mitchell, Darla G, CNM, (F) Uh Elyria Medical Center Uh Elyria Medical Center Group Name: UPCP Mercy Regional Medical Center Provider ID: 003249278002 Communtiy Health Partners Rgnl NPI: 1669772885 Mdcl Ctr 910 Liberty Bell Dr Amherst, OH 44001

(440) 989-5111 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: University Hospitals Elyria

760

Certified Nurse Midwives Ohio - Medina

Medical Ctr Uh Elyria Medical Center Midwifery

All female members are allowed to self-refer to certified nurse

Medina

midwives (CNMs), obstetricians and

Certified Midwife gynecologists on UnitedHealthcare

Community Plan's provider panel. Claypoole, Bobbi S, CM, (F) In addition female members are also Group Name: Summa Physicians allowed to self-refer to women's Provider ID: 005618143001 health specialists on NPI: 1699723288 UnitedHealthcare Community 3780 Medina Rd Ste 200 Plan's panel for routine and Medina, OH 44256 preventative health care services if (330) 869-9777 their PCP is not a women's health Cultural Competency: Y specialist. For a list of women's Ages: 0-99 health specialists on UnitedHealthcare Community Plan's panel, please call 1.877-542-9236; Relay: 711. George, Jessica, CNM , (F) Group Name: Summa Physicians Provider ID: 003505178002 NPI: 1598758229 3780 Medina Rd Ste 200 Medina, OH 44256 (330) 722-3083 Ages: 0-99 Hospital Affiliations: Aultman Orrville Hospital

Sedlak, Stephanie A, CNM, (F) Group Name: Summa Physicians Provider ID: 003395134002 NPI: 1477868156 195 Wadsworth Rd Ste 301 Wadsworth, OH 44281

(330) 745-4748 E, EB, G, IB, P, R, RE, S, T Mo-Fr - 8:00 AM - 4:00 PM Ages: 0-99 Hospital Affiliations: Summa Health System Summa Barberton Citizens

761

Ohio - Geauga Certified Nurse Practitioners

Certified Nurse Practitioners Barger, Tina A, NP, (F) Uh Geauga Medical Center Ohio Group Name: UPCP University Hospitals Geauga Provider ID: 003412289005 Medical Ctr Geauga NPI: 1922398379

12475 Hospital Dr Cantor, Giovanna, NP, (F) Advanced Registered Nurse Chardon, OH 44024 Group Name: UPCP

Practitioner (440) 285-2960 EB, P, R Provider ID: 006479157001 Mele, Kristi L, NP , (F) Mo-Fr - 8:30 AM - 4:30 PM NPI: 1144777350 Group Name: University Primary Cultural Competency: Y 13207 Ravenna Rd Care Practices Ages: 0-99 Chardon, OH 44024 Provider ID: 003479419002 Hospital Affiliations: (440) 285-6975 EB, P, R NPI: 1881966745 Uh Geauga Medical Center Mo-Fr - 8:30 AM - 4:30 PM 8185 E Washington St Ste 2 University Hospitals Geauga Ages: 0-99 Chagrin Falls, OH 44023 Medical Ctr Hospital Affiliations: Lake Health Uh Geauga Medical Center (440) 708-1555 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM University Hospitals Geauga Cultural Competency: Y Barger, Tina A, NP, (F) Medical Ctr Ages: 0-99 Group Name: Community Hospital Affiliations: Hospitalists Cantor, Giovanna, NP, (F) Uh Cleveland Medical Center Provider ID: 003412289004 Group Name: UPCP NPI: 1922398379 Provider ID: 006479157001

13207 Ravenna Rd NPI: 1144777350 Nurse Practitioner Chardon, OH 44024 13221 Ravenna Rd Ste 9

(440) 542-5000 EB, P, R Chardon, OH 44024 Members may self-refer to these Cultural Competency: Y (440) 285-6975 EB, P, R providers. Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM

Barger, Tina A, NP, (F) Hospital Affiliations: Ages: 0-99 Group Name: Community Uh Geauga Medical Center Hospital Affiliations: Hospitalists University Hospitals Geauga Uh Geauga Medical Center Provider ID: 003412289004 Medical Ctr University Hospitals Geauga NPI: 1922398379 Lake Health Medical Ctr 12340 Bass Lake Rd Chardon, OH 44024 Blair, Sarah M, NP, (F) Decapite, Rachel C, NP, (F) (440) 542-5000 EB, P, R Group Name: UPCP Group Name: University Primary Cultural Competency: Y Provider ID: 007572855001 Care Practices Ages: 0-99 NPI: 1427656420 Provider ID: 002997576009 Hospital Affiliations: 13207 Ravenna Rd NPI: 1689856932 Uh Geauga Medical Center Chardon, OH 44024 13207 Ravenna Rd

University Hospitals Geauga (216) 844-3800 E, EB, G, IB, P, Chardon, OH 44024

Medical Ctr PL, R, RE, S, T (440) 358-5480 EB, P, R Lake Health Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Ages: 18-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99

762

Certified Nurse Practitioners Ohio - Geauga Hospital Affiliations: Northeast Baptist Hospital Uh Geauga Medical Center Flick, Susan M, NP, (F) Methodist Hospital University Hospitals Geauga Group Name: University Christus Spohn Shoreline Hospital Medical Ctr Hospitals Medical Group North Central Baptist Hospital Uh Regional Hospital - Bedford Provider ID: 002919279034 Corpus Christi Med Ctr Campus NPI: 1710175179 Uh Regional Hospitals 13207 Ravenna Rd Huffman, David W, NP, (M) Uh Cleveland Medical Center Chardon, OH 44024 Group Name: Community

Univ Hospitals Ahuja Med Ctr (216) 844-3009 E, EB, G, IB, P, Hospitalists PL, R, RE, S, T Provider ID: 006265594002 Decapite, Rachel C, NP, (F) Cultural Competency: Y NPI: 1457735243 Group Name: University Primary Ages: 0-99 12340 Bass Lake Rd Care Practices Hospital Affiliations: Chardon, OH 44024

Provider ID: 002997576009 Uh Cleveland Medical Center (440) 542-5000 EB, P, R NPI: 1689856932 Ages: 0-99 13221 Ravenna Rd Ste 12 Hall, Amanda R, NP, (F) Hospital Affiliations: Chardon, OH 44024 Group Name: UPCP Uh Geauga Medical Center

(440) 358-5480 EB, P, R Provider ID: 005721798001 University Hospitals Geauga Mo-Fr - 8:00 AM - 4:30 PM NPI: 1073994919 Medical Ctr Cultural Competency: Y 13270 Ravenna Rd Metrohealth Medical Center Ages: 0-99 Chardon, OH 44024

Hospital Affiliations: (440) 285-6725 EB, P, R Huffman, David W, NP, (M) Uh Geauga Medical Center Cultural Competency: Y Group Name: Community University Hospitals Geauga Ages: 0-99 Hospitalists Medical Ctr Hospital Affiliations: Provider ID: 006265594002 Uh Regional Hospital - Bedford Uh Geauga Medical Center NPI: 1457735243 Campus University Hospitals Geauga 13207 Ravenna Rd Uh Regional Hospitals Medical Ctr Chardon, OH 44024

Uh Cleveland Medical Center (440) 542-5000 EB, P, R Univ Hospitals Ahuja Med Ctr Heider, Alison M, NP, (F) Ages: 0-99 Group Name: Cleveland Clinic Hospital Affiliations: Digennaro, Heidi M, NP, (F) Foundation Uh Geauga Medical Center Group Name: Cleveland Clinic Provider ID: 005416969024 University Hospitals Geauga Foundation NPI: 1073906939 Medical Ctr Provider ID: 003748265001 8254 Mayfield Rd Metrohealth Medical Center NPI: 1124451844 Chesterland, OH 44026

17747 Chillicothe Rd Ste 100 (800) 223-2273 EB, P, R Chagrin Falls, OH 44023 Cultural Competency: Y

(440) 543-8855 EB, P, R Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Baptist Medical Center Hospital Affiliations: Metropolitan Methodist Hospital Cleveland Clinic Foundation Cleveland Clinic Foundation

763

Ohio - Geauga Certified Nurse Practitioners Huffman, David W, NP, (M) Uh Conneaut Medical Center Meek, Lisa C, NP, (F) Group Name: UPCP St Elizabeth Youngstown Hospital Group Name: University Provider ID: 006265594001 Hospitals Medical Group NPI: 1457735243 Lee, Tonya, NP, (F) Provider ID: 006817029001 13209 Ravenna Rd Group Name: University NPI: 1710400486 Chardon, OH 44024 Hospitals Medical Group 13207 Ravenna Rd

(440) 285-6000 EB, P, R Provider ID: 006818007001 Chardon, OH 44024

Mo-Fr - 8:30 AM - 4:30 PM NPI: 1801180948 (440) 285-6000 E, EB, G, IB, P, Ages: 0-99 13207 Ravenna Rd PL, R, RE, S, T Hospital Affiliations: Chardon, OH 44024 Mo-Fr - 8:30 AM - 4:30 PM

Uh Geauga Medical Center (440) 285-6000 E, EB, G, IB, P, Accepting Existing Patients Only University Hospitals Geauga PL, R, RE, S, T Ages: 0-99 Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Metrohealth Medical Center Ages: 0-99 Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga Huffman, David W, NP, (M) Uh Geauga Medical Center Medical Ctr Group Name: UPCP University Hospitals Geauga Uh Parma Medical Center Provider ID: 006265594001 Medical Ctr University Hospitals Parma NPI: 1457735243 Univ Hospitals Ahuja Med Ctr Medical Ctr 13221 Ravenna Rd Ste 12 Areas of Expertise: MAT1 Chardon, OH 44024 Loparo, Maetinee, NP, (F)

(440) 214-3114 EB, P, R Group Name: Ues Geauga Mele, Kristi L, NP, (F) Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 005007786008 Group Name: University Primary Ages: 0-99 NPI: 1033524954 Care Practices Hospital Affiliations: 13207 Ravenna Rd Provider ID: 003479419002 Uh Geauga Medical Center Chardon, OH 44024 NPI: 1881966745

University Hospitals Geauga (330) 656-5911 EB, P, R 8185 E Washington St Ste 2 Medical Ctr Ages: 0-99 Chagrin Falls, OH 44023

Metrohealth Medical Center Hospital Affiliations: (440) 708-1555 EB, P, R Akron General Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM Kountz, Patricia A, NP, (F) Uh Regional Hospital - Bedford Cultural Competency: Y Group Name: Ues Geauga Campus Ages: 0-99 Provider ID: 003253280007 Uh Regional Hospitals Hospital Affiliations: NPI: 1629382635 Uh Cleveland Medical Center Uh Cleveland Medical Center 13207 Ravenna Rd Chardon, OH 44024

(330) 656-5911 E, EB, G, IB, P, PL, R, RE, S, T Ages: 0-99 Hospital Affiliations: Uh Geneva Medical Center University Hospitals Conneaut Medical Ce

764

Certified Nurse Practitioners Ohio - Lake Mundy, Ruth A, NP, (F) Williams, Luke R, NP, (M) Meine, Julie A, NP, (F) Group Name: Cleveland Clinic Group Name: Gary B Kaplan Md Group Name: University Foundation Provider ID: 004641369014 Hospitals Medical Group Provider ID: 002835895001 NPI: 1346665171 Provider ID: 002501026010 NPI: 1962699470 510 5th Ave NPI: 1518089978 17747 Chillicothe Rd Ste 100 Chardon, OH 44024 9000 Mentor Ave Ste 212

Chagrin Falls, OH 44023 (440) 946-0053 EB, P, R, RE Mentor, OH 44060

(440) 543-8855 EB, P, R Ages: 0-99 (216) 844-3800 EB, P, R Cultural Competency: Y Hospital Affiliations: Web address: julie.meine@uhhospit Ages: 0-99 Metrohealth Medical Center als.org Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Uh Regional Hospitals Lake O'boyle, Katherine M, NP, (F) Uh Cleveland Medical Center

Group Name: University Univ Hospitals Ahuja Med Ctr Hospitals Medical Group Advanced Registered Nurse Provider ID: 006696475002 Practitioner Mele, Kristi L, NP, (F) NPI: 1952824138 Meine, Julie A, NP , (F) Group Name: Lake-Health Univ 13207 Ravenna Rd Group Name: University Hosp Seidman Cancer Ctr Chardon, OH 44024 Hospitals Medical Group Provider ID: 003479419003 (216) 844-7874 EB, P, R Provider ID: 002501026001 NPI: 1881966745 Ages: 0-99 NPI: 1518089978 9485 Mentor Ave Ste 3 9000 Mentor Ave Mentor, OH 44060 Small, Sarah J, NP, (F) Mentor, OH 44060 (440) 205-5755 E, EB, G, IB, P,

Group Name: Lake County Foot (216) 844-3800 EB, P, R PL, R, RE, S, T & Ankle Ascs Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 005749206001 Web address: julie.meine@uhhospit Cultural Competency: Y NPI: 1578948824 als.org Ages: 0-99 325 Center St Ste 1 Ages: 0-99 Hospital Affiliations: Chardon, OH 44024 Hospital Affiliations: Uh Cleveland Medical Center (440) 285-2666 E, EB, G, IB, P, Uh Regional Hospitals R, RE, S, T Uh Cleveland Medical Center Sorma, Kaleena, MA, (F) Mo-Fr - 9:00 AM - 5:00 PM Univ Hospitals Ahuja Med Ctr Group Name: Rakesh Ranjan Md Cultural Competency: Y And Assoc Ages: 0-99 Provider ID: 006390237004 Hospital Affiliations: NPI: 1851830681 Lake Health 8532 Mentor Ave Mentor, OH 44060

(440) 205-1008 EB, RE, S, T Ages: 0-99 Areas of Expertise: E112, E160

765

Ohio - Lake Certified Nurse Practitioners Yursky, Mary E, NP, (F) Hanzs, Taylor L, NP, (F) Smith, Susan, FNP, (F) Group Name: University Group Name: Haber Dermatology Group Name: University Hospitals Medical Group Provider ID: 006825590004 Hospitals Medical Group Provider ID: 002500995001 NPI: 1225536998 Provider ID: 007071672001 NPI: 1144246570 7200 Mentor Ave NPI: 1356816821 9000 Mentor Ave Mentor, OH 44060 9000 Mentor Ave Ste 212

Mentor, OH 44060 (216) 932-5200 EB, G, P, R, RE, Mentor, OH 44060

(216) 844-3800 EB, P, R S, T (216) 844-3800 EB, P, R Cultural Competency: Y Fr - 9:00 AM - 5:00 PM Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Ages: 18-99 Hospital Affiliations: Uh Cleveland Medical Center Palmer, Sherry N, NP, (F) Univ Hospitals Ahuja Med Ctr Group Name: Lake Health Allied Nurse Practitioner

Health Professionals Members may self-refer to these Provider ID: 003695763004 Family Nurse Practitioner providers. NPI: 1528494531 Davidson, Angela M, FNP, (F) 9500 Mentor Ave Ste 200 Alston, Karen A, NP, (F) Group Name: Alok Bhaiji Md Mentor, OH 44060 Group Name: Lake Health Urg Care Provider ID: 007518496001 (440) 354-0377 EB, IB, P, R NPI: 1891330049 Mo-Fr - 9:00 AM - 5:00 PM Provider ID: 007056035004 35900 Euclid Ave Ages: 0-99 NPI: 1881164986 Willoughby, OH 44094 Hospital Affiliations: 7580 Auburn Rd Ste 207 Concord Township, OH 44077 (440) 953-3000 EB, P, R Lake Health Ages: 0-99 (440) 354-1802 EB, P, R Sirvaitis, Ringaile, NP, (F) Mo-Fr - 7:00 AM - 4:30 PM Dubeansky, Debbie M, NP, (F) Group Name: Apex Dermatology Ages: 0-99 Group Name: Lake Health And Skin Surgery Hospital Affiliations: University Hospitals Seidman Provider ID: 005865799002 Lake Health Provider ID: 005226083003 NPI: 1447624358 NPI: 1699113373 7580 Auburn Rd Ste 301 Bailey, Shannon N, NP, (F) 9485 Mentor Ave Ste 3 Concord Township, OH 44077 Group Name: Community Hospitalists Mentor, OH 44060 (440) 352-7546 EB, P, R, RE, T Provider ID: 006057985001 (440) 205-5788 E, EB, G, IB, P, Mo-Fr - 8:00 AM - 4:30 PM PL, R, RE, S, T Ages: 0-99 NPI: 1356709265 Mo-Fr - 7:00 AM - 4:30 PM Hospital Affiliations: 36000 Euclid Ave Ages: 0-99 Lake Health Willoughby, OH 44094 Hospital Affiliations: (440) 542-5025 P, R, RE, T Lake Health Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Lake Health

766

Certified Nurse Practitioners Ohio - Lake Barger, Tina A, NP, (F) Hospital Affiliations: Hospital Affiliations: Group Name: Community Uh Geauga Medical Center Uh Geauga Medical Center Hospitalists University Hospitals Geauga University Hospitals Geauga Provider ID: 003412289004 Medical Ctr Medical Ctr NPI: 1922398379 Lake Health 10 E Washington St Bobonich, Margaret A, NP, (F) Painesville, OH 44077 Barry, Shannon S, NP, (F) Group Name: University

(440) 542-5000 EB, P, R Group Name: University Primary Hospitals Medical Group Cultural Competency: Y Care Practices Provider ID: 002612125001 Ages: 0-99 Provider ID: 007415997001 NPI: 1821143066 Hospital Affiliations: NPI: 1245737121 7500 Auburn Rd Ste 2500 Uh Geauga Medical Center 7500 Auburn Rd Ste 1200 Concord Township, OH 44077

University Hospitals Geauga Concord Township, OH 44077 (216) 844-8200 EB, P, R

Medical Ctr (440) 358-5400 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Lake Health Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Accepting Existing Patients Only Ages: 0-99 Barger, Tina A, NP, (F) Ages: 0-99 Hospital Affiliations: Group Name: Community Uh Geauga Medical Center Hospitalists Berardinelli, Gina L, NP, (F) University Hospitals Geauga Provider ID: 003412289004 Group Name: Allied Dermatology Medical Ctr NPI: 1922398379 & Skin Surg Uh Cleveland Medical Center 36000 Euclid Ave Provider ID: 002946291003 Willoughby, OH 44094 NPI: 1003079922 Brown, Luke A, NP, (M)

(440) 542-5000 P, R, RE, T 9485 Mentor Ave Ste 102 Group Name: Catholic Charities Cultural Competency: Y Mentor, OH 44060 Corporation

Ages: 0-99 (440) 266-5500 EB, IB, P, R, RE, Provider ID: 003405386004 Hospital Affiliations: T NPI: 1669786125 Uh Geauga Medical Center Mo-Fr - 8:00 AM - 4:30 PM 8 N State St Ste 455 University Hospitals Geauga Ages: 0-99 Painesville, OH 44077

Medical Ctr Hospital Affiliations: (440) 352-6191 EB, IB, P, R, RE, Lake Health Lake Health T Cleveland Clinic Foundation Web address: www.ccdocle.org Barger, Tina A, NP, (F) Uh Cleveland Medical Center Ages: 0-99 Group Name: Community Hospitalists Blair, Sarah M, NP, (F) Cantor, Giovanna, NP, (F) Provider ID: 003412289004 Group Name: UPCP Group Name: UPCP NPI: 1922398379 Provider ID: 007572855001 Provider ID: 006479157001 7590 Auburn Rd NPI: 1427656420 NPI: 1144777350 Concord Township, OH 44077 7500 Auburn Rd Ste 1500 7500 Auburn Rd

(440) 542-5000 E, EB, G, IB, P, Concord Township, OH 44077 Concord Township, OH 44077

PL, R, RE, S, T (216) 844-3800 EB, P, R (440) 285-6975 EB, P, R Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Ages: 18-99 Ages: 0-99

767

Ohio - Lake Certified Nurse Practitioners Hospital Affiliations: Demshar, Regan K, NP, (F) Digennaro, Heidi M, NP, (F) Uh Geauga Medical Center Group Name: Lake-Health Univ Group Name: Cleveland Clinic University Hospitals Geauga Hosp Seidman Cancer Ctr Foundation Medical Ctr Provider ID: 003432550002 Provider ID: 003748265001 NPI: 1972872059 NPI: 1124451844 Dearth, Christine A, NP, (F) 9485 Mentor Ave Ste 3 7533 Center St Group Name: Cleveland Clinic Mentor, OH 44060 Mentor, OH 44060

Foundation (440) 205-5755 E, EB, G, IB, P, (440) 205-1714 EB, P, R Provider ID: 005689440001 PL, R, RE, S, T Cultural Competency: Y NPI: 1164680435 Ages: 0-99 Ages: 0-99 2570 Som Center Rd Hospital Affiliations: Hospital Affiliations: Willoughby Hills, OH 44094 Uh Cleveland Medical Center Cleveland Clinic Foundation

(440) 943-2500 EB, IB, P, R, RE, T Digennaro, Heidi M, NP, (F) Downey, Shawna S, NP, (F) Ages: 0-99 Group Name: Cleveland Clinic Group Name: Id Consultants Hospital Affiliations: Foundation Provider ID: 007588873001 Cleveland Clinic Foundation Provider ID: 003748265001 NPI: 1306440474 Cleveland Clinic Avon Hospital NPI: 1124451844 50 Normandy Dr 2570 Som Center Rd Painesville, OH 44077

Decapite, Rachel C, NP, (F) Willoughby Hills, OH 44094 (216) 360-0456 EB, IB, P, R

Group Name: University Primary (440) 943-2500 EB, IB, P, R, RE, Ages: 0-99 Care Practices T Provider ID: 002997576009 Cultural Competency: Y Downey, Shawna S, NP, (F) NPI: 1689856932 Ages: 0-99 Group Name: Id Consultants 7500 Auburn Rd Hospital Affiliations: Provider ID: 007588873001 Concord Township, OH 44077 Cleveland Clinic Foundation NPI: 1306440474

(440) 358-5480 EB, P, R 50 Normandy Dr Ste 1 Mo-Fr - 8:00 AM - 4:30 PM Digennaro, Heidi M, NP, (F) Painesville, OH 44077

Cultural Competency: Y Group Name: Cleveland Clinic (216) 360-0456 EB, P, R Ages: 0-99 Foundation Ages: 0-99 Hospital Affiliations: Provider ID: 003748265001 Uh Geauga Medical Center NPI: 1124451844 Dubeansky, Debbie M, NP, (F) University Hospitals Geauga 2999 Mcmackin Rd Group Name: Lake Health Medical Ctr Madison, OH 44057 University Hospitals Seidman

Uh Regional Hospital - Bedford (440) 428-1111 E, EB, IB, P Provider ID: 005226083003 Campus Cultural Competency: Y NPI: 1699113373 Uh Regional Hospitals Ages: 0-99 9485 Mentor Ave Ste 3 Uh Cleveland Medical Center Hospital Affiliations: Mentor, OH 44060

Univ Hospitals Ahuja Med Ctr Cleveland Clinic Foundation (440) 205-5788 E, EB, G, IB, P, PL, R, RE, S, T Mo-Fr - 7:00 AM - 4:30 PM Ages: 0-99 Hospital Affiliations:

768

Certified Nurse Practitioners Ohio - Lake Lake Health Hall, Amanda R, NP, (F) Uh Cleveland Medical Center Uh Cleveland Medical Center Group Name: UPCP Provider ID: 005721798001 Howland, Alisha, NP, (F) Flick, Susan M, NP, (F) NPI: 1073994919 Group Name: Gary B Kaplan Md Group Name: University 7500 Auburn Rd Ste 1500 Provider ID: 007602146001 Hospitals Medical Group Concord Township, OH 44077 NPI: 1992306633

Provider ID: 002919279031 (440) 358-5480 EB, P, R 36001 Euclid Ave Ste C19 NPI: 1710175179 Mo-Fr - 8:30 AM - 4:30 PM Willoughby, OH 44094

9485 Mentor Ave Cultural Competency: Y (440) 946-0053 E, EB, G, IB, P, Mentor, OH 44060 Ages: 0-99 PL, R, RE, S, T

(216) 844-3951 EB, P, R Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Uh Geauga Medical Center Ages: 0-99 University Hospitals Geauga Huffman, David W, NP, (M) Hospital Affiliations: Medical Ctr Group Name: Community Uh Cleveland Medical Center Hospitalists Herron, Diane M, NP, (F) Provider ID: 006265594002 Gajda, Meredith B, NP, (F) Group Name: Cleveland Clinic NPI: 1457735243 Group Name: Lake Hospital Foundation 10 E Washington St System Provider ID: 002386637001 Painesville, OH 44077

Provider ID: 003621114026 NPI: 1003883224 (440) 542-5000 EB, P, R NPI: 1326289794 2570 Som Center Rd Ages: 0-99 29804 Lakeshore Blvd Willoughby Hills, OH 44094 Hospital Affiliations:

Willowick, OH 44095 (440) 943-2500 EB, IB, P, R, RE, Uh Geauga Medical Center

(440) 585-3322 P, R, RE, T T University Hospitals Geauga Mo-Fr - 8:00 AM - 9:00 PM Ages: 0-99 Medical Ctr Sa,Su - 9:00 AM - 5:00 PM Hospital Affiliations: Metrohealth Medical Center Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Fairview Hospital Huffman, David W, NP, (M) Lake Health Lakewood Hospital Group Name: Community Cleveland Clinic Foundation Cleveland Clinic Lakewood Hospitalists Provider ID: 006265594002 Gotfryd, Esther B, MA, (F) Honaker, Jeremy S, NP, (M) NPI: 1457735243 Group Name: Signature Health Group Name: University 36000 Euclid Ave Provider ID: 005552535002 Hospitals Medical Group Willoughby, OH 44094

NPI: 1508245218 Provider ID: 005721889001 (440) 542-5000 P, R, RE, T 38882 Mentor Ave NPI: 1841672383 Ages: 0-99 Willoughby, OH 44094 7500 Auburn Rd Ste 2500 Hospital Affiliations:

(440) 953-9999 EB, P, R Concord Township, OH 44077 Uh Geauga Medical Center

Ages: 0-99 (216) 844-8200 EB, P, R University Hospitals Geauga Areas of Expertise: A060, A101, Mo-Fr - 8:30 AM - 4:30 PM Medical Ctr E112, E160, P010, P013, P035, Cultural Competency: Y Metrohealth Medical Center P080 Ages: 0-99 Hospital Affiliations:

769

Ohio - Lake Certified Nurse Practitioners Huffman, David W, NP, (M) Uh Cleveland Medical Center Marchinchin, Nicolas J, NP, (M) Group Name: Community Group Name: Lake Health Allied Hospitalists Lard, Michelle, NP, (F) Health Professionals Provider ID: 006265594002 Group Name: Cleveland Clinic Provider ID: 007235531001 NPI: 1457735243 Foundation NPI: 1255984886 7590 Auburn Rd Provider ID: 002715745001 7580 Auburn Rd Ste 106 Concord Township, OH 44077 NPI: 1770662090 Concord Township, OH 44077

(440) 542-5000 E, EB, G, IB, P, 7533 Center St (440) 352-9554 EB, P, R, RE, T PL, R, RE, S, T Mentor, OH 44060 Mo-Fr - 9:00 AM - 5:00 PM

Ages: 0-99 (440) 205-1714 EB, P, R Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Uh Geauga Medical Center Ages: 14-99 Lake Health University Hospitals Geauga Hospital Affiliations: Medical Ctr Cleveland Clinic Foundation Maslowski, Marcelle A, MS, (F) Metrohealth Medical Center Group Name: Applegate Longo, Dana L, NP, (F) Recovery Kater, Donna E, NP, (F) Group Name: Cleveland Clinic Provider ID: 003622838003 Group Name: Lake Health Allied Foundation NPI: 1639515141 Health Professionals Provider ID: 003534371001 36001 Euclid Ave Ste B1 Provider ID: 002492041003 NPI: 1104177294 Willoughby, OH 44094

NPI: 1477573137 2550 Som Center Rd (440) 336-8465 EB, IB, P, R 36100 Euclid Ave Ste 400 Willoughby Hills, OH 44094 Cultural Competency: Y

Willoughby, OH 44094 (440) 943-2500 EB, P, R Ages: 0-99

(440) 602-6735 EB, P, R Mo-Fr - 8:00 AM - 4:00 PM Hospital Affiliations: Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Metrohealth Medical Center Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Mcavinew, Courtney L, NP, (F) Hospital Affiliations: Group Name: UPCP Lake Health Marchinchin, Nicolas J, NP, (M) Provider ID: 006971451001 Uh Cleveland Medical Center Group Name: Lake Health Allied NPI: 1407335359 Health Professionals 7500 Auburn Rd Ste 1200 Kohanski, Paul, NP, (M) Provider ID: 007235531001 Concord Township, OH 44077

Group Name: University NPI: 1255984886 (440) 358-5400 EB, P, R Hospitals Medical Group 36100 Euclid Ave Ste 120 Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 003004361001 Willoughby, OH 44094 Ages: 0-99

NPI: 1043332042 (440) 951-8360 EB, IB, P, R, RE, Hospital Affiliations: 9000 Mentor Ave Ste 212 S, T Uh Cleveland Medical Center Mentor, OH 44060 Mo-Fr - 9:00 AM - 5:00 PM

(216) 844-3800 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Cultural Competency: Y Lake Health Ages: 0-99 Hospital Affiliations:

770

Certified Nurse Practitioners Ohio - Lake Meine, Julie A, NP, (F) Mele, Kristi L, NP, (F) Fairview Hospital Group Name: University Group Name: Lake-Health Univ Medina Hospital Hospitals Medical Group Hosp Seidman Cancer Ctr Provider ID: 002501026001 Provider ID: 003479419003 Mindzora, Judy, NP, (F) NPI: 1518089978 NPI: 1881966745 Group Name: Lake Health Allied 9000 Mentor Ave 9485 Mentor Ave Ste 3 Health Professionals Mentor, OH 44060 Mentor, OH 44060 Provider ID: 006762969001

(216) 844-3800 EB, P, R (440) 205-5755 E, EB, G, IB, P, NPI: 1578075321 Mo-Fr - 8:30 AM - 4:30 PM PL, R, RE, S, T 36000 Euclid Ave Web address: julie.meine@uhhospit Mo-Fr - 8:30 AM - 4:30 PM Willoughby, OH 44094

als.org Cultural Competency: Y (440) 953-6180 P, R, RE, T Ages: 0-99 Ages: 0-99 Mo-Fr - 8:30 AM - 5:00 PM Hospital Affiliations: Hospital Affiliations: Ages: 14-99 Uh Regional Hospitals Uh Cleveland Medical Center Hospital Affiliations: Uh Cleveland Medical Center Lake Health Univ Hospitals Ahuja Med Ctr Miguel, Barbara A, NP, (F) Group Name: University Mundy, Ruth A, NP, (F) Meine, Julie A, NP, (F) Hospitals Medical Group Group Name: Cleveland Clinic Group Name: University Provider ID: 002388779003 Foundation Hospitals Medical Group NPI: 1861546285 Provider ID: 002835895001 Provider ID: 002501026010 36000 Euclid Ave NPI: 1962699470 NPI: 1518089978 Willoughby, OH 44094 2570 Som Center Rd

9000 Mentor Ave Ste 212 (216) 844-3387 E, EB, G, IB, P, Willoughby Hills, OH 44094

Mentor, OH 44060 PL, R, RE, S, T (440) 516-8572 EB, IB, P, R, RE,

(216) 844-3800 EB, P, R Cultural Competency: Y T Web address: julie.meine@uhhospit Ages: 0-99 Cultural Competency: Y als.org Hospital Affiliations: Ages: 0-99 Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Hospital Affiliations: Fairview Hospital Cleveland Clinic Foundation Uh Regional Hospitals Medina Hospital Uh Cleveland Medical Center Mundy, Ruth A, NP, (F) Univ Hospitals Ahuja Med Ctr Miguel, Barbara A, NP, (F) Group Name: Cleveland Clinic Group Name: University Foundation Hospitals Medical Group Provider ID: 002835895003 Provider ID: 002388779003 NPI: 1962699470 NPI: 1861546285 2999 Mcmackin Rd 7590 Auburn Rd Madison, OH 44057

Concord Township, OH 44077 (440) 428-1111 E, EB, IB, P

(216) 844-3387 EB, P, R Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation

771

Ohio - Lake Certified Nurse Practitioners O'boyle, Katherine M, NP, (F) Rafferty, Dianne M, NP, (F) Ridenour, Adam J, NP, (M) Group Name: University Group Name: The Family Group Name: Lake Health Allied Hospitals Medical Group Planning Assoc Health Professionals Provider ID: 006696475002 Provider ID: 002589246002 Provider ID: 006518063001 NPI: 1952824138 NPI: 1861474892 NPI: 1649793241 9000 Mentor Ave Ste 209 89 Chester St 29804 Lakeshore Blvd Mentor, OH 44060 Painesville, OH 44077 Willowick, OH 44095

(216) 844-7874 EB, P, R (440) 352-0608 E, EB, IB, P, R, (440) 585-3322 P, R, RE, T Ages: 0-99 RE, S, T Mo-Fr - 8:00 AM - 9:00 PM Mo,Th - 10:30 AM - 7:00 PM Sa,Su - 9:00 AM - 5:00 PM Palmer, Sherry N, NP, (F) Tu,We,Fr - 8:30 AM - 5:00 PM Ages: 0-99 Group Name: Lake Health Allied Ages: 13-70 Health Professionals Ridenour, Adam J, NP, (M) Provider ID: 003695763004 Raimey, Deirdre D, MA, (F) Group Name: Lake Health Allied NPI: 1528494531 Group Name: Cleveland Clinic Health Professionals 9500 Mentor Ave Ste 200 Foundation Provider ID: 006518063002 Mentor, OH 44060 Provider ID: 003190560002 NPI: 1649793241

(440) 354-0377 EB, IB, P, R NPI: 1285953208 9485 Mentor Ave Ste 212 Mo-Fr - 9:00 AM - 5:00 PM 2785 Som Center Rd Mentor, OH 44060

Ages: 0-99 Willoughby Hills, OH 44094 (440) 205-5883

Hospital Affiliations: (440) 602-8601 E, EB, G, IB, P, Sa - 9:00 AM - 1:00 PM Lake Health PL, R, RE, S, T Ages: 0-99 Cultural Competency: Y Perry, Sharon E, NP, (F) Web address: http://www.cleveland Scully, Meghan E, NP, (F) Group Name: University clinic.org Group Name: Cleveland Clinic Hospitals Medical Group Ages: 0-99 Foundation Provider ID: 005229450001 Hospital Affiliations: Provider ID: 003180403004 NPI: 1578972006 Metrohealth Medical Center NPI: 1053639419 9000 Mentor Ave Ste 100 Cleveland Clinic Foundation 2570 Som Center Rd Mentor, OH 44060 Areas of Expertise: E020, E070, Willoughby Hills, OH 44094

(216) 844-7700 EB, P, R E112, E160, E165 (440) 943-2500 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM T Cultural Competency: Y Reber, Kate H, NP, (F) Ages: 0-99 Ages: 0-99 Group Name: Apex Dermatology Hospital Affiliations: Hospital Affiliations: And Skin Surgery Cleveland Clinic Foundation Uh Cleveland Medical Center Provider ID: 002885420001 Rainbow Babies & Childrens NPI: 1275542631 Hosp 7580 Auburn Rd Ste 301 Concord Township, OH 44077

(440) 352-7546 EB, P, R, RE, T Ages: 0-99

772

Certified Nurse Practitioners Ohio - Lake Scully, Meghan E, NP, (F) Slocombe, Kimberly E, NP, (F) Small, Sarah J, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Lake County Foot Foundation Foundation & Ankle Ascs Provider ID: 003180403003 Provider ID: 005241711006 Provider ID: 005749206001 NPI: 1053639419 NPI: 1235530908 NPI: 1578948824 2999 Mcmackin Rd 2550 Som Center Rd 7482 Center St Ste 100 Madison, OH 44057 Willoughby Hills, OH 44094 Mentor, OH 44060

(440) 428-1111 E, EB, IB, P (216) 444-5600 EB, P, R (440) 357-8418 EB, P, R Ages: 0-99 Web address: www.clevelandclinic. Mo-Fr - 9:00 AM - 5:00 PM Hospital Affiliations: org Cultural Competency: Y Cleveland Clinic Foundation Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Scully, Meghan E, NP, (F) Cleveland Clinic Foundation Lake Health Group Name: Cleveland Clinic Foundation Slocombe, Kimberly E, NP, (F) Small, Sarah J, NP, (F) Provider ID: 003180403018 Group Name: Cleveland Clinic Group Name: Diethra D Cox Md NPI: 1053639419 Foundation Provider ID: 005749206002 7533 Center St Provider ID: 005241711003 NPI: 1578948824 Mentor, OH 44060 NPI: 1235530908 8300 Tyler Blvd Ste 102

(440) 205-1714 EB, P, R 2570 Som Center Rd Mentor, OH 44060

Ages: 0-99 Willoughby Hills, OH 44094 (440) 205-0242 EB, IB, P, R

Hospital Affiliations: (216) 444-5600 EB, IB, P, R, RE, Mo-Fr - 9:00 AM - 5:00 PM Cleveland Clinic Foundation T Cultural Competency: Y Web address: www.clevelandclinic. Ages: 0-99 Sirvaitis, Ringaile, NP, (F) org Hospital Affiliations: Group Name: Apex Dermatology Ages: 0-99 Lake Health And Skin Surgery Hospital Affiliations: Provider ID: 005865799002 Cleveland Clinic Foundation Small, Sarah J, NP, (F) NPI: 1447624358 Group Name: Diethra D Cox Md 7580 Auburn Rd Ste 301 Small, Sarah J, NP, (F) Provider ID: 005749206002 Concord Township, OH 44077 Group Name: Lake County Foot NPI: 1578948824

(440) 352-7546 EB, P, R, RE, T & Ankle Ascs 9485 Mentor Ave Ste 203 Mo-Fr - 8:00 AM - 4:30 PM Provider ID: 005749206001 Mentor, OH 44060

Ages: 0-99 NPI: 1578948824 (440) 205-0242 EB, P, R, RE, T Hospital Affiliations: 36060 Euclid Ave Ste 107 Lake Health Willoughby, OH 44094 Cultural Competency: Y Ages: 0-99 (440) 975-8823 EB, P, R Mo-Fr - 9:00 AM - 5:00 PM Hospital Affiliations: Cultural Competency: Y Lake Health Ages: 0-99 Hospital Affiliations: Lake Health

773

Ohio - Lake Certified Nurse Practitioners Staats, Mark D, NP, (M) University Hospitals Elyria Wolfe, Lisa A, NP, (F) Group Name: Great Lakes Medical Ctr Group Name: University Gastroenterology Uh Elyria Medical Center Hospitals Medical Group Provider ID: 006687918003 Uh Regional Hospitals Provider ID: 002589303005 NPI: 1912423914 Uh Cleveland Medical Center NPI: 1922081967 8877 Mentor Ave 7590 Auburn Rd Fl 1 Mentor, OH 44060 Wadden, Daniel, NP, (M) Concord Township, OH 44077

(440) 205-1225 EB, P, R, RE, T Group Name: Cleveland Clinic (216) 844-7881 EB, P, R Foundation Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 9:00 AM - 4:30 PM Provider ID: 007411555001 Cultural Competency: Y Ages: 0-99 NPI: 1326684168 Ages: 0-99 Hospital Affiliations: 2550 Som Center Rd Hospital Affiliations: Lake Health Willoughby Hills, OH 44094 Uh Cleveland Medical Center

(440) 943-2500 EB, P, R Tucker, Carrie A, NP, (F) Does Not Accept New Patients Wolford, Danielle A, NP, (F) Group Name: Id Consultants Ages: 0-99 Group Name: Cleveland Clinic Provider ID: 005473181002 Hospital Affiliations: Foundation NPI: 1801205109 Cleveland Clinic Foundation Provider ID: 005243710003 50 Normandy Dr Ste 1 NPI: 1447670146 Painesville, OH 44077 Williams, Luke R, NP, (M) 2550 Som Center Rd (216) 360-0456 EB, P, R Group Name: Gary B Kaplan Md Willoughby Hills, OH 44094 We - 8:00 AM - 4:30 PM Provider ID: 004641369014 (440) 943-2500 EB, P, R Ages: 0-99 NPI: 1346665171 Mo-Fr - 8:00 AM - 4:00 PM Hospital Affiliations: 36001 Euclid Ave Ste C19 Ages: 0-99 Akron General Medical Ctr Willoughby, OH 44094 Hospital Affiliations: Fairview Hospital (440) 946-0053 E, EB, G, IB, P, Cleveland Clinic Foundation South Pointe Hospital PL, R, RE, S, T Lakewood Hospital Mo-Fr - 9:00 AM - 5:00 PM Wolford, Danielle A, NP, (F) Cleveland Clinic Lakewood Ages: 0-99 Group Name: Cleveland Clinic Euclid Hospital Hospital Affiliations: Foundation Grace Hospital Metrohealth Medical Center Provider ID: 005243710003 Lutheran Hospital Cleveland Clinic Foundation NPI: 1447670146 2570 Som Center Rd Vrabel, Laura, NP, (F) Willoughby Hills, OH 44094 Group Name: UPCP (440) 943-2500 EB, IB, P, R, RE, Provider ID: 006596090007 T NPI: 1255873774 Ages: 0-99 7500 Auburn Rd Ste 1200 Hospital Affiliations: Concord Township, OH 44077 Cleveland Clinic Foundation (440) 358-5400 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Accepting Existing Patients Only Ages: 0-99 Hospital Affiliations:

774

Certified Nurse Practitioners Ohio - Lorain

Yoder, Tayler, NP, (F) Mize, Jennifer A, FNP, (F) Group Name: Apex Dermatology Family Nurse Practitioner Group Name: Mercy Health And Skin Surgery Berlin, Praveena P, MS, (F) Physicians Lorain Provider ID: 007596996001 Group Name: Ohioguidestone Provider ID: 007015210002 NPI: 1720699986 Provider ID: 003668111003 NPI: 1457836405 7580 Auburn Rd Ste 301 NPI: 1285067355 3700 Kolbe Rd Concord Township, OH 44077 2173 N Ridge Rd E Ste E Lorain, OH 44053 (440) 352-7546 EB, P, R, RE, T Lorain, OH 44055 (440) 960-4416 EB, G, IB, P, R,

Mo-Fr - 8:00 AM - 4:30 PM (440) 260-8300 EB, P, R, RE, T RE, S, T Ages: 0-99 Ages: 0-99 Accepting Existing Patients Only Ages: 0-99 Yursky, Mary E, NP, (F) Mize, Jennifer A, FNP, (F) Group Name: University Group Name: Mercy Health Mize, Jennifer A, FNP, (F) Hospitals Medical Group Physicians Lorain Group Name: Mercy Health Provider ID: 002500995001 Provider ID: 007015210002 Physicians Lorain NPI: 1144246570 NPI: 1457836405 Provider ID: 007015210002 9000 Mentor Ave 1813 Nagle Rd Ste 500 NPI: 1457836405 Mentor, OH 44060 Avon, OH 44011 5077 Waterford Dr Ste 305

(216) 844-3800 EB, P, R (440) 960-4416 EB, P, PL, R, RE, Sheffield Village, OH 44035 Cultural Competency: Y T (440) 960-4416 E, EB, IB, P, R, Ages: 0-99 Accepting Existing Patients Only RE, S, T Hospital Affiliations: Ages: 0-99 Mo-Su - 8:00 AM - 5:00 PM Uh Cleveland Medical Center Accepting Existing Patients Only Univ Hospitals Ahuja Med Ctr Mize, Jennifer A, FNP, (F) Ages: 0-99 Group Name: Mercy Health Physicians Lorain Lorain Nurse Practitioner Provider ID: 007015210002

NPI: 1457836405 Members may self-refer to these Advanced Registered Nurse 224 W Lorain St Ste 100 Practitioner providers. Oberlin, OH 44074 Andrysek, Kevin, NP, (M) Sorma, Kaleena, MA, (F) (440) 960-4416 E, EB, P, R, RE, Group Name: Rakesh Ranjan Md S, T Group Name: Cleveland Clinic And Assoc Accepting Existing Patients Only Foundation Provider ID: 006390237004 Ages: 0-99 Provider ID: 003312263001 NPI: 1851830681 NPI: 1376842435 347 Midway Blvd Ste 210 33300 Cleveland Clinic Blvd Elyria, OH 44035 Avon, OH 44011 (440) 695-5000 EB, P, R (440) 324-5555 EB, P, R, RE, S, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Areas of Expertise: E112, E160 Cleveland Clinic Foundation Hillcrest Hospital Fairview Hospital Euclid Hospital

775

Ohio - Lorain Certified Nurse Practitioners Marymount Hospital Armitage, Sherry L, NP, (F) Hospital Affiliations: Lutheran Hospital Group Name: UPCP Uh Geauga Medical Center Medina Hospital Provider ID: 005204411002 University Hospitals Geauga Cleveland Clinic Avon Hospital NPI: 1033519178 Medical Ctr 590 N Leavitt Rd Lake Health Archer, Heidi S, NP, (F) Amherst, OH 44001

Group Name: Mercy Health (440) 934-2650 EB, P, R Barger, Tina A, NP, (F) Physicians Lorain Mo-Fr - 8:03 AM - 4:30 PM Group Name: Community Provider ID: 007676277001 Cultural Competency: Y Hospitalists NPI: 1174123335 Ages: 18-99 Provider ID: 003412289004 3700 Kolbe Rd Hospital Affiliations: NPI: 1922398379 Lorain, OH 44053 University Hospitals Elyria 3700 Kolbe Rd

(440) 960-4416 EB, G, IB, P, R, Medical Ctr Lorain, OH 44053

RE, S, T Uh Elyria Medical Center (440) 542-5000 EB, G, IB, P, PL, Ages: 0-99 St John Medical Center R, RE, S, T Hospital Affiliations: Cultural Competency: Y Mercy Regional Medical Center Barger, Tina A, NP, (F) Ages: 0-99 Communtiy Health Partners Rgnl Group Name: Community Hospital Affiliations: Mdcl Ctr Hospitalists Uh Geauga Medical Center Provider ID: 003412289004 University Hospitals Geauga Armitage, Sherry L, NP, (F) NPI: 1922398379 Medical Ctr Group Name: UPCP 200 W Lorain St Lake Health Provider ID: 005204411005 Oberlin, OH 44074

NPI: 1033519178 (440) 542-5000 EB, IB, P, R, RE, Barger, Tina A, NP, (F) 125 E Broad St Ste 322 S, T Group Name: Community Elyria, OH 44035 Cultural Competency: Y Hospitalists

(440) 406-5500 Ages: 0-99 Provider ID: 003412289004 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: NPI: 1922398379 Cultural Competency: Y Uh Geauga Medical Center 630 E River St Ages: 18-99 University Hospitals Geauga Elyria, OH 44035

Hospital Affiliations: Medical Ctr (440) 542-5000 EB, P, R University Hospitals Elyria Lake Health Cultural Competency: Y Medical Ctr Ages: 0-99 Uh Elyria Medical Center Barger, Tina A, NP, (F) Hospital Affiliations: St John Medical Center Group Name: Community Uh Geauga Medical Center Hospitalists University Hospitals Geauga Provider ID: 003412289004 Medical Ctr NPI: 1922398379 Lake Health 254 Cleveland Ave Amherst, OH 44001

(440) 542-5000 EB, P, R Cultural Competency: Y Ages: 0-99

776

Certified Nurse Practitioners Ohio - Lorain Bort, Nicole L, NP, (F) Cleveland Clinic Avon Hospital Group Name: University Cesa, Rebecca E, NP, (F) Hospitals Medical Group Group Name: Cleveland Clinic Dearth, Christine A, NP, (F) Provider ID: 005712243001 Foundation Group Name: Cleveland Clinic NPI: 1811368053 Provider ID: 003495232001 Foundation 32800 Lorain Rd Ste 1100 NPI: 1174897268 Provider ID: 005689440001 North Ridgeville, OH 44039 33100 Cleveland Clinic Blvd NPI: 1164680435

(216) 844-8200 EB, P, R, RE, T Avon, OH 44011 33100 Cleveland Clinic Blvd

(440) 695-4000 EB, P, R Avon, OH 44011 Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 (216) 444-2200 EB, P, R Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Hospital Affiliations: Uh Cleveland Medical Center Hillcrest Hospital Cleveland Clinic Foundation Cleveland Clinic Avon Hospital Braden, Melissa S, NP, (F) Cortese, Gregory B, NP, (M) Group Name: Planned Group Name: UPCP Dunbar, Barbara T, NP, (F) Parenthood Gtr Oho Provider ID: 007130431001 Group Name: Mercy Health Provider ID: 006854341012 NPI: 1043779911 Physicians Lorain NPI: 1205314671 32800 Lorain Rd Ste 2300 Provider ID: 007415752001 200 W 9th St North Ridgeville, OH 44039 NPI: 1588872253 Lorain, OH 44052 (440) 406-5000 EB, P, R 3600 Kolbe Rd Ste 011 (440) 242-2087 E, EB, IB, P, R, T Mo-Fr - 8:30 AM - 4:30 PM Lorain, OH 44053 Ages: 0-99 Ages: 0-99 (440) 222-4803 EB, P, R Hospital Affiliations: Hospital Affiliations: Accepting Existing Patients Only Summa Health System University Hospitals Elyria Ages: 0-99 Medical Ctr Calfee, Janice M, NP, (F) Uh Elyria Medical Center Dunbar, Barbara T, NP, (F) Group Name: Mercy Health St John Medical Center Group Name: Mercy Health Physicians Lorain Uh Cleveland Medical Center Physicians Lorain Provider ID: 002996054015 Provider ID: 007415752001 NPI: 1811167570 Crowe, Abbey C, NP, (F) NPI: 1588872253 200 W Lorain St Group Name: Cleveland Clinic 41201 Schadden Rd Oberlin, OH 44074 Foundation Elyria, OH 44035 (440) 775-1211 EB, IB, P, R, RE, Provider ID: 003967423002 (440) 222-4003 EB, IB, P, R S, T NPI: 1114341773 Accepting Existing Patients Only Cultural Competency: Y 33300 Cleveland Clinic Blvd Ages: 0-99 Accepting Existing Patients Only Avon, OH 44011 Ages: 0-99 (440) 695-5000 EB, P, R Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Mercy Allen Hospital Cleveland Clinic Foundation Mercy Regional Medical Center Fairview Hospital Communtiy Health Partners Rgnl St John Medical Center Mdcl Ctr

777

Ohio - Lorain Certified Nurse Practitioners Ellis, Courtney D, NP, (F) Hospital Affiliations: Cleveland Clinic Avon Hospital Group Name: Cleveland Clinic Cleveland Clinic Foundation Foundation Herron, Diane M, NP, (F) Provider ID: 005784132001 Ferraro, Christina S, NP, (F) Group Name: Cleveland Clinic NPI: 1730550492 Group Name: Cleveland Clinic Foundation 5172 Leavitt Rd Foundation Provider ID: 002386637001 Lorain, OH 44053 Provider ID: 006158032008 NPI: 1003883224

(440) 282-7420 EB, P, R NPI: 1881047306 33100 Cleveland Clinic Blvd Ages: 0-99 5700 Cooper Foster Park Rd W Avon, OH 44011

Hospital Affiliations: Lorain, OH 44053 (440) 695-4000 EB, P, R

Cleveland Clinic Foundation (440) 204-4100 EB, IB, P, R, RE, T Ages: 0-99 Ages: 0-99 Hospital Affiliations: Ellis, Courtney D, NP, (F) Hospital Affiliations: Cleveland Clinic Foundation Group Name: Cleveland Clinic Cleveland Clinic Foundation Fairview Hospital Foundation Lakewood Hospital Provider ID: 005784132001 Fog, Erica L, NP, (F) Cleveland Clinic Lakewood NPI: 1730550492 Group Name: Cleveland Clinic 5334 Meadow Lane Ct Foundation Huffman, David W, NP, (M) Sheffield Village, OH 44035 Provider ID: 007213208003 Group Name: Community

(440) 934-5454 EB, P, R NPI: 1972153153 Hospitalists Ages: 0-99 36901 American Way Provider ID: 006265594002 Hospital Affiliations: Avon, OH 44011 NPI: 1457735243

Cleveland Clinic Foundation (440) 930-6200 EB, P, R 200 W Lorain St Ages: 0-99 Oberlin, OH 44074

Falcone, Michael, NP, (M) Hospital Affiliations: (440) 542-5000 EB, IB, P, R, RE, Group Name: Cnp Operating Co Riverside Methodist Hospital S, T Provider ID: 005883354003 Cleveland Clinic Foundation Ages: 0-99 NPI: 1649671546 Cleveland Clinic Avon Hospital Hospital Affiliations: 3364 Kolbe Rd Uh Geauga Medical Center Lorain, OH 44053 Godoy, Audrey T, NP, (F) University Hospitals Geauga

(440) 960-7960 E, EB, G, IB, P, Group Name: Cleveland Clinic Medical Ctr R, RE, S, T Foundation Metrohealth Medical Center Ages: 0-99 Provider ID: 002958088001 NPI: 1740438548 Huffman, David W, NP, (M) Ferraro, Christina S, NP, (F) 33100 Cleveland Clinic Blvd Group Name: Community Group Name: Cleveland Clinic Avon, OH 44011 Hospitalists

Foundation (440) 695-4000 EB, P, R Provider ID: 006265594002 Provider ID: 006158032008 Ages: 0-99 NPI: 1457735243 NPI: 1881047306 Hospital Affiliations: 254 Cleveland Ave 33100 Cleveland Clinic Blvd Cleveland Clinic Foundation Amherst, OH 44001

Avon, OH 44011 Fairview Hospital (440) 542-5000 EB, P, R

(440) 695-4000 EB, P, R Lakewood Hospital Ages: 0-99 Ages: 0-99 Cleveland Clinic Lakewood Hospital Affiliations:

778

Certified Nurse Practitioners Ohio - Lorain Uh Geauga Medical Center Hyland, Jennifer L, NP, (F) Kelley, Brenna J, NP, (F) University Hospitals Geauga Group Name: Cleveland Clinic Group Name: Mercy Health Medical Ctr Foundation Physicians Lorain Metrohealth Medical Center Provider ID: 002443877001 Provider ID: 007677795001 NPI: 1194823203 NPI: 1871172643 Huffman, David W, NP, (M) 303 Chestnut Commons Dr 3600 Kolbe Rd Ste 227 Group Name: Community Elyria, OH 44035 Lorain, OH 44053

Hospitalists (440) 366-9444 EB, P, R (440) 960-6431 E, EB, IB, P, R, Provider ID: 006265594002 Ages: 0-99 RE, S, T NPI: 1457735243 Hospital Affiliations: Ages: 18-99 3700 Kolbe Rd Cleveland Clinic Foundation Hospital Affiliations: Lorain, OH 44053 Mercy Regional Medical Center

(440) 542-5000 EB, G, IB, P, PL, Hyland, Jennifer L, NP, (F) Communtiy Health Partners Rgnl R, RE, S, T Group Name: Cleveland Clinic Mdcl Ctr Ages: 0-99 Foundation Hospital Affiliations: Provider ID: 002443877001 Koser, Lisa K, NP, (F) Uh Geauga Medical Center NPI: 1194823203 Group Name: Cleveland Clinic University Hospitals Geauga 33100 Cleveland Clinic Blvd Foundation Medical Ctr Avon, OH 44011 Provider ID: 003292823001

Metrohealth Medical Center (440) 695-4000 EB, P, R NPI: 1629371356 Web address: www.clevelandclinic. 33300 Cleveland Clinic Blvd Huffman, David W, NP, (M) org Avon, OH 44011

Group Name: Community Ages: 0-99 (440) 695-5000 EB, P, R Hospitalists Hospital Affiliations: Ages: 0-99 Provider ID: 006265594002 Cleveland Clinic Foundation Hospital Affiliations: NPI: 1457735243 Cleveland Clinic Foundation 630 E River St Karohl, Jennifer M, NP, (F) Lutheran Hospital Elyria, OH 44035 Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital

(440) 542-5000 EB, P, R Foundation Ages: 0-99 Provider ID: 005912022001 Kuchta, Lisa M, NP, (F) Hospital Affiliations: NPI: 1821465097 Group Name: North Coast Uh Geauga Medical Center 33100 Cleveland Clinic Blvd Nephrology University Hospitals Geauga Avon, OH 44011 Provider ID: 006649777002

Medical Ctr (440) 695-4000 EB, P, R NPI: 1871004309 Metrohealth Medical Center Ages: 0-99 100 Copr Fstr Park Rd Ste 1 Hospital Affiliations: Amherst, OH 44001

Cleveland Clinic Foundation (440) 282-5701 E, EB, G, IB, P, Fairview Hospital R, RE, S, T Ages: 0-99 Hospital Affiliations: Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

779

Ohio - Lorain Certified Nurse Practitioners Markowitz, Jill K, NP, (F) Ortiz, Carrie L, NP, (F) Kuenzle, Kelly, FNP, (F) Group Name: Cleveland Clinic Group Name: University Group Name: Cleveland Clinic Foundation Hospitals Regional Practices Foundation Provider ID: 002510308001 Provider ID: 006851948005 Provider ID: 006440889002 NPI: 1558324327 NPI: 1841715737 NPI: 1033528773 33300 Cleveland Clinic Blvd 1212 S Abbe Rd 5700 Cooper Foster Park Rd W Avon, OH 44011 Elyria, OH 44035

Lorain, OH 44053 (440) 695-5000 EB, P, R (440) 365-5200 EB, P, R

(440) 204-7400 E, EB, IB, P, R Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Ortiz, Carrie L, NP, (F) Cleveland Clinic Foundation Cleveland Clinic Foundation Group Name: University Fairview Hospital Fairview Hospital Hospitals Regional Practices Cleveland Clinic Avon Hospital South Pointe Hospital Provider ID: 006851948007 Lutheran Hospital NPI: 1841715737 Life, Brenda J, NP, (F) Medina Hospital 383 Opportunity Way Group Name: North Ohio Heart Cleveland Clinic Avon Hospital Lagrange, OH 44050

Provider ID: 002503680001 (440) 355-4616 EB, P, R NPI: 1073583480 Maslowski, Marcelle A, MS, (F) Ages: 0-99 125 E Broad St Ste 305 Group Name: Applegate Elyria, OH 44035 Recovery Ortiz, Carrie L, NP, (F)

(440) 414-9100 EB, P, R Provider ID: 003622838003 Group Name: University Cultural Competency: Y NPI: 1639515141 Hospitals Regional Practices Ages: 0-99 833 E Broad St Unit 1 Provider ID: 006851948006 Elyria, OH 44035 NPI: 1841715737

Lorenz, Lisa A, NP, (F) (440) 472-1924 EB, IB, P, R 38600 Center Ridge Rd Group Name: Cleveland Clinic Cultural Competency: Y North Ridgeville, OH 44039

Foundation Ages: 0-99 (216) 201-6433 EB, P, R Provider ID: 002941974003 Hospital Affiliations: Ages: 0-99 NPI: 1437368297 Metrohealth Medical Center 33300 Cleveland Clinic Blvd Ortiz, Carrie L, NP, (F) Avon, OH 44011 Ortiz, Carrie L, NP, (F) Group Name: University

(440) 695-5000 EB, P, R Group Name: University Hospitals Regional Practices Cultural Competency: Y Hospitals Regional Practices Provider ID: 006851948004 Ages: 0-99 Provider ID: 006851948008 NPI: 1841715737 Hospital Affiliations: NPI: 1841715737 807 West Ave Cleveland Clinic Foundation 1210 Abbe Rd S Elyria, OH 44035

Lutheran Hospital Elyria, OH 44035 (440) 284-9000 EB, P, R

Cleveland Clinic Avon Hospital (440) 633-8980 EB, P, R Ages: 0-99 Ages: 0-99

780

Certified Nurse Practitioners Ohio - Lorain Ortiz, Marisol, NP, (F) Cleveland Clinic Foundation Group Name: Cleveland Clinic Posey, Laura L, NP, (F) Lutheran Hospital Foundation Group Name: Mercy Health Cleveland Clinic Avon Hospital Provider ID: 003689507001 Physicians Lorain NPI: 1063858256 Provider ID: 007539255002 Rutherford, James A, NP, (M) 33100 Cleveland Clinic Blvd NPI: 1992311666 Group Name: Cleveland Clinic Avon, OH 44011 3600 Kolbe Rd Ste 210 Foundation

(440) 695-4000 EB, P, R Lorain, OH 44053 Provider ID: 003272738003

Ages: 0-99 (440) 960-4023 EB, P, R, RE, T NPI: 1598068546 Hospital Affiliations: Ages: 0-99 33300 Cleveland Clinic Blvd Cleveland Clinic Foundation Hospital Affiliations: Avon, OH 44011

Fairview Hospital Mercy Regional Medical Center (440) 695-5000 EB, P, R Lakewood Hospital Communtiy Health Partners Rgnl Cultural Competency: Y Cleveland Clinic Lakewood Mdcl Ctr Ages: 0-99 Cleveland Clinic Avon Hospital Hospital Affiliations: Rowe, Amanda S, NP, (F) Metrohealth Medical Center Pierson, Terri, NP, (F) Group Name: Cleveland Clinic Cleveland Clinic Foundation Group Name: Cleveland Clinic Foundation Hillcrest Hospital Foundation Provider ID: 006179035001 Grant Medical Center Provider ID: 003435745001 NPI: 1164895074 Marymount Hospital NPI: 1104003805 33300 Cleveland Clinic Blvd Lutheran Hospital 303 Chestnut Commons Dr Avon, OH 44011 Medina Hospital

Elyria, OH 44035 (440) 695-5000 EB, P, R Cleveland Clinic Avon Hospital

(440) 366-9444 EB, P, R Ages: 0-99 Ages: 0-99 Hospital Affiliations: Serrano, Ania T, NP, (F) Hospital Affiliations: Cleveland Clinic Foundation Group Name: Mercy Health Cleveland Clinic Foundation Hillcrest Hospital Physicians Lorain Fairview Hospital Euclid Hospital Provider ID: 006555270001 South Pointe Hospital Marymount Hospital NPI: 1386070944 Lutheran Hospital 1813 Nagel Rd Ste 500 Pierson, Terri, NP, (F) Medina Hospital Avon, OH 44011

Group Name: Cleveland Clinic Cleveland Clinic Avon Hospital (440) 937-4600 EB, P, R, RE, T Foundation Languages Spoken: Provider ID: 003435745001 Ruszala, Michael W, NP, (M) Provider: Polish NPI: 1104003805 Group Name: Cleveland Clinic Accepting Existing Patients Only 5700 Cooper Foster Park Rd W Foundation Ages: 0-99 Lorain, OH 44053 Provider ID: 002968425001

(440) 204-7400 EB, IB, P, R, RE, T NPI: 1114177789 Ages: 0-99 33300 Cleveland Clinic Blvd Hospital Affiliations: Avon, OH 44011

Cleveland Clinic Foundation (440) 695-5000 EB, P, R Fairview Hospital Ages: 0-99 South Pointe Hospital Hospital Affiliations:

781

Ohio - Lorain Certified Nurse Practitioners Serrano, Ania T, NP, (F) Serrano, Ania T, NP, (F) Group Name: Mercy Health Serrano, Ania T, NP, (F) Group Name: Mercy Health Physicians Lorain Group Name: Mercy Health Physicians Lorain Provider ID: 006555270001 Physicians Lorain Provider ID: 006555270001 NPI: 1386070944 Provider ID: 006555270001 NPI: 1386070944 1957 Cooper Foster Park Rd NPI: 1386070944 5077 Waterford Dr Ste 305 Amherst, OH 44001 3600 Kolbe Rd Ste 106 Sheffield Village, OH 44035

(440) 370-5446 E, EB, P, R, RE, Lorain, OH 44053 (440) 222-4592 E, EB, IB, P, R,

S, T (440) 960-3954 EB, P, R, RE, T RE, S, T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Polish Provider: Polish Provider: Polish Accepting Existing Patients Only Staff: Polish Accepting Existing Patients Only Ages: 0-99 Interpreter: Polish Ages: 0-99 Accepting Existing Patients Only Serrano, Ania T, NP, (F) Ages: 0-99 Serrano, Ania T, NP, (F) Group Name: Mercy Health Group Name: Mercy Health Physicians Lorain Serrano, Ania T, NP, (F) Physicians Lorain Provider ID: 006555270001 Group Name: Mercy Health Provider ID: 006555270001 NPI: 1386070944 Physicians Lorain NPI: 1386070944 200 W Lorain St Provider ID: 006555270001 5940 Oak Point Rd Oberlin, OH 44074 NPI: 1386070944 Lorain, OH 44053

(440) 213-5333 EB, IB, P, R, RE, 3600 Kolbe Rd Ste 227 (440) 988-3705 RE, T S, T Lorain, OH 44053 Languages Spoken:

Languages Spoken: (440) 366-2239 E, EB, IB, P, R, Provider: Polish Provider: Polish RE, S, T Staff: Polish Accepting Existing Patients Only Languages Spoken: Interpreter: Polish Ages: 0-99 Provider: Polish Accepting Existing Patients Only Staff: Polish Ages: 0-99 Serrano, Ania T, NP, (F) Interpreter: Polish Group Name: Mercy Health Accepting Existing Patients Only Skinner, Megan M, NP, (F) Physicians Lorain Ages: 0-99 Group Name: Cleveland Clinic Provider ID: 006555270001 Foundation NPI: 1386070944 Provider ID: 006727207002 224 W Lorain St Ste 100 NPI: 1972018307 Oberlin, OH 44074 303 Chestnut Commons Dr

(440) 775-1881 E, EB, P, R, RE, Elyria, OH 44035

S, T (216) 636-5860 EB, P, R Languages Spoken: Ages: 18-99 Provider: Polish Hospital Affiliations: Mo-Fr - 9:00 AM - 7:00 PM Cleveland Clinic Foundation Sa,Su - 10:00 AM - 4:00 PM Accepting Existing Patients Only Ages: 0-99

782

Certified Nurse Practitioners Ohio - Lorain Slocombe, Kimberly E, NP, (F) Smith, Jessica, NP, (F) Mercy Hospital Group Name: Cleveland Clinic Group Name: Nord Center Foundation Provider ID: 007168457001 Soptelean, Nicole M, NP, (F) Provider ID: 005241711007 NPI: 1336673425 Group Name: Mercy Health NPI: 1235530908 6140 S Broadway Physicians Lorain 33100 Cleveland Clinic Blvd Lorain, OH 44053 Provider ID: 006761753002

Avon, OH 44011 (440) 233-7232 E, EB, G, IB, P, NPI: 1912410903

(216) 444-5600 EB, P, R PL, R, RE, S, T 224 W Lorain St Ste 100 Web address: www.clevelandclinic. Mo-Th - 8:00 AM - 8:00 PM Oberlin, OH 44074

org Fr - 8:00 AM - 5:00 PM (440) 775-1881 E, EB, P, R, RE, Ages: 0-99 Ages: 0-99 S, T Hospital Affiliations: Mo-Fr - 9:00 AM - 7:00 PM Cleveland Clinic Foundation Smith, Sandra L, NP, (F) Sa,Su - 10:00 AM - 4:00 PM Group Name: Cleveland Clinic Accepting Existing Patients Only Slocombe, Kimberly E, NP, (F) Foundation Ages: 0-99 Group Name: Cleveland Clinic Provider ID: 002574399002 Hospital Affiliations: Foundation NPI: 1346296134 Mercy Hospital Provider ID: 005241711009 33100 Cleveland Clinic Blvd NPI: 1235530908 Avon, OH 44011 Soptelean, Nicole M, NP, (F)

5700 Cooper Foster Park Rd W (440) 695-4000 EB, P, R Group Name: Mercy Health Lorain, OH 44053 Cultural Competency: Y Physicians Lorain

(440) 204-7400 EB, IB, P, R, RE, T Ages: 0-99 Provider ID: 006761753002 Web address: www.clevelandclinic. Hospital Affiliations: NPI: 1912410903 org Cleveland Clinic Foundation 319 W Lorain St Ages: 0-99 Fairview Hospital Oberlin, OH 44074

Hospital Affiliations: Lakewood Hospital (440) 775-1881 EB, P, R Cleveland Clinic Foundation Cleveland Clinic Lakewood Mo-Fr - 12:00 PM - 8:00 PM Lutheran Hospital Sa,Su - 11:00 AM - 5:00 PM Smith, Jessica M, NP, (F) St John Medical Center Accepting Existing Patients Only Group Name: University Cleveland Clinic Avon Hospital Ages: 0-99 Hospitals Medical Group Hospital Affiliations: Provider ID: 006287400004 Soptelean, Nicole M, NP, (F) Mercy Hospital NPI: 1669923207 Group Name: Mercy Health 630 E River St Physicians Lorain Elyria, OH 44035 Provider ID: 006761753002

(440) 329-7500 EB, P, R NPI: 1912410903 Mo-Fr - 8:30 AM - 4:30 PM 1957 Cooper Foster Park Rd Ages: 0-99 Amherst, OH 44001

Hospital Affiliations: (440) 370-5446 E, EB, P, R, RE, University Hospitals Elyria S, T Medical Ctr Accepting Existing Patients Only Uh Elyria Medical Center Ages: 0-99 Hospital Affiliations:

783

Ohio - Lorain Certified Nurse Practitioners Soptelean, Nicole M, NP, (F) Mercy Hospital Thompson, Rebecca L, NP, (F) Group Name: Mercy Health Group Name: Cleveland Clinic Physicians Lorain Terry, Karen L, NP, (F) Foundation Provider ID: 006761753002 Group Name: Mercy Health Provider ID: 005630134001 NPI: 1912410903 Physicians Lorain NPI: 1043694482 3600 Kolbe Rd Ste 106 Provider ID: 002388758003 303 Chestnut Commons Dr Lorain, OH 44053 NPI: 1578543815 Elyria, OH 44035

(440) 960-3954 EB, P, R, RE, T 200 W Lorain St (440) 366-9444 EB, P, R Mo-Fr - 8:00 AM - 8:00 PM Oberlin, OH 44074 Web address: http://my.clevelandcli

Sa,Su - 11:00 AM - 5:00 PM (440) 775-1211 EB, IB, P, R, RE, nic.org Accepting Existing Patients Only S, T Ages: 0-99 Ages: 0-99 Accepting Existing Patients Only Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Mercy Hospital Hospital Affiliations: Cleveland Clinic Foundation Tobin, Jessica R, NP, (F) Soptelean, Nicole M, NP, (F) Areas of Expertise: MAT1 Group Name: Family Planning Group Name: Mercy Health Service Physicians Lorain Terry, Karen L, NP, (F) Provider ID: 005929266003 Provider ID: 006761753002 Group Name: Mercy Health NPI: 1487029427 NPI: 1912410903 Physicians Lorain 602 Leona St 5940 Oak Point Rd Provider ID: 002388758003 Elyria, OH 44035

Lorain, OH 44053 NPI: 1578543815 (440) 322-7526 EB, P, R, RE, T

(440) 988-3705 RE, T 578 N Leavitt Rd Ages: 0-99 Mo-Fr - 8:00 AM - 8:00 PM Amherst, OH 44001 Hospital Affiliations:

Sa,Su - 11:00 AM - 5:00 PM (440) 988-5234 E, EB, IB, P, R, Albert Einstein Medical Center Accepting Existing Patients Only RE, S, T Ages: 0-99 Accepting Existing Patients Only Treska, Julia R, NP, (F) Hospital Affiliations: Ages: 0-99 Group Name: Cleveland Clinic Mercy Hospital Hospital Affiliations: Foundation Cleveland Clinic Foundation Provider ID: 006125212001 Soptelean, Nicole M, NP, (F) Areas of Expertise: MAT1 NPI: 1255794830 Group Name: Mercy Health 33300 Cleveland Clinic Blvd Physicians Lorain Thomas, Leslie D, NP, (F) Avon, OH 44011

Provider ID: 006761753002 Group Name: Firelands Regional (440) 695-5000 EB, P, R NPI: 1912410903 Medical Center Ages: 0-99 840 Patriot Dr Provider ID: 003144770016 Hospital Affiliations: Wellington, OH 44090 NPI: 1164616421 Cleveland Clinic Foundation

(440) 647-2225 EB, P, R, RE, T 6150 Park Square Dr Ste B Fairview Hospital Mo-Fr - 12:00 PM - 8:00 PM Lorain, OH 44053 Lakewood Hospital

Sa,Su - 11:00 AM - 5:00 PM (440) 984-3882 EB, P, R Cleveland Clinic Lakewood Accepting Existing Patients Only Ages: 0-99 Marymount Hospital Ages: 0-99 Lutheran Hospital Hospital Affiliations: Cleveland Clinic Avon Hospital

784

Certified Nurse Practitioners Ohio - Medina

Zanick, Beth R, NP, (F) Yetzer, Judy A, NP, (F) Group Name: Cleveland Clinic Family Nurse Practitioner Group Name: Dermatology Foundation Bowling, Tamara L, FNP, (F) Partners Provider ID: 006554213001 Group Name: A New Day Lodi Provider ID: 003229840001 NPI: 1750805321 LLC NPI: 1306152285 33100 Cleveland Clinic Blvd Provider ID: 003846525003 36701 American Way Ste 3 Avon, OH 44011 NPI: 1134569478 Avon, OH 44011 (440) 695-4000 EB, P, R 737 Bank St (440) 937-4951 EB, IB, P, PL, R, Ages: 0-99 Lodi, OH 44254

RE, T Hospital Affiliations: (330) 636-1741 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Mo,Fr - 12:00 PM - 6:00 PM Tu,We,Th - 12:00 PM - 9:00 PM Young, Lisa, NP, (F) Ages: 0-99 Medina Group Name: Cleveland Clinic Areas of Expertise: MAT1

Foundation Provider ID: 006270358001 Advanced Registered Nurse Esmail, Lena A, FNP, (F) NPI: 1013466879 Practitioner Group Name: Quick Med Urgent 33300 Cleveland Clinic Blvd Sorma, Kaleena, MA , (F) Care LLC Avon, OH 44011 Group Name: Rakesh Ranjan Md Provider ID: 006327354007 (440) 695-5000 EB, P, R And Assoc NPI: 1891017380 Ages: 0-99 Provider ID: 006390237004 955 N Court St Hospital Affiliations: NPI: 1851830681 Medina, OH 44256 Cleveland Clinic Foundation 801 E Washington St Ste 150 (330) 915-7859 EB, G, P, PL, R, Medina Hospital Medina, OH 44256 RE, S, T

(330) 722-1069 EB, P, R, RE, S, Mo-Fr - 8:00 AM - 8:00 PM Yursky, Mary E, NP, (F) T Sa,Su - 9:00 AM - 6:00 PM Group Name: UPCP Ages: 0-99 Ages: 0-99 Provider ID: 002500995006 Areas of Expertise: E112, E160 Hospital Affiliations: NPI: 1144246570 St Joseph Health Center 32800 Lorain Rd Ste 2300 Spillan, Scott D, NP, (M) St Joseph Health Centeral North Ridgeville, OH 44039 Group Name: Summa Physicians St Joseph Warren Hospital (440) 827-5296 EB, P, R Provider ID: 003092861004 St Elizabeth Boardman Hospital Cultural Competency: Y NPI: 1710118500 Ages: 0-99 195 Wadsworth Rd Hospital Affiliations: Wadsworth, OH 44281

Uh Cleveland Medical Center (330) 375-4100 E, EB, G, IB, P, Univ Hospitals Ahuja Med Ctr PL, R, RE, S, T Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Summa Health System

785

Ohio - Medina Certified Nurse Practitioners Mayne, Susan L, MS, (F) Hospital Affiliations: Bort, Nicole L, NP, (F) Group Name: University Summa Health System Group Name: University Hospitals Medical Group Hospitals Medical Group Provider ID: 006268092001 Barry, Shannon S, NP, (F) Provider ID: 005712243001 NPI: 1114474368 Group Name: University Primary NPI: 1811368053 4065 Center Rd Ste 214 Care Practices 4065 Center Rd Ste 214 Brunswick, OH 44212 Provider ID: 007415997001 Brunswick, OH 44212

(216) 844-8200 E, EB, G, IB, P, NPI: 1245737121 (216) 844-8200 E, EB, G, IB, P, R, RE, S, T 4001 Carrick Dr Ste 120 R, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Medina, OH 44256 Mo-Fr - 8:30 AM - 4:30 PM

Cultural Competency: Y (330) 721-8484 EB, P, R Ages: 0-99 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Hospital Affiliations: Accepting Existing Patients Only Uh Cleveland Medical Center Uh Cleveland Medical Center Ages: 0-99 Univ Hospitals Ahuja Med Ctr Braden, Melissa S, NP, (F) Areas of Expertise: E105, E165, Benjamin, Michele L, MS, (F) Group Name: Planned E168, E210, P010, P035 Group Name: Cleveland Clinic Parenthood Gtr Oho Foundation Provider ID: 006854341017 Sirvaitis, Ringaile, NP, (F) Provider ID: 005231693004 NPI: 1205314671 Group Name: Apex Dermatology NPI: 1548662950 4018 Medina Rd Ste C And Skin Surgery 3574 Center Rd Medina, OH 44256

Provider ID: 005865799001 Brunswick, OH 44212 (330) 723-1300 E, EB, G, IB, P,

NPI: 1447624358 (330) 225-8886 EB, P, R R, RE, S, T 4975 Foote Rd Ste 400 Cultural Competency: Y Ages: 0-99 Medina, OH 44256 Web address: http://www.cleveland Hospital Affiliations:

(440) 646-1600 EB, P, R, RE, T clinic.org Summa Health System Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Bujorian, Gail A, NP, (F) Lake Health Akron General Medical Ctr Group Name: University Cleveland Clinic Foundation Hospitals Medical Group Areas of Expertise: A010, A025, Provider ID: 003397697003 Nurse Practitioner A060, E020, E025, E070, E112, NPI: 1881917532

Members may self-refer to these E160, E165, E170, E210, MAT1, 5133 Ridge Rd Ste 5 providers. P010 Wadsworth, OH 44281

(330) 239-7250 EB, P, R, RE, T Atkinson, Jessica, NP, (F) Mo-Fr - 8:30 AM - 4:30 PM Group Name: Gltcp Health Care Ages: 0-99 Services Hospital Affiliations: Provider ID: 006841663001 Uh Cleveland Medical Center NPI: 1710473988 195 Wadsworth Rd Ste 402 Wadsworth, OH 44281

(330) 334-5675 P, R, RE, T Ages: 0-99

786

Certified Nurse Practitioners Ohio - Medina Cesa, Rebecca E, NP, (F) Cress, Donna M, NP, (F) Heers, Rachel R, NP, (F) Group Name: Cleveland Clinic Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Foundation Provider ID: 003495232001 Provider ID: 002386341002 Provider ID: 003404111001 NPI: 1174897268 NPI: 1336253111 NPI: 1861777658 970 E Washington St 1000 E Washington St 3574 Center Rd Medina, OH 44256 Medina, OH 44256 Brunswick, OH 44212

(330) 721-5700 EB, P, R (216) 444-2568 EB, IB, P, R, RE, (440) 878-2400 EB, P, R Ages: 0-99 T Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Cleveland Clinic Foundation Hillcrest Hospital Hospital Affiliations: Cleveland Clinic Foundation Kohanski, Paul, NP, (M) Colpo, Suzanne L, NP, (F) Hillcrest Hospital Group Name: University Group Name: Partners Physician Fairview Hospital Hospitals Medical Group Group Medina Hospital Provider ID: 003004361002 Provider ID: 002617214008 NPI: 1043332042 NPI: 1588699185 Defranco, Debra, NP, (F) 4001 Carrick Dr Ste 140 225 Elyria St Group Name: UPCP Medina, OH 44256

Lodi, OH 44254 Provider ID: 005418946009 (216) 844-3800 E, RE, S, T

(330) 344-7400 EB, G, IB, P, PL, NPI: 1033531629 Cultural Competency: Y R, RE, S, T 4001 Carrick Dr Ste 140 Ages: 0-99 Mo-Fr - 8:30 AM - 5:00 PM Medina, OH 44256 Hospital Affiliations:

Cultural Competency: Y (440) 882-0075 E, RE, S, T Uh Cleveland Medical Center Ages: 17-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Kraynick, Nichole R, NP, (F) Summa Health System Hospital Affiliations: Group Name: Summa Physicians Akron General Medical Ctr St Vincent Charity Medical Center Provider ID: 005836901001 Uh Parma Medical Center NPI: 1033551379 Coyner, Becky J, NP, (F) University Hospitals Parma 195 Wadsworth Rd Group Name: Cleveland Clinic Medical Ctr Wadsworth, OH 44281

Foundation (330) 334-7700 E, EB, G, IB, P, Provider ID: 003710975005 Fink, Cindy, NP, (F) PL, R, RE, S, T NPI: 1023391588 Group Name: Quick Med Urgent Ages: 0-99 970 E Washington St Care LLC Hospital Affiliations: Medina, OH 44256 Provider ID: 007317239001 Summa Health System

(330) 721-5700 EB, P, R NPI: 1811558695 Ages: 0-99 955 N Court St Hospital Affiliations: Medina, OH 44256

Cleveland Clinic Foundation (330) 915-7859 EB, G, P, PL, R, Marymount Hospital RE, S, T Medina Hospital Ages: 0-99

787

Ohio - Medina Certified Nurse Practitioners Kucinski, Hope R, NP, (F) Uh Cleveland Medical Center Perry, Sharon E, NP, (F) Group Name: Cleveland Clinic Univ Hospitals Ahuja Med Ctr Group Name: University Foundation Areas of Expertise: E105, E165, Hospitals Medical Group Provider ID: 002983212004 E168, E210, P010, P035 Provider ID: 005229450001 NPI: 1457546269 NPI: 1578972006 1000 E Washington St Morrison, Hannah, NP, (F) 4001 Carrick Dr Ste 220 Medina, OH 44256 Group Name: The Allergy And Medina, OH 44256

(216) 538-9022 EB, IB, P, R, RE, Asthma Treatment Center (216) 844-7700 EB, P, R T Provider ID: 007006718002 Mo-Fr - 8:30 AM - 4:30 PM Does Not Accept New Patients NPI: 1851869564 Cultural Competency: Y Ages: 0-99 185 Wadsworth Rd Ste H Ages: 0-99 Hospital Affiliations: Wadsworth, OH 44281 Hospital Affiliations:

Lake Health (330) 334-6212 EB, P, PL, R, RE, Uh Cleveland Medical Center Cleveland Clinic Foundation T Rainbow Babies & Childrens Euclid Hospital Ages: 0-99 Hosp

Larion, Colleen L, NP, (F) Morrison, Hannah, NP, (F) Sandalakis, Andegoni M, NP, (F) Group Name: Cleveland Clinic Group Name: The Allergy And Group Name: Cleveland Clinic Foundation Asthma Treatment Center Foundation Provider ID: 003671130005 Provider ID: 007006718002 Provider ID: 004068046002 NPI: 1104107044 NPI: 1851869564 NPI: 1457776544 1000 E Washington St 3637 Medina Rd Ste 225 1000 E Washington St Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(216) 445-8383 EB, IB, P, R, RE, (330) 723-2923 EB, P, PL, R (330) 725-1000 EB, IB, P, R, RE, T Web address: www.osullivanconsult T Ages: 0-99 .com Ages: 0-99 Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Mundy, Ruth A, NP, (F) Medina Hospital Group Name: Cleveland Clinic Mayne, Susan L, MS, (F) Foundation Sirvaitis, Ringaile, NP, (F) Group Name: University Provider ID: 002835895001 Group Name: Apex Dermatology Hospitals Medical Group NPI: 1962699470 And Skin Surgery Provider ID: 006268092001 1 Park Center Dr Provider ID: 005865799001 NPI: 1114474368 Wadsworth, OH 44281 NPI: 1447624358

4065 Center Rd Ste 214 (330) 334-4620 E, EB, IB, P, R 4975 Foote Rd Ste 400 Brunswick, OH 44212 Cultural Competency: Y Medina, OH 44256

(216) 844-8200 E, EB, G, IB, P, Ages: 0-99 (440) 646-1600 EB, P, R, RE, T R, RE, S, T Hospital Affiliations: Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cleveland Clinic Foundation Hospital Affiliations: Cultural Competency: Y Lake Health Ages: 0-99 Hospital Affiliations:

788

Certified Nurse Practitioners Ohio - Medina Spillan, Scott D, NP, (M) Walter, Ellen M, NP, (F) Group Name: Summa Physicians Ventura, Jessica L, NP, (F) Group Name: University Provider ID: 003092861004 Group Name: Cleveland Clinic Hospitals Medical Group NPI: 1710118500 Foundation Provider ID: 002465897001 195 Wadsworth Rd Provider ID: 003502324005 NPI: 1447340534 Wadsworth, OH 44281 NPI: 1386905560 4001 Carrick Dr Ste 210

(330) 375-4100 E, EB, G, IB, P, 970 E Washington St Ste 302 Medina, OH 44256

PL, R, RE, S, T Medina, OH 44256 (330) 721-8582 EB, P, R

Mo-Fr - 8:00 AM - 4:30 PM (330) 721-5700 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Fr - 8:00 AM - 5:00 PM Cultural Competency: Y Hospital Affiliations: Ages: 0-18 Ages: 0-99 Summa Health System Hospital Affiliations: Hospital Affiliations: Childrens Hospital Med Ctr Akron Robinson Memorial Hospital Spino, Zachary A, NP, (M) Cleveland Clinic Foundation Uh Portage Medical Center Group Name: Wrh Physicians Hillcrest Hospital Summa Health System Provider ID: 007377670002 Akron General Medical Ctr NPI: 1619502267 Vrabel, Laura, NP, (F) Cleveland Clinic Foundation 970 E Washington St Ste 204 Group Name: UPCP Medina Hospital Medina, OH 44256 Provider ID: 006596090007 Uh Cleveland Medical Center

(330) 926-3322 EB, P, R, RE, T NPI: 1255873774 Western Reserve Hospital Ages: 0-99 4001 Carrick Dr Ste 120 Medina, OH 44256 Wattley, Kaitlyn A, NP, (F)

Tokodi, Sarah V, NP, (F) (330) 721-8484 EB, P, R Group Name: Crystal Clinic Group Name: Comprehensive Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 005735817001 Pain Management Specialist Accepting Existing Patients Only NPI: 1356714067 Provider ID: 006126959001 Ages: 0-99 4975 Foote Rd Ste 100 NPI: 1356721963 Hospital Affiliations: Medina, OH 44256

185 Wadsworth Rd University Hospitals Elyria (330) 721-8232 EB, IB, P, PL, R, Wadsworth, OH 44281 Medical Ctr RE, S, T

(302) 208-2721 E, EB, G, IB, P, Uh Elyria Medical Center Ages: 0-99 PL, R, RE, S, T Uh Regional Hospitals Ages: 0-99 Uh Cleveland Medical Center Whyte, Leann K, NP, (F) Group Name: Comprehensive Tokodi, Sarah V, NP, (F) Pain Management Specialist Group Name: Comprehensive Provider ID: 003362512003 Pain Management Specialist NPI: 1790789469 Provider ID: 006126959001 185 Wadsworth Rd NPI: 1356721963 Wadsworth, OH 44281

3780 Medina Rd Ste 110 (330) 208-2720 E, EB, G, IB, P, Medina, OH 44256 PL, R, RE, S, T

(330) 208-2720 EB, G, IB, P, R, Ages: 0-99 RE, S, T Ages: 0-99

789

Ohio - Medina Certified Nurse Practitioners Whyte, Leann K, NP, (F) Group Name: Comprehensive Pain Management Specialist Provider ID: 003362512003 NPI: 1790789469 3780 Medina Rd Ste 110 Medina, OH 44256

(330) 208-2720 E, EB, G, IB, P, R, S, T Ages: 0-99

Yetzer, Judy A, NP, (F) Group Name: Dermatology Partners Provider ID: 003229840001 NPI: 1306152285 3780 Medina Rd Ste 240 Medina, OH 44256

(440) 238-0360 EB, P, R Ages: 0-99

Ziol, Janet E, NP, (F) Group Name: Clinic Regional Physicians Provider ID: 002386845005 NPI: 1780644989 6605 Center Rd Valley City, OH 44280 (330) 483-3135 Mo-Tu - 8:00 AM - 7:00 PM We - 8:00 AM - 5:00 PM Th - 8:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation Medina Hospital

790

Long Term Services And Supports Providers Ohio - Lake

Long Term Services And Supports Providers

Lake Ohio Home Health Agency

Assisted Living (Facility) Members may self-refer to these Geauga

providers.

Fairways Home Delivered Meals Agency Provider ID: 004068033001 Caring With Loving Hands NPI: 1063736213 Provider ID: 005861191002 Western Reserve Catering NPI: 1295084903 Provider ID: 003700341001 30630 Ridge Rd Wickliffe, OH 44092 6950 Spinach Dr NPI: 1609845593 Mentor, OH 44060 12621 Chillicothe Rd (440) 943-2050 EB, P, R (440) 209-0144 EB, P, R Chesterland, OH 44026 (440) 729-6800 EB, P, R Ivy House Assisted Living Provider ID: 005149381001 Interim Healthcare Of Akron-Canton NPI: 1255596359 Home Health Agency 308 S State St Provider ID: 002510333002 Painesville, OH 44077 NPI: 1558394247 Members may self-refer to these 30841 Euclid Ave Ste 102 (440) 354-2131 EB, IB, P, R providers. Willoughby, OH 44094

Parkside Care Corporation Ii Nason Center Of Breckenridge (440) 510-3797 EB, P, R Provider ID: 000091816001 Village NPI: 1629116702 Provider ID: 004732905001 Maxim Healthcare Services 831 South St 36855 Ridge Rd Provider ID: 001101509002 Chardon, OH 44024 Willoughby, OH 44094 NPI: 1023198892 8641 Tyler Blvd (440) 286-2273 EB, P, R (440) 942-4342 EB, P, R Mentor, OH 44060

Rescare Home Care (440) 352-0137 EB, P, R Provider ID: 004631349001 Environmental Adaptation Cultural Competency: Y NPI: 1942572714 Lake County Council On Aging 8582 E Washington St Provider ID: 005058961001 Ohio Living Home Hlth-Greater Chagrin Falls, OH 44023 NPI: 1801098355 Cleveland Provider ID: 006683492001 (440) 543-2323 EB, P, R 8520 East Ave Mentor, OH 44060 NPI: 1821002940

38879 Mentor Ave Ste A (440) 205-8111 EB, P, R Waiver Nursing Willoughby, OH 44094

Petti, Margaret M (440) 953-1256 EB, P, R Provider ID: 004702444003 Web address: www.ohioliving.org NPI: 1699012336 12480 Ravenwood Dr Priority Home Health Care Chardon, OH 44024 Provider ID: 002957881002 NPI: 1396774287 (440) 234-2006 EB, P, R 3721 N Ridge Rd Perry, OH 44081

(440) 259-4649 EB, P, R

All providers are proficient in English unless otherwise noted. If you have questions, please call UnitedHealthcare Connected for MyCare Ohio at 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday – Friday. The call is free. For more information, visit www.UHCCommunityPlan.com. MMOH.21.999.01.9.005

791

Ohio - Lorain Long Term Services And Supports Providers

Personal Care Options Services First Choice Home Health Srvs A Heavenly Helper Home Care Environmental Adaptation Provider ID: 001260609001 Provider ID: 005973971001 Enhancing Life Home Medical NPI: 1023056702 NPI: 1740672088 Provider ID: 003628159001 5344 Meadow Lane Ct 8324 Tyler Blvd NPI: 1043480288 Sheffield Village, OH 44035 Mentor, OH 44060 181 Brentview Dr (440) 934-2683 EB, P, R

(440) 205-8277 EB, IB, P, R Grafton, OH 44044

(440) 399-3332 EB, P, R Mercy Home Health Care Angels In Waiting Homecare Provider ID: 001297572006 Provider ID: 004753083001 NPI: 1023070802 NPI: 1285833483 Home Delivered Meals Agency 3600 Kolbe Rd Ste 011 38052 Euclid Ave Ste 208 Neighborhood Alliance Lorain, OH 44053 Willoughby, OH 44094 Provider ID: 005197793002 (440) 222-4003 EB, P, R (440) 946-0349 EB, P, R NPI: 1467736694 Web address: www.mercy.com 1536 E 30th St Lorain, OH 44055 Mercy Home Health Care Waiver Nursing (440) 233-8768 EB, P, R Provider ID: 001297572002 Petti, Margaret M NPI: 1023070802 Provider ID: 004702444003 3700 Kolbe Rd NPI: 1699012336 Home Health Agency Lorain, OH 44053

90 N State St Members may self-refer to these (440) 960-4545 EB, G, IB, P, PL, Painesville, OH 44077 providers. R, RE, S, T

(440) 260-8300 EB, P, R Web address: www.mercy.com Abc Of Greater Cleveland Provider ID: 003466143001 Visiting Angels Lorain NPI: 1821391475 Provider ID: 004546825002

951 Main St NPI: 1982967725 Assisted Living (Facility) Grafton, OH 44044 6145 Park Square Dr Ste 4

Assisted Living Services (440) 791-7177 EB, P, R Lorain, OH 44053

Provider ID: 003835953001 (440) 988-3004 EB, P, R NPI: 1417289083 Amara Home Healthcare Services 175 N Lake St Provider ID: 002865067003 Homemaker Agency Amherst, OH 44001 NPI: 1912075607 35136 Center Ridge Rd (440) 988-4415 EB, IB, P, R Lorain County Office On Aging Cultural Competency: Y North Ridgeville, OH 44039 Provider ID: 004936403001 (440) 353-0600 EB, P, R NPI: 1063827608 Sprenger Retirement Ctr 320 Gateway Blvd N Ste 2 Provider ID: 004159476001 E.j.q. Home Health Care Elyria, OH 44035 Provider ID: 003750043001 NPI: 1194055970 (440) 326-4800 EB, P, R 3756 W Erie Ave NPI: 1700882198 Lorain, OH 44053 800 Middle Ave Elyria, OH 44035 (440) 244-2019 EB, P, R (440) 323-7004 EB, P, R

792

Long Term Services And Supports Providers Ohio - Medina

The Village Of St Edward At Heart To Heart Home Health Personal Care Options Services Wadsworth Care Glory Homecare Provider ID: 007604637001 Provider ID: 004885229002 Provider ID: 005263313002 NPI: 1629674940 NPI: 1891844825 NPI: 1417282831 880 Main St 600 E Smith Rd 377b Lear Rd Ste 126 Wadsworth, OH 44281 Medina, OH 44256 Avon Lake, OH 44012 (234) 217-8735 EB, P, R (330) 335-9999 EB, P, R

(888) 767-0335 EB, P, R Web address: www.vsecommunities .org Incare Home Health Northern Heavenly Circle Ohio Provider ID: 005112865004 Provider ID: 003395014004 NPI: 1932461571 Home Health Agency NPI: 1225261993

502 Broadway Ste 106 Members may self-refer to these 600 E Smith Rd Lorain, OH 44052 providers. Medina, OH 44256

(440) 282-8022 EB, P, R (330) 945-6955 EB, P, R Asap Home Nurses Provider ID: 002980559002 Vnpc/Visiting Nurse Svc Waiver Nursing NPI: 1487857157 Provider ID: 001424095001 Petti, Margaret M 1 Park Center Dr Ste 17 NPI: 1194806901 Provider ID: 004702444003 Wadsworth, OH 44281 225 Elyria St NPI: 1699012336 (330) 334-1025 EB, P, R Lodi, OH 44254

2173 N Ridge Rd E Ste E (330) 948-5588 EB, G, IB, P, PL, Lorain, OH 44055 Community Caregivers Of R, RE, S, T Medina County (440) 260-8300 EB, P, R, RE, T Provider ID: 003644554001 NPI: 1841430378 Waiver Nursing Medina 230 Quadral Dr Ste D Petti, Margaret M Wadsworth, OH 44281 Provider ID: 004702444003 Assisted Living (Facility) (330) 331-4668 EB, P, R NPI: 1699012336

Elmcroft Of Medina 246 Northland Dr Ste 140 Heart To Heart Home Health Provider ID: 007261231001 Medina, OH 44256 Care NPI: 1841799012 (440) 260-8300 EB, P, R Provider ID: 004885229001 1046 N Jefferson St NPI: 1891844825 Medina, OH 44256 295 Weatherstone Dr Unit C (330) 721-2000 E, EB, G, IB, P, Wadsworth, OH 44281 R, RE, T (330) 335-9999 EB, P, R

Web address: www.h2hhc.com

793

Ohio - Geauga Obstetrics & Gynecology

Obstetrics & Gynecology Corteville, Jane E, MD, (F), B Ohio Andreani, Natalina N, MD, (F), B Group Name: University Group Name: Dr Natalina Hospitals Medical Group Geauga Andreani Provider ID: 000860411002

Provider ID: 001979664003 NPI: 1578509964 Obstetrics & Gynecology NPI: 1669412755 13207 Ravenna Rd 13170 Ravenna Rd Ste 116 Chardon, OH 44024 All female members are allowed to Chardon, OH 44024 (440) 285-3032 EB, P, R self-refer to certified nurse (440) 285-0828 EB, IB, P, R, RE, Languages Spoken: midwives (CNMs), obstetricians and T Provider: French gynecologists on UnitedHealthcare Languages Spoken: Mo-Fr - 8:00 AM - 4:30 PM Community Plan's provider panel. Provider: Italian, Spanish Cultural Competency: Y In addition female members are also Mo - 1:00 PM - 5:00 PM Ages: 0-99 allowed to self-refer to women's Tu,Th - 9:00 AM - 5:00 PM Hospital Affiliations: health specialists on Fr - 9:00 AM - 12:00 PM Metrohealth Medical Center UnitedHealthcare Community Cultural Competency: Y Uh Regional Hospitals Plan's panel for routine and Ages: 0-99 Uh Cleveland Medical Center preventative health care services if Does Not Accept Male Patients Rainbow Babies & Childrens their PCP is not a women's health Hospital Affiliations: Hosp specialist. For a list of women's Uh Geauga Medical Center Barnes-jewish Hospital health specialists on University Hospitals Geauga Barnes Jewish Hospital UnitedHealthcare Community Medical Ctr Univ Hospitals Ahuja Med Ctr Plan's panel, please call Uh Cleveland Medical Center 1.877-542-9236; Relay: 711. Gitiforooz, Habibeh L, MD, (F), B

Ahuja, Samir, MD, (M), B Cameron, J Jeffery, MD, (M) Group Name: Advanced Womens Group Name: University Primary Group Name: J Jeffrey Cameron Health And Surgery LLC Care Practices Md Provider ID: 002083764002 Provider ID: 001572555010 Provider ID: 000089450003 NPI: 1912959909 NPI: 1497850622 NPI: 1396761359 16030 East High St 13207 Ravenna Rd 13170 Ravenna Rd Ste 108 Middlefield, OH 44062

Chardon, OH 44024 Chardon, OH 44024 (440) 772-4000 EB, P, R

(440) 205-5870 EB, P, R (440) 214-9277 EB, IB, P, R Languages Spoken: Languages Spoken: Ages: 0-99 Provider: Arabic, Farsi Provider: Hindi Hospital Affiliations: Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Uh Geauga Medical Center Cultural Competency: Y Ages: 0-99 University Hospitals Geauga Ages: 0-99 Does Not Accept Male Patients Medical Ctr Hospital Affiliations: Hospital Affiliations: Uh Cleveland Medical Center Cleveland Clinic Foundation Uh Geauga Medical Center St Vincent Charity Medical Center Fairview Hospital University Hospitals Geauga Lakewood Hospital Medical Ctr Cleveland Clinic Lakewood Lake Health Cleveland Clinic Avon Hospital Uh Cleveland Medical Center

794

Obstetrics & Gynecology Ohio - Geauga Lentz Hartup, Denise D, DO, (F) Medical Ctr Group Name: University Primary Miller, Jennifer A, MD, (F), B Metrohealth Medical Center Care Practices Group Name: University Primary Uh Cleveland Medical Center Provider ID: 006148183002 Care Practices Univ Hospitals Ahuja Med Ctr NPI: 1396007803 Provider ID: 003058244004 13221 Ravenna Rd Ste 5 NPI: 1417117524 Lake Chardon, OH 44024 8185 E Washington St Ste 1

(440) 286-9238 EB, P, R Chagrin Falls, OH 44023 Obstetrics & Gynecology Mo-Fr - 8:30 AM - 4:30 PM (440) 708-1500 EB, P, R

Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM All female members are allowed to Hospital Affiliations: Cultural Competency: Y self-refer to certified nurse Cleveland Clinic Foundation Ages: 0-99 midwives (CNMs), obstetricians and Univ Hospitals Ahuja Med Ctr Hospital Affiliations: gynecologists on UnitedHealthcare Uh Geauga Medical Center Community Plan's provider panel. Lentz Hartup, Denise D, DO, (F) University Hospitals Geauga In addition female members are also Group Name: University Primary Medical Ctr allowed to self-refer to women's Care Practices health specialists on Provider ID: 006148183002 Roberts, Kasey M, MD, (M) UnitedHealthcare Community NPI: 1396007803 Group Name: UPCP Plan's panel for routine and 8185 E Washington St Ste 1 Provider ID: 007289384002 preventative health care services if Chagrin Falls, OH 44023 NPI: 1386038586 their PCP is not a women's health (440) 708-1500 EB, P, R 13207 Ravenna Rd specialist. For a list of women's Mo-Fr - 8:30 AM - 4:30 PM Chardon, OH 44024 health specialists on Ages: 0-99 (440) 285-6000 E, EB, G, IB, P, UnitedHealthcare Community Hospital Affiliations: PL, R, RE, S, T Plan's panel, please call Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM 1.877-542-9236; Relay: 711.

Univ Hospitals Ahuja Med Ctr Ages: 0-99 Ahuja, Samir, MD, (M), B Miller, Jennifer A, MD, (F), B Sheyn, David, MD, (M), B Group Name: University Primary Group Name: University Primary Group Name: University Care Practices Care Practices Hospitals Medical Group Provider ID: 001572555001 Provider ID: 003058244005 Provider ID: 006272502001 NPI: 1497850622 NPI: 1417117524 NPI: 1912131665 9000 Mentor Ave Ste 215 13221 Ravenna Rd Ste 5 13170 Ravenna Rd Ste 104 Mentor, OH 44060 Chardon, OH 44024 Chardon, OH 44024 (440) 205-5870 EB, P, R Languages Spoken: (440) 286-9238 EB, P, R (440) 285-9229 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Provider: Hindi Cultural Competency: Y Provider: Russian, Spanish Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Hospital Affiliations: Ages: 18-99 Ages: 0-99 Uh Geauga Medical Center Hospital Affiliations: Does Not Accept Male Patients University Hospitals Geauga Uh Geauga Medical Center Hospital Affiliations: Medical Ctr University Hospitals Geauga Uh Geauga Medical Center University Hospitals Geauga

795

Ohio - Lake Obstetrics & Gynecology Medical Ctr Hospital Affiliations: Brownlee, Rosemary R, MD, (F), Lake Health Fairview Hospital B Uh Cleveland Medical Center Cleveland Clinic Foundation Group Name: Lake Obstetrics & Hillcrest Hospital Gynecology Boes, Cynthia R, MD, (F), B Euclid Hospital Provider ID: 001418221003 Group Name: Lake Health Allied NPI: 1700842812 Health Professionals Brown-Young, Diane E, MD, (F), 7580 Auburn Rd Ste 313 Provider ID: 001926385003 B Concord Township, OH 44077

NPI: 1295797132 Group Name: Cleveland Clinic (440) 352-0688 EB, G, IB, P, R 36001 Euclid Ave Ste B16 Foundation Languages Spoken: Willoughby, OH 44094 Provider ID: 001326387001 Interpreter: Medical Interp

(440) 942-4844 E, EB, G, IB, P, NPI: 1154357960 Vendor, Spanish R, RE, S, T 2570 Som Center Rd Wh10 Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Willoughby Hills, OH 44094 Cultural Competency: Y

Ages: 0-99 (440) 943-2500 EB, P, R Ages: 0-99 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Lake Health Ages: 0-99 Lake Health Hospital Affiliations: Huron Hospital Boes, Cynthia R, MD, (F), B Cleveland Clinic Foundation Group Name: Lake Health Allied Hillcrest Hospital Brownlee, Rosemary R, MD, (F), Health Professionals B Provider ID: 001926385006 Brownlee, Rosemary R, MD, (F), Group Name: Lake Obstetrics & NPI: 1295797132 B Gynecology 4176 State Route 306 Group Name: Lake Obstetrics & Provider ID: 001418221001 Willoughby, OH 44094 Gynecology NPI: 1700842812

(440) 918-4690 EB, IB, P, R, RE, Provider ID: 001418221002 9500 Mentor Ave Ste 220 S, T NPI: 1700842812 Mentor, OH 44060

Cultural Competency: Y 6270 N Ridge Rd (440) 357-7100 EB, G, IB, P, R Ages: 0-99 Madison, OH 44057 Languages Spoken: Hospital Affiliations: (440) 428-8267 EB, IB, P, R, RE, Lake Health T Interpreter: Medical Interp Mo-Fr - 8:30 AM - 5:00 PM Vendor Bouchard, Lauren T, MD, (F), B Cultural Competency: Y Mo-Fr - 8:30 AM - 5:00 PM Group Name: Cleveland Clinic Ages: 0-99 Cultural Competency: Y Foundation Hospital Affiliations: Ages: 0-99 Provider ID: 007463724001 Lake Health Hospital Affiliations: NPI: 1356795413 Huron Hospital Lake Health 2570 Som Center Rd Huron Hospital Willoughby Hills, OH 44094

(440) 943-2500 EB, IB, P, R, RE, T Ages: 0-99 Does Not Accept Male Patients

796

Obstetrics & Gynecology Ohio - Lake Brzozowski, Philip C, MD, (M), B Uh Cleveland Medical Center Emery, Jonathan D, MD, (M) Group Name: Anesthesia Group Name: Cleveland Clinic Associates Brzozowski, Philip C, MD, (M), B Foundation Provider ID: 000923024004 Group Name: Lake Health Allied Provider ID: 001826148001 NPI: 1013023332 Health Professionals NPI: 1306876974 36000 Euclid Ave Provider ID: 000923024003 2570 Som Center Rd Willoughby, OH 44094 NPI: 1013023332 Willoughby Hills, OH 44094

(440) 350-0832 P, R, RE, T 9485 Mentor Ave Ste 202 (440) 943-2500 EB, IB, P, R, RE, Cultural Competency: Y Mentor, OH 44060 T

Ages: 0-99 (440) 205-5862 EB, P, R Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Lake Health Ages: 18-99 Does Not Accept Male Patients Uh Cleveland Medical Center Does Not Accept Male Patients Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Brzozowski, Philip C, MD, (M), B Lake Health Hillcrest Hospital Group Name: Lake Health Allied Uh Cleveland Medical Center Fairview Hospital Health Professionals Marymount Hospital Provider ID: 000923024006 Emery, Jonathan D, MD, (M) Uh Cleveland Medical Center NPI: 1013023332 Group Name: Cleveland Clinic 5105 Som Center Rd Ste 201 Foundation Farrell, Ruth M, MD, (F), B Willoughby, OH 44094 Provider ID: 001826148001 Group Name: Cleveland Clinic

(440) 602-6710 EB, P, PL, R, RE, NPI: 1306876974 Foundation T 2550 Som Center Rd Ste 100 Provider ID: 002544890001 Cultural Competency: Y Willoughby Hills, OH 44094 NPI: 1861484792

Ages: 18-99 (440) 943-2500 EB, P, R 2550 Som Center Rd Does Not Accept Male Patients Cultural Competency: Y Willoughby Hills, OH 44094

Hospital Affiliations: Ages: 0-99 (440) 943-2500 EB, P, R Lake Health Does Not Accept Male Patients Cultural Competency: Y Uh Cleveland Medical Center Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Does Not Accept Male Patients Brzozowski, Philip C, MD, (M), B Hillcrest Hospital Hospital Affiliations: Group Name: Anesthesia Fairview Hospital Cleveland Clinic Foundation Associates Marymount Hospital Hillcrest Hospital Provider ID: 000923024004 Uh Cleveland Medical Center Johns Hopkins Bayview Med Cntr NPI: 1013023332 7590 Auburn Rd Concord Township, OH 44077

(440) 350-0832 E, EB, G, IB, P, PL, R, RE, S, T Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Lake Health

797

Ohio - Lake Obstetrics & Gynecology Farrell, Ruth M, MD, (F), B Hetrick, Pamela L, CNM, (F) Iafelice, John P, MD, (M), B Group Name: Cleveland Clinic Group Name: Lake Health Allied Group Name: Cleveland Clinic Foundation Health Professionals Foundation Provider ID: 002544890001 Provider ID: 002392682004 Provider ID: 001269909001 NPI: 1861484792 NPI: 1477578706 NPI: 1174553754 2570 Som Center Rd 5105 Som Center Rd Ste 201 2570 Som Center Rd Willoughby Hills, OH 44094 Willoughby, OH 44094 Willoughby Hills, OH 44094

(440) 943-2500 EB, IB, P, R, RE, (440) 602-6710 EB, P, PL, R, RE, (440) 943-2500 EB, IB, P, R, RE, T T T Cultural Competency: Y Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Web address: www.ppgoh.org Ages: 0-99 Does Not Accept Male Patients Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Cleveland Clinic Foundation Cleveland Clinic Foundation Lake Health Hillcrest Hospital Hillcrest Hospital St John Medical Center Euclid Hospital Johns Hopkins Bayview Med Cntr Uh Cleveland Medical Center Rainbow Babies & Childrens Kushnir, Ori, MD, (M), B Gilham, Shannon C, DO, (F), B Hosp Group Name: Ori Kushnir Md Group Name: Lake Health Allied Ob/Gyn Health Professionals Hetrick, Pamela L, CNM, (F) Provider ID: 000902794004 Provider ID: 002791194002 Group Name: Lake Health Allied NPI: 1841276276 NPI: 1508074931 Health Professionals 4176 State Route 306 4176 State Route 306 Provider ID: 002392682004 Willoughby, OH 44094

Willoughby, OH 44094 NPI: 1477578706 (440) 918-4630 EB, IB, P, R, RE,

(440) 918-4630 EB, IB, P, R, RE, 9485 Mentor Ave Ste 202 S, T S, T Mentor, OH 44060 Languages Spoken:

Mo-Fr - 8:30 AM - 5:00 PM (440) 205-5862 EB, P, R Provider: Hebrew, Italian Cultural Competency: Y Mo-Fr - 9:00 AM - 5:00 PM Cultural Competency: Y Ages: 0-99 Web address: www.ppgoh.org Ages: 0-99 Hospital Affiliations: Ages: 0-99 Does Not Accept Male Patients University Hospitals Elyria Hospital Affiliations: Hospital Affiliations: Medical Ctr Lake Health Lake Health Uh Elyria Medical Center St John Medical Center Cleveland Clinic Foundation Lake Health Uh Cleveland Medical Center Hillcrest Hospital Southside Regional Medical Ctr Rainbow Babies & Childrens Euclid Hospital Hosp Huron Hospital

798

Obstetrics & Gynecology Ohio - Lake Lentz Hartup, Denise D, DO, (F) Mullen, Lori S, MD, (F), B Group Name: University Primary Miller, Jennifer A, MD, (F), B Group Name: University Primary Care Practices Group Name: University Primary Care Practices Provider ID: 006148183002 Care Practices Provider ID: 001825664007 NPI: 1396007803 Provider ID: 003058244007 NPI: 1518067628 701 N Lake St Ste 107 NPI: 1417117524 701 N Lake St Ste 107 Madison, OH 44057 7500 Auburn Rd Ste 2300 Madison, OH 44057

(440) 286-9238 EB, P, R Concord Township, OH 44077 (440) 286-9238 EB, P, R

Mo-Fr - 8:30 AM - 4:30 PM (440) 286-9238 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Cleveland Clinic Foundation Ages: 0-99 Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Hospital Affiliations: Uh Cleveland Medical Center Uh Geauga Medical Center Lentz Hartup, Denise D, DO, (F) University Hospitals Geauga Mullen, Lori S, MD, (F), B Group Name: University Primary Medical Ctr Group Name: University Primary Care Practices Care Practices Provider ID: 006148183002 Miller, Jennifer A, MD, (F), B Provider ID: 001825664008 NPI: 1396007803 Group Name: University Primary NPI: 1518067628 7500 Auburn Rd Ste 2600 Care Practices 7500 Auburn Rd Ste 2600 Concord Township, OH 44077 Provider ID: 003058244001 Concord Township, OH 44077

(440) 358-5466 EB, P, R NPI: 1417117524 (440) 358-5466 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM 7500 Auburn Rd Ste 2600 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Concord Township, OH 44077 Cultural Competency: Y

Hospital Affiliations: (440) 358-5466 EB, P, R Ages: 0-99 Cleveland Clinic Foundation Mo-Fr - 9:00 AM - 4:00 PM Hospital Affiliations: Univ Hospitals Ahuja Med Ctr Cultural Competency: Y Uh Cleveland Medical Center Ages: 0-99 Miller, Jennifer A, MD, (F), B Hospital Affiliations: Park, Sarah, MD, (F) Group Name: University Primary Uh Geauga Medical Center Group Name: Cleveland Clinic Care Practices University Hospitals Geauga Foundation Provider ID: 003058244006 Medical Ctr Provider ID: 006464002003 NPI: 1417117524 NPI: 1033451141 701 N Lake St Ste 107 2570 Som Center Rd Madison, OH 44057 Willoughby Hills, OH 44094

(440) 286-9238 EB, P, R (440) 943-2500 EB, IB, P, R, RE, Mo-Fr - 8:30 AM - 4:30 PM T Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Temple University Hospital Uh Geauga Medical Center Cleveland Clinic Foundation University Hospitals Geauga Jeanes Hospital Medical Ctr Temple University Hospital -

799

Ohio - Lake Obstetrics & Gynecology Jeanes Camp Quinn, Patrick A, MD, (M), B Stalzer, Alison G, DO, (F), B Group Name: Lake Obstetrics & Group Name: Lake Obstetrics & Perni, Uma C, MD, (F), B Gynecology Gynecology Group Name: Cleveland Clinic Provider ID: 000050860001 Provider ID: 006140142001 Foundation NPI: 1093778300 NPI: 1982962262 Provider ID: 002131094001 7580 Auburn Rd Ste 313 7580 Auburn Rd Ste 313 NPI: 1356317218 Concord Township, OH 44077 Concord Township, OH 44077

7060 Wayside Dr (440) 352-0688 EB, G, IB, P, R (440) 352-0688 EB, G, IB, P, R Mentor, OH 44060 Languages Spoken: Languages Spoken:

(440) 357-2770 EB, P, R Interpreter: Spanish Interpreter: Spanish Languages Spoken: Mo-Sa - 8:30 AM - 5:00 PM Mo-Fr - 8:30 AM - 5:00 PM Provider: Telugu Cultural Competency: Y Ages: 18-99 Cultural Competency: Y Ages: 18-99 Does Not Accept Male Patients Ages: 0-99 Does Not Accept Male Patients Hospital Affiliations: Hospital Affiliations: Hospital Affiliations: Lake Health Akron General Medical Ctr Lake Health Cleveland Clinic Foundation Tidmore, Joi R, MD, (F), B Hillcrest Hospital Quinn, Patrick A, MD, (M), B Group Name: Lake Health Allied Fairview Hospital Group Name: Lake Obstetrics & Health Professionals Lakewood Hospital Gynecology Provider ID: 002101939007 Cleveland Clinic Lakewood Provider ID: 000050860001 NPI: 1053427385 Marymount Hospital NPI: 1093778300 5105 Som Center Rd # 102 Jamaica Hospital 9500 Mentor Ave Ste 220 Willoughby, OH 44094

Areas of Expertise: MAT1 Mentor, OH 44060 (440) 602-6710 EB, P, R, RE, T

(440) 357-7100 EB, G, IB, P, R Quinn, Patrick A, MD, (M), B Cultural Competency: Y Group Name: Lake Obstetrics & Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Gynecology Cultural Competency: Y Does Not Accept Male Patients Provider ID: 000050860001 Ages: 18-99 Hospital Affiliations: NPI: 1093778300 Does Not Accept Male Patients Mercy Regional Medical Center 6270 N Ridge Rd Hospital Affiliations: Lake Health Madison, OH 44057 Lake Health Mercy Medical Center Cleveland Clinic Mercy Hospital (440) 428-8267 EB, IB, P, R, RE, T Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Ages: 18-99 Does Not Accept Male Patients Hospital Affiliations: Lake Health

800

Obstetrics & Gynecology Ohio - Lake Tucker, Abigail M, MD, (F), B Hospital Affiliations: Weaver, Rachel, MD, (F) Group Name: Lake Health Allied Lake Health Group Name: Lake Obstetrics & Health Professionals Gynecology Provider ID: 003218864001 Velotta, Jennifer A, MD, (F), B Provider ID: 006906242001 NPI: 1043229503 Group Name: Lake Obstetrics & NPI: 1073923967 5105 Som Center Rd Ste 201 Gynecology 6270 N Ridge Rd Willoughby, OH 44094 Provider ID: 003353465003 Madison, OH 44057

(440) 602-6710 EB, P, PL, R, RE, NPI: 1003000423 (440) 428-8267 EB, IB, P, R, RE, T 7580 Auburn Rd Ste 313 T Cultural Competency: Y Concord Township, OH 44077 Mo-Fr - 8:30 AM - 5:00 PM

Ages: 0-99 (440) 352-0688 EB, G, IB, P, R Ages: 0-99 Does Not Accept Male Patients Mo-Fr - 8:30 AM - 5:00 PM Does Not Accept Male Patients Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Lake Health Ages: 0-99 Lake Health Does Not Accept Male Patients Tucker, Abigail M, MD, (F), B Hospital Affiliations: Weaver, Rachel, MD, (F) Group Name: Lake Health Allied Lake Health Group Name: Lake Obstetrics & Health Professionals Gynecology Provider ID: 003218864001 Velotta, Jennifer A, MD, (F), B Provider ID: 006906242001 NPI: 1043229503 Group Name: Lake Obstetrics & NPI: 1073923967 9485 Mentor Ave Ste 202 Gynecology 7580 Auburn Rd Ste 313 Mentor, OH 44060 Provider ID: 003353465001 Concord Township, OH 44077

(440) 205-5862 EB, P, R NPI: 1003000423 (440) 352-0688 EB, G, IB, P, R Mo-Fr - 8:30 AM - 5:00 PM 9500 Mentor Ave Ste 220 Mo-Fr - 8:30 AM - 5:00 PM Cultural Competency: Y Mentor, OH 44060 Ages: 0-99

Ages: 0-99 (440) 357-7100 EB, G, IB, P, R Does Not Accept Male Patients Does Not Accept Male Patients Hospital Affiliations: Hospital Affiliations: Mo-Fr - 8:30 AM - 5:00 PM Lake Health Lake Health Cultural Competency: Y Ages: 0-99 Weaver, Rachel, MD, (F) Velotta, Jennifer A, MD, (F), B Does Not Accept Male Patients Group Name: Lake Obstetrics & Group Name: Lake Obstetrics & Hospital Affiliations: Gynecology Gynecology Lake Health Provider ID: 006906242001 Provider ID: 003353465002 NPI: 1073923967 NPI: 1003000423 9500 Mentor Ave Ste 220 6270 N Ridge Rd Mentor, OH 44060

Madison, OH 44057 (440) 357-7100 EB, G, IB, P, R

(440) 357-7100 EB, IB, P, R, RE, T Mo-Fr - 8:30 AM - 5:00 PM Mo-Fr - 8:30 AM - 5:00 PM Ages: 0-99 Cultural Competency: Y Does Not Accept Male Patients Ages: 18-99 Hospital Affiliations: Does Not Accept Male Patients Lake Health

801

Ohio - Lorain Obstetrics & Gynecology Wilcox, Mark, MD, (M), B Bacevice, Anthony E, MD, (M), B Lorain Group Name: Cleveland Clinic Group Name: UPCP

Foundation Provider ID: 000125032003 Provider ID: 007474258001 Obstetrics & Gynecology NPI: 1598714388

NPI: 1477977510 All female members are allowed to 1997 Healthway Dr Ste 203 2570 Som Center Rd self-refer to certified nurse Avon, OH 44011 Willoughby Hills, OH 44094 midwives (CNMs), obstetricians and (440) 988-6884 EB, IB, P, R, RE, (440) 943-2500 EB, IB, P, R, RE, gynecologists on UnitedHealthcare T T Community Plan's provider panel. Languages Spoken: Ages: 0-99 In addition female members are also Provider: Lithuanian Does Not Accept Male Patients allowed to self-refer to women's Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: health specialists on Cultural Competency: Y Cleveland Clinic Foundation UnitedHealthcare Community Ages: 0-99 Fairview Hospital Plan's panel for routine and Hospital Affiliations: Euclid Hospital preventative health care services if University Hospitals Elyria their PCP is not a women's health Medical Ctr Zart, Janie M, MD, (F), B specialist. For a list of women's Uh Elyria Medical Center Group Name: Lake Health Allied health specialists on Fairview Hospital Health Professionals UnitedHealthcare Community Lakewood Hospital Provider ID: 001572557003 Plan's panel, please call Cleveland Clinic Lakewood NPI: 1043273352 1.877-542-9236; Relay: 711. St John Medical Center

4176 State Route 306 Willoughby, OH 44094 Bacevice, Anthony E, MD, (M), B Beeman, Patrick C, MD, (M), B Group Name: UPCP (440) 918-4630 EB, IB, P, R, RE, Group Name: Mercy Health S, T Provider ID: 000125032003 Physicians Lorain Mo-Fr - 8:30 AM - 5:00 PM NPI: 1598714388 Provider ID: 005227778001 Cultural Competency: Y 125 E Broad St Ste 218 NPI: 1497066112 Ages: 0-99 Elyria, OH 44035 3700 Kolbe Rd Hospital Affiliations: (440) 329-7310 E, EB, G, IB, P, Lorain, OH 44053 R, RE Lake Health (440) 988-1009 EB, G, IB, P, PL, Languages Spoken: R, RE, S, T Provider: Lithuanian Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Provider: French, Latin, Spanish Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Mercy Regional Medical Center University Hospitals Elyria Communtiy Health Partners Rgnl Medical Ctr Mdcl Ctr Uh Elyria Medical Center Areas of Expertise: MAT1 Fairview Hospital Lakewood Hospital Cleveland Clinic Lakewood St John Medical Center

802

Obstetrics & Gynecology Ohio - Lorain Bicanovsky, Lesley K, DO, (F) University Hospitals Elyria Dbouk, Tarek A, MD, (M), B Group Name: Cleveland Clinic Medical Ctr Group Name: Mercy Health Foundation Uh Elyria Medical Center Physicians Lorain Provider ID: 002482930001 Wadsworth Rittman Hospital Provider ID: 003058604002 NPI: 1689637852 Wood County Hospital NPI: 1215114913 33100 Cleveland Clinic Blvd Summa Health System 5054 Waterford Place Dr Avon, OH 44011 Akron General Medical Ctr Sheffield Village, OH 44035

(440) 695-4000 EB, P, R Cleveland Clinic Foundation (440) 934-8344 EB, P, R Ages: 0-99 Hillcrest Hospital Languages Spoken: Hospital Affiliations: Provider: Arabic Cleveland Clinic Foundation Dbouk, Tarek A, MD, (M), B Staff: Arabic Fairview Hospital Group Name: Mercy Health Interpreter: Arabic Cleveland Clinic Avon Hospital Physicians Lorain Cultural Competency: Y Provider ID: 003058604002 Ages: 18-99 Carter, Tracy A, MD, (F), B NPI: 1215114913 Does Not Accept Male Patients Group Name: Mercy Health 3600 Kolbe Rd Ste 210 Hospital Affiliations: Physicians Lorain Lorain, OH 44053 Memorial Hospital

Provider ID: 001760253001 (440) 960-3912 EB, P, R, RE, T Promedica Memorial Hospital NPI: 1962488130 Languages Spoken: Mercy Allen Hospital 5054 Waterford Place Dr Provider: Arabic Mercy Regional Medical Center Sheffield Village, OH 44035 Staff: Arabic Communtiy Health Partners Rgnl

(440) 934-8344 EB, P, R Interpreter: Arabic Mdcl Ctr Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 18-99 Dbouk, Tarek A, MD, (M), B University Hospitals Elyria Does Not Accept Male Patients Group Name: Mercy Health Medical Ctr Hospital Affiliations: Physicians Lorain Uh Elyria Medical Center Memorial Hospital Provider ID: 003058604002 Mercy Regional Medical Center Promedica Memorial Hospital NPI: 1215114913 Communtiy Health Partners Rgnl Mercy Allen Hospital 578 N Leavitt Rd Mdcl Ctr Mercy Regional Medical Center Amherst, OH 44001

Communtiy Health Partners Rgnl (440) 960-3912 E, EB, IB, P, R, D'abreau, Stephen A, DO, (M), B Mdcl Ctr RE, S, T Group Name: Mercy Health Languages Spoken: Physicians Lorain Provider: Arabic Provider ID: 002054871007 Staff: Arabic NPI: 1336123892 Interpreter: Arabic 3700 Kolbe Rd Cultural Competency: Y Lorain, OH 44053 Ages: 18-99

(440) 988-1009 EB, G, IB, P, PL, Does Not Accept Male Patients R, RE, S, T Hospital Affiliations: Cultural Competency: Y Memorial Hospital Ages: 0-99 Promedica Memorial Hospital Hospital Affiliations: Mercy Allen Hospital

803

Ohio - Lorain Obstetrics & Gynecology Mercy Regional Medical Center Medina Hospital Harroff, Peter E, MD, (M), B Communtiy Health Partners Rgnl Group Name: Mercy Health Mdcl Ctr Green, Albert M, MD, (M), B Physicians Lorain Group Name: Mercy Health Provider ID: 000014043003 Detti, Laura C, MD, (F), B Physicians Lorain NPI: 1144295940 Group Name: Cleveland Clinic Provider ID: 003117030004 3700 Kolbe Rd Foundation NPI: 1083724397 Lorain, OH 44053

Provider ID: 002803651008 3700 Kolbe Rd (440) 988-1009 EB, G, IB, P, PL, NPI: 1619042462 Lorain, OH 44053 R, RE, S, T

33100 Cleveland Clinic Blvd (440) 960-4000 EB, G, IB, P, PL, Mo,Tu,Th,Fr - 9:00 AM - 5:00 PM Avon, OH 44011 R, RE, S, T We - 9:00 AM - 8:00 PM

(440) 695-4000 EB, IB, P, R Accepting Existing Patients Only Cultural Competency: Y Languages Spoken: Ages: 0-99 Ages: 0-99 Provider: French, Spanish Does Not Accept Female Patients Hospital Affiliations: Ages: 0-99 Hospital Affiliations: Licking Memorial Hospital Does Not Accept Male Patients University Hospitals Elyria Mercy Regional Medical Center Hospital Affiliations: Medical Ctr Communtiy Health Partners Rgnl Huron Valley Sinai Hospital Uh Elyria Medical Center Mdcl Ctr Cleveland Clinic Foundation Fairview Hospital Harris, Lauren D, MD, (F) Hopkins, Maeve K, MD, (F) South Pointe Hospital Group Name: Mercy Health Group Name: Cleveland Clinic Harper-hutzel Hospital Physicians Lorain Foundation St Jude Childrens Research Hosp Provider ID: 006995219004 Provider ID: 007468653001 Regional One Health NPI: 1629498902 NPI: 1396088407 Regional Medical Ctr At Memphis 3700 Kolbe Rd 33100 Cleveland Clinic Blvd Lorain, OH 44053 Avon, OH 44011

El-Dabh, Ashraf H, MD, (M), B (440) 960-4980 EB, G, IB, P, PL, (440) 695-4000 EB, IB, P, R Group Name: Cleveland Clinic R, RE, S, T Ages: 0-99 Foundation Ages: 0-99 Does Not Accept Male Patients Provider ID: 001247219002 Hospital Affiliations: Hospital Affiliations: NPI: 1184681017 Rapides Regional Medical Cente Akron General Medical Ctr 33100 Cleveland Clinic Blvd Mercy Regional Medical Center Cleveland Clinic Foundation Avon, OH 44011 Communtiy Health Partners Rgnl Hillcrest Hospital

(440) 695-4000 EB, P, R Mdcl Ctr Hospital Of University Of Pa Languages Spoken: Pa Hosp Of The Univ Of Pa Hlth Provider: Arabic, French System Ages: 0-99 Pennsylvania Hosp Of The Univ Does Not Accept Male Patients Of Pa Hlth Hospital Affiliations: Cleveland Clinic Foundation Fairview Hospital Lakewood Hospital Cleveland Clinic Lakewood

804

Obstetrics & Gynecology Ohio - Lorain Klosterman, Kristin M, MD, (F) Mercy Regional Medical Center O'neill, Johanna R, MD, (F), B Group Name: University Primary Communtiy Health Partners Rgnl Group Name: Mercy Health Care Practices Mdcl Ctr Physicians Lorain Provider ID: 005135188002 Community Regional Medical Provider ID: 001959252004 NPI: 1992021869 Center NPI: 1730162710 32800 Lorain Rd Ste 1200 Areas of Expertise: MAT1 3700 Kolbe Rd North Ridgeville, OH 44039 Lorain, OH 44053

(440) 835-6996 EB, P, R, RE, T Matheson, James K, DO, (M), B (440) 988-1009 EB, G, IB, P, PL, Group Name: Mercy Health R, RE, S, T Mo-Fr - 8:30 AM - 4:30 PM Physicians Lorain Languages Spoken: Ages: 0-99 Provider ID: 001418029010 Interpreter: Medical Interp Hospital Affiliations: NPI: 1023095726 Vendor St John Medical Center 578 N Leavitt Rd Cultural Competency: Y Uh Cleveland Medical Center Amherst, OH 44001 Ages: 0-99

(440) 960-3912 E, EB, IB, P, R, Hospital Affiliations: Lowe, Michele D, DO, (F), B RE, S, T University Hospitals Elyria Group Name: UPCP Web address: www.riveroflightobgy Medical Ctr Provider ID: 002709267002 n.com Uh Elyria Medical Center NPI: 1841235884 Ages: 12-99 Southwest General Health Center 125 E Broad St Ste 218 Does Not Accept Male Patients Elyria, OH 44035 Hospital Affiliations: Perni, Uma C, MD, (F), B (440) 329-7310 E, EB, G, IB, P, Mercy Regional Medical Center Group Name: Cleveland Clinic R, RE Communtiy Health Partners Rgnl Foundation Mo-Fr - 8:00 AM - 4:30 PM Mdcl Ctr Provider ID: 002131094001 Web address: michele.lowe2@uhho Community Regional Medical NPI: 1356317218 spitals.org Center 303 Chestnut Commons Dr Ages: 0-99 Areas of Expertise: MAT1 Elyria, OH 44035 Hospital Affiliations: (440) 366-9444 EB, P, R Doctors Hospital Mckenzie, Margaret L, MD, (F), Languages Spoken: B Provider: Telugu Matheson, James K, DO, (M), B Group Name: Cleveland Clinic Cultural Competency: Y Group Name: Lorain County Foundation Ages: 0-99 Health & Dentis Provider ID: 001010671001 Hospital Affiliations: Provider ID: 001418029009 NPI: 1932144086 Akron General Medical Ctr NPI: 1023095726 5700 Cooper Foster Park Rd W Cleveland Clinic Foundation 1205 Broadway Lorain, OH 44053 Hillcrest Hospital Lorain, OH 44052 (440) 204-7400 EB, IB, P, R, RE, T Fairview Hospital (440) 240-1655 EB, G, IB, P, PL, Ages: 0-99 Lakewood Hospital R, RE, S, T Does Not Accept Male Patients Cleveland Clinic Lakewood Th - 8:30 AM - 4:30 PM Hospital Affiliations: Marymount Hospital Web address: www.riveroflightobgy Cleveland Clinic Foundation Jamaica Hospital n.com Hillcrest Hospital Areas of Expertise: MAT1 Ages: 0-99 Hospital Affiliations:

805

Ohio - Lorain Obstetrics & Gynecology Perni, Uma C, MD, (F), B Rehmer, Jenna M, MD, (F), B Sherlock, Douglas J, MD, (M), B Group Name: Cleveland Clinic Group Name: Mercy Health Group Name: UPCP Foundation Physicians Lorain Provider ID: 005632668001 Provider ID: 002131094001 Provider ID: 006861062004 NPI: 1194078717 NPI: 1356317218 NPI: 1326452319 125 E Broad St Ste 218 33100 Cleveland Clinic Blvd 3700 Kolbe Rd Elyria, OH 44035

Avon, OH 44011 Lorain, OH 44053 (440) 329-7310 E, EB, G, IB, P,

(440) 695-4000 EB, P, R (440) 988-1009 EB, G, IB, P, R, R, RE Languages Spoken: RE, S, T Languages Spoken: Provider: Telugu Ages: 13-99 Provider: Spanish Cultural Competency: Y Does Not Accept Male Patients Mo,Tu,We,Fr - 9:00 AM - 4:30 PM Ages: 0-99 Hospital Affiliations: Th - 8:30 AM - 4:30 PM Hospital Affiliations: Cleveland Clinic Foundation Ages: 0-99 Akron General Medical Ctr Hillcrest Hospital Hospital Affiliations: Cleveland Clinic Foundation Mercy Regional Medical Center University Hospitals Elyria Hillcrest Hospital Communtiy Health Partners Rgnl Medical Ctr Fairview Hospital Mdcl Ctr Uh Elyria Medical Center Lakewood Hospital Uh Cleveland Medical Center Cleveland Clinic Lakewood Reinhold, Jean S, MD, (F) Marymount Hospital Group Name: Cleveland Clinic Sherlock, Douglas J, MD, (M), B Jamaica Hospital Foundation Group Name: UPCP Areas of Expertise: MAT1 Provider ID: 001256359001 Provider ID: 005632668001 NPI: 1174566871 NPI: 1194078717 Rehmer, Jenna M, MD, (F), B 36901 American Way Ste A 32800 Lorain Rd Ste 1200 Group Name: Mercy Health Avon, OH 44011 North Ridgeville, OH 44039

Physicians Lorain (440) 930-6200 EB, P, R (440) 329-7310 EB, P, R, RE, T Provider ID: 006861062004 Ages: 0-99 NPI: 1326452319 Does Not Accept Male Patients Languages Spoken: 3600 Kolbe Rd Hospital Affiliations: Provider: Spanish Lorain, OH 44053 Cleveland Clinic Foundation Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 (888) 696-3541 EB, P, R Fairview Hospital Ages: 13-99 St John Medical Center Hospital Affiliations: Does Not Accept Male Patients Areas of Expertise: MAT1 University Hospitals Elyria Hospital Affiliations: Medical Ctr Cleveland Clinic Foundation Uh Elyria Medical Center Hillcrest Hospital Uh Cleveland Medical Center Mercy Regional Medical Center Communtiy Health Partners Rgnl Mdcl Ctr

806

Obstetrics & Gynecology Ohio - Lorain Sherlock, Douglas J, MD, (M), B Starck, Rebecca N, MD, (F), B Hospital Affiliations: Group Name: UPCP Group Name: Cleveland Clinic Mercy Regional Medical Center Provider ID: 005632668001 Foundation Lake Health NPI: 1194078717 Provider ID: 001751945002 Mercy Medical Center 630 E River St NPI: 1245273903 Cleveland Clinic Mercy Hospital Elyria, OH 44035 33300 Cleveland Clinic Blvd Uh Cleveland Medical Center

(440) 329-7516 E, EB, G, IB, P, Avon, OH 44011

PL, R, RE, S, T (440) 695-5000 EB, P, R Wilber, Amy E, DO, (F), B Languages Spoken: Cultural Competency: Y Group Name: UPCP Provider: Spanish Ages: 0-99 Provider ID: 003379842004 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: NPI: 1407037435 Ages: 0-99 Cleveland Clinic Foundation 32800 Lorain Rd Ste 1200 Hospital Affiliations: Fairview Hospital North Ridgeville, OH 44039

University Hospitals Elyria St John Medical Center (440) 835-6996 EB, P, R, RE, T Medical Ctr Areas of Expertise: MAT1 Uh Elyria Medical Center Mo-Fr - 8:30 AM - 4:30 PM Uh Cleveland Medical Center Tantibhedhyangkul, Julierut, Ages: 18-99 MD, (F), B Does Not Accept Male Patients Sherlock, Douglas J, MD, (M), B Group Name: Cleveland Clinic Hospital Affiliations: Group Name: UPCP Foundation Fisher-titus Medical Center Provider ID: 005632668001 Provider ID: 002548121003 NPI: 1194078717 NPI: 1093899965 Wilcox, Mark, MD, (M), B 910 Liberty Bell Dr 33100 Cleveland Clinic Blvd Group Name: Planned Amherst, OH 44001 Avon, OH 44011 Parenthood Gtr Oho Provider ID: 007474258002 (440) 989-5111 EB, P, R (440) 695-4000 EB, P, R Languages Spoken: Cultural Competency: Y NPI: 1477977510 Provider: Spanish Ages: 0-99 200 W 9th St Ages: 0-99 Hospital Affiliations: Lorain, OH 44052 Hospital Affiliations: Metrohealth Medical Center (440) 242-2087 E, EB, IB, P, R, T University Hospitals Elyria Cleveland Clinic Foundation Ages: 0-99 Medical Ctr Fairview Hospital Hospital Affiliations: Uh Elyria Medical Center Cleveland Clinic Foundation Uh Cleveland Medical Center Tidmore, Joi R, MD, (F), B Fairview Hospital Group Name: Mercy Health Euclid Hospital Physicians Lorain Provider ID: 002101939006 NPI: 1053427385 3700 Kolbe Rd Lorain, OH 44053

(440) 960-4000 EB, G, IB, P, PL, R, RE, S, T Cultural Competency: Y Ages: 0-99

807

Ohio - Medina Obstetrics & Gynecology Wilkins, Catherine V, MD, (F), B Areas of Expertise: MAT1 Medina Group Name: Cleveland Clinic

Foundation Wilson, Marcietta R, DO, (F), B Provider ID: 003063459001 Group Name: Mercy Health Obstetrics & Gynecology

NPI: 1740490390 Physicians Lorain All female members are allowed to 303 Chestnut Commons Dr Provider ID: 002446471006 self-refer to certified nurse Elyria, OH 44035 NPI: 1801860572 midwives (CNMs), obstetricians and (440) 204-7400 EB, P, R 224 W Lorain St Ste 100 gynecologists on UnitedHealthcare Cultural Competency: Y Oberlin, OH 44074 Community Plan's provider panel. Ages: 0-99 (440) 960-3912 E, EB, P, R, RE, In addition female members are also Hospital Affiliations: S, T allowed to self-refer to women's Cleveland Clinic Foundation Languages Spoken: health specialists on Fairview Hospital Provider: Spanish UnitedHealthcare Community Areas of Expertise: MAT1 Ages: 0-99 Plan's panel for routine and Hospital Affiliations: preventative health care services if Wilkins, Catherine V, MD, (F), B Mercy Allen Hospital their PCP is not a women's health Group Name: Cleveland Clinic Mercy Regional Medical Center specialist. For a list of women's Foundation Communtiy Health Partners Rgnl health specialists on Provider ID: 003063459001 Mdcl Ctr UnitedHealthcare Community NPI: 1740490390 Plan's panel, please call 33100 Cleveland Clinic Blvd Wilson, Marcietta R, DO, (F), B 1.877-542-9236; Relay: 711.

Avon, OH 44011 Group Name: Mercy Health Arnold, Christine M, MD, (F) (440) 695-4000 EB, P, R Physicians Lorain Cultural Competency: Y Provider ID: 002446471006 Group Name: Summa Physicians Ages: 0-99 NPI: 1801860572 Provider ID: 006850831003 Hospital Affiliations: 578 N Leavitt Rd NPI: 1326466723 Cleveland Clinic Foundation Amherst, OH 44001 3780 Medina Rd Ste 200 Medina, OH 44256 Fairview Hospital (440) 960-3912 E, EB, IB, P, R, Areas of Expertise: MAT1 RE, S, T (330) 869-9777 E, EB, G, IB, P, Languages Spoken: R, RE, S, T Wilkins, Catherine V, MD, (F), B Provider: Spanish Ages: 0-99 Group Name: Cleveland Clinic Staff: Spanish Hospital Affiliations: Foundation Interpreter: Spanish Summa Health System Provider ID: 003063459001 Ages: 0-99 NPI: 1740490390 Hospital Affiliations: Bellante, Anita M, MD, (F), B 5700 Cooper Foster Park Rd W Mercy Allen Hospital Group Name: Southwest General Lorain, OH 44053 Mercy Regional Medical Center Medical Group Provider ID: 002384984008 (440) 204-7400 EB, IB, P, R, RE, T Communtiy Health Partners Rgnl Cultural Competency: Y Mdcl Ctr NPI: 1437153806 Ages: 0-99 3985 Medina Rd Ste 200 Hospital Affiliations: Medina, OH 44256 Cleveland Clinic Foundation (330) 952-2251 E, EB, IB, P, R, Fairview Hospital RE, S, T Ages: 0-99

808

Obstetrics & Gynecology Ohio - Medina Hospital Affiliations: Cook, Johanna L, MD, (F) Foote, Meghan J, DO, (F), B Wadsworth Rittman Hospital Group Name: Summa Physicians Group Name: Southwest General Summa Health System Provider ID: 006575535002 Medical Group Medina Hospital NPI: 1770844466 Provider ID: 002844565004 Southwest General Health Center 195 Wadsworth Rd NPI: 1205054632 Wadsworth, OH 44281 3985 Medina Rd Ste 200

Chien, Edward K, MD, (M), B (330) 745-4748 E, EB, G, IB, P, Medina, OH 44256

Group Name: Cleveland Clinic PL, R, RE, S, T (330) 952-2251 E, EB, IB, P, R, Foundation Ages: 0-99 RE, S, T Provider ID: 001020114003 Hospital Affiliations: Ages: 0-99 NPI: 1821026725 Charleston Area Med Ctr Hospital Affiliations: 970 E Washington St Summa Health System Medina, OH 44256 Cook, Johanna L, MD, (F) Akron General Medical Ctr

(330) 725-5282 EB, P, R Group Name: Summa Physicians Medina Hospital Languages Spoken: Provider ID: 006575535002 Provider: Spanish NPI: 1770844466 Funk, Jonathan R, MD, (M), B Ages: 0-99 3780 Medina Rd Ste 200 Group Name: Cleveland Clinic Hospital Affiliations: Medina, OH 44256 Foundation

Women & Infants Hospital Ri (330) 745-4748 E, EB, G, IB, P, Provider ID: 001171969001 Carle Foundation Hospital R, RE, S, T NPI: 1184776791 Akron General Medical Ctr Ages: 0-99 1000 E Washington St Metrohealth Medical Center Hospital Affiliations: Medina, OH 44256

Cleveland Clinic Foundation Charleston Area Med Ctr (330) 725-1000 EB, IB, P, R, RE, Hillcrest Hospital T Fairview Hospital Ferris, Edward M, MD, (M), B Cultural Competency: Y Lutheran Hospital Group Name: Summa Physicians Ages: 0-99 Provider ID: 001737627001 Hospital Affiliations: Clark, Samantha M, MD, (F), B NPI: 1215985171 Metrohealth Medical Center Group Name: Partners Physician 195 Wadsworth Rd Ste 301 Cleveland Clinic Foundation Group Wadsworth, OH 44281 Medina Hospital

Provider ID: 006875619001 (330) 331-1800 E, EB, G, IB, P, NPI: 1699186841 R, RE, S, T Funk, Jonathan R, MD, (M), B 225 Elyria St Ages: 18-99 Group Name: Cleveland Clinic Lodi, OH 44254 Does Not Accept Male Patients Foundation

(330) 344-8565 EB, G, IB, P, PL, Hospital Affiliations: Provider ID: 001171969001 R, RE, S, T Summa Health System NPI: 1184776791 Ages: 0-99 Akron General Medical Ctr 970 E Washington St Ste 5f Does Not Accept Male Patients Medina, OH 44256

Hospital Affiliations: (330) 725-5282 EB, P, R Akron General Medical Ctr Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Metrohealth Medical Center

809

Ohio - Medina Obstetrics & Gynecology Cleveland Clinic Foundation Hudock, Paul A, MD, (M), B Hospital Affiliations: Medina Hospital Group Name: Southwest General Wooster Community Hospital Medical Group Cleveland Clinic Foundation Grabenstetter, Jennifer L, MD, Provider ID: 001317562003 Medina Hospital (F), B NPI: 1548210362 Group Name: Cleveland Clinic 3985 Medina Rd Ste 200 Kovacevich, Gregory J, MD, (M), Foundation Medina, OH 44256 B

Provider ID: 003342566002 (330) 952-2251 E, EB, IB, P, R, Group Name: Summa Physicians NPI: 1851583884 RE, S, T Provider ID: 001909678001 1000 E Washington St Cultural Competency: Y NPI: 1164498275 Medina, OH 44256 Ages: 0-99 195 Wadsworth Rd Ste 301

(330) 725-5282 EB, IB, P, R, RE, Hospital Affiliations: Wadsworth, OH 44281

T Uh Parma Medical Center (330) 745-4748 E, EB, G, IB, P, Ages: 0-99 University Hospitals Parma R, RE, S, T Hospital Affiliations: Medical Ctr Cultural Competency: Y Akron General Medical Ctr Ages: 13-99 Cleveland Clinic Foundation Hudock, Paul A, MD, (M), B Hospital Affiliations: Fairview Hospital Group Name: Southwest General Summa Health System John Muir Med Ctr Walnut Creek Medical Group Childrens Hospital Med Ctr Akron Campus Provider ID: 001317562003 Akron General Medical Ctr San Ramon Reg Med Center NPI: 1548210362 Summa Barberton Citizens 4065 Center Rd Ste 220 Hopkins, Maeve K, MD, (F) Brunswick, OH 44212 Kovacevich, Gregory J, MD, (M),

Group Name: Cleveland Clinic (330) 558-0070 EB, IB, P, R, RE, B Foundation T Group Name: Summa Physicians Provider ID: 007468653001 Cultural Competency: Y Provider ID: 001909678001 NPI: 1396088407 Ages: 0-99 NPI: 1164498275 1000 E Washington St Hospital Affiliations: 3780 Medina Rd Ste 200 Medina, OH 44256 Uh Parma Medical Center Medina, OH 44256

(330) 725-5282 EB, IB, P, R, RE, University Hospitals Parma (330) 745-4748 E, EB, G, IB, P, T Medical Ctr R, RE, S, T Ages: 0-99 Mo - 7:30 AM - 5:00 PM Does Not Accept Male Patients James, Karmon L, MD, (F), B Tu - 7:30 AM - 4:00 PM Hospital Affiliations: Group Name: Cleveland Clinic We - 7:30 AM - 12:00 PM Akron General Medical Ctr Foundation Cultural Competency: Y Cleveland Clinic Foundation Provider ID: 003063375004 Ages: 13-99 Hillcrest Hospital NPI: 1669677118 Hospital Affiliations: Hospital Of University Of Pa 1000 E Washington St Summa Health System Pa Hosp Of The Univ Of Pa Hlth Medina, OH 44256 Childrens Hospital Med Ctr Akron

System (330) 725-1000 EB, IB, P, R, RE, Akron General Medical Ctr Pennsylvania Hosp Of The Univ T Summa Barberton Citizens Of Pa Hlth Cultural Competency: Y Ages: 0-99

810

Obstetrics & Gynecology Ohio - Medina Mccomsey, Kevin W, MD, (M), B Mckelvey, Erin J, MD, (F), B Western Reserve Hospital Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Mendise, Thomas J, MD, (M), B Provider ID: 002112251002 Provider ID: 002082453001 Group Name: Summa Physicians NPI: 1720260573 NPI: 1730236837 Provider ID: 002512252001 1000 E Washington St 1000 E Washington St NPI: 1386693661 Medina, OH 44256 Medina, OH 44256 195 Wadsworth Rd Ste 301

(330) 725-1000 EB, IB, P, R, RE, (330) 725-1000 EB, IB, P, R, RE, Wadsworth, OH 44281

T T (330) 745-4748 E, EB, G, IB, P, Cultural Competency: Y Cultural Competency: Y R, RE, S, T Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Medina Hospital Medina Hospital Summa Health System Childrens Hospital Med Ctr Akron Mccomsey, Kevin W, MD, (M), B Mckelvey, Erin J, MD, (F), B Akron General Medical Ctr Group Name: Cleveland Clinic Group Name: Cleveland Clinic Foundation Foundation Mendise, Thomas J, MD, (M), B Provider ID: 002112251002 Provider ID: 002082453001 Group Name: Summa Physicians NPI: 1720260573 NPI: 1730236837 Provider ID: 002512252001 3574 Center Rd 970 E Washington St Ste 5f NPI: 1386693661 Brunswick, OH 44212 Medina, OH 44256 3780 Medina Rd Ste 200

(330) 225-8886 EB, P, R (330) 725-5282 EB, P, R Medina, OH 44256 Cultural Competency: Y Cultural Competency: Y (330) 869-9777 Ages: 0-99 Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Cleveland Clinic Foundation Hospital Affiliations: Medina Hospital Medina Hospital Summa Health System Childrens Hospital Med Ctr Akron Mccomsey, Kevin W, MD, (M), B Mcknight, Eric J, MD, (M), B Akron General Medical Ctr Group Name: Cleveland Clinic Group Name: Partners Physician Foundation Group Provider ID: 002112251002 Provider ID: 002200267006 NPI: 1720260573 NPI: 1942258678 970 E Washington St Ste 5f 225 Elyria St Medina, OH 44256 Lodi, OH 44254

(330) 725-5282 EB, P, R (330) 344-8565 EB, G, IB, P, PL, Cultural Competency: Y R, RE, S, T Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Cleveland Clinic Foundation Hospital Affiliations: Medina Hospital Summa Health System Akron General Medical Ctr

811

Ohio - Medina Obstetrics & Gynecology Mervart, Miloslava A, MD, (F), B Monte, James R, MD, (M), B Orasanu, Bogdan, MD, (M), B Group Name: Cleveland Clinic Group Name: Summa Physicians Group Name: Summa Physicians Foundation Provider ID: 001309196007 Provider ID: 003355497002 Provider ID: 000045018001 NPI: 1093764375 NPI: 1790809010 NPI: 1871560300 3780 Medina Rd Ste 200 3780 Medina Rd Ste 200 1000 E Washington St Medina, OH 44256 Medina, OH 44256 Medina, OH 44256 (330) 869-9777 (330) 869-9777

(330) 725-1000 EB, IB, P, R, RE, Ages: 0-99 Ages: 0-99 T Hospital Affiliations: Hospital Affiliations: Languages Spoken: Summa Health System Summa Health System Provider: Czech Akron General Medical Ctr Metrohealth Medical Center Cultural Competency: Y Western Reserve Hospital Ages: 0-99 Areas of Expertise: E112 Pagano, Trina M, MD, (F), B Hospital Affiliations: Group Name: Partners Physician Cleveland Clinic Foundation Naples, Patrick J, MD, (M), B Group Fairview Hospital Group Name: Summa Physicians Provider ID: 001471234008 Lakewood Hospital Provider ID: 000487276001 NPI: 1558347542 Cleveland Clinic Lakewood NPI: 1366420689 225 Elyria St Medina Hospital 195 Wadsworth Rd Ste 301 Lodi, OH 44254

Cleveland Clinic Avon Hospital Wadsworth, OH 44281 (330) 344-8565 EB, G, IB, P, PL,

(330) 722-7664 E, EB, G, IB, P, R, RE, S, T Monte, James R, MD, (M), B R, RE, S, T Cultural Competency: Y Group Name: Summa Physicians Mo-Fr - 8:00 AM - 4:00 PM Does Not Accept New Patients Provider ID: 001309196007 Cultural Competency: Y Ages: 13-99 NPI: 1093764375 Ages: 0-99 Does Not Accept Male Patients 195 Wadsworth Rd Ste 301 Hospital Affiliations: Hospital Affiliations: Wadsworth, OH 44281 Summa Health System Akron General Medical Ctr

(330) 331-1800 E, EB, G, IB, P, Medina Hospital Cleveland Clinic Foundation R, RE, S, T Hillcrest Hospital Ages: 0-99 Naples, Patrick J, MD, (M), B Fairview Hospital Hospital Affiliations: Group Name: Summa Physicians Northside Medical Center Summa Health System Provider ID: 000487276001 Steward Northside Medical Center Akron General Medical Ctr NPI: 1366420689 St Elizabeth Youngstown Hospital Western Reserve Hospital 3780 Medina Rd Ste 200 Tod Childrens Hospital Areas of Expertise: E112 Medina, OH 44256 Areas of Expertise: MAT1 (330) 722-7664 Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Summa Health System Medina Hospital

812

Obstetrics & Gynecology Ohio - Medina Pap, Steven M, MD, (M), B Wallace, Shannon L, MD, (F) Western Reserve Hospital Group Name: Partners Physician Group Name: Cleveland Clinic Group Foundation Zuponcic, Jacqueline R, DO, (F), Provider ID: 005726363001 Provider ID: 007473048001 B NPI: 1588045942 NPI: 1205102092 Group Name: Partners Physician 225 Elyria St 1000 E Washington St Group Lodi, OH 44254 Medina, OH 44256 Provider ID: 006874051001

(330) 344-8565 EB, G, IB, P, PL, (330) 725-1000 EB, IB, P, R, RE, NPI: 1154748176 R, RE, S, T T 225 Elyria St Ages: 13-99 Ages: 0-99 Lodi, OH 44254

Hospital Affiliations: Does Not Accept Male Patients (330) 344-8565 EB, G, IB, P, PL, Akron General Medical Ctr Hospital Affiliations: R, RE, S, T Cleveland Clinic Foundation Ages: 13-99 Perni, Uma C, MD, (F), B Fairview Hospital Does Not Accept Male Patients Group Name: Cleveland Clinic Medina Hospital Hospital Affiliations: Foundation Akron General Medical Ctr Provider ID: 002131094001 Wallace, Shannon L, MD, (F) NPI: 1356317218 Group Name: Cleveland Clinic 1000 E Washington St Foundation Medina, OH 44256 Provider ID: 007473048001

(330) 725-1000 EB, IB, P, R, RE, NPI: 1205102092 T 970 E Washington St Languages Spoken: Medina, OH 44256

Provider: Telugu (216) 444-9615 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Does Not Accept Male Patients Hospital Affiliations: Hospital Affiliations: Akron General Medical Ctr Cleveland Clinic Foundation Cleveland Clinic Foundation Fairview Hospital Hillcrest Hospital Medina Hospital Fairview Hospital Lakewood Hospital Witten, Eileen K, MD, (F), B Cleveland Clinic Lakewood Group Name: Summa Physicians Marymount Hospital Provider ID: 003277302001 Jamaica Hospital NPI: 1659576213 Areas of Expertise: MAT1 195 Wadsworth Rd Ste 301 Wadsworth, OH 44281

(330) 745-4748 E, EB, G, IB, P, R, RE, S, T Ages: 0-99 Hospital Affiliations: Summa Health System Summa Barberton Citizens

813

Ohio - Geauga Pediatric Providers

Pediatric Providers Uh Cleveland Medical Center St Luke Hospital West Ohio Rainbow Babies & Childrens St Luke Hospital East Hosp Uh Cleveland Medical Center Geauga Univ Hospitals Ahuja Med Ctr University Of Cincinnati Medical

Center Pediatric Cardiology Shahid, Asim M, MD, (M) Rainbow Babies & Childrens Group Name: University Hosp Members may self-refer to these Hospitals Medical Group Univ Hospitals Ahuja Med Ctr providers. Provider ID: 003115004001 Areas of Expertise: MAT1

Duran, Silvestre R, MD, (M), B NPI: 1962616730 Group Name: University 15809 Madison Rd Hospitals Medical Group Middlefield, OH 44062 Pediatrics

Provider ID: 007202923002 (216) 844-8500 EB, P, R Members may self-refer to these NPI: 1962846659 Languages Spoken: providers.

15976 E High St Provider: Urdu, Punjabi Middlefield, OH 44062 Cultural Competency: Y Davis, Kathryn R, MD, (F), B Group Name: Womensafe Inc (216) 844-3528 EB, P, R Ages: 0-99 Languages Spoken: Hospital Affiliations: Provider ID: 006809036002 Provider: Spanish Uh Cleveland Medical Center NPI: 1093100570 Mo-Fr - 8:30 AM - 4:30 PM Rainbow Babies & Childrens 12041 Ravenna Rd Ages: 0-17 Hosp Chardon, OH 44024 Hospital Affiliations: Univ Hospitals Ahuja Med Ctr (440) 286-7154 EB, P, R, RE, S, Metrohealth Medical Center T

Rainbow Babies & Childrens Ages: 0-99 Hosp Pediatric Pulmonary Medicine Hospital Affiliations: St Lukes Hospital Members may self-refer to these

Pediatric Neurology providers. Duran, Silvestre R, MD, (M), B

Strausbaugh, Steven D, MD, (M), Group Name: University Members may self-refer to these B Hospitals Medical Group providers. Group Name: University Primary Provider ID: 007202923002

Shahid, Asim M, MD, (M) Care Practices NPI: 1962846659 Group Name: University Provider ID: 002327723004 15976 E High St Hospitals Medical Group NPI: 1427070838 Middlefield, OH 44062

Provider ID: 003115004001 13221 Ravenna Rd Ste 3 (216) 844-3528 EB, P, R NPI: 1962616730 Chardon, OH 44024 Languages Spoken:

13207 Ravenna Rd (440) 214-3114 EB, P, R Provider: Spanish Chardon, OH 44024 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM (440) 285-6000 EB, P, R Cultural Competency: Y Ages: 0-17 Languages Spoken: Ages: 18-99 Hospital Affiliations: Provider: Urdu, Punjabi Hospital Affiliations: Metrohealth Medical Center Cultural Competency: Y Uh Geauga Medical Center Rainbow Babies & Childrens Ages: 0-99 University Hospitals Geauga Hosp Hospital Affiliations: Medical Ctr

814

Pediatric Providers Ohio - Lake Shah, Rohit, MD, (M), B Hosp Duran, Silvestre R, MD, (M), B Group Name: University Group Name: University Hospitals Medical Group Hospitals Medical Group Lake Provider ID: 006329683004 Provider ID: 007202923002

NPI: 1275976342 NPI: 1962846659 13207 Ravenna Rd Pediatric Cardiology 9000 Mentor Ave Ste 212

Chardon, OH 44024 Members may self-refer to these Mentor, OH 44060 (440) 285-6000 EB, P, R providers. (216) 844-3528 EB, P, R

Languages Spoken: Languages Spoken: Provider: Spanish Arruda, Maria J, MD, (F), B Provider: Spanish Mo-Fr - 8:00 AM - 4:30 PM Group Name: University Mo-Fr - 8:30 AM - 4:30 PM Accepting Existing Patients Only Hospitals Medical Group Ages: 0-17 Ages: 0-17 Provider ID: 002184392002 Hospital Affiliations: Hospital Affiliations: NPI: 1043323066 Metrohealth Medical Center Uh Geauga Medical Center 9000 Mentor Ave Ste 212 Rainbow Babies & Childrens University Hospitals Geauga Mentor, OH 44060 Hosp Medical Ctr (216) 844-7700 EB, P, R Robinson Memorial Hospital Languages Spoken: Plummer, Sarah T, MD, (F), B Uh Portage Medical Center Provider: Portuguese, Spanish Group Name: University Southwest General Health Center Mo-Fr - 8:30 AM - 4:30 PM Hospitals Medical Group Uh Parma Medical Center Cultural Competency: Y Provider ID: 003088182002 University Hospitals Parma Ages: 0-99 NPI: 1760682413 Medical Ctr Hospital Affiliations: 9000 Mentor Ave Ste 212 Regency Hospital Of Cleveland Wooster Community Hospital Mentor, OH 44060 Uh Geauga Medical Center West (216) 844-7700 EB, P, R Areas of Expertise: MAT1 University Hospitals Geauga Languages Spoken: Medical Ctr Provider: Spanish Yalcinkaya, Gulgun F, MD, (F) Metrohealth Medical Center Cultural Competency: Y Group Name: University Primary Cleveland Clinic Foundation Ages: 0-18 Care Practices Loyola University Medical Center Hospital Affiliations: Provider ID: 002255146002 Medina Hospital Metrohealth Medical Center NPI: 1174512677 Uh Cleveland Medical Center Childrens Hospital Of Pittsburgh 13207 Ravenna Rd Uh Cleveland Medical Center Chardon, OH 44024 Rainbow Babies & Childrens

(440) 285-6000 EB, P, R Hosp Languages Spoken: Univ Hospitals Ahuja Med Ctr Provider: Turkish Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Ages: 0-20 Hospital Affiliations: Uh Cleveland Medical Center Rainbow Babies & Childrens

815

Ohio - Lake Pediatric Providers Wilhelm, Carolyn M, MD, (F), B At Hml Group Name: University Wilhelm, Carolyn M, MD, (F), B Uh Cleveland Medical Center Hospitals Medical Group Group Name: University Robert Wood Johnson Univ Hosp Provider ID: 003489581017 Hospitals Medical Group Rainbow Babies & Childrens NPI: 1932334950 Provider ID: 003489581015 Hosp 7500 Auburn Rd Ste 1500 NPI: 1932334950 Univ Hospitals Ahuja Med Ctr Concord Township, OH 44077 9000 Mentor Ave Ste 212

(216) 844-7700 EB, P, R Mentor, OH 44060 Pediatric Gastroenterology Languages Spoken: (216) 844-7700 EB, P, R

Provider: Spanish Languages Spoken: Members may self-refer to these Ages: 0-99 Provider: Spanish providers.

Hospital Affiliations: Ages: 0-99 Uh Geauga Medical Center Hospital Affiliations: Crespo, Maricruz, MD, (F) University Hospitals Geauga Uh Geauga Medical Center Group Name: University Medical Ctr University Hospitals Geauga Hospitals Medical Group Univ Of Md Medical System Medical Ctr Provider ID: 006217681001 University Of Md Medical System Univ Of Md Medical System NPI: 1982924064 Metrohealth Medical Center University Of Md Medical System 9000 Mentor Ave Ste 100 Nationwide Children's Hospital Metrohealth Medical Center Mentor, OH 44060 Nationwide Childrens Hospital Nationwide Children's Hospital (216) 844-7700 EB, P, R Uh Regional Hospitals Nationwide Childrens Hospital Languages Spoken: Uh Regional Hospitals Provider: Spanish Wilhelm, Carolyn M, MD, (F), B Mo-Fr - 8:30 AM - 4:30 PM Group Name: University Ages: 0-99 Hospitals Medical Group Pediatric Endocrinology Hospital Affiliations: Metrohealth Medical Center Provider ID: 003489581011 Members may self-refer to these NPI: 1932334950 Uh Cleveland Medical Center providers. Rainbow Babies & Childrens 9000 Mentor Ave Ste 110 Mentor, OH 44060 Viswanathan, Anuradha, MD, (F), Hosp B Univ Hospitals Ahuja Med Ctr (216) 844-1700 EB, P, R Languages Spoken: Group Name: University Provider: Spanish Hospitals Medical Group Khalili, Ali S, MD, (M), B Ages: 0-99 Provider ID: 003134182002 Group Name: University Hospital Affiliations: NPI: 1225237878 Hospitals Medical Group Uh Geauga Medical Center 9000 Mentor Ave Ste 100 Provider ID: 003750084001 University Hospitals Geauga Mentor, OH 44060 NPI: 1013215615 Medical Ctr (216) 844-7700 EB, P, R 9000 Mentor Ave Ste 100 Univ Of Md Medical System Languages Spoken: Mentor, OH 44060 University Of Md Medical System Provider: Hindi, Tamil (216) 844-7700 Metrohealth Medical Center Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Nationwide Children's Hospital Cultural Competency: Y Provider: Spanish Nationwide Childrens Hospital Ages: 0-99 Mo-Fr - 8:00 AM - 4:30 PM Uh Regional Hospitals Hospital Affiliations: Cultural Competency: Y Robert Wood Johnson Univ Hosp Ages: 0-99

816

Pediatric Providers Ohio - Lake

Hospital Affiliations: Hillcrest Hospital Uh Geauga Medical Center Fairview Hospital Pediatric Neurology

University Hospitals Geauga Members may self-refer to these Medical Ctr Joyce, Emily L, MD, (F), B providers.

Metrohealth Medical Center Group Name: University Uh Cleveland Medical Center Hospitals Medical Group Bass, Nancy E, MD, (F), B Rainbow Babies & Childrens Provider ID: 006508692003 Group Name: University Hosp NPI: 1922393941 Hospitals Medical Group Univ Hospitals Ahuja Med Ctr 9000 Mentor Ave Ste 100 Provider ID: 001861817001 Mentor, OH 44060 NPI: 1821019555 9000 Mentor Ave Moses, Jonathan D, MD, (M), B (216) 844-1389 Group Name: University Languages Spoken: Mentor, OH 44060 Hospitals Medical Group Provider: Spanish (216) 844-7700 EB, P, R Provider ID: 003219550002 Mo-Fr - 8:00 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM NPI: 1023254711 Ages: 0-18 Cultural Competency: Y 9000 Mentor Ave Ste 100 Hospital Affiliations: Ages: 0-99 Mentor, OH 44060 Metrohealth Medical Center Hospital Affiliations: Southwest General Health Center (216) 844-7700 Childrens Hospital Of Pittsburgh Cultural Competency: Y St John Medical Center Ages: 0-99 Vogt, Beth A, MD, (F), B Uh Cleveland Medical Center Hospital Affiliations: Group Name: University Rainbow Babies & Childrens Cleveland Clinic Foundation Hospitals Medical Group Hosp Uh Cleveland Medical Center Provider ID: 001309892002 Rainbow Babies & Childrens NPI: 1851313282 Goldstein, Jessica H, MD, (F) Hosp 9000 Mentor Ave Group Name: University Univ Hospitals Ahuja Med Ctr Mentor, OH 44060 Hospitals Medical Group Provider ID: 005207479001 (216) 844-7700 EB, P, R Languages Spoken: NPI: 1275796732 Pediatric Nephrology Provider: Spanish 9000 Mentor Ave Ste 100 Mentor, OH 44060 Members may self-refer to these Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y (216) 844-7700 EB, P, R providers. Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Bou Matar, Raed N, MD, (M), B Hospital Affiliations: Cultural Competency: Y Group Name: Cleveland Clinic Nationwide Children's Hospital Ages: 0-99 Foundation Nationwide Childrens Hospital Hospital Affiliations: Provider ID: 003495130009 Southwest General Health Center Uh Cleveland Medical Center NPI: 1275772931 St John Medical Center Rainbow Babies & Childrens 2550 Som Center Rd Uh Cleveland Medical Center Hosp Willoughby Hills, OH 44094 Rainbow Babies & Childrens Univ Hospitals Ahuja Med Ctr (440) 943-2500 EB, P, R Hosp Mo-Fr - 8:00 AM - 6:00 PM Univ Hospitals Ahuja Med Ctr Ages: 0-99 Hospital Affiliations: Cleveland Clinic Foundation

817

Ohio - Lake Pediatric Providers

Rukin-Gold, Deborah R, MD, (F) Hospital Affiliations: Group Name: University Ann & Robert H Lurie Childrens Pediatric Sports Medicine Hospitals Medical Group Hospital Briskin, Susannah M, MD, (F), B Provider ID: 002160155002 Group Name: University NPI: 1922021971 Hospitals Medical Group 9000 Mentor Ave Pediatric Pulmonary Medicine Provider ID: 002198482005

Mentor, OH 44060 Members may self-refer to these NPI: 1639199839 (216) 844-7700 EB, P, R providers. 9000 Mentor Ave

Mo-Fr - 8:30 AM - 4:30 PM Mentor, OH 44060 Strausbaugh, Steven D, MD, (M), Cultural Competency: Y (216) 844-7700 EB, P, R Ages: 0-17 B Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Group Name: University Primary Cultural Competency: Y Firelands Regional Medical Ctr Care Practices Ages: 0-18 Southwest General Health Center Provider ID: 002327723004 Hospital Affiliations: St John Medical Center NPI: 1427070838 Uh Cleveland Medical Center Uh Cleveland Medical Center 7500 Auburn Rd Ste 1500 Rainbow Babies & Childrens Univ Hospitals Ahuja Med Ctr Concord Township, OH 44077 Hosp (440) 214-3114 EB, P, R Sivaraman, Indu, MD, (F), B Mo-Fr - 8:30 AM - 4:30 PM Group Name: Associates In Cultural Competency: Y Pediatric Surgery Ages: 18-99 Neurology Members may self-refer to these Provider ID: 006121643002 Hospital Affiliations: Uh Geauga Medical Center providers. NPI: 1275846370 35040 Chardon Rd Ste 110 University Hospitals Geauga Dingeldein, Michael W, MD, (M), Willoughby Hills, OH 44094 Medical Ctr B St Luke Hospital West Group Name: University (440) 946-1200 EB, P, R Ages: 0-25 St Luke Hospital East Hospitals Medical Group Hospital Affiliations: Uh Cleveland Medical Center Provider ID: 005175405001 Lake Health University Of Cincinnati Medical NPI: 1114184272 Cleveland Clinic Foundation Center 9000 Mentor Ave Ste 100 Hillcrest Hospital Rainbow Babies & Childrens Mentor, OH 44060 Hosp (216) 844-7874 EB, P, R

Univ Hospitals Ahuja Med Ctr Languages Spoken: Pediatric Neurosurgery Areas of Expertise: MAT1 Provider: Spanish Rothstein, Brian D, MD, (M), B Mo-Fr - 8:30 AM - 4:30 PM Group Name: University Cultural Competency: Y Hospitals Medical Group Ages: 0-99 Provider ID: 006487656001 Hospital Affiliations: NPI: 1659698314 Metrohealth Medical Center 9000 Mentor Ave Uh Cleveland Medical Center Mentor, OH 44060 Rainbow Babies & Childrens Hosp (216) 844-5741 EB, P, R Ages: 0-99 Univ Hospitals Ahuja Med Ctr

818

Pediatric Providers Ohio - Lake

Mackow, Anne K, MD, (F), B Loyola University Medical Center Group Name: University Pediatric Urology Medina Hospital Hospitals Medical Group Woo, Lynn L, MD , (F), B Uh Cleveland Medical Center Provider ID: 003759621001 Group Name: University NPI: 1790767036 Hospitals Medical Group Briskin, Susannah M, MD, (F), B 9000 Mentor Ave Ste 100 Provider ID: 003208797001 Group Name: University Mentor, OH 44060 NPI: 1710151386 Hospitals Medical Group (216) 844-3051 EB, P, R 9000 Mentor Ave Provider ID: 002198482005 Languages Spoken: Mentor, OH 44060 NPI: 1639199839

Provider: Spanish (216) 844-5661 EB, P, R 9000 Mentor Ave Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Mentor, OH 44060 Cultural Competency: Y Provider: Spanish (216) 844-7700 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Ages: 0-99 Cultural Competency: Y Metrohealth Medical Center Hospital Affiliations: Ages: 0-18 Uh Cleveland Medical Center Metrohealth Medical Center Hospital Affiliations: Rainbow Babies & Childrens Uh Cleveland Medical Center Uh Cleveland Medical Center Hosp Univ Hospitals Ahuja Med Ctr Rainbow Babies & Childrens Univ Hospitals Ahuja Med Ctr Hosp

Novak, Megan M, NP, (F) Pediatrics Duran, Silvestre R, MD, (M), B

Group Name: University Members may self-refer to these Group Name: University Hospitals Medical Group providers. Hospitals Medical Group

Provider ID: 007657737001 Provider ID: 007202923002 NPI: 1568099182 Arruda, Maria J, MD, (F), B NPI: 1962846659 9000 Mentor Ave Ste 100 Group Name: University 9000 Mentor Ave Ste 212 Mentor, OH 44060 Hospitals Medical Group Mentor, OH 44060 Provider ID: 002184392002 (216) 844-3015 (216) 844-3528 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM NPI: 1043323066 Languages Spoken: Ages: 0-18 9000 Mentor Ave Ste 212 Provider: Spanish Hospital Affiliations: Mentor, OH 44060 Mo-Fr - 8:30 AM - 4:30 PM Rainbow Babies & Childrens (216) 844-7700 EB, P, R Ages: 0-17 Hosp Languages Spoken: Hospital Affiliations: Provider: Portuguese, Spanish Metrohealth Medical Center Mo-Fr - 8:30 AM - 4:30 PM Rainbow Babies & Childrens Cultural Competency: Y Hosp Ages: 0-99 Hospital Affiliations: Wooster Community Hospital Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Metrohealth Medical Center Cleveland Clinic Foundation

819

Ohio - Lake Pediatric Providers Plummer, Sarah T, MD, (F), B Viswanathan, Anuradha, MD, (F), Uh Regional Hospitals Group Name: University B Hospitals Medical Group Group Name: University Wilhelm, Carolyn M, MD, (F) Provider ID: 003088182002 Hospitals Medical Group Group Name: University NPI: 1760682413 Provider ID: 003134182002 Hospitals Medical Group 9000 Mentor Ave Ste 212 NPI: 1225237878 Provider ID: 003489581011 Mentor, OH 44060 9000 Mentor Ave Ste 100 NPI: 1932334950

(216) 844-7700 EB, P, R Mentor, OH 44060 9000 Mentor Ave Ste 110

Languages Spoken: (216) 844-7700 EB, P, R Mentor, OH 44060

Provider: Spanish Languages Spoken: (216) 844-1700 EB, P, R Cultural Competency: Y Provider: Hindi, Tamil Languages Spoken: Ages: 0-18 Mo-Fr - 8:30 AM - 4:30 PM Provider: Spanish Hospital Affiliations: Cultural Competency: Y Ages: 0-99 Metrohealth Medical Center Ages: 0-99 Hospital Affiliations: Childrens Hospital Of Pittsburgh Hospital Affiliations: Uh Geauga Medical Center Uh Cleveland Medical Center Robert Wood Johnson Univ Hosp University Hospitals Geauga Rainbow Babies & Childrens At Hml Medical Ctr Hosp Uh Cleveland Medical Center Univ Of Md Medical System Univ Hospitals Ahuja Med Ctr Robert Wood Johnson Univ Hosp University Of Md Medical System Rainbow Babies & Childrens Metrohealth Medical Center Rosace, Regina M, MD, (F) Hosp Nationwide Children's Hospital Group Name: University Primary Univ Hospitals Ahuja Med Ctr Nationwide Childrens Hospital Care Practices Uh Regional Hospitals Provider ID: 001854245003 Wilhelm, Carolyn M, MD, (F) NPI: 1053406678 Group Name: University Wilhelm, Carolyn M, MD, (F) 9000 Mentor Ave Ste 100 Hospitals Medical Group Group Name: University Mentor, OH 44060 Provider ID: 003489581017 Hospitals Medical Group

(440) 974-4411 EB, P, R NPI: 1932334950 Provider ID: 003489581015 Mo-Fr - 8:30 AM - 4:30 PM 7500 Auburn Rd Ste 1500 NPI: 1932334950 Cultural Competency: Y Concord Township, OH 44077 9000 Mentor Ave Ste 212

Ages: 0-99 (216) 844-7700 EB, P, R Mentor, OH 44060

Hospital Affiliations: Languages Spoken: (216) 844-7700 EB, P, R Southwest General Health Center Provider: Spanish Languages Spoken: St John Medical Center Ages: 0-99 Provider: Spanish Uh Cleveland Medical Center Hospital Affiliations: Ages: 0-99 Univ Hospitals Ahuja Med Ctr Uh Geauga Medical Center Hospital Affiliations: University Hospitals Geauga Uh Geauga Medical Center Medical Ctr University Hospitals Geauga Univ Of Md Medical System Medical Ctr University Of Md Medical System Univ Of Md Medical System Metrohealth Medical Center University Of Md Medical System Nationwide Children's Hospital Metrohealth Medical Center Nationwide Childrens Hospital Nationwide Children's Hospital

820

Pediatric Providers Ohio - Lorain

Nationwide Childrens Hospital Medical Ctr Uh Regional Hospitals Pediatric Cardiology Metrohealth Medical Center

Members may self-refer to these Uh Regional Hospitals providers. Uh Cleveland Medical Center

Lorain Uh Parma Medical Center

Arruda, Maria J, MD, (F), B University Hospitals Parma Pediatric Allergy Immunology Group Name: University Medical Ctr Patadia, Deepa D, MD, (F), B Hospitals Medical Group Rainbow Babies & Childrens Group Name: Cleveland Clinic Provider ID: 002184392002 Hosp Foundation NPI: 1043323066 Provider ID: 006481930001 32800 Lorain Rd Ste 2200 Charla, Pradeepkumar, MD, (M), NPI: 1023308046 North Ridgeville, OH 44039 B 33300 Cleveland Clinic Blvd (216) 844-7700 EB, P, R Group Name: University Avon, OH 44011 Languages Spoken: Hospitals Medical Group Provider: Portuguese, Spanish (440) 695-5000 EB, P, R Provider ID: 006962337001 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM NPI: 1043516735 Hospital Affiliations: Cultural Competency: Y 32800 Lorain Rd Ste 2200 Cleveland Clinic Foundation Ages: 0-99 North Ridgeville, OH 44039 Hospital Affiliations: (216) 844-3528 EB, P, R Patadia, Deepa D, MD, (F), B Wooster Community Hospital Languages Spoken: Group Name: Cleveland Clinic Uh Geauga Medical Center Provider: Spanish, Gujarati, Foundation University Hospitals Geauga Hindi, Telugu Provider ID: 006481930001 Medical Ctr Mo-Fr - 8:30 AM - 4:30 PM NPI: 1023308046 Metrohealth Medical Center Ages: 0-18 5700 Cooper Foster Park Rd W Cleveland Clinic Foundation Hospital Affiliations: Lorain, OH 44053 Loyola University Medical Center Metrohealth Medical Center Medina Hospital (440) 204-7400 EB, IB, P, R, RE, T Uh Cleveland Medical Center Ages: 0-99 Uh Cleveland Medical Center Rainbow Babies & Childrens Hospital Affiliations: Hosp Cleveland Clinic Foundation Bocks, Martin L, MD, (M), B Group Name: University Drogalis-Kim, Diana E, DO, (F) Hospitals Medical Group Group Name: University Provider ID: 002922308002 Hospitals Medical Group NPI: 1134243371 Provider ID: 003656849002 32800 Lorain Rd Ste 2200 NPI: 1194041749 North Ridgeville, OH 44039 32800 Lorain Rd Ste 2200 (216) 844-7700 EB, P, R North Ridgeville, OH 44039 Languages Spoken: (216) 844-7700 EB, P, R Provider: Spanish Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Provider: Spanish Ages: 0-17 Ages: 0-20 Hospital Affiliations: Hospital Affiliations: Uh Geauga Medical Center Metrohealth Medical Center University Hospitals Geauga

821

Ohio - Lorain Pediatric Providers Lehigh Valley Hospital Mercyone Waterloo Medical University Of Md Medical System Uh Cleveland Medical Center Center Metrohealth Medical Center Lehigh Valley Hospital Metrohealth Medical Center Nationwide Children's Hospital Muhlenberg U Of I Hosps & Clinics Nationwide Childrens Hospital Rainbow Babies & Childrens U Of Iowa Hosp And Clinic Uh Regional Hospitals Hosp Univ Hospitals Ahuja Med Ctr Strainic, James P, MD, (M), B Xiong, Dingding, MD, (M), B Group Name: University Hosp Group Name: Mercy Health Duran, Silvestre R, MD, (M), B Professionals Partners Group Name: University Provider ID: 003053283001 Provider ID: 003557803001 Hospitals Medical Group NPI: 1518169994 NPI: 1285908962 Provider ID: 007202923002 32800 Lorain Rd Ste 2200 3600 Kolbe Rd Ste 207 NPI: 1962846659 North Ridgeville, OH 44039 Lorain, OH 44053

32800 Lorain Rd Ste 2200 (216) 844-7700 EB, P, R (440) 960-3304 EB, P, R North Ridgeville, OH 44039 Languages Spoken: Languages Spoken:

(216) 844-3528 EB, P, R Provider: Spanish Provider: Chinese Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Provider: Spanish Cultural Competency: Y Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 St Ritas Medical Center Ages: 0-17 Hospital Affiliations: Mercy St Vincent Medical Center Hospital Affiliations: Metrohealth Medical Center Wood County Hospital Metrohealth Medical Center St John Medical Center University Of Toledo Medical Rainbow Babies & Childrens Uh Cleveland Medical Center Center Hosp Rainbow Babies & Childrens Blanchard Valley Hospital Hosp Mercy Tiffin Hospital Lozier, John S, MD, (M), B The Toledo Hospital Group Name: University Wilhelm, Carolyn M, MD, (F), B Mercy St Charles Hospital Hospitals Medical Group Group Name: University Provider ID: 002791728002 Hospitals Medical Group Zahka, Kenneth G, MD, (M), B NPI: 1316061450 Provider ID: 003489581018 Group Name: Cleveland Clinic 32800 Lorain Rd Ste 2200 NPI: 1932334950 Foundation North Ridgeville, OH 44039 32800 Lorain Rd Ste 2200 Provider ID: 001309816001

(216) 844-3528 EB, P, R North Ridgeville, OH 44039 NPI: 1295757755

Languages Spoken: (216) 844-7700 EB, P, R 33100 Cleveland Clinic Blvd Provider: Spanish Languages Spoken: Avon, OH 44011

Web address: www.pedscard.com Provider: Spanish (440) 695-4000 EB, P, R Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Hospital Affiliations: Ages: 0-99 Ages: 0-99 Mercy Med Ctr-des Moines Hospital Affiliations: Hospital Affiliations: Mercyone Des Moines Medical Uh Geauga Medical Center Metrohealth Medical Center Center University Hospitals Geauga Cleveland Clinic Foundation Iowa Lutheran Hospital Medical Ctr Hillcrest Hospital Ia Methodist Medical Center Univ Of Md Medical System Fairview Hospital

822

Pediatric Providers Ohio - Lorain St Elizabeth Youngstown Hospital Hospital Affiliations: Southwest General Health Center Cleveland Clinic Foundation St John Medical Center Hillcrest Hospital Pediatric Otolaryngology Uh Cleveland Medical Center Fairview Hospital Appachi, Swathi, MD, (F), B Southwest General Health Center Group Name: Cleveland Clinic St John Medical Center Foundation Pediatric Gastroenterology Uh Cleveland Medical Center Provider ID: 007496103001

Members may self-refer to these NPI: 1477971687 5700 Cooper Foster Park Rd W providers. Pediatric Neurology Lorain, OH 44053 Kabbany, Muhammad N, MD, Members may self-refer to these (440) 204-7400 E, EB, IB, P, R (M), B Ages: 0-99 Group Name: Cleveland Clinic providers. Hospital Affiliations: Foundation Mitra, Sudeshna, MD, (F), B Cleveland Clinic Foundation Provider ID: 003632862004 Group Name: Cleveland Clinic

NPI: 1326350984 Foundation 5172 Leavitt Rd Provider ID: 002798821002 Pediatric Pulmonary Medicine Lorain, OH 44053 NPI: 1942329511 Members may self-refer to these (440) 282-7420 EB, P, R 36901 American Way Languages Spoken: Avon, OH 44011 providers.

Provider: Spanish (440) 930-6250 E, EB, IB, P, R Kraynack, Nathan C, MD, (M), B Ages: 0-99 Cultural Competency: Y Group Name: Cleveland Clinic Hospital Affiliations: Ages: 0-99 Foundation Metrohealth Medical Center Hospital Affiliations: Provider ID: 002109400002 Cleveland Clinic Foundation Metrohealth Medical Center NPI: 1184717456 Ccf Children's Hosp/rehab Cleveland Clinic Foundation 33100 Cleveland Clinic Blvd Uh Parma Medical Center Avon, OH 44011

University Hospitals Parma Shahid, Asim M, MD, (M) (440) 695-4000 EB, P, R Medical Ctr Group Name: University Ages: 0-99 Hospitals Medical Group Hospital Affiliations: Provider ID: 003115004001 Childrens Hospital Med Ctr Akron Pediatric Nephrology NPI: 1962616730 Cleveland Clinic Foundation

Members may self-refer to these 32800 Lorain Rd Ste 2200 providers. North Ridgeville, OH 44039

(216) 844-7700 EB, P, R Dell, Katherine M, MD, (F), B Languages Spoken: Group Name: Cleveland Clinic Provider: Urdu, Punjabi Foundation Cultural Competency: Y Provider ID: 001870633003 Ages: 0-99 NPI: 1790702603 Hospital Affiliations: 33100 Cleveland Clinic Blvd Uh Cleveland Medical Center Avon, OH 44011 Rainbow Babies & Childrens (440) 695-4000 EB, P, R Hosp Ages: 0-99 Univ Hospitals Ahuja Med Ctr

823

Ohio - Lorain Pediatric Providers

Iu Health University Hospital Baskar, Govindasamy, MD, (M), Pediatric Rheumatology Riley Hospital For Children Iu B

Members may self-refer to these Health Group Name: Pediatrics Practice providers. Iu Health Methodist Hospital Provider ID: 001753578007

NPI: 1861472102 Robinson, Angela B, MD, (F), B 36855 American Way Ste B Group Name: Cleveland Clinic Pediatrics Avon, OH 44011 Foundation Members may self-refer to these (440) 934-4030 E, EB, G, IB, P, Provider ID: 003216416011 PL, R, RE, S, T NPI: 1013134857 providers. Cultural Competency: Y 33100 Cleveland Clinic Blvd Arruda, Maria J, MD, (F), B Ages: 0-99 Avon, OH 44011 Group Name: University Hospital Affiliations: (216) 386-5530 EB, P, R Hospitals Medical Group Mercy Medical Center Cultural Competency: Y Provider ID: 002184392002 Cleveland Clinic Mercy Hospital Ages: 0-99 NPI: 1043323066 Lakewood Hospital Hospital Affiliations: 32800 Lorain Rd Ste 2200 Cleveland Clinic Lakewood Cleveland Clinic Foundation North Ridgeville, OH 44039 Ccf Children's Hosp/rehab Hillcrest Hospital (216) 844-7700 EB, P, R Fairview Hospital Languages Spoken: Bedocs, Laleh A, DO, (F), B St John Medical Center Provider: Portuguese, Spanish Group Name: Dermatology Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM Partners Rainbow Babies & Childrens Cultural Competency: Y Provider ID: 002697841003 Hosp Ages: 0-99 NPI: 1952483828 Hospital Affiliations: 36701 American Way Ste 3 Wooster Community Hospital Avon, OH 44011 Pediatric Urology Uh Geauga Medical Center (440) 937-4951 EB, IB, P, PL, R, Rhee, Audrey C, MD, (F), B University Hospitals Geauga RE, T Group Name: Cleveland Clinic Medical Ctr We - 12:00 PM - 5:00 PM Foundation Metrohealth Medical Center Th - 7:30 AM - 4:00 PM Provider ID: 003391598001 Cleveland Clinic Foundation Cultural Competency: Y NPI: 1780806984 Loyola University Medical Center Ages: 0-20 33100 Cleveland Clinic Blvd Medina Hospital Hospital Affiliations: Avon, OH 44011 Uh Cleveland Medical Center Cleveland Clinic Foundation (440) 695-4000 EB, P, R Firelands Regional Medical Ctr Languages Spoken: Provider: Spanish Cultural Competency: Y Ages: 0-99 Hospital Affiliations: Metrohealth Medical Center Cleveland Clinic Foundation Hillcrest Hospital Fairview Hospital Eskenazi Health

824

Pediatric Providers Ohio - Lorain Drogalis-Kim, Diana E, DO, (F), Durve, Mohan J, MD, (M), B Uh Portage Medical Center B Group Name: Mohan J Durve Md Southwest General Health Center Group Name: University Provider ID: 000017607001 Uh Parma Medical Center Hospitals Medical Group NPI: 1003866302 University Hospitals Parma Provider ID: 003656849002 4560 Oberlin Ave Ste 2 Medical Ctr NPI: 1194041749 Lorain, OH 44053 Regency Hospital Of Cleveland

32800 Lorain Rd Ste 2200 (440) 282-2146 EB, P, R, RE, T West North Ridgeville, OH 44039 Mo - 1:30 PM - 5:30 PM Areas of Expertise: MAT1

(216) 844-7700 EB, P, R Tu - 2:00 PM - 5:00 PM Languages Spoken: We - 10:00 AM - 5:00 PM Wilhelm, Carolyn M, MD, (F) Provider: Spanish Th - 12:30 PM - 5:00 PM Group Name: University Ages: 0-20 Sa - 9:00 AM - 1:00 PM Hospitals Medical Group Hospital Affiliations: Cultural Competency: Y Provider ID: 003489581018 Metrohealth Medical Center Ages: 0-99 NPI: 1932334950 Lehigh Valley Hospital Hospital Affiliations: 32800 Lorain Rd Ste 2200 Uh Cleveland Medical Center Akron General Medical Ctr North Ridgeville, OH 44039

Lehigh Valley Hospital South Pointe Hospital (216) 844-7700 EB, P, R Muhlenberg Children's Hospital Medical Languages Spoken: Rainbow Babies & Childrens Center Provider: Spanish Hosp Lutheran Hospital Mo-Fr - 8:30 AM - 4:30 PM Univ Hospitals Ahuja Med Ctr Southwest General Health Center Ages: 0-99 Uh Parma Medical Center Hospital Affiliations: Duran, Silvestre R, MD, (M), B University Hospitals Parma Uh Geauga Medical Center Group Name: University Medical Ctr University Hospitals Geauga Hospitals Medical Group Medical Ctr Provider ID: 007202923002 Shah, Rohit, MD, (M), B Univ Of Md Medical System NPI: 1962846659 Group Name: University University Of Md Medical System 32800 Lorain Rd Ste 2200 Hospitals Medical Group Metrohealth Medical Center North Ridgeville, OH 44039 Provider ID: 006329683004 Nationwide Children's Hospital

(216) 844-3528 EB, P, R NPI: 1275976342 Nationwide Childrens Hospital Languages Spoken: 630 E River St Uh Regional Hospitals Provider: Spanish Elyria, OH 44035

Mo-Fr - 8:30 AM - 4:30 PM (440) 329-7500 EB, P, R Xiong, Dingding, MD, (M), B Ages: 0-17 Languages Spoken: Group Name: Mercy Health Hospital Affiliations: Provider: Spanish Partners Metrohealth Medical Center Mo-Fr - 8:00 AM - 4:30 PM Provider ID: 003557803001 Rainbow Babies & Childrens Accepting Existing Patients Only NPI: 1285908962 Hosp Ages: 0-17 3600 Kolbe Rd Ste 207 Hospital Affiliations: Lorain, OH 44053

Uh Geauga Medical Center (440) 960-3304 EB, P, R University Hospitals Geauga Languages Spoken: Medical Ctr Provider: Chinese Robinson Memorial Hospital Ages: 0-99

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Ohio - Medina Pediatric Providers Hospital Affiliations: Plummer, Sarah T, MD, (F), B Wilhelm, Carolyn M, MD, (F), B St Ritas Medical Center Group Name: University Group Name: University Mercy St Vincent Medical Center Hospitals Medical Group Hospitals Medical Group Wood County Hospital Provider ID: 003088182002 Provider ID: 003489581016 University Of Toledo Medical NPI: 1760682413 NPI: 1932334950 Center 4001 Carrick Dr Ste 220 4001 Carrick Dr Ste 220 Blanchard Valley Hospital Medina, OH 44256 Medina, OH 44256

Mercy Tiffin Hospital (216) 844-7700 EB, P, R (216) 844-7700 EB, P, R The Toledo Hospital Languages Spoken: Languages Spoken: Mercy St Charles Hospital Provider: Spanish Provider: Spanish Cultural Competency: Y Ages: 0-99 Ages: 0-18 Hospital Affiliations: Medina Hospital Affiliations: Uh Geauga Medical Center

Metrohealth Medical Center University Hospitals Geauga Pediatric Cardiology Childrens Hospital Of Pittsburgh Medical Ctr

Members may self-refer to these Uh Cleveland Medical Center Univ Of Md Medical System providers. Rainbow Babies & Childrens University Of Md Medical System

Hosp Metrohealth Medical Center Duran, Silvestre R, MD, (M), B Univ Hospitals Ahuja Med Ctr Nationwide Children's Hospital Group Name: University Nationwide Childrens Hospital Hospitals Medical Group Strainic, James P, MD, (M), B Uh Regional Hospitals Provider ID: 007202923002 Group Name: University Hosp NPI: 1962846659 Professionals 4001 Carrick Dr Ste 220 Provider ID: 003053283001 Pediatric Endocrinology Medina, OH 44256 NPI: 1518169994 Members may self-refer to these (216) 844-3528 EB, P, R 4001 Carrick Dr Languages Spoken: providers. Medina, OH 44256 Provider: Spanish Hatab, Sarah Z, MD, (F), B (216) 844-7700 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Group Name: University Ages: 0-17 Provider: Spanish Hospitals Medical Group Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Provider ID: 006271400002 Metrohealth Medical Center Cultural Competency: Y NPI: 1073749016 Rainbow Babies & Childrens Ages: 0-99 4001 Carrick Dr Ste 220 Hosp Hospital Affiliations: Medina, OH 44256 Metrohealth Medical Center (216) 844-7700 EB, P, R St John Medical Center Languages Spoken: Uh Cleveland Medical Center Provider: Arabic, French Rainbow Babies & Childrens Mo-Fr - 8:30 AM - 4:30 PM Hosp Ages: 0-18 Hospital Affiliations: Texas Children's Hospital

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Pediatric Providers Ohio - Medina Kaminski, Beth A, MD, (F), B Uli, Naveen K, MD, (M), B Robert Wood Johnson Univ Hosp Group Name: University Group Name: University Rainbow Babies & Childrens Hospitals Medical Group Hospitals Medical Group Hosp Provider ID: 002671688003 Provider ID: 001935525003 Univ Hospitals Ahuja Med Ctr NPI: 1306870084 NPI: 1144246539 4001 Carrick Dr Ste 220 4001 Carrick Dr Zimmerman, Teresa N, MD, (F), Medina, OH 44256 Medina, OH 44256 B

(216) 844-7700 EB, P, R (216) 844-7700 EB, P, R Group Name: University Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Hospitals Medical Group Ages: 0-99 Provider: Hindi, Kannada, Tulu Provider ID: 002097731002 Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM NPI: 1972523173 Uh Cleveland Medical Center Cultural Competency: Y 4001 Carrick Dr Rainbow Babies & Childrens Web address: www.akronchildrens. Medina, OH 44256

Hosp org (216) 844-7700 EB, P, R Univ Hospitals Ahuja Med Ctr Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Cultural Competency: Y Macleish, Sarah A, DO, (F), B Brookdale Hospital Medical Ctr Ages: 0-99 Group Name: University Childrens Hospital Med Ctr Akron Hospital Affiliations: Hospitals Medical Group Southwest General Health Center Southwest General Health Center Provider ID: 003363724001 St John Medical Center St John Medical Center NPI: 1942401468 Uh Cleveland Medical Center Uh Cleveland Medical Center 4001 Carrick Dr Rainbow Babies & Childrens Univ Hospitals Ahuja Med Ctr Medina, OH 44256 Hosp

(216) 844-7700 EB, P, R Univ Hospitals Ahuja Med Ctr Mo-Fr - 8:30 AM - 4:30 PM Pediatric Gastroenterology

Cultural Competency: Y Viswanathan, Anuradha, MD, (F), Members may self-refer to these Ages: 0-18 B providers.

Hospital Affiliations: Group Name: University Uh Cleveland Medical Center Hospitals Medical Group Baez-Socorro, Virginia M, MD, Rainbow Babies & Childrens Provider ID: 003134182002 (F), B Hosp NPI: 1225237878 Group Name: University Univ Hospitals Ahuja Med Ctr 4001 Carrick Dr Ste 220 Hospitals Medical Group Medina, OH 44256 Provider ID: 003518433001 NPI: 1033327556 (216) 844-7700 EB, P, R Languages Spoken: 4001 Carrick Dr Ste 220 Provider: Hindi, Tamil Medina, OH 44256 Mo-Fr - 8:30 AM - 4:30 PM (216) 844-7700 EB, P, R Cultural Competency: Y Languages Spoken: Ages: 0-99 Provider: Spanish Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Robert Wood Johnson Univ Hosp Cultural Competency: Y At Hml Ages: 0-99 Uh Cleveland Medical Center Hospital Affiliations: Metrohealth Medical Center

827

Ohio - Medina Pediatric Providers Uh Cleveland Medical Center Hosp Hosp Rainbow Babies & Childrens Univ Hospitals Ahuja Med Ctr Ben Taub Hospital Hosp Univ Hospitals Ahuja Med Ctr Univ Hospitals Ahuja Med Ctr Sabe, Ramy M, MD, (M), B Group Name: University Huang, Alex Y, MD, (M), B Khalili, Ali S, MD, (M), B Hospitals Medical Group Group Name: University Group Name: University Provider ID: 006107946001 Hospitals Medical Group Hospitals Medical Group NPI: 1235577800 Provider ID: 002840536001 Provider ID: 003750084001 4001 Carrick Dr Ste 220 NPI: 1548453038 NPI: 1013215615 Medina, OH 44256 5133 Ridge Rd

4001 Carrick Dr Ste 220 (216) 844-7700 EB, P, R Wadsworth, OH 44281

Medina, OH 44256 Languages Spoken: (216) 844-8500 EB, P, R

(216) 844-7700 EB, P, R Provider: Arabic, Spanish Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Provider: Spanish Ages: 0-99 Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Hospital Affiliations: Cultural Competency: Y Metrohealth Medical Center Uh Cleveland Medical Center Ages: 0-99 Rainbow Babies & Childrens Hospital Affiliations: Hosp Uh Geauga Medical Center Pediatric Hematology/Oncology Univ Hospitals Ahuja Med Ctr

University Hospitals Geauga Prior authorization is required to Medical Ctr obtain some covered services from Letterio, John J, MD, (M) Metrohealth Medical Center these providers. You will not be Group Name: University Uh Cleveland Medical Center covered for those services without Hospitals Medical Group Rainbow Babies & Childrens such approval by UnitedHealthcare Provider ID: 002779289001 Hosp Community Plan. Please see your NPI: 1467589739 Univ Hospitals Ahuja Med Ctr member handbook, or call Member 5133 Ridge Rd Services for details. Wadsworth, OH 44281

Moses, Jonathan D, MD, (M), B (216) 844-8500 EB, P, R Group Name: University Egler, Rachel A, MD, (F), B Cultural Competency: Y Hospitals Medical Group Group Name: University Ages: 0-99 Provider ID: 003219550002 Hospitals Medical Group Hospital Affiliations: NPI: 1023254711 Provider ID: 002588655002 Metrohealth Medical Center 4001 Carrick Dr Ste 250 NPI: 1528148863 Uh Cleveland Medical Center Medina, OH 44256 5133 Ridge Rd Rainbow Babies & Childrens Wadsworth, OH 44281 (216) 844-7700 EB, P, R Hosp Mo-Fr - 8:30 AM - 4:30 PM (216) 844-8500 EB, P, R Univ Hospitals Ahuja Med Ctr Cultural Competency: Y Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-18 Cleveland Clinic Foundation Hospital Affiliations: Uh Cleveland Medical Center Texas Children's Hospital Rainbow Babies & Childrens Uh Cleveland Medical Center Rainbow Babies & Childrens

828

Pediatric Providers Ohio - Medina

Stearns, Duncan S, MD, (M), B Shahid, Asim M, MD, (M) Group Name: University Pediatric Neurology Group Name: University

Hospitals Medical Group Members may self-refer to these Hospitals Medical Group Provider ID: 002546420004 providers. Provider ID: 003115004001

NPI: 1073563912 NPI: 1962616730 5133 Ridge Rd Bass, Nancy E, MD, (F), B 4001 Carrick Dr Wadsworth, OH 44281 Group Name: University Medina, OH 44256 Hospitals Medical Group (216) 844-8500 EB, P, R (216) 844-7700 EB, P, R Languages Spoken: Provider ID: 001861817001 Languages Spoken: Provider: Spanish NPI: 1821019555 Provider: Urdu, Punjabi Mo-Fr - 8:30 AM - 4:30 PM 4001 Carrick Dr Cultural Competency: Y Cultural Competency: Y Medina, OH 44256 Ages: 0-99 Ages: 0-99 (216) 844-7700 EB, P, R Hospital Affiliations: Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Uh Cleveland Medical Center Uh Cleveland Medical Center Cultural Competency: Y Rainbow Babies & Childrens Rainbow Babies & Childrens Ages: 0-99 Hosp Hosp Hospital Affiliations: Univ Hospitals Ahuja Med Ctr St Christophers Hosp For Children Southwest General Health Center Univ Hospitals Ahuja Med Ctr St John Medical Center Uh Cleveland Medical Center Pediatric Neurosurgery

Rainbow Babies & Childrens Rothstein, Brian D, MD, (M), B Pediatric Nephrology Hosp Group Name: University

Members may self-refer to these Hospitals Medical Group Gilmore, Edward C, MD, (M), B Provider ID: 006487656001 providers. Group Name: University NPI: 1659698314 Joyce, Emily L, MD, (F), B Hospitals Medical Group 4001 Carrick Dr Group Name: University Provider ID: 002687045002 Medina, OH 44256 Hospitals Medical Group NPI: 1457324642 (216) 844-5741 EB, P, R Provider ID: 006508692003 4001 Carrick Dr Ste 220 Ages: 0-99 NPI: 1922393941 Medina, OH 44256 Hospital Affiliations: 4001 Carrick Dr Ste 220 (216) 844-7700 EB, P, R Ann & Robert H Lurie Childrens Medina, OH 44256 Mo-Fr - 8:30 AM - 4:30 PM Hospital (216) 877-1389 EB, P, R Cultural Competency: Y Languages Spoken: Ages: 0-99 Provider: Spanish Hospital Affiliations: Mo-Fr - 8:30 AM - 4:30 PM Massachusetts General Hospital Ages: 0-18 St John Medical Center Hospital Affiliations: Uh Cleveland Medical Center Metrohealth Medical Center Rainbow Babies & Childrens Childrens Hospital Of Pittsburgh Hosp Univ Hospitals Ahuja Med Ctr

829

Ohio - Medina Pediatric Providers

St John Medical Center Pediatric Nutrition Pediatric Pulmonary Medicine Uh Cleveland Medical Center

Sabe, Ramy M, MD, (M), B Members may self-refer to these Rainbow Babies & Childrens Group Name: University providers. Hosp

Hospitals Medical Group Provider ID: 006107946001 Chmiel, James F, MD, (M), B Dimarino, Amy M, DO, (F), B NPI: 1235577800 Group Name: University Group Name: University 4001 Carrick Dr Ste 220 Hospitals Medical Group Hospitals Medical Group Medina, OH 44256 Provider ID: 001254780001 Provider ID: 003506192001 NPI: 1932126968 (216) 844-7700 EB, P, R NPI: 1710171756 Languages Spoken: 4001 Carrick Dr 4001 Carrick Dr Ste 220 Provider: Arabic, Spanish Medina, OH 44256 Medina, OH 44256 (216) 844-7700 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM (216) 844-7700 EB, P, R Ages: 0-99 Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: Provider: Spanish Cultural Competency: Y Metrohealth Medical Center Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Cultural Competency: Y Hospital Affiliations: Ages: 0-99 St John Medical Center Pediatric Orthopaedic Surgery Hospital Affiliations: Uh Cleveland Medical Center Eskenazi Health Members may self-refer to these Rainbow Babies & Childrens Southwest General Health Center Hosp providers. St John Medical Center Univ Hospitals Ahuja Med Ctr Sharp, Nicole A, NP, (F) Uh Cleveland Medical Center

Group Name: University Rainbow Babies & Childrens Hospitals Medical Group Hosp Pediatric Rheumatology Provider ID: 003925196008 Iu Health University Hospital NPI: 1639508591 Riley Hospital For Children Iu Members may self-refer to these 4001 Carrick Dr Ste 160 Health providers.

Medina, OH 44256 Iu Health Methodist Hospital Eichenfield, Andrew H, MD, (M),

(216) 844-7200 E, RE, S, T B Mo-Fr - 8:30 AM - 4:30 PM Craven, Daniel I, MD, (M), B Group Name: University Cultural Competency: Y Group Name: University Hospitals Medical Group Ages: 0-21 Hospitals Medical Group Provider ID: 000781355004 Hospital Affiliations: Provider ID: 001745506002 NPI: 1821061490 Uh Cleveland Medical Center NPI: 1699795682 4001 Carrick Dr Ste 220 Rainbow Babies & Childrens 4001 Carrick Dr Medina, OH 44256 Hosp Medina, OH 44256 (216) 844-7700 EB, P, R Univ Hospitals Ahuja Med Ctr (216) 844-7700 EB, P, R Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Provider: Spanish Cultural Competency: Y Mo-Fr - 8:00 AM - 4:30 PM Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Firelands Regional Medical Ctr Mount Sinai Hospital Southwest General Health Center Nyp-columbia

830

Pediatric Providers Ohio - Medina

Washington, Nina T, MD, (F), B Pediatric Surgery Pediatric Urology

Group Name: University Members may self-refer to these Rhee, Audrey C, MD, (F), B Hospitals Medical Group providers. Group Name: Cleveland Clinic

Provider ID: 003694620006 Foundation NPI: 1679740906 Boulanger, Scott C, MD, (M), B Provider ID: 003391598001 4001 Carrick Dr Ste 220 Group Name: University NPI: 1780806984 Medina, OH 44256 Hospitals Medical Group 970 E Washington St Provider ID: 002558029002 (216) 844-7700 EB, P, R Medina, OH 44256 NPI: 1780616615 Mo-Fr - 8:30 AM - 4:30 PM (330) 721-5790 EB, P, R Ages: 0-18 4001 Carrick Dr Ste 220 Languages Spoken: Hospital Affiliations: Medina, OH 44256 Provider: Spanish Baptist Mem Hosp North (330) 721-8522 EB, P, R Cultural Competency: Y Mississippi Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Uh Cleveland Medical Center Ages: 0-99 Hospital Affiliations: Rainbow Babies & Childrens Hospital Affiliations: Metrohealth Medical Center Hosp Childrens Hospital Med Ctr Akron Cleveland Clinic Foundation State Of Ms-univ Of Ms Med Ctr Metrohealth Medical Center Hillcrest Hospital Uh Cleveland Medical Center Fairview Hospital Southwest General Hospital Eskenazi Health Pediatric Sports Medicine Texas Vista Medical Center Iu Health University Hospital Solomon, Mary L, DO, (F), B Riley Hospital For Children Iu Group Name: University Francis, Ashish, MD, (M) Health Hospitals Medical Group Group Name: Summa Physicians Iu Health Methodist Hospital Provider ID: 003105614001 Provider ID: 007493133002 NPI: 1518178706 NPI: 1689916322 Ross, Jonathan H, MD, (M), B 4001 Carrick Dr Ste 220 185 Wadsworth Rd Ste J Group Name: University Medina, OH 44256 Wadsworth, OH 44281 Hospitals Medical Group (330) 334-7800 E, EB, G, IB, P, (216) 844-7700 EB, P, R Provider ID: 001202489002 Mo-Fr - 8:30 AM - 4:30 PM R, RE, S, T NPI: 1104881176 Cultural Competency: Y Ages: 0-99 4001 Carrick Dr Ste 160 Ages: 0-99 Hospital Affiliations: Medina, OH 44256 Childrens Hospital Med Ctr Akron Hospital Affiliations: (216) 844-3009 E, RE, S, T Uh Cleveland Medical Center Mo-Fr - 8:30 AM - 4:30 PM Rainbow Babies & Childrens Cultural Competency: Y Hosp Ages: 0-99 Hospital Affiliations: University Hospitals Elyria Medical Ctr Uh Elyria Medical Center Metrohealth Medical Center Cleveland Clinic Foundation Hillcrest Hospital

831

Ohio - Medina Pediatric Providers Fairview Hospital Riley Hospital For Children Iu Plummer, Sarah T, MD, (F), B Uh Regional Hospitals Health Group Name: University Uh Cleveland Medical Center Iu Health Methodist Hospital Hospitals Medical Group Provider ID: 003088182002 Dimarino, Amy M, DO, (F) NPI: 1760682413 Pediatrics Group Name: University 4001 Carrick Dr Ste 220

Members may self-refer to these Hospitals Medical Group Medina, OH 44256 providers. Provider ID: 003506192001 (216) 844-7700 EB, P, R

NPI: 1710171756 Languages Spoken: Bedocs, Laleh A, DO, (F), B 4001 Carrick Dr Ste 220 Provider: Spanish Group Name: Dermatology Medina, OH 44256 Cultural Competency: Y Partners (216) 844-7700 EB, P, R Ages: 0-18 Provider ID: 002697841003 Mo-Fr - 8:30 AM - 4:30 PM Hospital Affiliations: NPI: 1952483828 Cultural Competency: Y Metrohealth Medical Center 3780 Medina Rd Ste 240 Ages: 0-99 Childrens Hospital Of Pittsburgh Medina, OH 44256 Hospital Affiliations: Uh Cleveland Medical Center (440) 238-0360 EB, P, R St John Medical Center Rainbow Babies & Childrens Cultural Competency: Y Uh Cleveland Medical Center Hosp Ages: 0-20 Rainbow Babies & Childrens Univ Hospitals Ahuja Med Ctr Hospital Affiliations: Hosp Cleveland Clinic Foundation Univ Hospitals Ahuja Med Ctr Stearns, Duncan S, MD, (M), B Firelands Regional Medical Ctr Group Name: University Duran, Silvestre R, MD, (M), B Hospitals Medical Group Chmiel, James F, MD, (M), B Group Name: University Provider ID: 002546420004 Group Name: University Hospitals Medical Group NPI: 1073563912 Hospitals Medical Group Provider ID: 007202923002 5133 Ridge Rd Provider ID: 001254780001 NPI: 1962846659 Wadsworth, OH 44281 NPI: 1932126968 4001 Carrick Dr Ste 220 (216) 844-8500 EB, P, R 4001 Carrick Dr Medina, OH 44256 Languages Spoken: Medina, OH 44256 (216) 844-3528 EB, P, R Provider: Spanish (216) 844-7700 EB, P, R Languages Spoken: Mo-Fr - 8:30 AM - 4:30 PM Languages Spoken: Provider: Spanish Cultural Competency: Y Provider: Spanish Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-99 Mo-Fr - 8:30 AM - 4:30 PM Ages: 0-17 Hospital Affiliations: Cultural Competency: Y Hospital Affiliations: Uh Cleveland Medical Center Ages: 0-99 Metrohealth Medical Center Rainbow Babies & Childrens Hospital Affiliations: Rainbow Babies & Childrens Hosp Eskenazi Health Hosp St Christophers Hosp For Children Southwest General Health Center Univ Hospitals Ahuja Med Ctr St John Medical Center Uh Cleveland Medical Center Rainbow Babies & Childrens Hosp Iu Health University Hospital

832

Pediatric Providers Ohio - Medina Viswanathan, Anuradha, MD, (F), Uh Regional Hospitals B Group Name: University Zimmerman, Teresa N, MD, (F), Hospitals Medical Group B Provider ID: 003134182002 Group Name: University NPI: 1225237878 Hospitals Medical Group 4001 Carrick Dr Ste 220 Provider ID: 002097731002 Medina, OH 44256 NPI: 1972523173

(216) 844-7700 EB, P, R 4001 Carrick Dr Languages Spoken: Medina, OH 44256

Provider: Hindi, Tamil (216) 844-7700 EB, P, R Mo-Fr - 8:30 AM - 4:30 PM Mo-Fr - 8:30 AM - 4:30 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99 Hospital Affiliations: Hospital Affiliations: Robert Wood Johnson Univ Hosp Southwest General Health Center At Hml St John Medical Center Uh Cleveland Medical Center Uh Cleveland Medical Center Robert Wood Johnson Univ Hosp Univ Hospitals Ahuja Med Ctr Rainbow Babies & Childrens Hosp Univ Hospitals Ahuja Med Ctr

Wilhelm, Carolyn M, MD, (F) Group Name: University Hospitals Medical Group Provider ID: 003489581016 NPI: 1932334950 4001 Carrick Dr Ste 220 Medina, OH 44256

(216) 844-7700 EB, P, R Languages Spoken: Provider: Spanish Ages: 0-99 Hospital Affiliations: Uh Geauga Medical Center University Hospitals Geauga Medical Ctr Univ Of Md Medical System University Of Md Medical System Metrohealth Medical Center Nationwide Children's Hospital Nationwide Childrens Hospital

833

Ohio - Lake Hospitals

Hospitals Lake Health Cleveland Clinic Foundation Ohio Provider ID: 000157505002 Provider ID: 000244452009 NPI: 1972689172 NPI: 1679525919 Geauga 510 5th Ave 2570 Som Center Rd

Chardon, OH 44024 Willoughby Hills, OH 44094

Acute Care Hospital (440) 286-8908 EB, IB, P, R, RE, (440) 943-2500 EB, P, R T Cultural Competency: Y Prior authorization is required to Cultural Competency: Y Web address: https://my.clevelandcl obtain some covered services from Web address: lakehealth.org inic.org/ these providers. You will not be

covered for those services without University Hospitals Geauga Cleveland Clinic Foundation such approval by UnitedHealthcare Medical Ctr Provider ID: 000244452009 Community Plan. Please see your Provider ID: 000092209001 NPI: 1679525919 member handbook, or call Member NPI: 1285724476 2785 Som Center Rd Services for details. 13207 Ravenna Rd Willoughby Hills, OH 44094

Cleveland Clinic Foundation Chardon, OH 44024 (800) 223-2273 E, EB, G, IB, P,

Provider ID: 000244452009 (440) 285-6000 EB, P, R PL, R, RE, S, T NPI: 1679525919 Web address: www.uhhospitals.org Cultural Competency: Y 17747 Chillicothe Rd Ste 100 Web address: my.clevelandclinic.or Chagrin Falls, OH 44023 g Lake (440) 543-8855 EB, P, R

Cultural Competency: Y Lake Health Web address: https://my.clevelandcl Acute Care Hospital Provider ID: 000157505002

inic.org/ Prior authorization is required to NPI: 1972689172 obtain some covered services from 10977 Capital Pkwy Cleveland Clinic Foundation these providers. You will not be Concord Township, OH 44077 Provider ID: 000244452009 covered for those services without (440) 918-6366 EB, P, R NPI: 1679525919 such approval by UnitedHealthcare Cultural Competency: Y 8254 Mayfield Rd Community Plan. Please see your Web address: www.lakehealth.org Chesterland, OH 44026 member handbook, or call Member (440) 729-0100 EB, P, R Services for details. Lake Health

Cultural Competency: Y Provider ID: 000157505002 Web address: https://my.clevelandcl Cleveland Clinic Foundation NPI: 1972689172 inic.org/ Provider ID: 000244452009 1223 Mentor Ave NPI: 1679525919 Painesville, OH 44077 2550 Som Center Rd (440) 352-1818 EB, P, R Willoughby Hills, OH 44094 Cultural Competency: Y (440) 943-2500 EB, P, R Web address: lakehealth.org Cultural Competency: Y Web address: my.clevelandclinic.or g

834

Hospitals Ohio - Lorain Lake Health Lake Health Lorain Provider ID: 000157505002 Provider ID: 000157505002

NPI: 1972689172 NPI: 1972689172 29804 Lakeshore Blvd 7590 Auburn Rd Acute Care Hospital

Willowick, OH 44095 Concord Township, OH 44077 Prior authorization is required to (440) 585-3322 P, R, RE, T (440) 375-8100 EB, P, R obtain some covered services from Cultural Competency: Y Cultural Competency: Y these providers. You will not be Web address: lakehealth.org Web address: lakehealth.org covered for those services without such approval by UnitedHealthcare Lake Health Lake Health Community Plan. Please see your Provider ID: 000157505002 Provider ID: 000157505002 member handbook, or call Member NPI: 1972689172 NPI: 1972689172 Services for details.

34900 Chardon Rd Ste 105 8655 Market St Willoughby Hills, OH 44094 Mentor, OH 44060 Cleveland Clinic Avon Hospital Provider ID: 006223558001 (440) 918-1745 EB, P, R (440) 953-9600 P, R, RE, T Cultural Competency: Y Cultural Competency: Y NPI: 1346607017 Web address: http://lakehealth.org Web address: lakehealth.org 33300 Cleveland Clinic Blvd Avon, OH 44011 Lake Health Lake Health (440) 695-5000 EB, P, R Provider ID: 000157505002 Provider ID: 000157505005 Web address: my.clevelandclinic.or NPI: 1972689172 NPI: 1972689172 g 4176 State Route 306 9485 Mentor Ave Willoughby, OH 44094 Mentor, OH 44060 Cleveland Clinic Foundation Provider ID: 000244452009 (440) 953-9600 EB, IB, P, R, RE, (440) 974-6800 E, EB, G, IB, P, S, T PL, R, RE, S, T NPI: 1679525919 Cultural Competency: Y Web address: lakehealth.org 303 Chestnut Commons Dr Web address: lakehealth.org Elyria, OH 44035 (440) 204-7900 EB, P, R Lake Health Cultural Competency: Y Provider ID: 000157505002 Web address: https://my.clevelandcl NPI: 1972689172 inic.org/ 6270 N Ridge Rd Madison, OH 44057 Cleveland Clinic Foundation Provider ID: 000244452009 (440) 428-0280 EB, IB, P, R, RE, T NPI: 1679525919 Cultural Competency: Y 33100 Cleveland Clinic Blvd Web address: lakehealth.org Avon, OH 44011 (440) 695-4000 EB, IB, P, R Cultural Competency: Y Web address: my.clevelandclinic.or g

835

Ohio - Lorain Hospitals Cleveland Clinic Foundation Cleveland Clinic Foundation Mercy Regional Medical Center Provider ID: 000244452009 Provider ID: 000244452009 Provider ID: 001443443001 NPI: 1679525919 NPI: 1679525919 NPI: 1245274950 33300 Cleveland Clinic Blvd 5172 Leavitt Rd 1120 E Broad St Avon, OH 44011 Lorain, OH 44053 Elyria, OH 44035

(440) 695-5000 EB, P, R (440) 282-7420 EB, P, R (440) 366-2222 EB, P, R Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Web address: https://my.clevelandcl Web address: my.clevelandclinic.or inic.org/ g Mercy Regional Medical Center Provider ID: 001443443002 Cleveland Clinic Foundation Cleveland Clinic Foundation NPI: 1245274950 Provider ID: 000244452009 Provider ID: 000244452009 3700 Kolbe Rd NPI: 1679525919 NPI: 1679525919 Lorain, OH 44053

33355 Health Campus Blvd 5334 Meadow Lane Ct (440) 960-4000 EB, G, IB, P, PL, Avon, OH 44011 Sheffield Village, OH 44035 R, RE, S, T

(440) 937-9099 EB, P, R (440) 934-5454 EB, P, R Web address: www.mercy.com Cultural Competency: Y Cultural Competency: Y Web address: my.clevelandclinic.or Web address: my.clevelandclinic.or Mercy Regional Medical Center g g Provider ID: 001443443001 NPI: 1245274950 Cleveland Clinic Foundation Cleveland Clinic Foundation 37450 Colorado Ave Provider ID: 000244452009 Provider ID: 000244452009 Avon, OH 44011

NPI: 1679525919 NPI: 1679525919 (440) 934-1634 EB, P, R 36901 American Way 5700 Cooper Foster Park Rd W Cultural Competency: Y Avon, OH 44011 Lorain, OH 44053 Web address: www.mercy.com

(440) 930-6200 EB, P, R (440) 543-8855 Cultural Competency: Y Cultural Competency: Y University Hospitals Elyria Web address: my.clevelandclinic.or Medical Ctr g Mercy Allen Hospital Provider ID: 000114408001 Provider ID: 000554772001 NPI: 1841299039 Cleveland Clinic Foundation NPI: 1801825997 10325 Dewhurst Rd Provider ID: 000244452009 200 W Lorain St Elyria, OH 44035

NPI: 1679525919 Oberlin, OH 44074 (440) 414-9260 EB, P, R, RE, T

450 Avon Belden Rd (440) 775-1211 EB, IB, P, R, RE, Cultural Competency: Y Avon Lake, OH 44012 S, T Web address: www.uhhospitals.org

(440) 930-6800 EB, P, R, RE, T Web address: www.mercy.com Cultural Competency: Y Web address: my.clevelandclinic.or g

836

Hospitals Ohio - Medina University Hospitals Elyria University Hospitals Elyria Medina Medical Ctr Medical Ctr

Provider ID: 000114408001 Provider ID: 000114408001 NPI: 1841299039 NPI: 1841299039 Acute Care Hospital

125 E Broad St Ste 305 3600 Kolbe Rd Ste 127 Prior authorization is required to Elyria, OH 44035 Lorain, OH 44053 obtain some covered services from (440) 414-9100 EB, P, R (440) 414-9200 EB, P, R, RE, T these providers. You will not be Cultural Competency: Y Cultural Competency: Y covered for those services without Web address: www.uhhospitals.org Web address: www.uhhospitals.org such approval by UnitedHealthcare Community Plan. Please see your University Hospitals Elyria University Hospitals Elyria member handbook, or call Member Medical Ctr Medical Ctr Services for details.

Provider ID: 000114408001 Provider ID: 000114408001 NPI: 1841299039 NPI: 1841299039 Ccf Children's Hosp/Rehab 133 E Broad St 39000 Center Ridge Rd Provider ID: 000483785001 Elyria, OH 44035 North Ridgeville, OH 44039 NPI: 1033161948 3724 Center Rd (440) 329-4930 EB, P, R (440) 329-7527 EB, P, R Cultural Competency: Y Cultural Competency: Y Brunswick, OH 44212 Web address: www.uhhospitals.org Web address: www.uhhospitals.org (330) 225-4182 EB, P, R Web address: myclevelandclinic.org University Hospitals Elyria University Hospitals Elyria Medical Ctr Medical Ctr Cleveland Clinic Foundation Provider ID: 000114408001 Provider ID: 000114408001 Provider ID: 000244452009 NPI: 1841299039 NPI: 1841299039 NPI: 1679525919 1997 Healthway Dr 5001 Transportation Dr 1000 E Washington St Avon, OH 44011 Sheffield Village, OH 44054 Medina, OH 44256 (330) 725-1000 EB, P, R (440) 329-7500 P, R, RE, T (440) 329-7474 EB, P, R, RE Cultural Competency: Y Cultural Competency: Y Cultural Competency: Y Web address: www.uhhospitals.org Web address: www.uhhospitals.org Web address: https://my.clevelandcl inic.org/ University Hospitals Elyria University Hospitals Elyria Medical Ctr Medical Ctr Cleveland Clinic Foundation Provider ID: 000114408001 Provider ID: 000114408001 Provider ID: 000244452009 NPI: 1841299039 NPI: 1841299039 NPI: 1679525919 254 Cleveland Ave 630 E River St 3574 Center Rd Amherst, OH 44001 Elyria, OH 44035 Brunswick, OH 44212 (330) 225-8886 EB, P, R (440) 988-6000 EB, P, R (440) 329-7500 E, EB, G, IB, P, Cultural Competency: Y PL, R, RE, S, T Cultural Competency: Y Web address: www.uhhospitals.org Cultural Competency: Y Web address: my.clevelandclinic.or Web address: www.uhhospitals.org g

837

Ohio - Medina Hospitals Cleveland Clinic Foundation Medina Hospital Summa Health System Provider ID: 000244452009 Provider ID: 000486665001 Provider ID: 000189864001 NPI: 1679525919 NPI: 1083696710 NPI: 1396765681 970 E Washington St 1000 E Washington St 3780 Medina Rd Medina, OH 44256 Medina, OH 44256 Medina, OH 44256

(330) 721-5700 EB, P, R (330) 725-1000 EB, IB, P, R, RE, (330) 721-1111 EB, P, R Cultural Competency: Y T Cultural Competency: Y Web address: https://my.clevelandcl Web address: my.clevelandclinic.or Web address: www.summahealth.or inic.org/ g g Areas of Expertise: SP05, SP30, Crystal Clinic Orthopaedic Ctr Medina Hospital SP55, SP65 Provider ID: 002968030002 Provider ID: 000486665001 NPI: 1669669917 NPI: 1083696710 Summa Health System 323 High St Ste C 3724 Center Rd Provider ID: 000189864001 Wadsworth, OH 44281 Brunswick, OH 44212 NPI: 1396765681

(330) 335-1586 EB, IB, P, PL, R, (330) 220-2504 EB, P, R 3780 Medina Rd Ste 230 RE, S, T Web address: my.clevelandclinic.or Medina, OH 44256

Web address: www.crystalclinic.co g (330) 725-6283 EB, P, R m Cultural Competency: Y Southwest General Health Center Web address: www.summahealth.or Crystal Clinic Orthopaedic Ctr Provider ID: 000599099001 g Provider ID: 002968030002 NPI: 1154353993 Areas of Expertise: SP05, SP30, NPI: 1669669917 4065 Center Rd SP55, SP65 4975 Foote Rd Ste 100 Brunswick, OH 44212

Medina, OH 44256 (330) 558-0150 EB, P, R, RE, T Summa Health System

(330) 721-8232 EB, IB, P, PL, R, Provider ID: 000189864001 RE, S, T Web address: www.swgeneral.com NPI: 1396765681 Web address: www.crystalclinic.co 621 School Dr m Summa Health System Wadsworth, OH 44281 Provider ID: 000189864001 (330) 331-0035 E, EB, G, IB, P, Lodi Community Hospital NPI: 1396765681 R, RE, S, T Provider ID: 000713793003 195 Wadsworth Rd Cultural Competency: Y NPI: 1164761631 Wadsworth, OH 44281 Web address: www.summahealth.or 225 Elyria St (330) 331-1000 E, EB, G, IB, P, g Lodi, OH 44254 PL, R, RE, S, T Areas of Expertise: SP05, SP30, Cultural Competency: Y (330) 344-1172 E, EB, G, IB, P, SP55, SP65 PL, R, RE, S, T Web address: www.summahealth.or Web address: http://www.akrongene g ral.org/ Areas of Expertise: SP05, SP30, SP55, SP65

838

Hospitals Ohio - Medina University Hospitals Elyria Medical Ctr Provider ID: 000114408001 NPI: 1841299039 3443 Medina Rd Ste 110 Medina, OH 44256

(440) 414-9760 E, EB, IB, P, R, T Cultural Competency: Y Web address: www.uhhospitals.org

839

Ohio - Medina Urgent Care Centers

Urgent Care Centers Health Express Urgent Care Ohio Centers Provider ID: 005173733001 Geauga NPI: 1770993453

445 Avon Belden Rd Ste B4 Urgent Care Center Avon Lake, OH 44012

Uh Chagrin Highlands Urg Care (440) 882-6595 EB, P, R Provider ID: 002032182002 NPI: 1467533885

Medina

8055 Mayfield Rd Ste 106

Chesterland, OH 44026 Urgent Care Center

(440) 729-7824 EB, P, R Uh Chagrin Highlands Urg Care Provider ID: 002032182002 Lake NPI: 1467533885

4001 Carrick Dr Ste 120 Urgent Care Center Medina, OH 44256

Uh Chagrin Highlands Urg Care (330) 721-8484 EB, P, R Provider ID: 002032182002 NPI: 1467533885 7500 Auburn Rd Ste 1200 Concord Township, OH 44077

(440) 358-5400 EB, P, R

Uh Chagrin Highlands Urg Care Provider ID: 002032182002 NPI: 1467533885 9000 Mentor Ave Ste 101 Mentor, OH 44060

(440) 974-4443 EB, P, R

Lorain

Urgent Care Center Health Express Urgent Care Centers Provider ID: 005173733001 NPI: 1770993453 34160 Center Ridge Rd North Ridgeville, OH 44039

(440) 882-6595 EB, P, R

840

Skilled Nursing Facilities Ohio - Lake

Skilled Nursing Facilities Ohman Family Living At Blossom Lake Ohio Provider ID: 001773094002

NPI: 1053494799 Geauga Skilled Nursing Facility 12496 Princeton Rd

Huntsburg, OH 44046 Members may self-refer to these Skilled Nursing Facility (440) 635-5567 E, EB, IB, P, PL, providers.

R, RE Members may self-refer to these Languages Spoken: Altercare Of Mentor Ctr-Rehab providers. Interpreter: German, Spanish & Nrsng

Burton Health Care Center Ages: 0-99 Provider ID: 001460746001 Provider ID: 001464306002 NPI: 1326010943 NPI: 1962412692 Ohman Family Living At Briar 9901 Johnny Cake Ridge Rd 14095 E Center St Provider ID: 001870045001 Mentor, OH 44060 Burton, OH 44021 NPI: 1952388415 (440) 357-7900 EB, P, R Languages Spoken: (440) 834-1084 EB, P, R 15950 Pierce St Ages: 0-99 Middlefield, OH 44062 Interpreter: Medical Interp Vendor (440) 632-5241 EB, P, R, T Heather Hill Care Communities Cultural Competency: Y Ages: 0-99 Provider ID: 001094547001 Ages: 0-99 NPI: 1265731277 Altercare Of Mentor Ctr-Rehab 12340 Bass Lake Rd Ohman Family Living At Holly & Nrsng Chardon, OH 44024 Provider ID: 000362500002 Provider ID: 001460746001 NPI: 1326010943 (440) 285-4040 EB, P, R NPI: 1144392523 Languages Spoken: 10190 Fairmount Rd 9901 Johnnycake Ridge Rd Provider: Arabic, Croatian Newbury, OH 44065 Mentor, OH 44060 (440) 357-7900 EB, P, R Staff: Arabic, Croatian (440) 338-8220 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99 Ages: 0-99 Concord Village Skilled Nursing Mapleview Country Villa & Rehab Provider ID: 005718971001 Provider ID: 006267789003 NPI: 1790179497 NPI: 1558737940 775 South St 10955 Capital Pkwy Chardon, OH 44024 Concord Township, OH 44077

(440) 286-8176 E, EB, G, IB, P, (330) 920-6472 PL, R, RE, T Ages: 0-99 Languages Spoken: Staff: Spanish Cultural Competency: Y Ages: 0-99

841

Ohio - Lorain Skilled Nursing Facilities Continuing Healthcare Of Mentor Homestead Ii Wickliffe Country Place Provider ID: 001392824002 Provider ID: 001135769001 Provider ID: 000709097001 NPI: 1164836441 NPI: 1144588104 NPI: 1699773283 8881 Schaeffer St 60 Wood St 1919 Bishop Rd Mentor, OH 44060 Painesville, OH 44077 Wickliffe, OH 44092

(440) 255-9309 EB, P, R (440) 352-0788 E, EB, G, IB, P, (440) 944-9400 EB, P, R Web address: www.continuinghc.co PL, R, RE, T Ages: 0-99 m Cultural Competency: Y Ages: 0-99 Ages: 0-99 Lorain

Grand River Health & Rehab Madison Health Care Center Provider ID: 000798940001 Skilled Nursing Facility

Provider ID: 001363575002 NPI: 1487981536 Members may self-refer to these NPI: 1710245774 7600 S Ridge Rd providers.

1515 Brookstone Blvd Madison, OH 44057 Amherst Manor Painesville, OH 44077 (440) 428-1492 EB, G, IB, P, PL, Provider ID: 001743573003 (440) 357-6181 EB, P, R R, RE Languages Spoken: Cultural Competency: Y NPI: 1598755951 Staff: Spanish Ages: 0-99 175 N Lake St Ages: 0-99 Amherst, OH 44001 Mentor Ridge Health & Rehab (440) 988-4415 EB, IB, P, R Heartland Of Mentor Provider ID: 006602905001 Ages: 0-99 Provider ID: 000937122001 NPI: 1255863635 NPI: 1285676783 8151 Norton Pkwy Anchor Lodge Nursing Home 8200 Mentor Hills Dr Mentor, OH 44060 Provider ID: 001741325003 NPI: 1962492751 Mentor, OH 44060 (440) 299-5500 EB, P, R 3756 W Erie Ave (440) 256-1496 EB, P, R Languages Spoken: Languages Spoken: Interpreter: Medical Interp Lorain, OH 44053 Staff: Croatian, Italian, Spanish Vendor (440) 244-2019 EB, P, R Ages: 0-99 Ages: 0-99 Ages: 0-99

Heartland Of Willoughby Ohio Living Breckenridge Village Autumn Aegis Provider ID: 000716201001 Provider ID: 002819648002 Provider ID: 001770142003 NPI: 1659316586 NPI: 1801882808 NPI: 1639169493 37603 Euclid Ave 36855 Ridge Rd 1130 Tower Blvd Willoughby, OH 44094 Willoughby, OH 44094 Lorain, OH 44052 (440) 282-6768 EB, P, R (440) 951-5551 EB, P, R (440) 942-4342 EB, P, R Ages: 0-99 Web address: www.ohioliving.org Ages: 0-99 Ages: 0-99

842

Skilled Nursing Facilities Ohio - Lorain Avon Oaks Nursing Home Life Care Center Of Elyria Oak Hills Nursing Center Provider ID: 001435644002 Provider ID: 001919251001 Provider ID: 001468233001 NPI: 1235127267 NPI: 1235192162 NPI: 1730329590 37800 French Creek Rd 1212 S Abbe Rd 3650 Beavercrest Dr Avon, OH 44011 Elyria, OH 44035 Lorain, OH 44053

(440) 934-5204 EB, P, R (440) 365-5200 EB, P, R (440) 282-9171 EB, P, R Ages: 0-99 Languages Spoken: Languages Spoken: Staff: Spanish Staff: Spanish Avon Place Interpreter: Medical Interp Cultural Competency: Y Provider ID: 005220577002 Vendor Web address: www.embassyhealthc NPI: 1588010300 Cultural Competency: Y are.net 32900 Detroit Rd Ages: 0-99 Ages: 0-99 Avon, OH 44011

(440) 937-6201 EB, P, R Main Street Care Center Villa Camillus Languages Spoken: Provider ID: 001572689002 Provider ID: 000025249002 Staff: Spanish NPI: 1780861682 NPI: 1518084540 Ages: 0-99 500 Community Dr 10515 E River Rd Avon Lake, OH 44012 Columbia Station, OH 44028

Elms Retirement Village (440) 930-6600 EB, P, R (440) 236-5091 EB, P, R Provider ID: 001955922001 Languages Spoken: Languages Spoken: NPI: 1518957000 Staff: Spanish Staff: Spanish 136 S Main St Ages: 0-99 Ages: 0-99 Wellington, OH 44090

(440) 647-2414 EB, P, R Northridge Health Center Welcome Nursing Home Ages: 0-99 Provider ID: 000898263002 Provider ID: 001131118001 NPI: 1851446371 NPI: 1518945393 Keystone Pointe Health & 35990 Westminister Ave 417 S Main St Rehabilitation North Ridgeville, OH 44039 Oberlin, OH 44074

Provider ID: 003103823001 (440) 327-8511 EB, P, R (440) 775-1491 EB, P, R NPI: 1467600726 Ages: 0-99 Ages: 0-99 383 Opportunity Way Lagrange, OH 44050 O'neill Healthcare North Wesleyan Village

(440) 355-4616 EB, P, R Ridgeville Provider ID: 000114459002 Languages Spoken: Provider ID: 000990471001 NPI: 1528065737 Staff: Romanian, Spanish NPI: 1497800866 807 West Ave Ages: 0-99 38600 Center Ridge Rd Elyria, OH 44035

North Ridgeville, OH 44039 (440) 284-9000 EB, P, R

(440) 327-1295 EB, P, R Ages: 0-99 Languages Spoken: Staff: Spanish Cultural Competency: Y Ages: 0-99

843

Ohio - Medina Skilled Nursing Facilities Life Care Center Of Medina Sanctuary Wadsworth Medina Provider ID: 000855685001 Provider ID: 002686771003

NPI: 1679536445 NPI: 1780050393 Skilled Nursing Facility 2400 Columbia Rd 365 Johnson Rd

Members may self-refer to these Medina, OH 44256 Wadsworth, OH 44281 providers. (330) 483-3131 EB, IB, P, R (330) 335-1558 EB, P, R

Languages Spoken: Ages: 0-99 Altercare Of Wadsworth Ctr Staff: Spanish Rehab/Nursing Ages: 0-99 Wadsworth Pointe Provider ID: 001831772001 Provider ID: 002374550001 NPI: 1386616829 Medina Meadows Nursing And NPI: 1700187960 147 Garfield St Rehab Center 540 Great Oaks Trl Wadsworth, OH 44281 Provider ID: 002809641002 Wadsworth, OH 44281 (330) 335-2555 EB, IB, P, R NPI: 1083777577 (330) 336-1141 EB, P, R, RE, T Languages Spoken: 550 Miner Dr Cultural Competency: Y Staff: Spanish Medina, OH 44256 Ages: 0-99 Ages: 0-99 (330) 725-1550 EB, P, R Languages Spoken: Willowood Care Center Of Avenue At Medina Provider: Hindi Brunswick Provider ID: 003708104001 Interpreter: Medical Interp Provider ID: 001151574001 NPI: 1205189313 Vendor NPI: 1609922020 699 E Smith Rd Web address: www.embassyhealthc 1186 Hadcock Rd Medina, OH 44256 are.net Brunswick, OH 44212 (330) 721-7001 EB, P, R Ages: 0-99 (800) 949-2159 EB, G, IB, P, PL, Languages Spoken: R Provider: Indonesian Pearlview Rehab & Wellness Ages: 0-99 Ages: 0-99 Center Provider ID: 002603652001 Brunswick Pointe Transitional NPI: 1396748612 Care 4426 Homestead Dr Provider ID: 006875415001 Brunswick, OH 44212 NPI: 1548780802 (330) 225-9121 EB, IB, P, R 4355 Laurel Rd Languages Spoken: Brunswick, OH 44212 Staff: Spanish (330) 741-8000 EB, P, R Cultural Competency: Y Ages: 0-99 Ages: 0-99

844

Ancillary Providers Ohio - Geauga

Ancillary Providers

Ohio Dialysis Center Laboratory

Cdc Heather Hill Members may self-refer to these Geauga Provider ID: 001880211001 providers.

NPI: 1154418721 Ambulatory Surgery Center 12340 Bass Lake Rd University Hospital Lab Serv Chardon, OH 44024 Foundation Prior authorization is required to Provider ID: 001322706003 (440) 286-4103 EB, P, R obtain some covered services from Cultural Competency: Y NPI: 1578706438 these providers. You will not be Web address: http://www.cdcare.org 13207 Ravenna Rd covered for those services without / Chardon, OH 44024 such approval by UnitedHealthcare (216) 844-1700 EB, P, R Community Plan. Please see your

member handbook, or call Member Durable Medical Equipment University Hospital Lab Serv Services for details. Foundation Prior authorization is required to Chardon Surgery Center Provider ID: 001322706002 obtain some covered services from NPI: 1578706438 Provider ID: 003180320001 these providers. You will not be NPI: 1730409400 13207 Revenna Rd covered for those services without Chardon, OH 44024 150 7th Ave such approval by UnitedHealthcare Chardon, OH 44024 (216) 269-6459 EB, P, R Community Plan. Please see your Cultural Competency: Y (440) 285-2900 EB, P, R member handbook, or call Member Web address: www.chardonsurgery Services for details. University Hospital Lab Serv

center.com A & A Medical Supply Foundation Endoscopy Center At Bainbridge Provider ID: 002721993001 Provider ID: 001322706002 Provider ID: 002841847001 NPI: 1114966181 NPI: 1578706438 NPI: 1831217231 8221 E Washington St 8055 Mayfield Rd 8185 E Washington St Ste 106 Chagrin Falls, OH 44023 Chesterland, OH 44026 Chagrin Falls, OH 44023 (440) 543-4645 EB, P, R (216) 844-5678 EB, P, R

(440) 708-0582 EB, P, R Cultural Competency: Y Cultural Competency: Y Geauga Rehab Engineering Web address: www.ecbgi.com Provider ID: 001376011001 University Hospital Lab Serv NPI: 1225091762 Foundation 13376 Ravenna Rd Provider ID: 001322706002 Chardon, OH 44024 NPI: 1578706438

(440) 379-1565 EB, IB, P, R, RE 8185 E Washington St Ste 5 Web address: www.greop.com Chagrin Falls, OH 44023 (440) 708-1542 EB, P, R Cultural Competency: Y Web address: www.uhhospitals.org

845

Ohio - Geauga Ancillary Providers

Cramer Physical Therapy Pro-Activities Physical Therapy Provider ID: 004588698002 Provider ID: 002870218003

Prior authorization is required to NPI: 1336552769 NPI: 1386835890 obtain some covered services from 11850 Mayfield Rd Ste 1 8254 Mayfield Rd Ste 7 these providers. You will not be Chardon, OH 44024 Chesterland, OH 44026 covered for those services without (440) 286-1007 EB, P, R, RE, T (440) 729-0405 E, EB, G, IB, P, such approval by UnitedHealthcare Languages Spoken: R, S, T Community Plan. Please see your Provider: Spanish Mo-Th - 8:00 AM - 5:00 PM member handbook, or call Member Fr - 8:00 AM - 12:00 PM Services for details. Cramer Physical Therapy Web address: www.pro-activities.co

Provider ID: 004588698002 m Cardinal Physical Therapy And NPI: 1336552769 Rehab 14950 S Springdale Ave Rehabcare Group East Provider ID: 003431790001 Middlefield, OH 44062 Provider ID: 005746713001 NPI: 1427326644 (440) 632-1007 EB, IB, P, R, RE, NPI: 1740233014 12656 W Geauga Plz T 8090 Cedar Rd Chesterland, OH 44026 Languages Spoken: Chesterland, OH 44026 (440) 688-4186 EB, IB, P, R, RE, Provider: Spanish (330) 259-1758 EB, IB, P, R T Mo-Th - 8:00 AM - 7:00 PM Cramer Physical Therapy Fr - 8:00 AM - 3:00 PM Provider ID: 004588698001 Rehabilitation Center Sa - 8:00 AM - 12:00 PM NPI: 1336552769 Western Reserve Prof Grp Web address: www.cardinalphysical 14950 Springdale Ave Provider ID: 001957810001 therapy.com Middlefield, OH 44062 NPI: 1912094145

(440) 632-1007 EB, IB, P, R, RE, 13207 Ravenna Rd Cramer Physical Therapy S, T Chardon, OH 44024 Provider ID: 004588698002 Languages Spoken: (330) 677-3628 EB, P, R NPI: 1336552769 Provider: Spanish 11850 Mayfield Rd Staff: Spanish Chardon, OH 44024 Interpreter: Spanish (440) 286-1007 EB, P, R, RE, S, Mo,We,Th,Fr - 8:00 AM - 4:00 PM T Tu - 8:00 AM - 4:30 PM Languages Spoken: Sa - 8:00 AM - 1:00 PM Provider: Spanish Staff: Spanish Interpreter: Spanish Mo,We,Th - 8:00 AM - 7:00 PM Tu,Sa - 8:00 AM - 1:00 PM Fr - 8:00 AM - 5:00 PM

846

Ancillary Providers Ohio - Lake Uh Mentor Surgery Center North Ridge Dialysis Lake Provider ID: 006026735001 Provider ID: 001966030001

NPI: 1487770335 NPI: 1346204617 Ambulatory Surgery Center 9000 Mentor Ave Ste 220 6830 N Ridge Rd

Prior authorization is required to Mentor, OH 44060 Madison, OH 44057 obtain some covered services from (440) 255-0800 EB, IB, P, R (440) 428-0615 EB, P, R these providers. You will not be Web address: www.uhhospitals.org covered for those services without Orcg Mentor Dialysis such approval by UnitedHealthcare Provider ID: 003682693001 Dialysis Center NPI: 1679821359 Community Plan. Please see your member handbook, or call Member Auburn Road Dialysis 8840 Tyler Blvd Services for details. Provider ID: 003605137001 Mentor, OH 44060

NPI: 1033474515 (440) 974-3459 EB, P, R Endoscopy Center Of Lake 7611 Auburn Rd County Concord Township, OH 44077 Provider ID: 002697510002 Durable Medical Equipment (440) 357-2927 EB, P, R NPI: 1386696458 Prior authorization is required to 9614 Old Johnnycake Ridge Rd Cdc Home Care Mentor Concord Township, OH 44060 obtain some covered services from Provider ID: 007121652001 these providers. You will not be (440) 205-1225 EB, P, R NPI: 1538554217 covered for those services without 8900 Tyler Blvd such approval by UnitedHealthcare Great Lakes Ambulatory Surgery Mentor, OH 44060 Center Community Plan. Please see your (440) 951-3602 EB, IB, P, R member handbook, or call Member Provider ID: 005961915001 Web address: www.cdcare.org NPI: 1023498219 Services for details.

9002 Mentor Ave Center For Dialysis Care Alert Care Medical Mentor, OH 44060 Painesville Provider ID: 003654595002 (440) 283-0244 E, EB, G, IB, P, Provider ID: 007124202002 NPI: 1073709382 R, RE, T NPI: 1770882599 9867 Country Scene Ln Languages Spoken: 1233 Mentor Ave Concord Township, OH 44060 Staff: Arabic Painesville, OH 44077 (216) 299-3709 EB, P, R

(440) 357-9262 EB, P, R Mentor Surgery Center Web address: www.cdcare.org Elegant Essentials Provider ID: 001838524001 Provider ID: 001448511002 NPI: 1417958729 Center/Dialysis Care Mentor NPI: 1427026673 9485 Mentor Ave Ste 1 Provider ID: 001896182001 8510 Mentor Ave Ste B Mentor, OH 44060 NPI: 1437246063 Mentor, OH 44060 (440) 205-5454 EB, P, R 8900 Tyler Blvd (440) 701-8377 EB, P, R Cultural Competency: Y Mentor, OH 44060 Web address: www.mentorsurgery.c (440) 951-3602 EB, IB, P, R om Web address: http://www.cdcare.org /

847

Ohio - Lake Ancillary Providers Lincare Lake Health Reference Lab University Hospital Lab Serv Provider ID: 001815015357 Provider ID: 003337433003 Foundation NPI: 1043439201 NPI: 1184910747 Provider ID: 001322706003 2167 Mentor Ave Ste 2 7590 Auburn Rd NPI: 1578706438 Painesville, OH 44077 Concord Township, OH 44077 701 N Lake St

(440) 352-4361 EB, P, R (440) 375-8100 EB, P, R Madison, OH 44057

Web address: lakehealth.org (216) 844-1700 EB, P, R Mc Mobility Systems Provider ID: 001308049001 Lake Health Reference Lab University Hospital Lab Serv NPI: 1962540542 Provider ID: 003337433003 Foundation 7588 Tyler Blvd NPI: 1184910747 Provider ID: 001322706003 Mentor, OH 44060 9500 Mentor Ave NPI: 1578706438

(440) 951-4335 EB, P, R Mentor, OH 44060 9000 Mentor Ave

(582) 525-6417 EB, P, R Mentor, OH 44060

Terrys Shoes Footcare Ctr Web address: lakehealth.org (216) 844-7200 EB, P, R Provider ID: 002274334001 NPI: 1538383773 Quest Diagnostics 36301 Euclid Ave Provider ID: 001969589001 Occupational Therapy Willoughby, OH 44094 NPI: 1841236684 Hopebridge Oh (440) 975-9834 EB, P, R 9213 Mentor Ave Unit 6 Provider ID: 006946266001 Web address: www.footcarecenter.u Mentor, OH 44060 NPI: 1326537994 s (440) 255-4554 EB, P, R 7325 Production Dr Mentor, OH 44060

Signature Health (855) 324-0885 EB, P, R Laboratory Provider ID: 006419220001 Languages Spoken:

Members may self-refer to these NPI: 1184170136 Interpreter: Spanish providers. 38882 Mentor Ave Mo-Fr - 9:00 AM - 6:00 PM

Willoughby, OH 44094 Lake Health Reference Lab (440) 953-9999 EB, P, R Provider ID: 003337433003 NPI: 1184910747 University Hospital Lab Serv 36000 Euclid Ave Foundation Willoughby, OH 44094 Provider ID: 001322706002 (440) 953-9600 P, R, RE, T NPI: 1578706438 Web address: lakehealth.org 4212 Rt 306 N Bldg Willoughby, OH 44094 Lake Health Reference Lab (216) 946-5643 EB, P, R Provider ID: 003337433003 Cultural Competency: Y NPI: 1184910747 36100 Euclid Ave Willoughby, OH 44094

(440) 602-6770 EB, P, R Web address: lakehealth.org

848

Ancillary Providers Ohio - Lake

All Around Physical Therapy Language Learning Associates Orthotics/Prosthetics Provider ID: 006051465002 Provider ID: 002126316001

Prior authorization is required to NPI: 1558756015 NPI: 1336268705 obtain some covered services from 7266 Commerce Dr 8224 Mentor Ave Ste 114 these providers. You will not be Mentor, OH 44060 Mentor, OH 44060 covered for those services without (440) 502-5117 EB, P, R (330) 867-2240 EB, P, R such approval by UnitedHealthcare Mo-We - 9:00 AM - 6:00 PM Community Plan. Please see your Th - 1:00 PM - 7:00 PM Layton Physical Therapy Co member handbook, or call Member Fr - 9:00 AM - 5:00 PM Provider ID: 000151145001 Services for details. Sa - 9:00 AM - 2:00 PM NPI: 1215084579

Web address: www.allaroundpt.com 2899 Hubbard Rd P Antonelli Dist Madison, OH 44057 Provider ID: 003064387002 Atlas Rehab & Wellness Center (440) 428-0422 EB, IB, P, R NPI: 1164451936 Provider ID: 002553534002 Mo - 8:00 AM - 6:30 PM 2947 Gatsby Ln NPI: 1932152931 Tu,We - 8:00 AM - 7:00 PM Willoughby Hills, OH 44092 2770 Som Center Rd Th - 8:00 AM - 6:00 PM (216) 291-3480 Willoughby Hills, OH 44094 Fr - 8:00 AM - 5:00 PM

(330) 759-5904 EB, P, R Sa - 9:00 AM - 12:00 PM

Physical Therapy Mo,We,Th - 8:00 AM - 6:00 PM Cultural Competency: Y

Tu,Fr - 8:00 AM - 3:00 PM Prior authorization is required to Sa - 8:00 AM - 1:00 PM Layton Physical Therapy Co obtain some covered services from Provider ID: 000151145001 these providers. You will not be Chiro Life NPI: 1215084579 covered for those services without Provider ID: 002771776003 50 Normandy Dr such approval by UnitedHealthcare NPI: 1609094770 Painesville, OH 44077

Community Plan. Please see your 7211 Center St (440) 639-8800 EB, IB, P, R member handbook, or call Member Mentor, OH 44060 Cultural Competency: Y

Services for details. (440) 205-9910 EB, P, R Agm Physical Therapy Physicians Plus Oh Provider ID: 002422044004 Chiro Life Provider ID: 003676751001 NPI: 1689691776 Provider ID: 002771776001 NPI: 1528007564 6000 Heisley Rd NPI: 1609094770 263 Mentor Ave Mentor, OH 44060 7249 Center St Ste 2 Painesville, OH 44077 Mentor, OH 44060 (440) 354-5643 E, EB, P, R, T (440) 357-6677 EB, IB, P, R Mo,We - 6:00 AM - 7:00 PM (440) 352-6132 EB, P, R Languages Spoken: Tu - 8:00 AM - 5:00 PM Provider: Russian, Spanish Th - 8:00 AM - 6:00 PM Keystone Rehabilitation System Staff: Russian, Spanish Fr - 6:00 AM - 5:00 PM Provider ID: 001038021106 Interpreter: Russian Sa - 8:00 AM - 12:00 PM NPI: 1003851882 Mo,We - 8:00 AM - 6:00 PM 35010 Chardon Rd Ste 100 Tu,Fr - 8:00 AM - 12:00 PM Willoughby Hills, OH 44094 Th - 12:00 PM - 7:00 PM

(440) 951-1910 P, R

849

Ohio - Lorain Ancillary Providers Rebound Physical Therapy Inc Planned Parenthood Gtr Oho Lorain Provider ID: 002754708002 Provider ID: 003606458001

NPI: 1649325606 NPI: 1770789687 263 Mentor Ave Ambulatory Surgery Center 200 W 9th St

Painesville, OH 44077 Prior authorization is required to Lorain, OH 44052 (440) 471-7570 E, EB, P, R, T obtain some covered services from (440) 242-2087 EB, P, R Languages Spoken: these providers. You will not be Provider: Polish, Portuguese covered for those services without Planned Parenthood Gtr Oho Mo,We,Th - 9:00 AM - 6:00 PM such approval by UnitedHealthcare Provider ID: 003606458001 Tu - 8:00 AM - 4:00 PM Community Plan. Please see your NPI: 1770789687 Fr - 9:00 AM - 4:00 PM member handbook, or call Member 209 W 9th St Services for details. Lorain, OH 44052

Rebound Physical Therapy Inc (440) 242-2089 EB, P, R Provider ID: 002754708002 North Coast Surgery Center NPI: 1649325606 Provider ID: 002660939001 7578 Fredle Dr NPI: 1174572606 Dialysis Center Concord Township, OH 44077 1170 E Broad St Ste 104 Amherst Dialysis Elyria, OH 44035 (440) 639-2229 EB, P, R Provider ID: 003179047001 Languages Spoken: (440) 366-6029 EB, IB, P, R, RE, NPI: 1982934139 Provider: Polish, Portuguese T 3200 Cooper Foster Park Rd W Mo,We,Th - 9:00 AM - 6:00 PM Web address: www.elyriafootclinic. Lorain, OH 44053 com Tu - 8:00 AM - 4:00 PM (440) 989-1410 EB, P, R Fr - 9:00 AM - 4:00 PM Uh North Ridgeville Endoscopy Center Ridge Dialysis Seeds Orthopaedics Center Provider ID: 003304488001 Provider ID: 002274903001 Provider ID: 006981465002 NPI: 1881992238 NPI: 1023010881 NPI: 1396213294 38630 Center Ridge Rd 7482 Center St Unit 100 32800 Lorain Rd Ste 2400 North Ridgeville, OH 44039 North Ridgeville, OH 44039 Mentor, OH 44060 (440) 327-2070 EB, P, R (440) 406-5560 EB, P, R (440) 997-5427 EB, P, R, RE, T Web address: www.uhhospitals.org Dialysis Associates Of Ne Ohio Provider ID: 001725790001

Speech Pathology Clinic NPI: 1669587416

1050 N Abbe Rd Easter Seals Northern Ohio Family Planning Service Of Elyria, OH 44035 Provider ID: 001236335001 Lorain Cnty (440) 366-1975 EB, P, R NPI: 1245290618 Provider ID: 003608869001 Cultural Competency: Y 1 Victoria Pl Ste 315 NPI: 1629193677 Painesville, OH 44077 602 Leona St

(440) 357-6512 EB, P, R Elyria, OH 44035

(440) 322-7526 EB, P, R, RE, T Languages Spoken: Staff: Spanish

850

Ancillary Providers Ohio - Lorain

Dialysis Specialists Of Ne Ohio Sarah Z Frankel Provider ID: 001771239001 Durable Medical Equipment Provider ID: 005653836001

NPI: 1831204684 Prior authorization is required to NPI: 1811176241 1070 N Abbe Rd obtain some covered services from 207 N Leavitt Rd Elyria, OH 44035 these providers. You will not be Amherst, OH 44001 (440) 365-8165 EB, P, R covered for those services without (440) 984-4417 EB, P, R such approval by UnitedHealthcare Elyria Renal Care Community Plan. Please see your Seeley Medical Oxygen Co Of Provider ID: 001835794001 member handbook, or call Member Andover NPI: 1740395599 Services for details. Provider ID: 000058244001

5316 Hoag Dr NPI: 1184649659 Sheffield Village, OH 44035 Beltone Hearing Aid Center 7515 W Ridge Rd Provider ID: 000901707004 (440) 934-5700 EB, P, R Elyria, OH 44035 NPI: 1235684069 (440) 324-1275 EB, P, R Elyria Renal Care Amherst 1531 W River Rd N Provider ID: 003241417001 Elyria, OH 44035 NPI: 1568577328 (440) 324-4788 EB, P, R Health/Wellness Education 100 Cooper Foster Park Rd Center Amherst, OH 44001 Leimkuehler Orth-Pros Ctr Ymca Of Greater Cleveland Provider ID: 000890315001 (440) 985-2280 EB, P, R Mdpp NPI: 1154323558 Provider ID: 006987068001 Rcg Heritage 205 N Leavitt NPI: 1295075018 Provider ID: 002871849001 Amherst, OH 44001 100 Avon Belden Rd NPI: 1346300746 (440) 988-5770 EB, P, R Avon Lake, OH 44012 Web address: www.leimkuehleroan 1160 E Broad St (216) 509-3480 EB, P, R Elyria, OH 44035 dp.com

(440) 365-1811 EB, P, R North Shore Pedorthics Laboratory Provider ID: 001896328001 Villa Of North Ridgeville Members may self-refer to these Provider ID: 003200416001 NPI: 1508045238 4370 Oberlin Ave Ste B providers. NPI: 1720313455 35143 Center Ridge Rd Lorain, OH 44053 Mercy Regional Medical Center North Ridgeville, OH 44039 (440) 522-4745 EB, P, R Laboratory Cultural Competency: Y Provider ID: 006371764001 (440) 353-0114 EB, P, R NPI: 1164971800 O E Meyer Co 3700 Kolbe Rd Provider ID: 000902387001 Lorain, OH 44053

NPI: 1033215561 (440) 960-4000 EB, G, IB, P, PL, 2005 E 28th St Po Box 1142 R, RE, S, T Lorain, OH 44055 Web address: www.mercy.com (440) 277-8922 EB, P, R

851

Ohio - Lorain Ancillary Providers

Total Joint Rehabilitation Orthotics/Prosthetics Childrens Developmental Center Provider ID: 002737705001

Prior authorization is required to Provider ID: 001879260001 NPI: 1053355826 obtain some covered services from NPI: 1124231907 34143 Center Ridge Rd these providers. You will not be 150 Erie Ct North Ridgeville, OH 44039 covered for those services without Amherst, OH 44001 (440) 327-0299 E, EB, IB, P, R, such approval by UnitedHealthcare (440) 984-2416 EB, P, R RE, S, T Community Plan. Please see your Languages Spoken: Languages Spoken: member handbook, or call Member Provider: American Sign Provider: Spanish Services for details. Language Mo-Fr - 8:30 AM - 5:00 PM

Web address: www.totaljointrehab.c North Coast Orthotics Functional Physical Therapy Of om Provider ID: 000822647001 Ohio NPI: 1033185764 Provider ID: 002468708001 6100 S Broadway Ste 104 NPI: 1982894523 Speech Pathology Lorain, OH 44053 129 S Main St Easter Seals Northern Ohio (440) 233-4314 EB, P, R Oberlin, OH 44074 Provider ID: 001236335001 Cultural Competency: Y (440) 775-0200 EB, P, R, RE, T NPI: 1245290618 Mo-Fr - 9:00 AM - 6:00 PM 1909 N Ridge Rd E

Physical Therapy Lorain, OH 44055

Health Solution Centers Of (440) 277-7337 EB, P, R Prior authorization is required to Lorain obtain some covered services from Provider ID: 003377872001 Easter Seals Northern Ohio these providers. You will not be NPI: 1437399193 Provider ID: 001236335001 covered for those services without 1980 Cooper Foster Park Rd W #a NPI: 1245290618 such approval by UnitedHealthcare Lorain, OH 44053 1915 N Ridge Rd E Community Plan. Please see your (440) 282-7246 P, R, RE Lorain, OH 44055

member handbook, or call Member Cultural Competency: Y (440) 838-0990 EB, P, R Services for details. Building Blocks Therapy P T Services Rehabilitation Easter Seals Northern Ohio Provider ID: 007126047003 Provider ID: 001051203001 Provider ID: 001236335001 36711 American Way NPI: 1972505576 NPI: 1245290618 Avon, OH 44011 805 Patriot Dr Ste H 2173 N Ridge Rd E Ste G Wellington, OH 44090 Lorain, OH 44055 (216) 282-1234 EB, P, R Mo-Fr - 8:00 AM - 6:30 PM (440) 647-0107 EB, P, R (888) 723-5602 EB, P, R Web address: www.buildingblockst Languages Spoken: herapy.org Provider: American Sign Easter Seals Northern Ohio Language Provider ID: 001236335001 Building Blocks Therapy Staff: American Sign Language NPI: 1245290618 Provider ID: 007126047001 Cultural Competency: Y 2173 N Ridge Rd Ste G 38530 Chester Rd Lorain, OH 44055 Avon, OH 44011 (440) 838-0990 E, EB, IB, P, R

(216) 282-1234 E, EB, IB, P, R

852

Ancillary Providers Ohio - Medina Easter Seals Northern Ohio Kidney Center Of Brunswick Provider ID: 001236335001 Provider ID: 003667634001 NPI: 1245290618 Clinic NPI: 1598006959 41641 N Ridge Rd Planned Parenthood Gtr Oho 3812 Center Rd Ste 101 Elyria, OH 44035 Provider ID: 003606458001 Brunswick, OH 44212 (440) 838-0990 EB, P, R NPI: 1770789687 (330) 220-4502 EB, P, R 2747 Medina Rd Plaza 71 Easter Seals Northern Ohio Medina, OH 44256 Medina Square Dialysis

Provider ID: 001236335001 (330) 723-1300 EB, P, R Provider ID: 006637609001 NPI: 1245290618 NPI: 1366961138 41641 N Ridge Rd Ste D Planned Parenthood Gtr Oho 740 N Court St Elyria, OH 44035 Provider ID: 003606458001 Medina, OH 44256 (440) 324-6600 EB, P, R NPI: 1770789687 (330) 721-7824 EB, P, R 4018 Medina Rd Ste C Medina, OH 44256 Nxstage Cleveland Medina (330) 723-1300 E, EB, IB, P, R, T Provider ID: 005336312002

NPI: 1073936290 Ambulatory Surgery Center 1418 Town Center Blvd Ste A30 Dialysis Center Brunswick, OH 44212 Prior authorization is required to obtain some covered services from Fcc Of Brunswick (330) 558-8744 EB, P, R these providers. You will not be Provider ID: 002515677002 Web address: www.nxstagekidneyc covered for those services without NPI: 1235744616 are.com such approval by UnitedHealthcare 2583 Center Rd Hinckley, OH 44233 Community Plan. Please see your Durable Medical Equipment (330) 220-4366 EB, P, R member handbook, or call Member Services for details. Prior authorization is required to

Fkc Medina County Endoscopy Ctr Of Northern Ohio obtain some covered services from Provider ID: 001822369002 these providers. You will not be Provider ID: 002201497001 NPI: 1558976936 NPI: 1760491385 covered for those services without 3995 Medina Rd Ste 150 such approval by UnitedHealthcare 1299 Industrial Pkwy N Medina, OH 44256 Brunswick, OH 44212 Community Plan. Please see your (330) 764-1019 E, EB, G, IB, P, member handbook, or call Member (877) 891-3636 E, EB, G, IB, P, PL, R, RE, S, T R, RE, S, T Services for details.

Languages Spoken: Fmc Wadsworth Absolute Billing Services Staff: Arabic, Spanish Provider ID: 003205869001 Provider ID: 001093725002 NPI: 1962656470 NPI: 1174595250 Medina Surgery Center 1160 Williams Reserve Blvd 147 Garfield St Provider ID: 003177323001 Wadsworth, OH 44281 Wadsworth, OH 44281 NPI: 1366761397 (330) 498-5321 EB, IB, P, R (330) 336-8070 EB, P, R 3780 Medina Rd Ste 120 Web address: xinia.sinacola@fmc-n Medina, OH 44256 a.com (330) 996-8603 EB, G, IB, P, R, RE, S, T

853

Ohio - Medina Ancillary Providers

Beltone Hearing Aid Center Centerpointe Chiro & Pt Provider ID: 000901707003 Laboratory Provider ID: 002442870001

NPI: 1235684069 Members may self-refer to these NPI: 1063692549 3637 Medina Rd Ste 118 providers. 4085 N Jefferson St

Medina, OH 44256 Medina, OH 44256 University Hospital Lab Serv (407) 608-0829 EB, P, R (330) 723-2225 E, EB, G, IB, P, Foundation PL, R, RE, S, T Elegant Essentials Provider ID: 001322706002 Mo,Tu,We,Fr - 9:00 AM - 6:00 PM Provider ID: 001448511002 NPI: 1578706438 Th - 9:00 AM - 12:00 PM NPI: 1427026673 4001 Carrick Dr Ste 130 Web address: wwwmedidnacenterp 5164 Normandy Park Dr Ste 300 Medina, OH 44256 ointe.com Medina, OH 44256 (330) 721-8511 EB, P, R Cultural Competency: Y (330) 723-8880 EB, P, R Ferrell Whited Physical Therapy Web address: www.uhhospitals.org Provider ID: 000654155001 Galaxy Medical Products NPI: 1265701007 Provider ID: 002063255001 University Hospital Lab Serv 3780 Medina Rd Ste 300 NPI: 1225022791 Foundation Medina, OH 44256 Provider ID: 001322706002 1133 Medina Rd Ste 800 (330) 952-1882 EB, IB, P, R Medina, OH 44256 NPI: 1578706438 Languages Spoken: 5133 Ridge Rd (888) 573-1400 Provider: Gujarati Wadsworth, OH 44281 Mo-Th - 7:00 AM - 7:30 PM Hastings Home Health Center (330) 239-7210 EB, P, R Fr - 7:00 AM - 12:00 PM Provider ID: 002980026005 Cultural Competency: Y Sa - 8:00 AM - 12:00 PM NPI: 1265526396 Web address: www.uhhospitals.org Cultural Competency: Y 211 Commerce Dr

Medina, OH 44256 Physical Therapy Ferrell Whited Physical Therapy

(216) 898-3300 EB, P, R Provider ID: 000654155001 Prior authorization is required to NPI: 1265701007 Lincare obtain some covered services from 3848 Medina Rd Ste 104 Provider ID: 001815015357 these providers. You will not be Medina, OH 44256

NPI: 1043439201 covered for those services without (330) 952-1882 EB, P, R 620 E Smith Rd Ste W25 such approval by UnitedHealthcare Languages Spoken: Medina, OH 44256 Community Plan. Please see your Provider: Gujarati

(330) 723-9805 EB, P, R member handbook, or call Member Cultural Competency: Y Services for details. Advanced Rehab Oh Provider ID: 003460977002 NPI: 1013031715 3487 Center Rd Ste 3a Brunswick, OH 44212

(330) 225-0553 EB, P, R

854

Ancillary Providers Ohio - Medina Ferrell Whited Physical Therapy Healthquest Of Brunswick Language Learning Associates Provider ID: 000654155001 Provider ID: 002533005001 Provider ID: 002126316002 NPI: 1265701007 NPI: 1427256197 NPI: 1336268705 5460 Wegman Dr 1659 Pearl Rd 750 E Washington St Ste C3 Valley City, OH 44280 Brunswick, OH 44212 Medina, OH 44256

(330) 722-3781 EB, P, R (330) 220-6111 EB, P, R, RE, S, (330) 952-0403 P, R, RE, T Languages Spoken: T Languages Spoken: Provider: Gujarati Provider: American Sign Mo-Th - 7:00 AM - 7:30 PM In Motion Physical Therapy Language, Hungarian Fr - 7:00 AM - 12:00 PM Provider ID: 002967647002 Staff: Spanish Sa - 8:00 AM - 12:00 PM NPI: 1134314206 Mo,Th - 9:00 AM - 6:00 PM Cultural Competency: Y 241 Great Oaks Trl Tu,We - 12:00 PM - 6:00 PM Wadsworth, OH 44281 Fr - 8:00 AM - 7:00 PM

Ferrell Whited Physical Therapy (330) 336-8700 E, EB, IB, P, R, T Provider ID: 000654155001 Mo-Fr - 9:00 AM - 6:00 PM Millennium Rehabilitation NPI: 1265701007 Cultural Competency: Y Provider ID: 002501077002 700 E Washington St Web address: www.in-motion-pt.co NPI: 1619070513 Medina, OH 44256 m 2546 Center Rd

(330) 952-1882 EB, G, IB, P, R, Hinckley, OH 44233

RE, T Language Learning Associates (330) 558-0100 EB, IB, P, R, RE, Languages Spoken: Provider ID: 002126316002 T Provider: Gujarati NPI: 1336268705 Mo-Th - 7:00 AM - 7:30 PM 3637 Medina Rd Ste 220 Millennium Rehabilitation Fr - 7:00 AM - 12:00 PM Medina, OH 44256 Provider ID: 002501077001

Sa - 8:00 AM - 12:00 PM (330) 952-0403 RE NPI: 1619070513 Cultural Competency: Y Languages Spoken: 2567 Center Rd Provider: American Sign Hinckley, OH 44233

Ferrell Whited Physical Therapy Language, Hungarian (440) 842-4444 EB, P, R Provider ID: 000654155001 Staff: Spanish NPI: 1265701007 Mo,Th - 9:00 AM - 6:00 PM Rehabcare Group East 784 Medina Rd Ste 103 Tu,We - 12:00 PM - 6:00 PM Provider ID: 005746713001 Medina, OH 44256 Fr - 8:00 AM - 7:00 PM NPI: 1740233014

(234) 248-4017 EB, P, R 3864 Center Rd Languages Spoken: Brunswick, OH 44212

Provider: Gujarati (888) 808-8029 EB, IB, P, R Mo-Th - 7:00 AM - 7:30 PM Fr - 7:00 AM - 12:00 PM Rehabcare Group East Sa - 8:00 AM - 12:00 PM Provider ID: 005746713001 Cultural Competency: Y NPI: 1740233014 3864 Center Rd Ste B1 Brunswick, OH 44212

(330) 220-8950 P, R

855

Ohio - Medina Ancillary Providers

Rehabcare Group East Oh Provider ID: 006579892001 Speech Pathology NPI: 1811303654 Easter Seals Northern Ohio 3430 Brunswick Lake Pkwy Provider ID: 001236335001 Brunswick, OH 44212 NPI: 1245290618 (330) 460-4244 P, R 124 N Court St Mo-Fr - 9:00 AM - 5:00 PM Medina, OH 44256

(440) 838-0990 EB, P, R Rehabcare Group East Oh Provider ID: 006579892001 Easter Seals Northern Ohio NPI: 1811303654 Provider ID: 001236335001 3864 Center Rd Ste B1 NPI: 1245290618 Brunswick, OH 44212 2524 Medina Rd Ste 600 (330) 220-8950 P, R Medina, OH 44256

Mo-Fr - 9:00 AM - 5:00 PM (440) 838-0990 EB, P, R

Therapy In Motion Maryanne Arnold Provider ID: 003039301005 Provider ID: 006820300001 NPI: 1578708871 NPI: 1437512597 1046 N Jefferson St 140 Wadsworth Rd Medina, OH 44256 Wadsworth, OH 44281

(330) 723-4530 E, EB, G, IB, P, (330) 333-9740 EB, P, R R, RE, T Languages Spoken: Provider: Spanish, Ukrainian Mo-Fr - 8:00 AM - 4:00 PM

Therapy In Motion Provider ID: 003039301005 NPI: 1578708871 435 W Liberty St Medina, OH 44256

(330) 723-4530 EB, G, IB, P, R, RE, S, T Languages Spoken: Provider: Spanish, Ukrainian Mo-Fr - 8:00 AM - 5:30 PM Web address: www.therapyinmotion llc.com

856

Behavioral Health Facilities Ohio - Geauga

Behavioral Health Facilities Family Pride Of Northeast Ohio Ohio Catholic Charities Corporation Inc Provider ID: 004557378005 Provider ID: 004311015001 Geauga NPI: 1326228693 NPI: 1427013556

602 South St Ste D-1 695 South St Ste 6 Community Mental Health Chardon, OH 44024 Chardon, OH 44024

Centers (440) 285-3537 (440) 286-1553 EB, P, R, RE, S, Languages Spoken: T Please contact the community Provider: Spanish Areas of Expertise: E112, E281, mental health center locations E320, E392, E398 directly, at the telephone numbers Coleman Professional Services listed, for information regarding Provider ID: 004351556003 Family Pride Of Northeast Ohio scheduling appointments and NPI: 1982637633 Inc walk-in availability. 14095 E Center St Provider ID: 004311015001

Bellefaire Jewish Childrens Burton, OH 44021 NPI: 1427013556

Bureau (330) 253-4597 EB, P, R 696 South St Ste 6 Provider ID: 006379385002 Languages Spoken: Chardon, OH 44024

NPI: 1871896415 Provider: Spanish (440) 286-1553 EB, P, R 12480 Ravenwood Dr Areas of Expertise: E015, E025, Chardon, OH 44024 E056, E085, E130, E147, E166, Lake Hospital System (216) 320-8513 EB, P, R E168, E187, E198, E225, E230, Provider ID: 007146850005 E240, E287, E325, E370, E372 NPI: 1497018022 Bellefaire Jewish Childrens 510 5th Ave Bureau Crossroads Lake County Chardon, OH 44024

Provider ID: 006379385002 Adolescent (440) 354-1658 EB, P, R, RE NPI: 1871896415 Provider ID: 006789633001 695 South St Ste 6 NPI: 1356303911 Ohioguidestone Chardon, OH 44024 695 South St Ste 6 Provider ID: 006148491002 (216) 932-2800 EB, P, R, RE, S, Chardon, OH 44024 NPI: 1174680557

T (440) 286-1553 EB, P, R, RE, S, 12480 Ravenwood Dr T Chardon, OH 44024

Catholic Charities Corporation Languages Spoken: (440) 234-2006 EB, P, R Provider ID: 004557378005 Provider: Spanish Areas of Expertise: A060, A070, NPI: 1326228693 Areas of Expertise: A010, A021, A075, A099, A101, E043, E056, 602 South St Ste D A025, A060, A070, A073, E010, E060, E065, E075, E080, E105, Chardon, OH 44024 E017, E020, E025, E055, E070, E120, E130, E145, E147, E155, (440) 843-5544 EB, IB, P, R, RE, E075, E112, E115, E142, E160, E187, E198, E225, E230, E235, S, T E165, E170, E190, E200, E210, E240, E256, E290, E325, E330, Languages Spoken: E218, P030 E374, E375, E376, E378, E379, Provider: Spanish E385, E388, E390, E404, E407, Web address: www.ccdocle.org P010, P020, P030 Areas of Expertise: E017, E020, E055, E070, E080, E165, E166

857

Ohio - Geauga Behavioral Health Facilities Pathway Caring For Children E043, E050, E055, E062, E065, E205, E210, E215, E220, E235, Provider ID: 006749600001 E070, E075, E085, E090, E100, E240, E281, E285, E287, E295, NPI: 1720345556 E105, E110, E112, E115, E150, E320, E363, E366, E395, E398, 695 South St Ste 6 E160, E165, E170, E172, E185, E399, E399, P010, P020, P030 Chardon, OH 44024 E186, E187, E190, E198, E200,

(440) 286-1553 EB, P, R, RE, S, E205, E210, E215, E220, E235, Ravenwood Mental Health Center T E240, E281, E285, E287, E295, Provider ID: 004341518001 Areas of Expertise: A010, A025, E320, E363, E366, E395, E398, NPI: 1053345975 A070, A073, A099, E010, E015, E399, E399, P010, P020, P030 208 N Hambden St E020, E025, E043, E055, E070, Chardon, OH 44024

E112, E115, E160, E165, E170, Ravenwood Mental Health Center (440) 286-2588 EB, P, R E187, E200, E287, E320, E374, Provider ID: 004341518001 Areas of Expertise: A010, A025, E375, E379, P030 NPI: 1053345975 A050, A066, A070, A073, A099, 15726 W High St E010, E015, E017, E020, E025, Ravenwood Mental Health Center Middlefield, OH 44062 E043, E050, E055, E062, E065, Provider ID: 004341518001 (440) 285-2170 E070, E075, E085, E090, E100, NPI: 1053345975 Areas of Expertise: A010, A025, E105, E110, E112, E115, E150, 12557 Ravenwood Dr A050, A066, A070, A073, A099, E160, E165, E170, E172, E185, Chardon, OH 44024 E010, E015, E017, E020, E025, E186, E187, E190, E198, E200,

(440) 285-3568 EB, G, IB, P, PL, E043, E050, E055, E062, E065, E205, E210, E215, E220, E235, R, RE, S, T E070, E075, E085, E090, E100, E240, E281, E285, E287, E295, Areas of Expertise: A010, A025, E105, E110, E112, E115, E150, E320, E363, E366, E395, E398, A050, A066, A070, A073, A099, E160, E165, E170, E172, E185, E399, E399, P010, P020, P030 E010, E015, E017, E020, E025, E186, E187, E190, E198, E200, E043, E050, E055, E062, E065, E205, E210, E215, E220, E235, Ravenwood Mental Health Center E070, E075, E085, E090, E100, E240, E281, E285, E287, E295, Provider ID: 004341518001 E105, E110, E112, E115, E150, E320, E363, E366, E395, E398, NPI: 1053345975 E160, E165, E170, E172, E185, E399, E399, P010, P020, P030 401 South St # 4a E186, E187, E190, E198, E200, Chardon, OH 44024

E205, E210, E215, E220, E235, Ravenwood Mental Health Center (440) 285-3568 EB, P, R E240, E281, E285, E287, E295, Provider ID: 004341518001 Areas of Expertise: A010, A025, E320, E363, E366, E395, E398, NPI: 1053345975 A050, A066, A070, A073, A099, E399, E399, P010, P020, P030 16030 E High St E010, E015, E017, E020, E025, Middlefield, OH 44062 E043, E050, E055, E062, E065,

Ravenwood Mental Health Center (440) 632-5355 EB, P, R E070, E075, E085, E090, E100, Provider ID: 004341518001 Areas of Expertise: A010, A025, E105, E110, E112, E115, E150, NPI: 1053345975 A050, A066, A070, A073, A099, E160, E165, E170, E172, E185, 12741 Ravenwood Dr E010, E015, E017, E020, E025, E186, E187, E190, E198, E200, Chardon, OH 44024 E043, E050, E055, E062, E065, E205, E210, E215, E220, E235,

(440) 285-8169 EB, P, R E070, E075, E085, E090, E100, E240, E281, E285, E287, E295, Areas of Expertise: A010, A025, E105, E110, E112, E115, E150, E320, E363, E366, E395, E398, A050, A066, A070, A073, A099, E160, E165, E170, E172, E185, E399, E399, P010, P020, P030 E010, E015, E017, E020, E025, E186, E187, E190, E198, E200,

858

Behavioral Health Facilities Ohio - Geauga Ravenwood Mental Health Center Ravenwood Mental Health Center Ravenwood Mental Health Center Provider ID: 004341518001 Provider ID: 004341518001 Provider ID: 004341518001 NPI: 1053345975 NPI: 1053345975 NPI: 1053345975 410 South St 695 South St 8251 Mayfield Rd Chardon, OH 44024 Chardon, OH 44024 Chesterland, OH 44026

(440) 285-2170 EB, P, R (440) 285-1631 E, EB, G, IB, P, (216) 504-0403 EB, P, R Areas of Expertise: A010, A025, PL, R, RE, S, T Areas of Expertise: A010, A025, A050, A066, A070, A073, A099, Areas of Expertise: A010, A025, A050, A066, A070, A073, A099, E010, E015, E017, E020, E025, A050, A066, A070, A073, A099, E010, E015, E017, E020, E025, E043, E050, E055, E062, E065, E010, E015, E017, E020, E025, E043, E050, E055, E062, E065, E070, E075, E085, E090, E100, E043, E050, E055, E062, E065, E070, E075, E085, E090, E100, E105, E110, E112, E115, E150, E070, E075, E085, E090, E100, E105, E110, E112, E115, E150, E160, E165, E170, E172, E185, E105, E110, E112, E115, E150, E160, E165, E170, E172, E185, E186, E187, E190, E198, E200, E160, E165, E170, E172, E185, E186, E187, E190, E198, E200, E205, E210, E215, E220, E235, E186, E187, E190, E198, E200, E205, E210, E215, E220, E235, E240, E281, E285, E287, E295, E205, E210, E215, E220, E235, E240, E281, E285, E287, E295, E320, E363, E366, E395, E398, E240, E281, E285, E287, E295, E320, E363, E366, E395, E398, E399, E399, P010, P020, P030 E320, E363, E366, E395, E398, E399, E399, P010, P020, P030 E399, E399, P010, P020, P030 Ravenwood Mental Health Center Thrive Behavioral Health Center Provider ID: 004341518001 Ravenwood Mental Health Center Inc NPI: 1053345975 Provider ID: 004341518001 Provider ID: 006625606003 470 Center St NPI: 1053345975 NPI: 1174066096 Chardon, OH 44024 8200 Cedar Rd 17092 Sunset Dr

(440) 285-2170 EB, P, R Chesterland, OH 44026 Chagrin Falls, OH 44023

Areas of Expertise: A010, A025, (440) 729-2757 EB, P, R (216) 220-8774 EB, P, R A050, A066, A070, A073, A099, Areas of Expertise: A010, A025, Areas of Expertise: A021, A066, E010, E015, E017, E020, E025, A050, A066, A070, A073, A099, E017, E020, E043, E070, E160, E043, E050, E055, E062, E065, E010, E015, E017, E020, E025, E200, E280, E281, E366, E377, E070, E075, E085, E090, E100, E043, E050, E055, E062, E065, P010 E105, E110, E112, E115, E150, E070, E075, E085, E090, E100, E160, E165, E170, E172, E185, E105, E110, E112, E115, E150, Womensafe Inc E186, E187, E190, E198, E200, E160, E165, E170, E172, E185, Provider ID: 006679777001 E205, E210, E215, E220, E235, E186, E187, E190, E198, E200, NPI: 1881661718 E240, E281, E285, E287, E295, E205, E210, E215, E220, E235, 12041 Ravenna Rd E320, E363, E366, E395, E398, E240, E281, E285, E287, E295, Chardon, OH 44024

E399, E399, P010, P020, P030 E320, E363, E366, E395, E398, (440) 286-7154 EB, P, R, RE, S, E399, E399, P010, P020, P030 T Web address: womensafe.org Areas of Expertise: E010, E043, E055, E090, E187, E320, E375, E379, E398, P010

859

Ohio - Lake Behavioral Health Facilities P030, P080 Lake Catholic Charities Corporation

Bellefaire Jewish Childrens Provider ID: 004557378005 Community Mental Health Bureau NPI: 1326228693 Centers Provider ID: 006379385002 9083 Mentor Ave

Please contact the community NPI: 1871896415 Mentor, OH 44060 mental health center locations 35900 Euclid Ave (440) 205-2679 EB, P, R, RE, S, directly, at the telephone numbers Willoughby, OH 44094 T listed, for information regarding (440) 953-3418 EB, P, R Languages Spoken: scheduling appointments and Provider: Spanish walk-in availability. Bureau Of Drug Abuse Cleveland Areas of Expertise: E017, E020,

Treatment E070, E165, E166 Alliant Treatment Center LLC Provider ID: 005440058001 Provider ID: 007279062001 NPI: 1619934676 Crossroads Lake County NPI: 1134649676 9083 Mentor Ave Adolescent 8030 Barberry Hill Dr Mentor, OH 44060 Provider ID: 006789633001 Mentor, OH 44060 (440) 205-2679 EB, P, R, RE, S, NPI: 1356303911 (440) 478-6686 EB, P, R T 1083 Mentor Ave Areas of Expertise: A010, A021, Languages Spoken: Painesville, OH 44077 A050, A100, E043, E147, E160, Provider: Spanish (440) 358-7370 EB, P, R E281, E285, E287, E320, E365, Languages Spoken: E379, E398, E404, P010, P030, Catholic Charities Corporation Provider: Spanish P035, P080 Provider ID: 004557378005 Staff: Spanish NPI: 1326228693 Areas of Expertise: A010, A021, Applewood Center Inc 8 N State St # 45 A025, A060, A070, A073, E010, Provider ID: 006384500001 Painesville, OH 44077 E017, E020, E025, E055, E070, NPI: 1982672028 (440) 946-7264 E075, E112, E115, E142, E160, 8351 Mentor Ave Languages Spoken: E165, E170, E190, E200, E210, Mentor, OH 44060 Provider: Spanish E218, P030 (216) 410-2070 RE, T Languages Spoken: Catholic Charities Corporation Crossroads Lake County Provider: Spanish Provider ID: 004557378005 Adolescent Areas of Expertise: A010, A025, NPI: 1326228693 Provider ID: 006789633001 A060, A070, E010, E015, E017, 8 N State St Ste 455 NPI: 1356303911 E020, E025, E043, E055, E056, Painesville, OH 44077 184 Casement Ave E062, E065, E070, E075, E080, (440) 352-6191 EB, IB, P, R, RE, Painesville, OH 44077 E085, E090, E105, E115, E147, T (440) 488-5836 EB, P, R E150, E155, E160, E165, E166, Languages Spoken: Languages Spoken: E170, E185, E186, E187, E190, Provider: Spanish Provider: Spanish E200, E205, E210, E215, E218, Staff: Spanish Areas of Expertise: A010, A021, E240, E281, E285, E287, E290, Web address: www.ccdocle.org A025, A060, A070, A073, E010, E320, E325, E366, E367, E373, Areas of Expertise: E017, E020, E017, E020, E025, E055, E070, E374, E375, E379, E385, E390, E055, E070, E080, E165, E166 E075, E112, E115, E142, E160, E396, E397, P010, P013, P020,

860

Behavioral Health Facilities Ohio - Lake E165, E170, E190, E200, E210, Crossroads Lake County Crossroads Lake County E218, P030 Adolescent Adolescent Provider ID: 006789633001 Provider ID: 006789633001 Crossroads Lake County NPI: 1356303911 NPI: 1356303911 Adolescent 8445 Munson Rd 9220 Mentor Ave Provider ID: 006789633001 Mentor, OH 44060 Mentor, OH 44060

NPI: 1356303911 (440) 255-1700 EB, P, R, RE, S, (440) 255-1700 E, RE, S, T 35104 Euclid Ave Ste 300 T Languages Spoken: Willoughby, OH 44094 Languages Spoken: Provider: Spanish

(400) 497-1977 EB, P, R, RE, T Provider: Spanish Interpreter: Medical Interp Staff: Spanish Vendor Languages Spoken: Areas of Expertise: A010, A021, Areas of Expertise: A010, A021, Provider: Spanish A025, A060, A070, A073, E010, A025, A060, A070, A073, E010, Areas of Expertise: A010, A021, E017, E020, E025, E055, E070, E017, E020, E025, E055, E070, A025, A060, A070, A073, E010, E075, E112, E115, E142, E160, E075, E112, E115, E142, E160, E017, E020, E025, E055, E070, E165, E170, E190, E200, E210, E165, E170, E190, E200, E210, E075, E112, E115, E142, E160, E218, P030 E218, P030 E165, E170, E190, E200, E210, E218, P030 Crossroads Lake County Harbor Behavioral Healthcare Adolescent Provider ID: 006915564001 Crossroads Lake County Provider ID: 006789633001 NPI: 1366526782 Adolescent NPI: 1356303911 38882 Mentor Ave Provider ID: 006789633001 8701 Mentor Ave Willoughby, OH 44094 NPI: 1356303911 Mentor, OH 44060 (440) 578-8200 EB, P, R 7144 S Meadow Dr (440) 266-0770 EB, P, R, RE, T Areas of Expertise: E112, E160 Concord Township, OH 44077 (440) 255-1700 EB, P, R Languages Spoken: Lake Health Languages Spoken: Provider: Spanish Provider ID: 007146850002 Provider: Spanish Areas of Expertise: A010, A021, NPI: 1497018022 Areas of Expertise: A010, A021, A025, A060, A070, A073, E010, 36000 Euclid Ave A025, A060, A070, A073, E010, E017, E020, E025, E055, E070, Willoughby, OH 44094 E017, E020, E025, E055, E070, E075, E112, E115, E142, E160, (440) 953-9600 EB, P, R E075, E112, E115, E142, E160, E165, E170, E190, E200, E210, Areas of Expertise: E160, E398, E165, E170, E190, E200, E210, E218, P030 P010 E218, P030 Lake Hospital System Provider ID: 007146850001 NPI: 1497018022 36000 Euclid Ave Willoughby, OH 44094

(440) 953-9600 E, EB, G, IB, P, PL, R, RE, S, T Cultural Competency: Y

861

Ohio - Lake Behavioral Health Facilities Areas of Expertise: E112, E160, Lake Hospital System Lake Hospital System E398, P010 Provider ID: 007146850005 Provider ID: 007146850001 NPI: 1497018022 NPI: 1497018022 Lake Hospital System 8655 Market St 9901 Johnnycake Ridge Rd Provider ID: 007146850004 Mentor, OH 44060 Mentor, OH 44060

NPI: 1497018022 (440) 354-1658 P, R, RE, T (508) 836-3663 36060 Euclid Ave Ste 203 Cultural Competency: Y Willoughby, OH 44094 Lake Hospital System Areas of Expertise: E112, E160,

(440) 602-6671 EB, P, R Provider ID: 007146850005 E398, P010 NPI: 1497018022 Lake Hospital System 9485 Mentor Ave Laurelwood Associates Inc Provider ID: 007146850005 Mentor, OH 44060 Provider ID: 004557573001

NPI: 1497018022 (440) 205-5883 E, EB, G, IB, P, NPI: 1346282001 5105 Som Center Rd Ste 200 PL, R, RE, S, T 35900 Euclid Ave Willoughby, OH 44094 Willoughby, OH 44094

(440) 953-8700 EB, P, R Lake Hospital System (440) 953-3000 EB, P, R Provider ID: 007146850005 Web address: www.windsorlaurewo Lake Hospital System NPI: 1497018022 od.com Provider ID: 007146850001 9485 Mentor Ave Ste 202 Areas of Expertise: A010, A073, NPI: 1497018022 Mentor, OH 44060 E112, E160, E281, P010

6270 N Ridge Rd (440) 205-5861 EB, P, R Madison, OH 44057 Laurelwood Associates Inc

(440) 354-1100 EB, IB, P, R, RE, Lake Hospital System Provider ID: 004557573001 T Provider ID: 007146850005 NPI: 1346282001 Cultural Competency: Y NPI: 1497018022 35900 Euclid Ave # 100 Areas of Expertise: E112, E160, 9485 Mentor Ave Ste 210 Willoughby, OH 44094

E398, P010 Mentor, OH 44060 (440) 953-3000 EB, P, R

(440) 205-5804 RE, T Areas of Expertise: A010, A073, Lake Hospital System E112, E160, E281, P010 Provider ID: 007146850001 Lake Hospital System NPI: 1497018022 Provider ID: 007146850005 Mental Health Services For 7590 Auburn Rd NPI: 1497018022 Homeless Pers Concord Township, OH 44077 9485 Mentor Ave Ste 212 Provider ID: 003846943001

(743) 945-5826 EB, P, R Mentor, OH 44060 NPI: 1639140395

Cultural Competency: Y (440) 205-5883 EB, P, R 8445 Munson Rd Areas of Expertise: E112, E160, Mentor, OH 44060

E398, P010 Lake Hospital System (440) 255-1700 EB, P, R, RE, S, Provider ID: 007146850005 T NPI: 1497018022 Areas of Expertise: A010, A025, 9500 Mentor Ave Ste 200 A070, A081, A099, E235, E238 Mentor, OH 44060

(440) 354-0377 EB, IB, P, R

862

Behavioral Health Facilities Ohio - Lake Nord Center E187, E198, E225, E230, E235, Provider ID: 005192978002 E240, E256, E290, E325, E330, Rakesh Ranjan Md And Assoc NPI: 1841268281 E374, E375, E376, E378, E379, Provider ID: 004578608010 9083 Mentor Ave E385, E388, E390, E404, E407, NPI: 1033143722 Mentor, OH 44060 P010, P020, P030 8532 Mentor Ave

(440) 255-0678 EB, P, R, RE, S, Mentor, OH 44060

T Rakesh Ranjan Md And Assoc (440) 205-7008 EB, RE, S, T Languages Spoken: Provider ID: 004578608006 Areas of Expertise: A010, A021, Provider: Spanish NPI: 1033143722 A025, A050, A060, A070, A073, Areas of Expertise: A010, A021, 2250 Par Ln Apt 1013 A099, E017, E025, E030, E055, A025, A075, E010, E017, E020, Willoughby Hills, OH 44094 E085, E105, E115, E170, E172,

E025, E055, E062, E070, E100, (440) 622-7644 E185, E200, E205, E210, E281, E112, E115, E130, E155, E160, Areas of Expertise: E017, E025, E320, P010, P020, P030 E165, E170, E185, E190, E210, E030, E055, E085, E105, E115, E215, E220, E295, E363, E366, E170, E172, E185, E200, E205, Rakesh Ranjan Md And Assoc P010, P020, P030 E210, E281, E320 Provider ID: 004578608010 NPI: 1033143722 Ohioguidestone Rakesh Ranjan Md And Assoc 9220 Mentor Ave Provider ID: 006148491002 Provider ID: 004578608010 Mentor, OH 44060

NPI: 1174680557 NPI: 1033143722 (440) 639-3509 E, RE, S, T 90 N State St 7519 Mentor Ave Ste 114 Areas of Expertise: A010, A021, Painesville, OH 44077 Mentor, OH 44060 A025, A050, A060, A070, A073,

(440) 260-8300 EB, P, R (440) 701-6170 EB, P, R A099, E017, E025, E030, E055, Areas of Expertise: A060, A070, Areas of Expertise: A010, A021, E085, E105, E115, E170, E172, A075, A099, A101, E043, E056, A025, A050, A060, A070, A073, E185, E200, E205, E210, E281, E060, E065, E075, E080, E105, A099, E017, E025, E030, E055, E320, P010, P020, P030 E120, E130, E145, E147, E155, E085, E105, E115, E170, E172, E187, E198, E225, E230, E235, E185, E200, E205, E210, E281, Signature Health E240, E256, E290, E325, E330, E320, P010, P020, P030 Provider ID: 005166884003 E374, E375, E376, E378, E379, NPI: 1477575348 E385, E388, E390, E404, E407, Rakesh Ranjan Md And Assoc 1 Victoria Pl Ste 105 P010, P020, P030 Provider ID: 004578608010 Painesville, OH 44077

NPI: 1033143722 (440) 578-8200 Ohioguidestone 8445 Munson Rd Provider ID: 006148491002 Mentor, OH 44060 Signature Health

NPI: 1174680557 (440) 856-0183 EB, P, R, RE, S, Provider ID: 005166884003 9485 Mentor Ave Ste 210 T NPI: 1477575348 Mentor, OH 44060 Areas of Expertise: A010, A021, 38879 Mentor Ave

(440) 255-5571 RE, T A025, A050, A060, A070, A073, Willoughby, OH 44094

Areas of Expertise: A060, A070, A099, E017, E025, E030, E055, (440) 953-9999 EB, P, R A075, A099, A101, E043, E056, E085, E105, E115, E170, E172, Areas of Expertise: E010, E017, E060, E065, E075, E080, E105, E185, E200, E205, E210, E281, E020, E025, E040, E043, E055, E120, E130, E145, E147, E155, E320, P010, P020, P030 E062, E065, E070, E075, E080,

863

Ohio - Lake Behavioral Health Facilities E085, E090, E100, E112, E115, Signature Health Womensafe Inc E147, E155, E160, E165, E166, Provider ID: 005166884003 Provider ID: 006679777001 E170, E172, E177, E180, E185, NPI: 1477575348 NPI: 1881661718 E186, E190, E198, E200, E205, 462 Chardon St 8445 Munson Rd E210, E215, E218, E220, E225, Painesville, OH 44077 Mentor, OH 44060

E230, E235, E281, E285, E320, (440) 953-9999 EB, P, R (440) 856-0183 EB, P, R, RE, S, E379, P010, P020, P030 Areas of Expertise: E010, E017, T E020, E025, E040, E043, E055, Areas of Expertise: E010, E043, Signature Health E062, E065, E070, E075, E080, E055, E090, E187, E320, E375, Provider ID: 005166884001 E085, E090, E100, E112, E115, E379, E398, P010 NPI: 1477575348 E147, E155, E160, E165, E166, 38879 Mentor Ave Ste C E170, E172, E177, E180, E185, Willoughby, OH 44094 E186, E190, E198, E200, E205, Mhsa Rehab Facility

(440) 953-9999 E210, E215, E218, E220, E225, Hopebridge Areas of Expertise: E010, E017, E230, E235, E281, E285, E320, Provider ID: 003593253002 E020, E025, E040, E043, E055, E379, P010, P020, P030 NPI: 1891820668 E062, E065, E070, E075, E080, 7325 Production Dr E085, E090, E100, E112, E115, Signature Health Mentor, OH 44060

E147, E155, E160, E165, E166, Provider ID: 005166884003 (855) 324-0885 EB, P, R E170, E172, E177, E180, E185, NPI: 1477575348 E186, E190, E198, E200, E205, 7232 Justin Way Rakesh Ranjan Md And E210, E215, E218, E220, E225, Mentor, OH 44060 Associates E230, E235, E281, E285, E320, (440) 578-8200 Provider ID: 006120146001 E379, P010, P020, P030 NPI: 1033143722 Signature Health 8532 Mentor Ave Signature Health Provider ID: 005166884003 Mentor, OH 44060

Provider ID: 005166884002 NPI: 1477575348 (216) 587-6727 EB, RE, S, T NPI: 1477575348 9220 Mentor Ave Areas of Expertise: SP05, SP50 38882 Mentor Ave Mentor, OH 44060

Willoughby, OH 44094 (440) 578-8200 E, RE, S, T

(440) 953-9999 EB, P, R Areas of Expertise: E010, E017, Womensafe Inc E020, E025, E040, E043, E055, Provider ID: 006679777001 E062, E065, E070, E075, E080, NPI: 1881661718 E085, E090, E100, E112, E115, 34900 Chardon Rd Ste 200 E147, E155, E160, E165, E166, Willoughby Hills, OH 44094

E170, E172, E177, E180, E185, (440) 951-5600 RE, T E186, E190, E198, E200, E205, Areas of Expertise: E010, E043, E210, E215, E218, E220, E225, E055, E090, E187, E320, E375, E230, E235, E281, E285, E320, E379, E398, P010 E379, P010, P020, P030

864

Behavioral Health Facilities Ohio - Lorain P030, P080 E374, E375, E379, E385, E390, Lorain E396, E397, P010, P013, P020,

Applewood Center Inc P030, P080 Community Mental Health Provider ID: 006384500001 Centers NPI: 1982672028 Applewood Center Inc

Please contact the community 1865 N Ridge Rd E Provider ID: 006384500001 mental health center locations Lorain, OH 44055 NPI: 1982672028 directly, at the telephone numbers (440) 406-3048 EB, P, R 1865 N Ridge Rd E Ste C listed, for information regarding Languages Spoken: Lorain, OH 44055 scheduling appointments and Provider: Spanish (440) 462-1473 EB, P, R walk-in availability. Areas of Expertise: A010, A025, Languages Spoken:

A060, A070, E010, E015, E017, Provider: Spanish Alliant Treatment Center LLC E020, E025, E043, E055, E056, Areas of Expertise: A010, A025, Provider ID: 007279062002 E062, E065, E070, E075, E080, A060, A070, E010, E015, E017, NPI: 1134649676 E085, E090, E105, E115, E147, E020, E025, E043, E055, E056, 1131 E Broad St E150, E155, E160, E165, E166, E062, E065, E070, E075, E080, Elyria, OH 44035 E170, E185, E186, E187, E190, E085, E090, E105, E115, E147, (440) 365-1900 RE, T E200, E205, E210, E215, E218, E150, E155, E160, E165, E166, Areas of Expertise: A010, A021, E240, E281, E285, E287, E290, E170, E185, E186, E187, E190, A050, A100, E043, E147, E160, E320, E325, E366, E367, E373, E200, E205, E210, E215, E218, E281, E285, E287, E320, E365, E374, E375, E379, E385, E390, E240, E281, E285, E287, E290, E379, E398, E404, P010, P030, E396, E397, P010, P013, P020, E320, E325, E366, E367, E373, P035, P080 P030, P080 E374, E375, E379, E385, E390, E396, E397, P010, P013, P020, Applewood Center Inc Applewood Center Inc P030, P080 Provider ID: 006384500001 Provider ID: 006384500001 NPI: 1982672028 NPI: 1982672028 Applewood Center Inc 1070 Infirmary Rd 1865 N Ridge Rd E Ste A Provider ID: 006384500001 Elyria, OH 44035 Lorain, OH 44055 NPI: 1982672028 (440) 326-4006 EB, P, R (440) 324-1300 E, EB, P, R, RE, 2173 N Ridge Rd E Ste E Languages Spoken: S, T Lorain, OH 44055 Provider: Spanish Languages Spoken: (440) 206-8327 EB, P, R, RE, T Areas of Expertise: A010, A025, Provider: Spanish Languages Spoken: A060, A070, E010, E015, E017, Areas of Expertise: A010, A025, Provider: Spanish E020, E025, E043, E055, E056, A060, A070, E010, E015, E017, Areas of Expertise: A010, A025, E062, E065, E070, E075, E080, E020, E025, E043, E055, E056, A060, A070, E010, E015, E017, E085, E090, E105, E115, E147, E062, E065, E070, E075, E080, E020, E025, E043, E055, E056, E150, E155, E160, E165, E166, E085, E090, E105, E115, E147, E062, E065, E070, E075, E080, E170, E185, E186, E187, E190, E150, E155, E160, E165, E166, E085, E090, E105, E115, E147, E200, E205, E210, E215, E218, E170, E185, E186, E187, E190, E150, E155, E160, E165, E166, E240, E281, E285, E287, E290, E200, E205, E210, E215, E218, E170, E185, E186, E187, E190, E320, E325, E366, E367, E373, E240, E281, E285, E287, E290, E200, E205, E210, E215, E218, E374, E375, E379, E385, E390, E320, E325, E366, E367, E373, E240, E281, E285, E287, E290, E396, E397, P010, P013, P020,

865

Ohio - Lorain Behavioral Health Facilities E320, E325, E366, E367, E373, E240, E281, E285, E287, E290, E200, E205, E210, E215, E218, E374, E375, E379, E385, E390, E320, E325, E366, E367, E373, E240, E281, E285, E287, E290, E396, E397, P010, P013, P020, E374, E375, E379, E385, E390, E320, E325, E366, E367, E373, P030, P080 E396, E397, P010, P013, P020, E374, E375, E379, E385, E390, P030, P080 E396, E397, P010, P013, P020, Applewood Center Inc P030, P080 Provider ID: 006384500001 Applewood Center Inc NPI: 1982672028 Provider ID: 006384500001 Applewood Center Inc 347 Midway Blvd NPI: 1982672028 Provider ID: 006384500001 Elyria, OH 44035 347 Midway Blvd Ste 204 NPI: 1982672028

(440) 324-1300 EB, P, R Elyria, OH 44035 35981 Ithaca Dr

Languages Spoken: (440) 324-4980 EB, P, R Avon, OH 44011 Provider: Spanish Languages Spoken: (440) 984-1417 Areas of Expertise: A010, A025, Provider: Spanish Languages Spoken: A060, A070, E010, E015, E017, Areas of Expertise: A010, A025, Provider: Spanish E020, E025, E043, E055, E056, A060, A070, E010, E015, E017, Areas of Expertise: A010, A025, E062, E065, E070, E075, E080, E020, E025, E043, E055, E056, A060, A070, E010, E015, E017, E085, E090, E105, E115, E147, E062, E065, E070, E075, E080, E020, E025, E043, E055, E056, E150, E155, E160, E165, E166, E085, E090, E105, E115, E147, E062, E065, E070, E075, E080, E170, E185, E186, E187, E190, E150, E155, E160, E165, E166, E085, E090, E105, E115, E147, E200, E205, E210, E215, E218, E170, E185, E186, E187, E190, E150, E155, E160, E165, E166, E240, E281, E285, E287, E290, E200, E205, E210, E215, E218, E170, E185, E186, E187, E190, E320, E325, E366, E367, E373, E240, E281, E285, E287, E290, E200, E205, E210, E215, E218, E374, E375, E379, E385, E390, E320, E325, E366, E367, E373, E240, E281, E285, E287, E290, E396, E397, P010, P013, P020, E374, E375, E379, E385, E390, E320, E325, E366, E367, E373, P030, P080 E396, E397, P010, P013, P020, E374, E375, E379, E385, E390, P030, P080 E396, E397, P010, P013, P020, Applewood Center Inc P030, P080 Provider ID: 006384500001 Applewood Center Inc NPI: 1982672028 Provider ID: 006384500001 Applewood Center Inc 347 Midway Blvd Ste 200 NPI: 1982672028 Provider ID: 006384500001 Elyria, OH 44035 347 Midway Blvd Ste 306 NPI: 1982672028

(440) 723-5494 EB, P, R Elyria, OH 44035 6140 S Broadway

Languages Spoken: (440) 324-1300 EB, P, R Lorain, OH 44053

Provider: Spanish Languages Spoken: (440) 204-4315 EB, P, R Areas of Expertise: A010, A025, Provider: Spanish Languages Spoken: A060, A070, E010, E015, E017, Areas of Expertise: A010, A025, Provider: Spanish E020, E025, E043, E055, E056, A060, A070, E010, E015, E017, Areas of Expertise: A010, A025, E062, E065, E070, E075, E080, E020, E025, E043, E055, E056, A060, A070, E010, E015, E017, E085, E090, E105, E115, E147, E062, E065, E070, E075, E080, E020, E025, E043, E055, E056, E150, E155, E160, E165, E166, E085, E090, E105, E115, E147, E062, E065, E070, E075, E080, E170, E185, E186, E187, E190, E150, E155, E160, E165, E166, E085, E090, E105, E115, E147, E200, E205, E210, E215, E218, E170, E185, E186, E187, E190, E150, E155, E160, E165, E166,

866

Behavioral Health Facilities Ohio - Lorain E170, E185, E186, E187, E190, Bellefaire Jewish Childrens Catholic Charities Corporation E200, E205, E210, E215, E218, Bureau Provider ID: 004557378005 E240, E281, E285, E287, E290, Provider ID: 006379385001 NPI: 1326228693 E320, E325, E366, E367, E373, NPI: 1871896415 38369 Country Meadow Way E374, E375, E379, E385, E390, 1865 N Ridge Rd E Ste D North Ridgeville, OH 44039

E396, E397, P010, P013, P020, Lorain, OH 44055 (440) 723-6920 EB, P, R

P030, P080 (440) 723-5489 E, EB, P, R, RE, Languages Spoken: S, T Provider: Spanish Bellefaire Jewish Childrens Areas of Expertise: E017, E020, Bureau Bellefaire Jewish Childrens E070, E165, E166 Provider ID: 006379385001 Bureau NPI: 1871896415 Provider ID: 006379385002 Catholic Charities Corporation 1865 N Ridge Rd E NPI: 1871896415 Provider ID: 004557378005 Lorain, OH 44055 1865 N Ridge Rd E Ste E NPI: 1326228693

(440) 723-5493 EB, P, R Lorain, OH 44055 628 Poplar St

(440) 406-3020 EB, P, R Elyria, OH 44035

Bellefaire Jewish Childrens (440) 366-1106 EB, P, R Bureau Bellefaire Jewish Childrens Languages Spoken: Provider ID: 006379385002 Bureau Provider: Spanish NPI: 1871896415 Provider ID: 006379385001 Web address: www.ccdocle.org 1865 N Ridge Rd E Ste A NPI: 1871896415 Areas of Expertise: E017, E020, Lorain, OH 44055 347 Midway Blvd E055, E070, E080, E165, E166

(440) 324-1300 E, EB, P, R, RE, Elyria, OH 44035

S, T (440) 324-5701 EB, P, R Crossroads Lake County Adolescent Bellefaire Jewish Childrens Catholic Charities Corporation Provider ID: 006789633001 Bureau Provider ID: 004557378005 NPI: 1356303911 Provider ID: 006379385002 NPI: 1326228693 1865 N Ridge Rd E Ste D NPI: 1871896415 347 Midway Blvd Ste 210 Lorain, OH 44055

1865 N Ridge Rd E Ste C Elyria, OH 44035 (440) 723-5489 E, EB, P, R, RE,

Lorain, OH 44055 (330) 722-1069 EB, P, R, RE, S, S, T

(440) 324-1300 EB, P, R T Languages Spoken: Languages Spoken: Languages Spoken: Provider: Spanish Interpreter: Medical Interp Provider: Spanish Areas of Expertise: A010, A021, Vendor Areas of Expertise: E017, E020, A025, A060, A070, A073, E010, E070, E165, E166 E017, E020, E025, E055, E070, E075, E112, E115, E142, E160, E165, E170, E190, E200, E210, E218, P030

867

Ohio - Lorain Behavioral Health Facilities Firelands Regional Medical Fortaleza LLC Mental Health Services For Center Provider ID: 006772896001 Homeless Pers Provider ID: 006036148002 NPI: 1326463720 Provider ID: 003846943001 NPI: 1629028600 41641 N Ridge Rd Ste B NPI: 1639140395 554 N Leavitt Rd Elyria, OH 44035 6140 S Broadway

Amherst, OH 44001 (440) 324-7406 EB, G, IB, P, PL, Lorain, OH 44053

(440) 984-3882 EB, P, R R, RE, T (440) 204-4228 EB, P, R Areas of Expertise: E010, E017, Areas of Expertise: A021, A100, Areas of Expertise: A010, A025, E020, E025, E043, E055, E060, E160, E172, E281, E365, P010 A070, A081, A099, E235, E238 E062, E065, E070, E080, E085, E090, E112, E115, E160, E165, Harbor Behavioral Healthcare Mid Ohio Behavioral Health E170, E185, E187, E190, E198, Provider ID: 006915564001 Provider ID: 006912146002 E200, E205, E210, E215, E220, NPI: 1366526782 NPI: 1578936746 E281, E285, E366, E374, E377, 312 3rd St 2173 N Ridge Rd E Ste E P010, P013, P020, P030, P035, Elyria, OH 44035 Lorain, OH 44055

P080 (440) 323-5707 RE, T (440) 260-8327 EB, P, R, RE, T Areas of Expertise: E112, E160 Firelands Regional Medical Nord Center Center Lake Hospital System Provider ID: 005192978002 Provider ID: 006036148001 Provider ID: 007146850001 NPI: 1841268281 NPI: 1629028600 NPI: 1497018022 38369 Country Meadow Way 6150 Park Square Dr Ste B 1865 N Ridge Rd E North Ridgeville, OH 44039

Lorain, OH 44053 Lorain, OH 44055 (440) 723-6920 EB, P, R

(440) 984-3882 EB, P, R (440) 324-1300 EB, P, R Languages Spoken: Areas of Expertise: E010, E017, Cultural Competency: Y Provider: Spanish E020, E025, E043, E055, E062, Areas of Expertise: E112, E160, Areas of Expertise: A010, A021, E065, E070, E085, E090, E112, E398, P010 A025, A075, E010, E017, E020, E115, E160, E165, E170, E185, E025, E055, E062, E070, E100, E187, E198, E200, E205, E210, May Dugan Center E112, E115, E130, E155, E160, E220, E235, E281, E285, E320, Provider ID: 005354239001 E165, E170, E185, E190, E210, P010, P013, P020, P030, P035, NPI: 1184960510 E215, E220, E295, E363, E366, P080 228 Miller Rd P010, P020, P030 Avon Lake, OH 44012

Fortaleza LLC (216) 287-5759 EB, P, R Nord Center Provider ID: 006772896001 Languages Spoken: Provider ID: 005192978001 NPI: 1326463720 Provider: Arabic, Spanish NPI: 1841268281 41641 N Ridge Rd Cultural Competency: Y 5 S Main St Ste 302 Elyria, OH 44035 Oberlin, OH 44074

(419) 569-5475 EB, P, R (440) 774-1771 E, EB, R, RE, S, Areas of Expertise: A021, A100, T E160, E172, E281, E365, P010 Languages Spoken: Provider: Spanish Areas of Expertise: A010, A021,

868

Behavioral Health Facilities Ohio - Lorain A025, A075, E010, E017, E020, Nord Center Ohioguidestone E025, E055, E062, E070, E100, Provider ID: 005192978001 Provider ID: 006148491002 E112, E115, E130, E155, E160, NPI: 1841268281 NPI: 1174680557 E165, E170, E185, E190, E210, 992 N Abbe Rd 2173 N Ridge Rd E E215, E220, E295, E363, E366, Elyria, OH 44035 Lorain, OH 44055

P010, P020, P030 (440) 366-5262 EB, P, R (440) 260-8300 EB, P, R Languages Spoken: Areas of Expertise: A060, A070, Nord Center Provider: Spanish A075, A099, A101, E043, E056, Provider ID: 005192978001 Areas of Expertise: A010, A021, E060, E065, E075, E080, E105, NPI: 1841268281 A025, A075, E010, E017, E020, E120, E130, E145, E147, E155, 5338 Meadow Lane Ct E025, E055, E062, E070, E100, E187, E198, E225, E230, E235, Sheffield Village, OH 44035 E112, E115, E130, E155, E160, E240, E256, E290, E325, E330,

(440) 233-7232 RE, T E165, E170, E185, E190, E210, E374, E375, E376, E378, E379, Languages Spoken: E215, E220, E295, E363, E366, E385, E388, E390, E404, E407, Provider: Spanish P010, P020, P030 P010, P020, P030 Areas of Expertise: A010, A021, A025, A075, E010, E017, E020, Northern Ohio Recovery Ohioguidestone E025, E055, E062, E070, E100, Association Provider ID: 006148491002 E112, E115, E130, E155, E160, Provider ID: 005114441002 NPI: 1174680557 E165, E170, E185, E190, E210, NPI: 1598825069 2173 N Ridge Rd E Ste E E215, E220, E295, E363, E366, 347 Midway Blvd Ste 210 Lorain, OH 44055

P010, P020, P030 Elyria, OH 44035 (440) 260-6108 EB, P, R, RE, T

(330) 722-1069 EB, P, R, RE, S, Areas of Expertise: A060, A070, Nord Center T A075, A099, A101, E043, E056, Provider ID: 005192978001 Areas of Expertise: A021, A060, E060, E065, E075, E080, E105, NPI: 1841268281 E055, E056, E160, E281, E285, E120, E130, E145, E147, E155, 6140 S Broadway E398, P010 E187, E198, E225, E230, E235, Lorain, OH 44053 E240, E256, E290, E325, E330,

(440) 233-7232 E, EB, G, IB, P, Northern Ohio Recovery E374, E375, E376, E378, E379, PL, R, RE, S, T Association E385, E388, E390, E404, E407, Languages Spoken: Provider ID: 005114441001 P010, P020, P030 Provider: Spanish NPI: 1598825069 Staff: Spanish 4642 Oberlin Ave Ohioguidestone Areas of Expertise: A010, A021, Lorain, OH 44053 Provider ID: 006148491002

A025, A075, E010, E017, E020, (440) 282-1800 EB, IB, P, R NPI: 1174680557 E025, E055, E062, E070, E100, Areas of Expertise: A021, A060, 2173 N Ridge Rd E Ste L E112, E115, E130, E155, E160, E055, E056, E160, E281, E285, Lorain, OH 44055

E165, E170, E185, E190, E210, E398, P010 (440) 260-8300 EB, P, R E215, E220, E295, E363, E366, Areas of Expertise: A060, A070, P010, P020, P030 A075, A099, A101, E043, E056, E060, E065, E075, E080, E105, E120, E130, E145, E147, E155, E187, E198, E225, E230, E235,

869

Ohio - Lorain Behavioral Health Facilities E240, E256, E290, E325, E330, Ohioguidestone E017, E020, E025, E030, E050, E374, E375, E376, E378, E379, Provider ID: 006148491002 E055, E062, E070, E075, E080, E385, E388, E390, E404, E407, NPI: 1174680557 E090, E105, E112, E115, E130, P010, P020, P030 6140 S Broadway E150, E165, E170, E180, E185, Lorain, OH 44053 E190, E198, E200, E215, E240,

Ohioguidestone (440) 204-4315 EB, P, R E390, P010, P020, P030 Provider ID: 006148491002 Areas of Expertise: A060, A070, NPI: 1174680557 A075, A099, A101, E043, E056, Pathways Counseling And 2409 Livingston Ave E060, E065, E075, E080, E105, Growth Center Lorain, OH 44052 E120, E130, E145, E147, E155, Provider ID: 004292144001

(800) 639-4974 EB, P, R E187, E198, E225, E230, E235, NPI: 1760450837 Areas of Expertise: A060, A070, E240, E256, E290, E325, E330, 2800 Pearl Ave A075, A099, A101, E043, E056, E374, E375, E376, E378, E379, Lorain, OH 44055

E060, E065, E075, E080, E105, E385, E388, E390, E404, E407, (440) 323-5707 EB, P, R E120, E130, E145, E147, E155, P010, P020, P030 Languages Spoken: E187, E198, E225, E230, E235, Provider: Spanish E240, E256, E290, E325, E330, Ohioguidestone Areas of Expertise: A010, A025, E374, E375, E376, E378, E379, Provider ID: 006148491002 A050, A070, A073, A099, E010, E385, E388, E390, E404, E407, NPI: 1174680557 E017, E020, E025, E030, E050, P010, P020, P030 723 W 34th St E055, E062, E070, E075, E080, Lorain, OH 44052 E090, E105, E112, E115, E130,

Ohioguidestone (800) 639-4974 EB, P, R E150, E165, E170, E180, E185, Provider ID: 006148491002 Areas of Expertise: A060, A070, E190, E198, E200, E215, E240, NPI: 1174680557 A075, A099, A101, E043, E056, E390, P010, P020, P030 41641 N Ridge Rd Ste B E060, E065, E075, E080, E105, Elyria, OH 44035 E120, E130, E145, E147, E155, Pathways Counseling And

(440) 324-7406 EB, G, IB, P, PL, E187, E198, E225, E230, E235, Growth Center R, RE, T E240, E256, E290, E325, E330, Provider ID: 004292144001 Areas of Expertise: A060, A070, E374, E375, E376, E378, E379, NPI: 1760450837 A075, A099, A101, E043, E056, E385, E388, E390, E404, E407, 312 3rd St E060, E065, E075, E080, E105, P010, P020, P030 Elyria, OH 44035

E120, E130, E145, E147, E155, (440) 323-5707 RE, T E187, E198, E225, E230, E235, Pathways Counseling And Languages Spoken: E240, E256, E290, E325, E330, Growth Center Provider: Spanish E374, E375, E376, E378, E379, Provider ID: 004292144001 Staff: Spanish E385, E388, E390, E404, E407, NPI: 1760450837 Areas of Expertise: A010, A025, P010, P020, P030 1005 Abbe Rd N A050, A070, A073, A099, E010, Elyria, OH 44035 E017, E020, E025, E030, E050,

(440) 323-5707 EB, P, R E055, E062, E070, E075, E080, Languages Spoken: E090, E105, E112, E115, E130, Provider: Spanish E150, E165, E170, E180, E185, Areas of Expertise: A010, A025, E190, E198, E200, E215, E240, A050, A070, A073, A099, E010, E390, P010, P020, P030

870

Behavioral Health Facilities Ohio - Lorain Rakesh Ranjan Md And Assoc Recovery Works Columbus Pathways Counseling And Provider ID: 004578608007 Provider ID: 006988034001 Growth Center NPI: 1033143722 NPI: 1649631086 Provider ID: 004292144002 347 Midway Blvd Ste 210 174 Midway Blvd NPI: 1760450837 Elyria, OH 44035 Elyria, OH 44035

312 Third St (440) 324-5555 EB, P, R, RE, S, (440) 506-6154 E, EB, G, IB, P, Elyria, OH 44035 T R, RE, S, T

(440) 323-5707 EB, P, R Areas of Expertise: A010, A021, Areas of Expertise: E017, E167 A025, A050, A060, A070, A073, Pathways Counseling And A099, E017, E025, E030, E055, Stella Maris Inc Growth Center E085, E105, E115, E170, E172, Provider ID: 005318495001 Provider ID: 004292144001 E185, E200, E205, E210, E281, NPI: 1669494274 NPI: 1760450837 E320, P010, P020, P030 2115 W Park Dr 6140d S Broadway Lorain, OH 44053

Lorain, OH 44053 Recovery Resources (440) 989-4987 EB, P, R, RE, T

(440) 204-4315 EB, P, R Provider ID: 004296222001 Areas of Expertise: A021, E017, Languages Spoken: NPI: 1831279066 E020, E055, E062, E070, E112, Provider: Spanish 1131 E Broad St E115, E165, E185, E200, P020, Areas of Expertise: A010, A025, Elyria, OH 44035 P030

A050, A070, A073, A099, E010, (440) 365-1900 RE, T E017, E020, E025, E030, E050, Areas of Expertise: A010, A021, The Centers For Families And E055, E062, E070, E075, E080, A050, A060, A066, E017, E020, Children E090, E105, E112, E115, E130, E025, E060, E070, E085, E100, Provider ID: 004301057001 E150, E165, E170, E180, E185, E112, E115, E160, E165, E170, NPI: 1770559478 E190, E198, E200, E215, E240, E185, E190, E198, E200, E210, 1865 N Ridge Rd E E390, P010, P020, P030 E256, E281, E295, E363, E366, Lorain, OH 44055

P010, P030 (440) 723-5498 EB, P, R Rakesh Ranjan Md And Assoc Languages Spoken: Provider ID: 004578608010 Recovery Resources Provider: Spanish NPI: 1033143722 Provider ID: 004296222001 Cultural Competency: Y 347 Midway Blvd NPI: 1831279066 Areas of Expertise: A060, E112 Elyria, OH 44035 6140 S Broadway

(440) 324-5555 EB, P, R Lorain, OH 44053 The Centers For Families And

Areas of Expertise: A010, A021, (440) 204-4228 EB, P, R Children A025, A050, A060, A070, A073, Areas of Expertise: A010, A021, Provider ID: 004301057001 A099, E017, E025, E030, E055, A050, A060, A066, E017, E020, NPI: 1770559478 E085, E105, E115, E170, E172, E025, E060, E070, E085, E100, 2173 N Ridge Rd E Ste E E185, E200, E205, E210, E281, E112, E115, E160, E165, E170, Lorain, OH 44055

E320, P010, P020, P030 E185, E190, E198, E200, E210, (440) 260-8327 EB, P, R, RE, T E256, E281, E295, E363, E366, Languages Spoken: P010, P030 Provider: Spanish Cultural Competency: Y Areas of Expertise: A060, E112

871

Ohio - Medina Behavioral Health Facilities Woodland Centers Inc Medina The Village Network Provider ID: 006753186002

Provider ID: 007394563001 NPI: 1508838582 NPI: 1124057914 6140 S Broadway Community Mental Health 346 Illinois Ave Lorain, OH 44053 Centers

Lorain, OH 44052 (440) 204-4228 EB, P, R Please contact the community (330) 641-3418 EB, P, R Areas of Expertise: A010, A021, mental health center locations Areas of Expertise: A010, A021, A025, A050, A070, A073, A099, directly, at the telephone numbers A025, A050, A060, A062, A070, A101, E010, E017, E020, E025, listed, for information regarding A099, E010, E015, E017, E025, E030, E055, E062, E070, E075, scheduling appointments and E043, E055, E062, E065, E080, E080, E085, E090, E100, E112, walk-in availability.

E090, E100, E150, E160, E166, E115, E160, E165, E170, E185, E170, E185, E190, E198, E200, E190, E198, E200, E205, E210, Applewood Center Inc E205, E210, E215, E218, E220, E215, E218, E390, E391, E392, Provider ID: 006384500001 P030 P010, P020 NPI: 1982672028 124 Lafayette Rd Ste 100 Thrive Behavioral Health Center Medina, OH 44256 Inc Mhsa Rehab Facility (330) 410-8444 EB, P, R, RE Provider ID: 006625606003 Rakesh Ranjan Md And Languages Spoken: NPI: 1174066096 Associates Provider: Spanish 216 15th St Provider ID: 006120146001 Areas of Expertise: A010, A025, Elyria, OH 44035 NPI: 1033143722 A060, A070, E010, E015, E017, E020, E025, E043, E055, E056, (216) 220-8774 EB, P, R 347 Midway Blvd Ste 210 Areas of Expertise: A021, A066, Elyria, OH 44035 E062, E065, E070, E075, E080, E085, E090, E105, E115, E147, E017, E020, E043, E070, E160, (216) 587-6727 EB, P, R, RE, S, E200, E280, E281, E366, E377, T E150, E155, E160, E165, E166, P010 Areas of Expertise: SP05, SP50 E170, E185, E186, E187, E190, E200, E205, E210, E215, E218, Thrive Behavioral Health Center E240, E281, E285, E287, E290, Inc Substance Abuse Center E320, E325, E366, E367, E373, Provider ID: 006625606003 Fortaleza LLC E374, E375, E379, E385, E390, NPI: 1174066096 Provider ID: 006696420001 E396, E397, P010, P013, P020, 35322 1/2 Chestnut Ridge Rd NPI: 1326463720 P030, P080 North Ridgeville, OH 44039 41641 N Ridge Rd Ste B Bellefaire Jewish Childrens (216) 220-8774 EB, P, R Elyria, OH 44035 Bureau Areas of Expertise: A021, A066, (440) 324-7406 EB, G, IB, P, PL, E017, E020, E043, E070, E160, R, RE, T Provider ID: 006379385001 E200, E280, E281, E366, E377, Areas of Expertise: SP50 NPI: 1871896415 P010 246 Northland Dr Ste 140 Medina, OH 44256 (330) 723-9600 EB, P, R

872

Behavioral Health Facilities Ohio - Medina Bellefaire Jewish Childrens Bureau Catholic Charities Corporation Families First Health Services Provider ID: 006379385001 Provider ID: 004557378005 Provider ID: 006777596001 NPI: 1871896415 NPI: 1326228693 NPI: 1356711477 807 E Washington St Ste 150 4018 Medina Rd Ste 210 195 Wadsworth Rd Ste 201b Medina, OH 44256 Medina, OH 44256 Wadsworth, OH 44281

(330) 241-4444 EB, P, R (330) 722-4166 (330) 336-2800 E, EB, P, R, RE, S, Languages Spoken: T Catholic Charities Corporation Provider: Spanish Languages Spoken: Provider ID: 004557378002 Provider: Spanish NPI: 1326228693 Catholic Charities Corporation 246 Northland Dr Provider ID: 004557378005 Fortaleza LLC Medina, OH 44256 NPI: 1326228693 Provider ID: 006772896002

(440) 285-3537 E, P, R, RE, S, T 4018 Medina Rd Ste D NPI: 1326463720 Areas of Expertise: A010, A021, Medina, OH 44256 1839 Pearl Rd Ste 201

A025, A050, A066, A070, A073, (330) 722-4166 P, R, RE, T Brunswick, OH 44212

A074, A099, E017, E020, E043, Languages Spoken: (440) 324-7406 EB, P, R, RE, T E055, E062, E070, E080, E112, Provider: Spanish E147, E160, E165, E166, E281, Areas of Expertise: E017, E020, Areas of Expertise: A021, A100, E285, E287, E295, E320, E363, E070, E165, E166 E160, E172, E281, E365, P010 E366, P010, P030 Catholic Charities Corporation Harbor Behavioral Healthcare Catholic Charities Corporation Provider ID: 004557378005 Provider ID: 006915564001 Provider ID: 004557378005 NPI: 1326228693 NPI: 1366526782 NPI: 1326228693 4210 N Jefferson St Ste A 6085 Ballou Rd 246 Northland Dr Ste 140 Medina, OH 44256 Medina, OH 44256 (330) 321-2991 EB, P, R Medina, OH 44256 (330) 723-9615 IB, P, R, RE, T Areas of Expertise: E112, E160 (330) 723-9600 EB, P, R Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Areas of Expertise: E017, E020, Metrohealth Professional Group Areas of Expertise: E017, E020, E055, E070, E080, E165, E166 Provider ID: 005514586001 E055, E070, E080, E165, E166 NPI: 1053353896 Catholic Charities Corporation 1299 Industrial Pkwy N Fl 2 Catholic Charities Corporation Provider ID: 004557378005 Brunswick, OH 44212 Provider ID: 004557378005 NPI: 1326228693 (216) 957-1450 EB, P, R NPI: 1326228693 740 E Washington St Ste E4 Languages Spoken: 323 S Court St Ste 210 Medina, OH 44256 Provider: Spanish, Russian Areas of Expertise: E290 Medina, OH 44256 (330) 723-9615 EB, P, R

(216) 287-6549 RE, T Languages Spoken: Languages Spoken: Provider: Spanish Provider: Spanish Web address: www.ccdocle.org Areas of Expertise: E017, E020, Areas of Expertise: E017, E055, E055, E070, E080, E165, E166 E080, E166

873

Ohio - Medina Behavioral Health Facilities Nord Center E240, E256, E290, E325, E330, Areas of Expertise: A060, A070, Provider ID: 005192978002 E374, E375, E376, E378, E379, A075, A099, A101, E043, E056, NPI: 1841268281 E385, E388, E390, E404, E407, E060, E065, E075, E080, E105, 246 Northland Dr Ste 200a P010, P020, P030 E120, E130, E145, E147, E155, Medina, OH 44256 E187, E198, E225, E230, E235,

(330) 725-9195 EB, P, R Ohioguidestone E240, E256, E290, E325, E330, Languages Spoken: Provider ID: 006148491002 E374, E375, E376, E378, E379, Provider: Spanish NPI: 1174680557 E385, E388, E390, E404, E407, Areas of Expertise: A010, A021, 246 Northland Dr Ste 120 P010, P020, P030 A025, A075, E010, E017, E020, Medina, OH 44256

E025, E055, E062, E070, E100, (440) 260-8300 EB, P, R Oneeighty Inc E112, E115, E130, E155, E160, Areas of Expertise: A060, A070, Provider ID: 003910979001 E165, E170, E185, E190, E210, A075, A099, A101, E043, E056, NPI: 1710244637 E215, E220, E295, E363, E366, E060, E065, E075, E080, E105, 1839 Pearl Rd Ste 202 P010, P020, P030 E120, E130, E145, E147, E155, Brunswick, OH 44212

E187, E198, E225, E230, E235, (330) 264-8498 EB, P, R Nord Center E240, E256, E290, E325, E330, Cultural Competency: Y Provider ID: 005192978002 E374, E375, E376, E378, E379, Areas of Expertise: A010, A021, NPI: 1841268281 E385, E388, E390, E404, E407, A025, A050, A070, A073, A099, 323 S Court St Ste 210 P010, P020, P030 A100, E010, E017, E020, E043, Medina, OH 44256 E055, E062, E070, E080, E085,

(216) 644-5708 RE, T Ohioguidestone E090, E100, E105, E112, E115, Languages Spoken: Provider ID: 006148491002 E147, E160, E172, E185, E186, Provider: Spanish NPI: 1174680557 E187, E215, E218, E238, E281, Areas of Expertise: A010, A021, 246 Northland Dr Ste 140 E285, E287, P010, P020, P030 A025, A075, E010, E017, E020, Medina, OH 44256

E025, E055, E062, E070, E100, (330) 725-9195 EB, P, R Portage Path Community Mental E112, E115, E130, E155, E160, Areas of Expertise: A060, A070, Health Cen E165, E170, E185, E190, E210, A075, A099, A101, E043, E056, Provider ID: 004762993001 E215, E220, E295, E363, E366, E060, E065, E075, E080, E105, NPI: 1225087802 P010, P020, P030 E120, E130, E145, E147, E155, 246 Northland Dr Ste 140 E187, E198, E225, E230, E235, Medina, OH 44256

Ohioguidestone E240, E256, E290, E325, E330, (330) 723-9600 EB, P, R Provider ID: 006148491002 E374, E375, E376, E378, E379, Languages Spoken: NPI: 1174680557 E385, E388, E390, E404, E407, Provider: Hindi, Hungarian, 246 Northland Dr P010, P020, P030 Russian, Ukrainian Medina, OH 44256 Cultural Competency: Y

(440) 260-8300 E, P, R, RE, S, T Ohioguidestone Areas of Expertise: A050, A060, Areas of Expertise: A060, A070, Provider ID: 006148491002 A073, A100, E010, E017, E020, A075, A099, A101, E043, E056, NPI: 1174680557 E055, E062, E065, E070, E080, E060, E065, E075, E080, E105, 323 S Court St Ste 210 E085, E090, E105, E112, E115, E120, E130, E145, E147, E155, Medina, OH 44256 E160, E165, E170, E185, E187,

E187, E198, E225, E230, E235, (330) 331-5800 RE, T E190, E198, E200, E205, E210,

874

Behavioral Health Facilities Ohio - Medina E220, E225, E230, E235, E240, Rakesh Ranjan Md And Assoc Areas of Expertise: E017, E167 E385, E392, E404, E405, P010, Provider ID: 004578608009 P020, P030 NPI: 1033143722 Signature Health 801 E Washington St Provider ID: 005166884003 Portage Path Community Mental Medina, OH 44256 NPI: 1477575348

Health Cen (330) 722-1069 EB, P, R 801 E Washington St Ste 150 Provider ID: 004762993001 Cultural Competency: Y Medina, OH 44256

NPI: 1225087802 Areas of Expertise: E105 (440) 578-8200 EB, P, R, RE, S, 941 Chadwick Ln T Medina, OH 44256 Rakesh Ranjan Md And Assoc

(330) 331-5800 EB, P, R Provider ID: 004578608010 The Counseling Center Of Wayne Languages Spoken: NPI: 1033143722 & Holmes Provider: Hindi, Hungarian, 801 E Washington St Ste 150 Provider ID: 004762992001 Russian, Ukrainian Medina, OH 44256 NPI: 1215975685

Cultural Competency: Y (330) 722-1069 EB, P, R, RE, S, 8598 Hartman Rd Areas of Expertise: A050, A060, T Wadsworth, OH 44281

A073, A100, E010, E017, E020, Areas of Expertise: A010, A021, (234) 217-8589 E, EB, P, R, RE, E055, E062, E065, E070, E080, A025, A050, A060, A070, A073, S, T E085, E090, E105, E112, E115, A099, E017, E025, E030, E055, Languages Spoken: E160, E165, E170, E185, E187, E085, E105, E115, E170, E172, Provider: Korean E190, E198, E200, E205, E210, E185, E200, E205, E210, E281, E220, E225, E230, E235, E240, E320, P010, P020, P030 Thrive Behavioral Health Center E385, E392, E404, E405, P010, Inc P020, P030 Rakesh Ranjan Md And Assoc Provider ID: 006625606001 Provider ID: 004578608010 NPI: 1174066096 Rakesh Ranjan Md And Assoc NPI: 1033143722 4166 Bryenton Rd Provider ID: 004578608010 801 E Washington St Ste 203 Litchfield, OH 44253

NPI: 1033143722 Medina, OH 44256 (216) 220-8774 EB, P, R 246 Northland Dr Ste 200a (330) 722-1069 Languages Spoken: Medina, OH 44256 Areas of Expertise: A010, A021, Provider: Spanish

(330) 725-9195 EB, P, R A025, A050, A060, A070, A073, Areas of Expertise: E017 Areas of Expertise: A010, A021, A099, E017, E025, E030, E055, A025, A050, A060, A070, A073, E085, E105, E115, E170, E172, A099, E017, E025, E030, E055, E185, E200, E205, E210, E281, Mhsa Rehab Facility E085, E105, E115, E170, E172, E320, P010, P020, P030 Rakesh Ranjan Md And E185, E200, E205, E210, E281, Associates E320, P010, P020, P030 Recovery Works Columbus Provider ID: 006120146001 Provider ID: 006988034001 NPI: 1033143722 NPI: 1649631086 801 E Washington St 801 E Washington St Ste 150 Medina, OH 44256

Medina, OH 44256 (216) 587-6727 EB, P, R (330) 722-1069 EB, P, R, RE, S, T

875

Ohio - Medina Behavioral Health Facilities Rakesh Ranjan Md And Associates Provider ID: 006120146001 NPI: 1033143722 801 E Washington St Ste 150 Medina, OH 44256

(216) 587-6727 EB, P, R, RE, S, T Areas of Expertise: SP05, SP50

Substance Abuse Center Fortaleza LLC Provider ID: 006696420001 NPI: 1326463720 1839 Pearl Rd Ste 201 Brunswick, OH 44212

(440) 324-7406 EB, P, R, RE, T Areas of Expertise: SP50

876

Federally Qualified Health Care Agency/Rural Health Clinic Ohio - Lorain

Federally Qualified Health Care Agency/Rural Health Clinic

Lorain Ohio *Mercy Allen Rhc Wellington

Provider ID: 003597144006 Lake Rural Health Clinic NPI: 1780818963

You are entitled to access the 319 W Lorain St Federally Qualified Health Care services of any federally qualified Oberlin, OH 44074 Agency health center (FQHC) or rural (440) 776-7058 EB, P, R, RE, T Web address: www.mercy.com/loca You are entitled to access the health center (RHC) providers. The tions/primary-care-fam services of any federally qualified following is a listing of the FQHC

health center (FQHC) or rural and RHC providers in your county. *Mercy Allen Rhc Wellington health center (RHC) providers. The Those providers listed with an Provider ID: 003597144001 following is a listing of the FQHC asterisk (*) are contracted NPI: 1780818963 and RHC providers in your county. providers with UnitedHealthcare 508 Dickson St Ste 2 Those providers listed with an Community Plan. You might also Wellington, OH 44090 asterisk (*) are contracted see providers from these facilities (440) 647-2225 E, EB, P, R providers with UnitedHealthcare listed individually in other parts of Web address: mercy.com/locations/ Community Plan. You might also this provider directory.

primary-care-family- see providers from these facilities *Mercy Allen Rhc Lagrange listed individually in other parts of Provider ID: 003597140004 *Mercy Allen Rhc Wellington this provider directory. NPI: 1306070594 Provider ID: 003597144005

*Signature Health 105 Opportunity Way NPI: 1780818963 Provider ID: 006360116001 Lagrange, OH 44050 508 Dickson St Ste B NPI: 1093250169 (440) 355-4206 EB, P, R Wellington, OH 44090 Web address: www.mercy.com/loca 38882 Mentor Ave (440) 222-4160 EB, P, R Willoughby, OH 44094 tions/primary-care-fam Web address: www.mercy.com/loca

(440) 953-9999 EB, P, R tions/primary-care-fam Web address: http://www.signatureh *Mercy Allen Rhc Lagrange ealthinc.com/ Provider ID: 003597140003 *Mercy Allen Rhc Wellington NPI: 1306070594 Provider ID: 003597144007 *Signature Health 508 Dickson St Ste 2 NPI: 1780818963 Provider ID: 006360116001 Wellington, OH 44090 840 Patriot Dr NPI: 1093250169 (440) 647-2225 E, EB, P, R Wellington, OH 44090 Web address: www.mercy.com/loca 462 Chardon St (440) 647-2225 EB, P, R, RE, T Painesville, OH 44077 tions/primary-care-fam Web address: www.mercy.com/loca

(440) 853-1501 EB, P, R tions/primary-care-fam Web address: http://www.signatureh *Mercy Allen Rhc Wellington ealthinc.com/ Provider ID: 003597144004 NPI: 1780818963 105 Opportunity Way Lagrange, OH 44050

(440) 222-4160 EB, P, R Web address: www.mercy.com/loca tions/primary-care-fam

877

Ohio - Lake Home And Community Based Service Providers

Home And Community Based Service Providers

Servicing Counties: Columbiana, Ohio Supplemental Adaptive & Cuyahoga, Lake, Mahoning, Assistive Devices Summit, Trumbull Geauga A & A Medical Supply

Provider ID: 002721993001 Home Medical Equipment NPI: 1114966181 Community Integration Services

A & A Medical Supply 8221 E Washington St Lake Vista Of Cortland Provider ID: 002721993001 Chagrin Falls, OH 44023 Provider ID: 005110010001 NPI: 1114966181 (440) 543-4645 NPI: 1801882808 8221 E Washington St Servicing Counties: Columbiana, 36855 Ridge Rd Chagrin Falls, OH 44023 Cuyahoga, Geauga, Lake, Lorain, Willoughby, OH 44094 (440) 543-4645 Mahoning, Medina, Portage, Stark, (440) 942-4342 Servicing Counties: Columbiana, Summit, Trumbull, Wayne Servicing Counties: Lake, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Summit Mahoning, Medina, Portage, Stark,

Lake

Summit, Trumbull, Wayne

Community Transition

Adult Day Health Lake Vista Of Cortland Ltss Independent Providers Lake Vista Of Cortland Provider ID: 005110010001 Personal Care Provider ID: 005110010001 NPI: 1801882808 Suzanne Slusher NPI: 1801882808 36855 Ridge Rd Provider ID: 004536142001 36855 Ridge Rd Willoughby, OH 44094 NPI: 1659782779 Willoughby, OH 44094 (440) 942-4342 14814 Springdale Ave (440) 942-4342 Servicing Counties: Summit Middlefield, OH 44062 Servicing Counties: Lake, (440) 321-3481 Mahoning, Summit Emergency Response Servicing Counties: Geauga Lake Vista Of Cortland Assisted Living Workman Estrella R Provider ID: 005110010001

Provider ID: 004722346001 Fairways NPI: 1801882808 NPI: 1801019278 Provider ID: 004068033001 36855 Ridge Rd 11547 Hillside Dr NPI: 1063736213 Willoughby, OH 44094 Newbury, OH 44065 30630 Ridge Rd (440) 942-4342 (330) 348-7673 Wickliffe, OH 44092 Servicing Counties: Summit Servicing Counties: Geauga, (440) 943-2050 Portage, Trumbull Servicing Counties: Lake

Lake Vista Of Cortland Provider ID: 005110010001 NPI: 1801882808 36855 Ridge Rd Willoughby, OH 44094 (440) 942-4342

878

Home And Community Based Service Providers Ohio - Lorain

Mahoning, Summit Home Maintenance And Chore Supplemental Adaptive &

Services Assistive Devices Lake Vista Of Cortland Ltss Agency Personal Care Lake Vista Of Cortland Provider ID: 005110010001 Angels In Waiting Homecare Provider ID: 005110010001 NPI: 1801882808 Provider ID: 004753083001 NPI: 1801882808 36855 Ridge Rd NPI: 1285833483 36855 Ridge Rd Willoughby, OH 44094 38052 Euclid Ave Ste 208 Willoughby, OH 44094 (440) 942-4342 Willoughby, OH 44094 (440) 942-4342 Servicing Counties: Lake, (440) 946-0349 Servicing Counties: Lake, Mahoning, Summit Servicing Counties: Cuyahoga, Mahoning, Summit Geauga, Lake

Lorain Home Medical Equipment Lake Vista Of Cortland

Lake Vista Of Cortland Provider ID: 005110010001 Provider ID: 005110010001 NPI: 1801882808 Adult Day Health NPI: 1801882808 36855 Ridge Rd Lucy Idol Center For The 36855 Ridge Rd Willoughby, OH 44094 Handicapped Willoughby, OH 44094 (440) 942-4342 Provider ID: 004864703001 (440) 942-4342 Servicing Counties: Lake, NPI: 1962477901 Servicing Counties: Lake, Mahoning, Summit 435 Nicholson Rd Mahoning, Summit Vermilion, OH 44089 (440) 967-6724 Ltss Independent Providers Servicing Counties: Lorain Home Modifications Maintenance Personal Care

And Repairs Chaffee Michelle Lake Vista Of Cortland Provider ID: 004844619001 Assisted Living Provider ID: 005110010001 NPI: 1376584938 Amherst Assisted Living NPI: 1801882808 5872 Mallard Ct Provider ID: 003835953001 36855 Ridge Rd Mentor, OH 44060 NPI: 1417289083 Willoughby, OH 44094 (440) 221-0021 175 N 2083 St (440) 942-4342 Servicing Counties: Lake Amherst, OH 44001 Servicing Counties: Summit (440) 988-4415 Hughes Tracy Servicing Counties: Lorain Provider ID: 004834544001 Homemaker NPI: 1912124090 Anchor Lodge Retirement Village Lake Vista Of Cortland 1357 Fox Run Dr Apt 208 Provider ID: 004159476001 Provider ID: 005110010001 Willoughby, OH 44094 NPI: 1194055970 NPI: 1801882808 (440) 942-2645 3756 W Erie Ave 36855 Ridge Rd Servicing Counties: Cuyahoga, Lorain, OH 44053 Willoughby, OH 44094 Lake (440) 244-2019 (440) 942-4342 Servicing Counties: Lorain Servicing Counties: Lake,

879

Ohio - Lorain Home And Community Based Service Providers

Lorain County Office On Aging Home Medical Equipment Provider ID: 004936403001 Ltss Independent Providers Enhancing Life Home Medical NPI: 1063827608 Personal Care Provider ID: 003628159001 320 Gateway Blvd N Ste 2 Acord Gina NPI: 1043480288 Elyria, OH 44035 Provider ID: 004671634002 181 Brentview Dr (440) 326-4800 NPI: 1215348347 Grafton, OH 44044 Servicing Counties: Lorain 1414 W 12th St (440) 399-3332 Lorain, OH 44052 Servicing Counties: Columbiana, (440) 406-6316 Cuyahoga, Geauga, Lake, Lorain, Ltss Agency Personal Care Servicing Counties: Lorain Mahoning, Medina, Portage, Stark, Abc Of Greater Cleveland Summit, Trumbull, Wayne Provider ID: 003466143001 Gurley Chasidy NPI: 1821391475 Provider ID: 004834595001 951 Main St NPI: 1134268105 Home Modifications Maintenance Grafton, OH 44044 124 Homer Ct And Repairs (440) 791-7177 Elyria, OH 44035 Enhancing Life Home Medical Servicing Counties: Lorain, Medina (440) 366-8899 Provider ID: 003628159001 Servicing Counties: Lorain NPI: 1043480288 E.j.q. Home Health Care 181 Brentview Dr Provider ID: 003750043001 Juanita K Hardy Grafton, OH 44044 NPI: 1700882198 Provider ID: 004834608001 (440) 399-3332 800 Middle Ave NPI: 1093125379 Servicing Counties: Columbiana, Elyria, OH 44035 7779 Murray Ridge Rd Cuyahoga, Geauga, Lake, Lorain, (440) 323-7004 Elyria, OH 44035 Mahoning, Medina, Portage, Stark, Servicing Counties: Cuyahoga, (440) 326-0008 Summit, Trumbull, Wayne Lorain Servicing Counties: Lorain

Lucy Idol Center For The Kwasny Dolores M Homemaker Handicapped Provider ID: 004536394001 E.j.q. Home Health Care Provider ID: 004864703001 NPI: 1689086753 Provider ID: 003750043001 NPI: 1962477901 5261 Kevin St NPI: 1700882198 435 Nicholson Rd Sheffield Village, OH 44054 800 Middle Ave Vermilion, OH 44089 (440) 934-5446 Elyria, OH 44035 (440) 967-6724 Servicing Counties: Lorain (440) 323-7004 Servicing Counties: Lorain Servicing Counties: Cuyahoga, Lamb Diana L Lorain Provider ID: 004610155001 NPI: 1063824233 2721 W 38th St Lorain, OH 44053 (440) 989-2232 Servicing Counties: Lorain

880

Home And Community Based Service Providers Ohio - Lorain

Schremp Deborah L Provider ID: 004610206001 Supplemental Adaptive & NPI: 1699187179 Assistive Devices 705 East Dr Enhancing Life Home Medical Sheffield 2083, OH 44054 Provider ID: 003628159001 (440) 949-7046 NPI: 1043480288 Servicing Counties: Lorain 181 Brentview Dr Grafton, OH 44044 (440) 399-3332 Ltss Independent Providers Servicing Counties: Columbiana, Waiver Nursing Cuyahoga, Geauga, Lake, Lorain, Hudnall Diane Mahoning, Medina, Portage, Stark, Provider ID: 004834487001 Summit, Trumbull, Wayne NPI: 1831431584 227 Brandtson Ave Elyria, OH 44035 (440) 336-5201 Servicing Counties: Cuyahoga, Lorain

Jackson Jacqueline D Provider ID: 004671326002 NPI: 1811952765 8341 Ginger Dr North Ridgeville, OH 44039 (440) 213-4495 Servicing Counties: Cuyahoga, Lorain, Medina

Marks Robin Provider ID: 004402034001 NPI: 1396919379 37920 Sugar Ridge Rd North Ridgeville, OH 44039 (440) 452-4387 Servicing Counties: Lorain

All providers are proficient in English unless otherwise noted. If you have questions, please call UnitedHealthcare Connected for MyCare Ohio at 1-877-542-9236, TTY 711, 7 a.m. - 8 p.m., local time, Monday - Friday, voicemail available 24 hours a day/7 days a week. The call is free. For more information, visit www.UHCCommunityPlan.com. MMOH.21.999.01.9.005

881

Ohio - Geauga Pharmacy Providers

Pharmacy Providers Giant Eagle Pharmacy #0515 Rite Aid Pharmacy 02654 Ohio Provider ID: 3666673 Provider ID: 3654111 NPI: 1144235060 NPI: 1801905153 Geauga 8515 Tanglewood Square 501 Water Street

Chagrin Falls, OH 44023 Chardon, OH 44024

Pharmacy (440) 708-1277 EB, IB, P, R, S (440) 286-4167 EB, IB, P, R Languages Spoken: Prior authorization is required to Languages Spoken: Provider: English obtain some covered services from Provider: English Mo-Fr - 9:00 AM - 9:00 PM these providers. You will not be Mo-Fr - 8:00 AM - 8:00 PM Sa - 9:00 AM - 6:00 PM covered for those services without Sa,Su - 9:00 AM - 5:00 PM Su - 10:00 AM - 6:00 PM such approval by UnitedHealthcare Ages: 0-99 Cultural Competency: Y Community Plan. Please see your Ages: 0-99 member handbook, or call Member Giant Eagle Pharmacy #4098 Services for details. Provider ID: 3668300 Rite Aid Pharmacy 04279

Genoa Healthcare, LLC NPI: 1861407785 Provider ID: 3662132 Provider ID: 3683528 351 Center St. NPI: 1073622320 NPI: 1497130694 Chardon, OH 44024 15596 West High Street 12557 Ravenwood Dr Ste 112 (440) 286-8680 EB, IB, P, R, S Middlefield, OH 44062

Chardon, OH 44024 (440) 632-5201 EB, IB, P, R (440) 226-3380 Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English Provider: English Mo-Fr - 8:00 AM - 8:00 PM Mo-Fr - 9:00 AM - 9:00 PM Mo,Th - 8:30 AM - 6:00 PM Sa,Su - 9:00 AM - 5:00 PM Sa - 9:00 AM - 6:00 PM Tu,We - 8:30 AM - 5:00 PM Ages: 0-99 Su - 10:00 AM - 6:00 PM Fr - 8:30 AM - 3:00 PM Cultural Competency: Y Ages: 0-99 Giant Eagle Pharmacy #4133 Ages: 0-99 Provider ID: 3653195 Giant Eagle Pharmacy #0203 NPI: 1609881515 University Hospitals Geauga Provider ID: 3670381 15400 West High St. Medical Cent NPI: 1932114857 Middlefield, OH 44062 Provider ID: 3683530 12692 Chillicothe Road (440) 632-5587 EB, IB, P, R, S NPI: 1073989687 Chesterland, OH 44026 13207 Ravenna Rd (440) 729-5457 EB, IB, P, R, S Languages Spoken: Pharmacy Department Provider: English Chardon, OH 44024

Languages Spoken: Mo-Fr - 8:00 AM - 8:00 PM (440) 285-6015 Provider: English Sa,Su - 9:00 AM - 5:00 PM Languages Spoken: Mo-Fr - 8:00 AM - 8:00 PM Ages: 0-99 Provider: English Sa,Su - 9:00 AM - 5:00 PM Mo-Fr - 10:00 AM - 6:00 PM Ages: 0-99 Ages: 0-99

882

Pharmacy Providers Ohio - Lake Walmart Pharmacy 10-3293 Cvs Pharmacy #17388 Lake Provider ID: 3674593 Provider ID: 3676232

NPI: 1225076250 NPI: 1053505198 223 Meadowlands Drive Pharmacy 9669 Mentor Ave

Chardon, OH 44024 Prior authorization is required to Mentor, OH 44060 (440) 286-1056 E, EB, IB, P, R, obtain some covered services from (440) 210-5054 S, T these providers. You will not be Languages Spoken: Mo-Fr - 9:00 AM - 8:00 PM covered for those services without Provider: English Sa - 9:00 AM - 7:00 PM such approval by UnitedHealthcare Mo-Fr - 9:00 AM - 7:00 PM Su - 10:00 AM - 6:00 PM Community Plan. Please see your Sa - 9:00 AM - 5:00 PM Cultural Competency: Y member handbook, or call Member Su - 11:00 AM - 5:00 PM Ages: 0-99 Services for details. Ages: 0-99

Walmart Pharmacy 10-5387 Ccf-Willoughby Hills Pharmacy Genoa Healthcare, LLC Provider ID: 3673414 Provider ID: 3674668 Provider ID: 3678363 NPI: 1306863402 NPI: 1346348091 NPI: 1730413147 15050 South Springdale Ave 2550 Som Center Rd 9220 Mentor Avenue Middlefield, OH 44062 Willoughby Hills, OH 44094 Mentor, OH 44060 (440) 516-8620 (440) 632-0460 E, EB, IB, P, R, (440) 497-4168 S, T Languages Spoken: Languages Spoken: Mo-Fr - 9:00 AM - 9:00 PM Provider: English Provider: English Sa - 9:00 AM - 7:00 PM Mo-Fr - 8:00 AM - 6:00 PM Mo-Th - 8:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Web address: clevelandclinic.org/ph Fr - 8:30 AM - 5:00 PM Cultural Competency: Y armacy Ages: 0-99 Ages: 0-99 Ages: 0-99 Giant Eagle Pharmacy #0216 Cvs Pharmacy #16484 Provider ID: 3667219 Provider ID: 3664720 NPI: 1598770414 NPI: 1992727705 30320 Lake Shore Blvd. 36195 Euclid Ave Willowick, OH 44095 Willoughby, OH 44094 (440) 944-6963 EB, IB, P, R, S (440) 975-1983 Languages Spoken: Languages Spoken: Provider: English Provider: English Mo-Fr - 9:00 AM - 7:00 PM Mo-Fr - 8:00 AM - 8:00 PM Sa - 9:00 AM - 5:00 PM Sa,Su - 9:00 AM - 5:00 PM Su - 11:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99

883

Ohio - Lake Pharmacy Providers Giant Eagle Pharmacy #1217 Giant Eagle Pharmacy #6377 Lake Health Retail Pharmacy - Provider ID: 3671333 Provider ID: 3668312 Tripoint NPI: 1396752317 NPI: 1770598690 Provider ID: 3682463 6079 Andrews Road 1201 Mentor Ave. NPI: 1366844284 Mentor-on-the-lake, OH 44060 Painesville, OH 44077 7580 Auburn Rd Ste 002

(440) 306-0011 EB, IB, P, R, S (440) 358-7769 EB, IB, P, R, S Concord Township, OH 44077

(440) 375-8791 Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English Provider: English Mo-Fr - 8:00 AM - 8:00 PM Mo-Fr - 8:00 AM - 8:00 PM Mo-Fr - 9:00 AM - 6:00 PM Sa,Su - 9:00 AM - 5:00 PM Sa,Su - 9:00 AM - 5:00 PM Sa - 9:00 AM - 1:00 PM Ages: 0-99 Ages: 0-99 Web address: www.lakehealthphar macy.org Giant Eagle Pharmacy #1282 Giant Eagle Pharmacy #6381 Ages: 0-99 Provider ID: 3665671 Provider ID: 3667740 NPI: 1780699694 NPI: 1316952237 Lake Health/University Hospitals 8383 Tyler Blvd 36475 Euclid Ave. Seidman Mentor, OH 44060 Willoughby, OH 44094 Provider ID: 3681776 (440) 701-1004 EB, IB, P, R, S (440) 946-7714 EB, IB, P, R, S NPI: 1629484225 9485 Mentor Ave Suite #3 Languages Spoken: Languages Spoken: Mentor, OH 44060

Provider: English Provider: English (440) 205-5771 Mo-Fr - 8:00 AM - 8:00 PM Mo-Fr - 8:00 AM - 8:00 PM Languages Spoken: Sa,Su - 9:00 AM - 5:00 PM Sa,Su - 9:00 AM - 5:00 PM Provider: English Ages: 0-99 Ages: 0-99 Mo-Fr - 8:00 AM - 3:30 PM Ages: 0-99 Giant Eagle Pharmacy #4097 Lake Health Pharmacy Provider ID: 3667194 Retail-West Marcs NPI: 1871508796 Provider ID: 3683605 Provider ID: 3652612 6556 N. Ridge Road NPI: 1912375601 NPI: 1669487500 Madison, OH 44057 36000 Euclid Ave 29700 Lakeshore Blvd (440) 428-6111 EB, IB, P, R, S Willoughby, OH 44094 Willowick, OH 44095

(440) 602-6701 (440) 944-2801 Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English Provider: English Mo-Fr - 8:00 AM - 8:00 PM Mo-Fr - 9:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 9:00 PM Sa,Su - 9:00 AM - 5:00 PM Sa - 9:00 AM - 1:00 PM Sa,Su - 9:00 AM - 6:00 PM Ages: 0-99 Web address: https://lakehealth.org/l Ages: 0-99 ocations/pharmacy Ages: 0-99

884

Pharmacy Providers Ohio - Lake Marcs Rite Aid Pharmacy 03011 Provider ID: 3649437 Provider ID: 3646859 Rite Aid Pharmacy 04784 NPI: 1841205788 NPI: 1043329378 Provider ID: 3663792 7353 Mentor Ave 36212 Euclid Avenue NPI: 1427064732 Mentor, OH 44060 Willoughby, OH 44094 30500 Lakeshore Boulevard

(440) 951-1721 (440) 942-4288 EB, IB, P, R Willowick, OH 44095

Languages Spoken: (440) 943-2127 EB, IB, P, R Provider: English Languages Spoken: Mo-Fr - 9:00 AM - 9:00 PM Provider: English Languages Spoken: Sa,Su - 9:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 9:00 PM Provider: English Ages: 0-99 Sa - 9:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 9:00 PM Su - 10:00 AM - 6:00 PM Sa - 9:00 AM - 6:00 PM Meijer Pharmacy #309 Cultural Competency: Y Su - 10:00 AM - 6:00 PM Provider ID: 3686839 Ages: 0-99 Cultural Competency: Y NPI: 1386108520 Ages: 0-99 9200 Mentor Ave Rite Aid Pharmacy 03174 Mentor, OH 44060 Provider ID: 3648308 Rite Aid Pharmacy 04847

(440) 266-4410 NPI: 1861501108 Provider ID: 3663918 Languages Spoken: 7796 Munson Road NPI: 1104935451 Provider: English Mentor, OH 44060 6655 North Ridge Road Mo-Fr - 9:00 AM - 7:00 PM (440) 257-6258 EB, IB, P, R Madison, OH 44057 Sa,Su - 10:00 AM - 5:00 PM Languages Spoken: (440) 428-1128 EB, IB, P, R Ages: 0-99 Provider: English Mo-Fr - 9:00 AM - 9:00 PM Languages Spoken: Paragon Rx Sa - 9:00 AM - 6:00 PM Provider: English Provider ID: 3688681 Su - 10:00 AM - 6:00 PM Mo-Fr - 8:00 AM - 9:00 PM NPI: 1578156543 Cultural Competency: Y Sa - 9:00 AM - 6:00 PM 34099 Melinz Pkwy Unit H Ages: 0-99 Su - 10:00 AM - 6:00 PM Eastlake, OH 44095 Cultural Competency: Y

(216) 536-3923 Rite Aid Pharmacy 03195 Ages: 0-99 Languages Spoken: Provider ID: 3648459 Provider: English NPI: 1215046552 Sams Pharmacy 10-4846 Mo-Fr - 8:00 AM - 8:00 PM 180 N. State Street Provider ID: 3672943 Sa - 8:00 AM - 4:00 PM Painesville, OH 44077 NPI: 1841217940 Ages: 0-99 (440) 352-0627 EB, IB, P, R 5600 Emerald Court Mentor, OH 44060 Languages Spoken: (440) 352-7654 E, EB, IB, P, R, Provider: English S, T Mo-Fr - 8:00 AM - 10:00 PM Mo-Fr - 9:00 AM - 7:00 PM Sa - 9:00 AM - 6:00 PM Sa - 9:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Ages: 0-99

885

Ohio - Lake Pharmacy Providers Senior Pharmacy Services Walgreens #13058 Walgreens #5820 Provider ID: 3680320 Provider ID: 3661863 Provider ID: 3667675 NPI: 1336413020 NPI: 1316952336 NPI: 1568479574 34099 Melinz Pkwy Unit J 35279 Vine Street 6101 Andrews Road Eastlake, OH 44095 Willowick, OH 44095 Mentor On The Lake, OH 44060

(440) 942-8674 (440) 918-0700 (440) 209-8391 Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English Provider: English Ages: 0-99 Mo-Fr - 8:00 AM - 10:00 PM Mo-Fr - 8:00 AM - 10:00 PM Sa - 9:00 AM - 6:00 PM Sa - 9:00 AM - 6:00 PM Signature Health Pharmacy Su - 10:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Provider ID: 3678882 Ages: 0-99 Ages: 0-99 NPI: 1740502335 38882 Mentor Ave Walgreens #4294 Walgreens #5821 Willoughby, OH 44094 Provider ID: 3663956 Provider ID: 3668893

(440) 953-9999 NPI: 1952316978 NPI: 1225043250 Languages Spoken: 5881 Som Center Rd 132 Richmond St Provider: English Willoughby, OH 44094 Painesville, OH 44077

Mo-Th - 8:30 AM - 8:00 PM (440) 946-4357 (440) 350-1928 Fr - 8:30 AM - 4:30 PM Languages Spoken: Languages Spoken: Ages: 0-99 Provider: English Provider: English Ages: 0-99 Mo-Fr - 8:00 AM - 10:00 PM Walgreens #10518 Sa - 9:00 AM - 6:00 PM Provider ID: 3675646 Walgreens #4317 Su - 10:00 AM - 6:00 PM NPI: 1003941279 Provider ID: 3664655 Ages: 0-99 6707 N Ridge Rd NPI: 1306851324 Madison, OH 44057 9400 Mentor Ave Walmart Pharmacy 10-1857

(440) 428-3330 Mentor, OH 44060 Provider ID: 3657131

Languages Spoken: (440) 255-6247 NPI: 1003833294 Provider: English Languages Spoken: 9303 Mentor Avenue Mo-Fr - 9:00 AM - 9:00 PM Provider: English Mentor, OH 44060

Sa - 9:00 AM - 6:00 PM Mo-Fr - 8:00 AM - 10:00 PM (440) 974-3301 E, EB, IB, P, R, Su - 10:00 AM - 6:00 PM Sa - 9:00 AM - 6:00 PM S, T Ages: 0-99 Su - 10:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 9:00 PM Ages: 0-99 Sa - 9:00 AM - 7:00 PM Su - 10:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99

886

Pharmacy Providers Ohio - Lorain Walmart Pharmacy 10-1863 Cvs Pharmacy #16570 Lorain Provider ID: 3657585 Provider ID: 3667156

NPI: 1649297839 NPI: 1750303467 33752 Vine St Pharmacy 240 Market Dr

Eastlake, OH 44095 Prior authorization is required to Elyria, OH 44035 (440) 269-8828 E, EB, IB, P, R, obtain some covered services from (440) 324-2339 S, T these providers. You will not be Languages Spoken: Mo-Fr - 9:00 AM - 9:00 PM covered for those services without Provider: English Sa - 9:00 AM - 7:00 PM such approval by UnitedHealthcare Mo-Fr - 9:00 AM - 7:00 PM Su - 10:00 AM - 6:00 PM Community Plan. Please see your Sa - 9:00 AM - 5:00 PM Cultural Competency: Y member handbook, or call Member Su - 11:00 AM - 5:00 PM Ages: 0-99 Services for details. Ages: 0-99

Walmart Pharmacy 10-3608 Buderer Drug Company, Avon Cvs Pharmacy #16666 Provider ID: 3674062 Provider ID: 3679771 Provider ID: 3669085 NPI: 1124045224 NPI: 1750677944 NPI: 1821010539 6067 North Ridge Road 38530 Chester Road 35830 Detroit Rd Madison, OH 44057 Suite 400 Avon, OH 44011 Avon, OH 44011 (440) 417-0373 E, EB, IB, P, R, (440) 937-4308 S, T (440) 934-3100 E, EB, IB, P, R, Languages Spoken: Mo-Fr - 9:00 AM - 9:00 PM S, T Provider: English Sa - 9:00 AM - 7:00 PM Languages Spoken: Mo-Fr - 9:00 AM - 7:00 PM Su - 10:00 AM - 6:00 PM Provider: English Sa - 9:00 AM - 5:00 PM Cultural Competency: Y Mo-Fr - 9:00 AM - 6:00 PM Su - 11:00 AM - 5:00 PM Ages: 0-99 Cultural Competency: Y Ages: 0-99 Web address: www.budererdrug.co m Cvs Pharmacy #17416 Ages: 0-99 Provider ID: 3676268 NPI: 1578757613 Cleveland Clinic Avon 8000 Oak Point Rd Ambulatory Pharmac Amherst, OH 44001 Provider ID: 3680041 (440) 985-7101 NPI: 1538446471 Languages Spoken: 33100 Cleveland Clinic Boulevard Provider: English Avon, OH 44011 Mo-Fr - 9:00 AM - 8:00 PM (440) 695-4100 Sa - 9:00 AM - 6:00 PM Languages Spoken: Su - 11:00 AM - 5:00 PM Provider: English Ages: 0-99 Mo-Fr - 8:00 AM - 6:00 PM Web address: clevelandclinic.org/ph armacy Ages: 0-99

887

Ohio - Lorain Pharmacy Providers Gates Pharmacy Giant Eagle Pharmacy #0231 Lagrange Pharmacy Provider ID: 3649665 Provider ID: 3665241 Provider ID: 3687855 NPI: 1679615249 NPI: 1417962325 NPI: 1740816453 125 E Broad St 5231 Detroit Road 540 N Center St Suite 109 Sheffield Village, OH 44054 Lagrange, OH 44050

Elyria, OH 44035 (440) 934-5377 EB, IB, P, R, S (440) 613-1300

(440) 329-7300 Languages Spoken: Languages Spoken: Languages Spoken: Provider: English Provider: English Provider: English Mo-Fr - 9:00 AM - 7:00 PM Mo-Fr - 9:00 AM - 5:30 PM Mo-Fr - 8:00 AM - 8:00 PM Sa - 10:00 AM - 3:00 PM Sa - 9:00 AM - 1:00 PM Sa,Su - 9:00 AM - 5:00 PM Ages: 0-99 Web address: gatesrx.com Ages: 0-99 Ages: 0-99 Marcs Giant Eagle Pharmacy #1284 Provider ID: 3655846 Giant Eagle Pharmacy #0199 Provider ID: 3665657 NPI: 1831104777 Provider ID: 3675115 NPI: 1871508788 170 Sheffield Ctr NPI: 1932260767 31990 Walker Road Lorain, OH 44055

34325 Center Ridge Rd Avon Lake, OH 44012 (440) 233-7874 North Ridgeville, OH 44039 (440) 933-9598 EB, IB, P, R, S Languages Spoken:

(440) 327-8085 EB, IB, P, R, S Provider: English Languages Spoken: Mo-Fr - 9:00 AM - 9:00 PM Languages Spoken: Provider: English Sa,Su - 9:00 AM - 6:00 PM Provider: English Mo-Fr - 8:00 AM - 8:00 PM Ages: 0-99 Mo-Fr - 8:00 AM - 8:00 PM Sa,Su - 9:00 AM - 5:00 PM Sa,Su - 9:00 AM - 5:00 PM Ages: 0-99 Marcs Ages: 0-99 Provider ID: 3668552 Giant Eagle Pharmacy #6375 NPI: 1639184575 Giant Eagle Pharmacy #0220 Provider ID: 3667752 34800 Center Ridge Rd Provider ID: 3665239 NPI: 1225043144 North Ridgeville, OH 44039

NPI: 1508871419 320 Market Drive (440) 353-1601 2201 Kresge Drive Elyria, OH 44035 Languages Spoken: Amherst, OH 44001 (440) 324-1742 EB, IB, P, R, S Provider: English (440) 282-7651 EB, IB, P, R, S Mo-Fr - 9:00 AM - 9:00 PM Languages Spoken: Sa,Su - 9:00 AM - 6:00 PM Languages Spoken: Provider: English Ages: 0-99 Provider: English Mo-Fr - 8:00 AM - 8:00 PM Mo-Fr - 8:00 AM - 8:00 PM Sa,Su - 9:00 AM - 5:00 PM Sa,Su - 9:00 AM - 5:00 PM Ages: 0-99 Ages: 0-99

888

Pharmacy Providers Ohio - Lorain Meijer Pharmacy #308 Midview Drug Rite Aid Pharmacy 02590 Provider ID: 3686827 Provider ID: 3681308 Provider ID: 3665924 NPI: 1750845889 NPI: 1770915571 NPI: 1598874877 1810 Nagel Rd 35053 Royalton Rd 267 North Main Street Avon, OH 44011 Grafton, OH 44044 Wellington, OH 44090

(440) 695-2450 (440) 748-2137 (440) 647-2121 EB, IB, P, R Languages Spoken: Languages Spoken: Provider: English Provider: English Languages Spoken: Mo-Fr - 9:00 AM - 7:00 PM Mo-Fr - 10:00 AM - 7:00 PM Provider: English Sa,Su - 10:00 AM - 5:00 PM Sa - 10:00 AM - 5:00 PM Mo-Fr - 9:00 AM - 9:00 PM Ages: 0-99 Web address: n/a Sa - 9:00 AM - 6:00 PM Ages: 0-99 Su - 10:00 AM - 6:00 PM Meijer Pharmacy #318 Cultural Competency: Y Provider ID: 3687728 Nord Center's Pharmacy Ages: 0-99 NPI: 1073144408 Provider ID: 3682475 5350 Leavitt Rd NPI: 1063816601 Rite Aid Pharmacy 03169 Lorain, OH 44053 6140 S Broadway Provider ID: 3648257

(440) 538-0110 Lorain, OH 44053 NPI: 1073622312

Languages Spoken: (440) 204-4307 4106 East Lake Road Provider: English Languages Spoken: Shoreway Shopping Center Mo-Fr - 9:00 AM - 7:00 PM Provider: Arabic Sheffield Lake, OH 44054 Sa,Su - 10:00 AM - 5:00 PM Mo-Fr - 8:30 AM - 5:00 PM (440) 949-6239 EB, IB, P, R Ages: 0-99 Ages: 0-99 Languages Spoken: Provider: English Mercy Health Lorain Outpatient Planned Parenthood Of Greater Mo-Fr - 9:00 AM - 9:00 PM Pharmacy Ohio Lorai Sa - 9:00 AM - 6:00 PM Provider ID: 3685712 Provider ID: 3681649 Su - 10:00 AM - 6:00 PM NPI: 1942718713 NPI: 1649618893 Cultural Competency: Y 3600 Kolbe Rd Ste 102 200 W 9th St Ages: 0-99 Lorain, OH 44053 Lorain, OH 44052

(440) 960-4508 (440) 242-2087 Rite Aid Pharmacy 03365 Languages Spoken: Languages Spoken: Provider ID: 3658703 Provider: English Provider: English NPI: 1891804142 Mo-Fr - 7:00 AM - 5:00 PM Mo - 9:00 AM - 2:00 PM 479 Main Street Sa - 9:00 AM - 1:00 PM Tu - 10:00 AM - 3:30 PM Grafton, OH 44044 Ages: 0-99 Fr - 9:00 AM - 2:30 PM (440) 926-2126 EB, IB, P, R Ages: 0-99 Languages Spoken: Provider: English Mo-Fr - 8:00 AM - 9:00 PM Sa - 9:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99

889

Ohio - Lorain Pharmacy Providers Wal-Mart Pharmacy 10-5309 Rite Aid Pharmacy 04245 Rite Aid Pharmacy 04947 Provider ID: 3674872 Provider ID: 3664035 Provider ID: 3665392 NPI: 1588675003 NPI: 1730298084 NPI: 1295844561 46440 Us Highway 20 142 Broad Street 100 South Leavitt Road Oberlin, OH 44074

Elyria, OH 44035 Amherst, OH 44001 (440) 774-6734 E, EB, IB, P, R,

(440) 322-7780 EB, IB, P, R (440) 988-5832 EB, IB, P, R S, T Languages Spoken: Mo-Fr - 9:00 AM - 9:00 PM Languages Spoken: Provider: English Sa - 9:00 AM - 7:00 PM Provider: English Mo-Fr - 9:00 AM - 9:00 PM Su - 10:00 AM - 6:00 PM Mo-Fr - 8:00 AM - 10:00 PM Sa - 9:00 AM - 6:00 PM Cultural Competency: Y Sa - 9:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Ages: 0-99 Su - 10:00 AM - 6:00 PM Cultural Competency: Y Cultural Competency: Y Ages: 0-99 Walgreens #10222 Ages: 0-99 Provider ID: 3674923 Sams Pharmacy 10-6314 NPI: 1073694568 Rite Aid Pharmacy 04683 Provider ID: 3670444 2730 Broadway Provider ID: 3662738 NPI: 1306863501 Lorain, OH 44052

NPI: 1063521318 5225 Cobblestone Road (440) 244-0593 2709 Broadway Avenue Elyria, OH 44035 Languages Spoken:

Lorain, OH 44052 (440) 934-4310 E, EB, IB, P, R, Provider: English (440) 244-1950 EB, IB, P, R S, T Mo-Fr - 8:00 AM - 10:00 PM Languages Spoken: Mo-Fr - 9:00 AM - 7:00 PM Sa - 9:00 AM - 6:00 PM Provider: English Sa - 9:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 9:00 PM Cultural Competency: Y Ages: 0-99 Sa - 9:00 AM - 6:00 PM Ages: 0-99 Su - 10:00 AM - 6:00 PM Walgreens #5138 Cultural Competency: Y Southside Pharmacy Of Lorain Provider ID: 3666332 Ages: 0-99 Inc NPI: 1144235169 Provider ID: 3682401 100 Cleveland St Rite Aid Pharmacy 04766 NPI: 1992105472 Elyria, OH 44035

Provider ID: 3663398 2811 Fulton Rd (440) 322-7604 NPI: 1518973825 Ste B Languages Spoken: 2853 Grove Avenue Lorain, OH 44055 Provider: English

Lorain, OH 44055 (440) 277-0655 Ages: 0-99 (440) 277-6181 EB, IB, P, R Languages Spoken: Languages Spoken: Provider: English, Spanish Provider: English Mo-Fr - 9:00 AM - 7:00 PM Mo-Fr - 9:00 AM - 9:00 PM Sa - 10:00 AM - 5:00 PM Sa - 9:00 AM - 6:00 PM Ages: 0-99 Su - 10:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99

890

Pharmacy Providers Ohio - Medina Walgreens #6574 Walmart Pharmacy 10-1839 Medina Provider ID: 3671105 Provider ID: 3656824

NPI: 1881609816 NPI: 1194742387 5411 Leavitt Rd 4380 Leavitt Rd Pharmacy

Lorain, OH 44053 Lorain, OH 44053 Prior authorization is required to (440) 960-7225 (440) 324-4205 E, EB, IB, P, R, obtain some covered services from Languages Spoken: S, T these providers. You will not be Provider: English Mo-Fr - 9:00 AM - 8:00 PM covered for those services without Ages: 0-99 Sa - 9:00 AM - 7:00 PM such approval by UnitedHealthcare Su - 10:00 AM - 6:00 PM Community Plan. Please see your Walgreens #6588 Cultural Competency: Y member handbook, or call Member Provider ID: 3669984 Ages: 0-99 Services for details.

NPI: 1982619912 32798 Walker Rd Walmart Pharmacy 10-4255 Cleveland Clinic Medina Avon Lake, OH 44012 Provider ID: 3675709 Ambulatory Pharm Provider ID: 3681269 (440) 930-5873 NPI: 1548394893 Languages Spoken: 1000 Chestnut Commons Drive NPI: 1164855904 Provider: English Elyria, OH 44035 1000 E Washington Street Medina, OH 44256 Mo-Fr - 8:00 AM - 10:00 PM (440) 366-0125 E, EB, IB, P, R, Sa - 9:00 AM - 6:00 PM S, T (330) 721-5490 Su - 10:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 9:00 PM Languages Spoken: Ages: 0-99 Sa - 9:00 AM - 7:00 PM Provider: English Su - 10:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 5:00 PM Walgreens #9372 Cultural Competency: Y Web address: clevelandclinic.org/ph Provider ID: 3673767 Ages: 0-99 armacy NPI: 1073528030 Ages: 0-99 33760 Center Ridge Rd Walmart Pharmacy 10-5066 North Ridgeville, OH 44039 Provider ID: 3671799 Cvs Pharmacy #16379 Provider ID: 3661306 (440) 327-1330 NPI: 1932126133 Languages Spoken: 35901 Chester Road NPI: 1598787392 Provider: English Avon, OH 44011 1015 N Court St Medina, OH 44256 Mo-Fr - 8:00 AM - 10:00 PM (440) 937-4760 E, EB, IB, P, R, Sa - 9:00 AM - 6:00 PM S, T (330) 725-2706 Su - 10:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 7:00 PM Languages Spoken: Ages: 0-99 Sa - 9:00 AM - 5:00 PM Provider: English Su - 10:00 AM - 5:00 PM Mo-Fr - 9:00 AM - 7:00 PM Cultural Competency: Y Sa - 9:00 AM - 5:00 PM Ages: 0-99 Su - 11:00 AM - 5:00 PM Ages: 0-99

891

Ohio - Medina Pharmacy Providers Cvs Pharmacy #17202 Giant Eagle Pharmacy #5839 Marcs Provider ID: 3674187 Provider ID: 3675343 Provider ID: 3675684 NPI: 1679595383 NPI: 1639210560 NPI: 1619000684 1183 Williams Reserve Blvd 870 N Court Street 3303 Center Rd Wadsworth, OH 44281 Medina, OH 44256 Brunswick, OH 44212

(330) 335-2627 (330) 721-8028 EB, IB, P, R, S (330) 273-3232 Languages Spoken: Languages Spoken: Provider: English Languages Spoken: Provider: English Mo-Fr - 9:00 AM - 7:00 PM Provider: English Mo-Fr - 9:00 AM - 7:00 PM Sa - 9:00 AM - 5:00 PM Mo-Fr - 8:00 AM - 8:00 PM Sa - 9:00 AM - 6:00 PM Su - 11:00 AM - 5:00 PM Sa,Su - 9:00 AM - 5:00 PM Su - 10:00 AM - 2:00 PM Ages: 0-99 Ages: 0-99 Ages: 0-99

Giant Eagle Pharmacy #0229 Harvest Grove Ltc Omnicare Of Wadsworth #48324 Provider ID: 3666786 Provider ID: 3688251 Provider ID: 3641140 NPI: 1053326975 NPI: 1548874316 NPI: 1740392042 3440 Center Road 1113 Medina Rd Ste 700 1360 Reimer Rd Brunswick, OH 44212 Medina, OH 44256 Wadsworth, OH 44281

(330) 225-1159 EB, IB, P, R, S (888) 322-6216 (330) 336-6628 Languages Spoken: Ages: 0-99 Languages Spoken: Provider: English Provider: English Ages: 0-99 Rite Aid Pharmacy 01283 Mo-Fr - 8:00 AM - 8:00 PM Provider ID: 3639688 Sa,Su - 9:00 AM - 5:00 PM Marcs NPI: 1063521391 Ages: 0-99 Provider ID: 3655834 207 North Court Street NPI: 1922013861 Medina, OH 44256

Giant Eagle Pharmacy #4601 1041 N Court (330) 725-4104 EB, IB, P, R Provider ID: 3678313 Medina, OH 44256 Languages Spoken: NPI: 1639302557 (330) 722-3662 Provider: English 825 Ambassador Drive Languages Spoken: Mo-Fr - 8:00 AM - 9:00 PM Wadsworth, OH 44281 Provider: English Sa - 9:00 AM - 6:00 PM (330) 336-8990 EB, IB, P, R, S Mo-Fr - 9:00 AM - 8:00 PM Su - 10:00 AM - 6:00 PM Sa - 9:00 AM - 6:00 PM Cultural Competency: Y Languages Spoken: Su - 9:00 AM - 5:00 PM Ages: 0-99 Provider: English Ages: 0-99 Mo-Fr - 8:00 AM - 8:00 PM Sa,Su - 9:00 AM - 5:00 PM Ages: 0-99

892

Pharmacy Providers Ohio - Medina Rite Aid Pharmacy 04811 Walgreens #6458 Provider ID: 3664542 Provider ID: 3669629 NPI: 1003830357 NPI: 1164437190 780 High Street 805 N Court St Wadsworth, OH 44281 Medina, OH 44256

(330) 336-2550 EB, IB, P, R (330) 764-4399 Languages Spoken: Languages Spoken: Provider: English Provider: English Mo-Fr - 9:00 AM - 9:00 PM Mo-Fr - 8:00 AM - 10:00 PM Sa - 9:00 AM - 6:00 PM Sa - 9:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Cultural Competency: Y Ages: 0-99 Ages: 0-99 Walmart Pharmacy 10-1894 Rite Aid Pharmacy 04953 Provider ID: 3657232 Provider ID: 3665962 NPI: 1912924101 NPI: 1407965783 4141 Pearl Road 3871 Center Road Medina, OH 44256

Brunswick, OH 44212 (330) 723-1511 E, EB, IB, P, R,

(330) 220-7767 EB, IB, P, R S, T Mo-Fr - 9:00 AM - 9:00 PM Languages Spoken: Sa - 9:00 AM - 7:00 PM Provider: English Su - 10:00 AM - 6:00 PM Mo-Fr - 9:00 AM - 9:00 PM Cultural Competency: Y Sa - 9:00 AM - 6:00 PM Ages: 0-99 Su - 10:00 AM - 6:00 PM Cultural Competency: Y Walmart Pharmacy 10-2966 Ages: 0-99 Provider ID: 3672955 NPI: 1407874258 Walgreens #5431 222 E Smokerise Dr Provider ID: 3667043 Wadsworth, OH 44281

NPI: 1871508895 (330) 336-5274 E, EB, IB, P, R, 1337 Pearl Rd S, T Brunswick, OH 44212 Mo-Fr - 9:00 AM - 8:00 PM (330) 220-3225 Sa - 9:00 AM - 7:00 PM Languages Spoken: Su - 10:00 AM - 6:00 PM Provider: English Cultural Competency: Y Mo-Fr - 9:00 AM - 9:00 PM Ages: 0-99 Sa - 9:00 AM - 6:00 PM Su - 10:00 AM - 6:00 PM Ages: 0-99

Index

* Akhrass, Rami, MD...... 353, 354 Antonelli, Maria J, MD...... 543 *Lorain County Health & Dentistry. .... 132 Akkireddi, Padmalatha, MD...... 617 Anumandla, Anil Kumar Redd, MD. ... 192 *Mercy Allen Rhc Lagrange...... 876 Akuchie, Joy U, PA...... 171 Appachi, Swathi, MD...... 822 *Mercy Allen Rhc Wellington...... 876 Al Ashqar, Hani, DDS...... 712 Appleby, Kristin K, MD...... 514 *Signature Health...... 876 Al Yafi, Mhdfiras, DDS...... 725 Applewood Center Inc..859, 864, 865, 871 *The Free Medical Clinic Of Greater Al-Abousi, May H, MD...... 134 Applewood Centers.574, 590, 617, 618, Cleve...... 132, 133, 190 Al-Hilli, Mariam M, MD...... 394 638, 673, 685 A Al-Khadra, Yasser, MD...... 134, 191 Archacki, Stephen R, MD...... 59 A & A Medical Supply...... 844, 877 Al-Quthami, Adeeb H, MD...... 486 Archer, Heidi S, NP...... 775 A & S Khandelwal Md...... 221 Alaburda, Brianne, MA...... 559 Archer, Michelle J, CSW...... 638, 639 A Heavenly Helper Home Care...... 791 Alahmad, Jalaa, MD...... 191 Argekar, Pushkar A, MD...... 512, 513 A New Day Lodi LLC...... 673, 684 Alalwani, Mohamed, MD...... 400 Argotegreene, Luis M, MD...... 264, 354 A Renewed Mind...... 589 Alam, Syed M, MD...... 673 Arhin, Jennifer, MS...... 670 Abas, Mustafa, MD...... 261 Alappan, Narendrakumar, MD...... 541 Armanazi, Mohammad Y, DDS. ..703, 711 Abbass, Hassan A, MD...... 256 Aldrich, Nely Z, MD...... 495 Armitage, Sherry L, NP...... 381, 775 Abbass, Rami, MD...... 233, 234, 289 Alert Care Medical...... 846 Armstrong, Amy J, MD...... 504 Abboud, Rami, MD...... 541 Alexopoulos, Andreas V, MD...... 425, 513 Arnett, Heather E, MD...... 93 Abc Of Greater Cleveland...... 791, 879 Alfes, John C, MD...... 134 Arnold, Christine M, MD...... 807 Abdallah, Jason, MD...... 234 Ali, Hayat A, DDS...... 703 Arnold, Maryanne E, SLP...... 544 Abdelhamid, Yaser, CA...... 266, 358 Ali, Jonetha A, MA...... 637 Arnold, Steven J, MD...... 27 Abiose, Ademola K, MD...... 362 Ali, Mary, PT...... 525 Arnovitz, Jeffrey W, NP...... 32, 72 Abou Haidar, Said N, MD...... 616 Ali, Mir Y, MD...... 506, 507 Arobelidze, Salome, MD...... 134, 192 Abouassaly, Robert, MD...... 547 Alkhouri Saad, Natali, MD...... 191 Arouszy, Allison E, MA...... 590 Abraham, Benjamin, MD...... 446 All Around Physical Therapy...... 848 Arruda, Maria J, MD.271, 362, 814, 818, Abramovich, Drew K, MD...... 506 Allen, Jeffrey S, MA...... 685 820, 823 Absolute Billing Services...... 852 Allgeier, Rebecca A, MS...... 560, 638 Asaad, Hossam, DMD...... 704, 713, 725 Abumeri, Sana, MD...... 134 Alliant Treatment Center LLC. ....859, 864 Asaad, Imad, MD...... 382 Abushukur, Muawia, MD.....379, 380, 399 Almhana, Diab M, MD...... 617 Asaad, Reem, DMD...... 704, 713 Abuzakyah, Saad A, DDS...... 712 Alsaad, Ahmad M, DDS.703, 711, 712, Asap Home Nurses...... 792 Acord Gina...... 879 723, 725, 729 Ascha, Ahmad, MD...... 289 Acosta, Kim M, MA...... 637 Alshami, Loiy N, DDS...... 703, 712, 725 Ashai, Ayesha, MD...... 552 Adamo, John J, MSN...... 569, 670 Alston, Karen A, NP...... 765 Ashai, Nuzhat I, MD...... 422 Adams, Chad R, DC...... 372 Altercare Of Mentor Ctr-Rehab & Nrsng. Ashland, Sarah, DO...... 93 Adams, Diana M, CSW...... 637 ...... 840 Assad, Ramez M, DMD...... 713 Adams, Lynn A, MA...... 589 Altercare Of Wadsworth Ctr Assisted Living Services...... 791 Adams, Matthew K, MD...... 730, 736 Rehab/Nursing...... 843 Aston, Anne G, CSW...... 639 Adams, Steven, MA...... 589 Alvarez, Adriana L, MD...... 396, 400 Astrab, Carrie L, NP...... 149 Adasofunjo, Oluwabukola P, MD...... 573 Alverson, Mary Jo, CNM...... 756 Atanasovski, Ilija, MA...... 639 Adedipe, Adefunke G, MD...... 120 Amado De Olazaval, Antoine, MD...... 282 Atarchi, Ahmed R, DDS.704, 712, 713, Adityanjee, A, MD...... 617 Amalfitano, Michael L, DO...... 486 724, 725, 729 Adkins, Amber L, MA...... 685 Amara Home Healthcare Services...... 791 Atkinson, Jessica, NP...... 785 Adkins, Laurie M, PA...... 337 Amarnath, Malathi, DO...... 232 Atlas Rehab & Wellness Center...... 848 Adkins, Nicole M, NP.32, 71, 148, 149, Amherst Assisted Living...... 878 Auburn Road Dialysis...... 846 201 Amherst Dialysis...... 849 Augustin, Toms, MD...... 388 Advanced Rehab Oh...... 853 Amherst Manor...... 841 Aussem, Kasandra M, MS...... 639 Afsarifard, Farshid, PHD...... 586 Amory, Robert M, DO...... 486 Austerman, Joseph M, DO...... 618 Agm Physical Therapy...... 848 Amstadt, Randi E, DO...... 183 Austin, Frances E, MA...... 590 Aguilera, Richard, MD...... 449 Anchor Lodge Nursing Home...... 841 Autumn Aegis...... 841 Agwa, Eberechi S, MD...... 396 Anchor Lodge Retirement Village...... 878 Avallone, Anthony N, MD...... 476 Ahmann, Maureen E, DO...... 213 Andrasko, James J, MD...... 387, 388 Avenue At Medina...... 843 Ahmed, Ismail S, MD...... 362 Andreani, Natalina N, MD...... 793 Avenues Of Counseling And Mediation. Ahmed, Mohammed M, MD...... 573 Andrefsky, John C, MD...... 513 ...... 673, 674, 685 Ahmed, Razia, MD...... 617 Andrew K Brobbey Md...... 108 Averill, Marley, CSW...... 590 Ahmed, Samina, LPC...... 682 Andrews, Christine N, MS...... 685 Avon Oaks Nursing Home...... 842 Ahuja, Samir, MD...... 793, 794 Andrysek, Kevin, NP...... 774 Avon Place...... 842 Ajlouny, Phillip J, MD...... 574 Andrzejewski, Charles P, MA...... 638 Avsec, Jennie, PT...... 257 Akbar, Khalid, MD...... 166 Angels In Waiting Homecare...... 791, 878 Axton, Natasha D, PA...... 171 Akhigbe, Ruby J, MA...... 589, 684, 685 Anthony, James M, MD...... 120 Ayers, Daphne C, MA...... 639 MMOH.21.999.01.9.005 Index 894

Index

Ayers, Katherine E, MD...... 192 Baumgartner, Stacy L, NP...... 149 Biedenbach, Rachel A, MD...... 752 Azem, Jamal M, MD...... 319 Bazin, Hisham Alhadi M, DDS....704, 725 Bielefeld, Marie G, PHD...... 635 Azem, Khalil, MD...... 331 Beach, Jennifer, LPC...... 615 Bigg, Margaret M, MD...... 184 Azem, May, MD...... 352 Bedford, Tyler M, MD...... 500 Biggs, Ariel J, MD...... 239, 301, 401 Azem, Rami M, MD...... 319 Bednar, Ryan M, MS...... 670 Binder, Michael P, MD...... 343 Aziz, Carolina A, DO...... 59 Bedocs, Laleh A, DO...... 823, 831 Bingham, Barbara A, OD...... 747 B Beech Brook...... 634, 635, 639, 640 Bishop, Madison, MA...... 640 Baar, Joseph C, MD...... 297 Beeman, Patrick C, MD...... 618, 801 Bishop, Nichole E, PA...... 99 Babitt, Cindy L, MA...... 483 Beharry, Nicole C, MD...... 730, 737 Bissett, Julia A, MS...... 569 Babiuch, Allison E, MD...... 736 Behavioral Health Services Of Greater Cl. Biswas, Tithi, MD...... 252 Babiuch, Amy S, MD...... 736 ...... 685 Black, Andrew, NP...... 202 Babiuch, Christopher M, MD...... 120 Bej, Mark D, MD...... 425, 618, 619 Black, Joshua J, DNP...... 670 Bacevice, Anthony E, MD....394, 395, 801 Belcher, Wendelyn L, MS...... 612 Black, Kenzie E, MA...... 640 Bae, Seung Yeon, DMD...... 704, 713 Belkin, Julie K, MD...... 730 Blackburn, Joseph B, MD...... 184 Baez-Socorro, Virginia M, MD...... 826 Bell, Jerry C, DO...... 50 Blacksmith, Alicia P, NP...... 202 Bafna, Shamik, MD...... 737 Bellante, Anita M, MD...... 807 Blackston Balogh, Amber N, CSW.590, Baghaie, Neena A, DMD...... 704, 713 Bellefaire Jcb...... 619, 640 591 Baidoun, Firas, MD...... 134, 192 Bellefaire Jewish Childrens Bureau.856, Blackwell, Samantha, MS...... 640, 641 Baig, Mirza I, MD...... 449 859, 866, 871, 872 Blades, Edmond W, MD...... 382 Bailey, Laura M, MD...... 60 Bellefaire/Prof Fees...... 640 Blair, Rachael H, MA...... 641 Bailey, Shannon N, NP...... 72, 765 Beller, Nancy O, MD...... 60 Blair, Russell A, MD...... 301 Baker, Gary, MS...... 590 Bello, Victor M, MD...... 731 Blair, Sarah M, NP...... 761, 766 Baker, Jennifer L, CSW...... 590 Belmonte, Rosenda O, PA.42, 98, 171, Blesse Hampton, Laura C, PA...... 453 Baker, Vickie E, MD...... 120, 121 216 Bloom, Linda S, CNM...... 757 Baker-Horn, Jordan N, DO...... 49, 183 Beltone Hearing Aid Center...... 850, 853 Bobanga, Iuliana D, MD...... 236 Bala, Vikram A, DPM...... 345 Beltz, John R, DC...... 492 Bobonich, Margaret A, NP...... 766 Bale, Allison A, MA...... 639 Bencivenni, Kelly J, MA...... 560 Bocks, Martin L, MD...... 820 Ballin, Mitchell I, MD. .239, 300, 400, 401 Benford, Sonja L, MA...... 590 Bodie, Michelle E, PA...... 453, 529 Ballock, Robert T, MD...... 518 Benjamin, Michele L, MS...... 785 Bodnar, Myron E, MD...... 752 Banna, Ahmad, MD...... 268 Benko, Elle K, MA...... 640 Bodner, Donald R, MD...... 354, 477 Baranauskas, Michael V, MD...... 60 Bennett, Michael S, NP...... 32, 72 Bodzin, Gordon A, MD...... 236, 294 Barber, Elizabeth V, MA...... 639 Bennett, Shevon M, MA...... 686 Boes, Cynthia R, MD...... 92, 795 Bardi, Pegah, PA...... 258 Berardinelli, Gina L, NP...... 766 Bofah, Isaac O, MA...... 613 Barger, Tina A, NP...... 761, 766, 775 Berezne, Gregory J, BA...... 590 Bohac, Christopher J, MD...... 236, 294 Barkan, Dawn M, OD...... 730 Berg, Allison, PT...... 525 Bold, Edward L, MD...... 331 Barker, Bradley D, MD...... 121 Berger, Andrew M, NP.32, 72, 149, 201, Bolla, Ravisankar R, MD. ....360, 363, 401 Barker, Cheryl, PHD...... 634 202 Bologna, Raymond A, MD...... 547 Barket, Steven J, DMD...... 725 Bergfeld, Wilma F, MD.282, 374, 375, Bond, Alayla S, MA...... 641 Barmasse, Leah M, PA...... 171 495 Bondi, Jane, PA...... 338 Barnosky, John A, DC...... 492 Bergman, Alf H, MD...... 574 Boone, Markia B, MA...... 641 Barone, Jennifer M, PA...... 528 Bering, Shana, MA...... 640 Bordonaro, Salvatore, PA...... 338 Barr, Robert J, DPM...... 345 Berlin, Praveena P, MS...... 612, 774 Borland, Cary C, DO...... 121, 122 Barrick, Carl J, DO...... 495 Berman, David A, DC...... 231 Borst, Kevin L, DO...... 377 Barros, Sabrina, PA...... 528 Berman, Jeffrey S, MA...... 640 Bort, Nicole L, NP...... 776, 785 Barry, Janet M, DC...... 372 Bernard, Steven L, MD...... 460 Borthwick, Diann E, PA...... 453, 529 Barry, Shannon S, NP...... 766, 785 Bernhardt, Richard L, PA...... 453, 528 Botek, Georgeanne G, DPM...... 345 Bartholomew, John R, MD...... 479 Berning, Jeremy L, DMD...... 704, 713 Botti, Robert E, MD...... 272 Bartyzel, James A, PA...... 338, 528 Berry, Richard, MD...... 50 Bou Matar, Raed N, MD...... 816 Bashour, Fadi N, MD...... 499 Berry-Tripp, Rebecca J, PA...... 453 Bou-Abboud Matta, Carine E, MD...... 289 Baskar, Govindasamy, MD...... 823 Beveridge, Mara G, MD...... 282 Bouchard, Jennifer, NP...... 26, 47, 73, 182 Baskin, Jonathan Z, MD...... 331 Bhadra, Eva L, MD...... 39 Bouchard, Lauren T, MD...... 795 Bass, Nancy E, MD...... 816, 828 Bhardwaj, Anita M, MD...... 39 Boulanger, Scott C, MD...... 500, 830 Basu, Basanti, MD...... 618 Bhatt, Mukesh C, MD...... 506, 507, 517 Bous, Rany, DDS...... 704, 711, 713, 723 Batke Hastings, Susan, NP.26, 32, 46, 72, Bhola, Monika, MD...... 249 Boutros, Dina Y, MD...... 426, 514 182, 201 Bianco, Michael A, MD...... 509 Bowe, David A, MD...... 240, 301 Baum, Stephen A, MD...... 59, 60 Bicanovsky, Lesley K, DO...... 802 Bowens, Devon A, MA...... 641 Baumann, Danielle, MSW...... 639 Bicer, Fuat, MD...... 60 Bowers, Ashley M, MA...... 641 Baumbick, Robert J, DC...... 372 Biddell, Kristin G, NP...... 46, 47, 73 Bowers, Donald L, DO...... 285, 497 MMOH.21.999.01.9.005 Index 895

Index

Bowersox, Harold J, DO...... 50, 58, 60 Buck, Leah, PA...... 99, 216 Carroll, Bryan T, MD...... 282, 495 Bowling, Tamara L, FNP...... 671, 784 Buckley, William F, DDS...... 705, 713 Carruozzo, Michele, MD...... 213 Boyd, Alysse J, PA...... 338, 352 Budny, Paul A, MA...... 613 Carson, Dennis E, MD...... 123 Boyer, Katharina A, MA...... 641 Bui, Huan, PA...... 338, 529 Carsten, Jane M, MA...... 686 Boyle, Kathleen, DO...... 548 Building Blocks Therapy...... 851 Carter, Lauren E, MS...... 591 Boyle, Patrick E, MS...... 560, 641 Bujorian, Gail A, NP...... 785 Carter, Tracy A, MD...... 802 Braden, Melissa S, NP...... 776, 785 Bulucea, Tina W, MA...... 591 Casalini, Nicole, MA...... 642 Bradford Bank, Rachael L, MS...... 671 Bunch, Amy L, PA...... 453, 529 Caschera, Julia M, NP...... 33 Bradford, Julie E, NP...... 114, 134 Bunsey, Deborah A, SLP...... 474 Case, Cassandra L, NP...... 151 Brandstetter, Stephen S, MD...... 501 Bureau Of Drug Abuse Cleveland Castele Smith, Kathryn L, MA...... 642 Brar, Ravinder K, MD...... 674 Treatment...... 859 Castle, Lon W, MD...... 361, 363, 387, 402 Brasdovich, Mindy C, OTR...... 252 Burgess, Richard C, MD...... 426, 514 Castrovinci, Anthony J, MD...... 282, 283 Brasse, Lauren E, MA...... 641 Burgin, Diane C, MD...... 94 Catanzaro, Peter M, MD...... 94 Brewer, Joann L, MD...... 213 Burgos, Julissa, DDS...... 705, 714 Catholic Charities Corporation.856, 859, Brigham, Mark S, DO...... 522 Burgun, Stephen J, MD...... 232, 284 866, 872 Brin, Margarita, MD...... 285, 497 Burke, David A, DO...... 213 Cauwenbergh, Jude T, DO...... 94 Brinberg, Don E, MD...... 289, 301 Burns, Laura C, PHD...... 587 Cavallaro, Joseph, MA...... 642 Brindza, Deborah, MD...... 93 Burrer, Rachel, MA...... 642 Cawley, Michelle A, NP...... 61, 75 Brinkman, Angela L, DO...... 50 Burtch, Brian E, MD...... 285 Ccf Children's Hosp/Rehab...... 836 Briskin, Susannah M, MD...... 817, 818 Burton Health Care Center...... 840 Cdc Heather Hill...... 844 Brobbey, Andrew K, MD...... 60, 61 Burwinkel, Ronald P, MD...... 349 Cdc Home Care Mentor...... 846 Brobbey, Victoria N, MD...... 135 Burzinski Gorfinkel, Amy N, MS...... 591 Cecez, Nenad, PT...... 525 Brocco Kish, Karen J, MD...... 674 Bush, Contessa L, MA...... 591 Celestin, Jackie, MD...... 192 Brock, Daniel J, MD...... 27, 50 Bushman, Ashleigh A, NP...... 33, 74 Center For Dialysis Care Painesville.... 846 Brockmeyer, Samantha J, MA.591, 641, Buskirk, Donna J, CSW...... 642 Center Ridge Dialysis...... 849 642, 686 Butler, Maria A, PT...... 257 Center/Dialysis Care Mentor...... 846 Brooks, Elizabeth B, MD...... 473 Butrey, Charles M, MD...... 122 Centerpointe Chiro & Pt...... 853 Brothers, Debra J, NP...... 32, 73, 202 Butscher, Heather A, RD...... 516 Cernoia, Mark, MA...... 560, 592, 642, 686 Brothers, Laura P, SLP...... 544 Byrnes, Tara A, PA...... 453, 529 Cerny, Catherine M, NP...... 33, 75 Brown, Aaron L, DO...... 240 C Cesa, Rebecca E, NP...... 776, 786 Brown, Cynthia L, MD...... 619, 674 Cain, Robert A, MD...... 184 Cevasco, Nathaniel C, MD...... 375 Brown, Dennis M, DC...... 492 Cain, Sheila A, MD...... 482 Chacko, Paul, MD...... 240, 302, 402 Brown, Joanna K, MD...... 388 Cairns, Cheryl L, NP...... 75 Chaffee Michelle...... 878 Brown, Kenneth C, DC...... 280 Cajigas, Israel J, MD...... 122 Chagin, Daniel J, MD...... 286 Brown, Lawrence E, DDS. ...703, 704, 711 Cakulev, Ivan T, MD...... 228, 229, 269 Chahal, Mangeet, MD...... 363 Brown, Lisa A, MD...... 256, 333 Calabrese, Jennifer A, MD...... 122 Champagne, Bradley J, MD...... 388 Brown, Luke A, NP...... 766 Cales, Carrie L, NP...... 75 Chan, Amanda M, MD. 240, 302, 402, 403 Brown, Mark C, PHD...... 559 Calfee, Janice M, NP...... 150, 776 Chand, Prakash, MD.135, 240, 302, 303, Brown, Richelle R, NP.32, 73, 74, 149, Callahan, Thomas D, MD...... 363 403 202 Cameron, J Jeffery, MD...... 793 Chane, Maya C, DMD...... 705, 714 Brown, Shelley M, NP.26, 33, 47, 74, 182, Cammock, Leona M, MD...... 232 Chapa, Jeff B, MD...... 318, 420, 511 202 Campbell, Kathleen M, MS...... 642 Chapman, Jessica L, MA...... 592 Brown, Tiffany T, PA...... 171, 172 Cann, John E, DPM...... 463 Chappell, Joshua S, OTR...... 516 Brown, Vici L, MA...... 686 Cannone, Kaitlyn E, MA...... 591 Charboneau, Douglas M, DC...... 373 Brown-Young, Diane E, MD...... 795 Cantillon, Daniel J, MD...... 363 Chardon Surgery Center...... 844 Brownlee, Rosemary R, MD...... 795 Cantor, Giovanna, NP...... 761, 766 Charla, Pradeepkumar, MD...... 820 Brubaker, Jennifer A, NP...... 149 Capito, Nancy, NP...... 150 Chasteen, Linda, MA...... 686 Bruderer, Heather A, CNM...... 757 Capizzani, Tony R, MD...... 388 Chatal, Eric, NP...... 33, 75, 76, 151, 203 Bruening, Laurie C, NP...... 228, 269 Carbone, Kenneth J, DO...... 122 Chatterjee, Arup K, OD...... 747 Brugger, Virginia B, NP...33, 74, 150, 202 Cardinal Physical Therapy And Rehab. 845 Chatterjee, Heta S, NP...... 33 Brummitt, Mike D, CSW...... 642 Cardona Weese, Beatrice M, NP...... 151 Chen, Jeffery, DDS...... 705, 714 Brunner, Richard A, PHD...... 586 Cardona, Luzma M, MD...... 426 Chen, Peijun, MD...... 552 Bruno, Thomas D, PA...... 338 Carey, Emily E, DO...... 290 Cheng, Christina W, MD...... 431 Brunswick Pointe Transitional Care..... 843 Caring With Loving Hands...... 790 Cheres, Christ-Roi, MD.241, 303, 403, Bryner, Jacquelyne J, MA...... 591 Carissimi, Ronald C, MD...... 122, 123 404 Brzozowski, Philip C, MD...... 302, 796 Carmichael, Katherine C, DO...... 184 Cherne, Robert M, OD...... 735 Bucchieri, John S, MD...... 325 Carnahan, Joana A, DO...... 286, 497 Chewning, Victoria L, PA.42, 99, 173, 216 Buchanan, Kelly V, MD...... 93 Carroccio, James, DO...... 123 MMOH.21.999.01.9.005 Index 896

Index

Chiang, Ambrose A, MD.241, 262, 303, Combs, Madison B, MA...... 646 Cramer, Adam M, PT...... 257 349 Combs, Ryan, MD...... 518 Cramer, Jack W, DO...... 124 Chiarappa-Bronzo, Gina F, DPM...... 539 Comer, Daniel F, PT...... 452 Craven, Daniel I, MD...... 829 Chien, Edward K, MD...... 808 Community Assessment And Treatment Crawford, Robert S, MD...... 184 Child And Adolescent Behavioral Health. Servi...... 676, 688 Creager, Katie A, NP...... 34, 77, 152, 203 ...... 560 Community Caregivers Of Medina County. Crespo, Maricruz, MD...... 815 Childrens Developmental Center...... 851 ...... 792 Cress, Donna M, NP...... 786 Childrens Hospital Medical Center Of Akr. Comprehensive Family Practice...... 221 Cribbins, Christine T, PA.43, 100, 173, ...... 674, 686 Compton, Zev W, MS...... 594 217 Childs, Dylan, MD...... 238, 297, 395 Conboy, Cole B, DMD...... 705, 726 Crites, Cheryl L, NP...... 34, 77, 152, 203 Chiplinski, Alison B, NP...... 33, 76 Concord Village Skilled Nursing & Rehab. Crites, Shannon E, CM...... 755 Chiro Life...... 848 ...... 840 Crivelli, Justin J, DO...... 241 Chisholm, Jessica L, MD...... 123 Coney, Joseph M, MD...... 731 Croft, Gina, PT...... 525 Chitluri, Anita R, OD...... 754 Confer, Bradley D, DO.234, 290, 382, 383 Crossroads Lake County Adolescent.856, Chiunda, Stella, DPM...... 345 Confino, Jason L, MD...... 272 859, 860, 866 Chmiel, James F, MD...... 829, 831 Constantino, Regina, CSW...... 646 Crowe, Abbey C, NP...... 776 Chmielewski, Eric S, MA...... 592 Continuing Healthcare Of Mentor...... 841 Crowe, Myesha M, MA...... 647 Cho, Donald I, MD...... 363 Continuum Healthcare Group...... 45, 177 Crowell, Caitlin L, PA...... 454 Cho, Jae S, MD...... 356 Convery, Patrick G, MD...... 325 Crozier, Alyssa N, PA.43, 100, 173, 174, Choi, Charles I, MD...... 446 Convery, Shannon M, PA...... 173 217 Chong, Jillian, MD...... 737 Conway, Devon S, MD...... 426 Crum, Gary A, DC...... 280 Chowdhry, Saleem, MD...... 382 Cook, Johanna L, MD...... 808 Cruz-Jaszkewicz, Natasha R, MD.286, 498 Christian, Lorraine M, MD...... 619 Coon, Regina D, MA...... 560, 646 Crystal Clinic Orthopaedic Ctr...... 837 Chuang, Mann-Mann J, MD...... 358 Coons, Bethany F, MA...... 561 Cuellar, Tyjaunna L, MA...... 647 Chukwuani, Vivian, MD...... 135, 192 Cooper, Brenda W, MD...... 507 Culbertson, Gillian M, RD...... 516 Chung, Anthony T, MD...... 731 Cooper, Danielle D, MD...... 50 Cullen, Stephen B, MD...... 184 Chung, Roy F, MD...... 364 Copeland, Philip R, MS...... 646 Cummings, Shane W, MD...... 184 Cifra-Bean, Laura A, MD...... 94 Copp, David A, DC...... 280 Cunningham, Craig T, MA...... 647 Cimino, Heather, OD...... 754 Coppola, Eileen M, NP...... 152 Cunningham, Kelly E, MS...... 689 Cingle, Kimberly A, MD...... 753 Coreno, Albert J, PA.43, 99, 100, 173, 217 Cunningham, Michael J, MD...... 272, 487 Ciolek, Peter J, MD...... 522 Cornett, Edward L, DO...... 133 Curtis, Sarah E, AUD...... 266 Cirino, Anthony J, DO...... 753 Cornette, Victoria E, MD...... 61 Cutter-Ali, Diane C, DO...... 166 Citak, Rachel A, MA...... 642 Corniello, Amanda L, NP...34, 76, 77, 203 Cuturic, Tara L, MA...... 594 Clark, Lisa M, CSW...... 686 Corpus, Peter A, MD...... 576 Czajka, Michael A, PA...... 454 Clark, Marie A, MD...... 672, 674 Corrao, Angela M, CSW...... 646 Czerwony, Beth A, RD...... 430 Clark, Samantha M, MD...... 808 Corso, Heidi L, MA...... 646 D Claypoole, Bobbi S, CM...... 760 Corso, Jorge E, MD...... 479 D Rain, Alexander T, MA...... 594 Cleveland Clinic Avon Hospital...... 834 Cortes, Maximino, MSW.561, 594, 646, D'abreau, Stephen A, DO...... 802 Cleveland Clinic Foundation.552, 553, 688 D'alessandro, Nicole H, PA...... 454, 530 560, 574, 575, 592, 593, 619, 620, 621, Cortese, Gregory B, NP...... 776 Dahbar, Mazen, MD...... 135 622, 643, 644, 645, 646, 674, 675, 676, Corteville, Jane E, MD...... 793 Dai, Jia-Chun, DMD...... 705, 714 686, 687, 688, 833, 834, 835, 836, 837 Costandi, Shrif J, MD...... 446, 447 Dalessandro, Vincent, DO...... 30 Clifford, Bradley T, MD...... 507 Costantini, Nadine R, MA...... 647 Dameri, Mohammed E, DMD...... 705, 714 Clinger, Michelle D, PHD...... 635 Costaras, George, DPM...... 463 Damis, Marina F, MD...... 553 Clinger, Wendy J, MD...... 93 Costello, Chelsea, PT...... 257 Dan, Adrian G, MD...... 501 Cloud, Lisa A, DO...... 124 Costin, Bryan R, MD...... 737 Danan, Naser A, MD...... 94 Cobb, Talia, MA...... 560 Costin, John A, MD...... 388, 389 Danevich, Lisa M, MA...... 613 Coble, Valerie K, MA...... 688 Cotman, Steven J, MD...... 431 Daniels, Kathy A, MA...... 647 Cohen Seed, Dorit A, MS...... 593, 594 Courtenay, Savannah R, MA...... 594 Danner, Jazmine R, MA...... 594 Coleman Professional Services...... 856 Coutinho, Maria-Josefa N, MD...... 39 Daoud, Emad W, MD...... 447 Coleman, Colleen T, NP.33, 76, 151, 152, Cover, Cynthia J, CNM...... 755, 757 Dapul, Geraldine P, MD...... 449, 524 203 Cox, Diethra D, MD...... 304 Dasarathy, Srinivasan, MD...... 290 Coleman, Darrell, MA...... 646 Cox, Douglas R, OD...... 747 Dashefsky, Larry H, MD...... 321 Coliadis, Jennifer M, MD...... 39 Cox, Maryann E, NP...... 152 Daugherty, Angela L, CSW...... 561 Collier, Patrick H, MD...... 272, 364 Coyner, Becky J, NP...... 786 Daugherty, Danielle, MSW...... 647, 689 Colpo, Suzanne L, NP...... 786 Craig, Kari T, PT...... 336 Davidson, Angela M, FNP...... 765 Colvard, Benjamin D, MD...... 492 Crail, Morgan, MA...... 689 Davidson, Edward H, MD...... 343 Cramer Physical Therapy...... 845 Davili, Zurab, MD...... 264, 354 MMOH.21.999.01.9.005 Index 897

Index

Davis Luarde, Laura A, DO...... 135 Detti, Laura C, MD...... 803 Duran, Silvestre R, MD.813, 814, 818, Davis Watson, Charlotte A, MA...... 594 Devereaux, Michael W, MD...... 251 821, 824, 825, 831 Davis, Alan W, MD...... 431 Devito, Melanie A, NP...... 152 Durell, Kristen, MA...... 648 Davis, Bryan T, PA...... 100, 174, 217 Dhayanandhan, Christi P, MD...... 423 Durve, Mohan J, MD...... 358, 824 Davis, Carrie B, MD...... 737 Dhillon, Harmohinder S, MD...... 136 Dusenbury, Kevin S, PT...... 452 Davis, Carrie, MD...... 737, 738 Dhillon, Varinder S, MD...... 61 Duvall, Kristine N, NP...... 152 Davis, Cherrica T, MD...... 61 Dials, Lesley M, MA...... 561 Dwyer, Meggan E, NP.34, 78, 152, 153, Davis, Kathryn R, MD...... 813 Dialysis Associates Of Ne Ohio...... 849 204 Davis, Steven J, PHD...... 682 Dialysis Specialists Of Ne Ohio...... 850 Dye Perkins, Jamillah R, MS...... 671 Daw, Hamed, MD...... 397, 404 Diane Eden And Associates Inc. ..561, 595 Dykeman, Susan M, MD...... 94 Dayal, Ashok K, MD...... 61 Diaz, Alberto N, MD...... 365, 366 E Dayka, Suzann K, MSW...... 615, 647 Diblasio, Joseph A, MD...... 236 E.j.q. Home Health Care...... 791, 879 Dbouk, Tarek A, MD...... 802 Difilippo, Sarah M, MA...... 551, 615 Eaker, Gwen C, DDS...... 726 De Leon, Gladys G, DPM. ...260, 345, 346 Digennaro, Heidi M, NP...... 762, 767 Eapen, Binu A, DDS...... 706 De Luca, Kenneth A, PHD...... 635 Dimarco, Anthony F, MD...... 262 Easter Seals Northern Ohio.849, 851, 852, De Roulet, Jason P, MD...... 234 Dimarino, Amy M, DO...... 829, 831 855 Dealexandro, Michella F, MA...... 647 Dinchman, Kurt H, MD...... 477 Easton, Sarah J, DMD...... 706 Dearth, Christine A, NP...... 767, 776 Dinga, Marc J, MD...... 304, 350, 353 Ebersole, Rachel A, MA...... 562, 648, 689 Debarr, Colleen M, DPM...... 464 Dingeldein, Michael W, MD...... 817 Eccher, Matthew A, MD...... 251 Debroy, Meelie A, MD...... 389 Dinger, Gary W, DO...... 124 Edds, Farah M, PA...... 338 Decapite, Rachel C, NP.46, 77, 761, 762, Dipert, Julie, PT...... 526 Eden, Diane H, MD...... 576 767 Disano, Katherine C, MD...... 496 Edgington, Angela M, MA...... 648 Decaro, Garren J, MD...... 135, 136 Distefano, Nancy, MS...... 595 Edmondson, Tonya, MS...... 613 Dee, Maureen E, LPC.551, 561, 571, 595, Diturno, Kelly, MSW...... 637, 647 Effron, Barry A, MD.269, 273, 305, 483, 615, 647, 672, 689 Diulus, Carrie A, MD...... 518 487, 509 Defranco, Debra, NP...... 483, 549, 786 Divis, Amanda B, MA...... 648 Egler, Rachel A, MD...... 827 Defranco, Richard J, MD...... 568 Dixon, Gretchen E, PA...... 218 Eichenfield, Andrew H, MD...... 829 Degeorgia, Michael A, MD...... 251 Djohan, Risal S, MD...... 460 Eicher, Donald M, MD...... 397 Degidio, Ernest R, DO...... 124 Dohar, Amanda, DDS...... 705, 715, 726 Eippert, Gregory A, MD...... 731 Deitzer, Diana L, DO...... 422, 423 Domaleczny, Erica R, PA...... 454, 530 Eish-Baltaoglu, Jenny, LPC...... 551, 552 Del Rio, Richard A, MD...... 499 Domb, Jane A, MD...... 576 Eiswerth, Thomas F, MD...... 62 Delahunty, Carol M, MD...... 677 Dombrowski, Michael A, PA...... 454 El-Atassi, Rafel S, MD...... 366 Dell, Katherine M, MD...... 822 Donca, Ionel Z, MD...... 241, 250, 304, 320 El-Dabh, Ashraf H, MD...... 803 Delong, Victoria Y, MD...... 677 Donca, Mihaela, MD...... 61 El-Khoury, Mabelle, DDS...... 706, 715 Demangone, David A, MD...... 334 Doolittle, Elizabeth L, RSW...... 561, 568 Elam, Ebony, NP...... 671 Demarco, Audrey J, PA...... 258 Dorado, Gapin P, MD...... 30, 58 Elamm, Chantal A, MD.269, 273, 483, Dematteo, Brian J, DDS...... 726 Dornice, Friday, MA...... 595 487 Demeter, Lisa A, MS...... 595 Dorobek, Ann M, MD...... 124, 125 Elbatawi, Deena, DDS...... 706, 715, 726 Demou, Constantina S, DPM...... 464 Doroghazi, Bethany L, DMD...... 715 Elegant Essentials...... 846, 853 Demshar, Regan K, NP...... 767 Dorsey, Mary E, MA...... 648 Elgudin, Yakov L, MD...... 389, 475, 476 Denbow, Rachel L, PA.43, 100, 101, 174, Dougan, Terrence M, PA.43, 101, 174, Elliott, Melissa M, MA...... 648 217, 218 218 Ellis, Courtney D, NP...... 777 Denman, Heather M, PT...... 525, 526 Dougan, Virginia L, MS...... 689 Elmcroft Of Medina...... 792 Denton, Alice M, MD...... 192 Downey, Shawna S, NP...... 767 Elms Retirement Village...... 842 Denton, Robert, PHD...... 559, 587, 635 Drake, Lauren, MA...... 648 Elrawy, Hussein F, DDS...... 716 Deo, Datinder B, MD...... 513 Drogalis-Kim, Diana E, DO...... 820, 824 Elshebiny, Tarek, DDS...... 726, 728 Depaolo Carlin, Kristina L, DO...... 214 Drost, Jennifer C, DO...... 190 Elsheikh, Sahar A, MD...... 377 Depriest, Zachary, PA...... 258 Droubi, Basem, MD...... 480 Eltelbany, Ahmed S, MD...... 136 Derga, Kathleen, SLP...... 544 Dubchuk, Vladimir, MD...... 389 Eltrich, Pamela P, MS...... 648 Dergham, Bachar, MD...... 430 Dubeansky, Debbie M, NP...... 765, 767 Elyaderani, Mehrun, MD...... 432 Dergham, Dergham, DDS.705, 711, 714, Duber, Carol A, NP...... 78, 204 Elyria Renal Care...... 850 715, 724 Duber, Vanessa M, NP...... 305 Elyria Renal Care Amherst...... 850 Dergham, Lena, MD...... 193 Dubinsky, Kristi F, DO...... 167 Emerson, Phillip H, MS...... 648 Desai, Milind Y, MD.230, 272, 273, 364, Dudinsky, Ashley L, MA...... 561 Emery, Jonathan D, MD...... 796 365, 487 Dugan, Amy K, MA...... 595 Emmer, Robert N, MS...... 689 Deswart, Robert J, MD...... 431, 432 Duller, Michal M, PA...... 338 Enders, Nathaniel A, MD...... 193 Detore, Nicholas W, MD...... 61 Dunbar, Barbara T, NP...... 776 Endoscopy Center At Bainbridge...... 844 Dunn, Albert S, DO...... 253 Endoscopy Center Of Lake County...... 846 MMOH.21.999.01.9.005 Index 898

Index

Endoscopy Ctr Of Northern Ohio...... 852 Fatica, Richard A, MD...... 423 Frantz, Martin J, MD...... 185 Engel-Kominsky, Suzanne E, MD...... 62 Fawzy, Ahmed M, MD...... 423 Frantz, Matthew J, DO...... 185 Enhancing Life Home Medical.791, 879, Fcc Of Brunswick...... 852 Frazier, Jason B, DO...... 137 880 Feick, Rebecca L, MS...... 595 French, Naomi, MA...... 596 Entwistle, David, PSY...... 682 Feig, Lauren E, SLP...... 474, 475 French, Timothy M, DC...... 280 Eppig, Michael D, MD...... 325 Feighan, Elizabeth B, MD...... 39 Fried, Jason A, DO...... 265 Eren, Itri A, MD...... 136 Fendrikova Mahlay, Natalia F, MD.357, Friedenberg, Keith A, MD...... 290, 291 Erikson, Robert C, PHD...... 559, 635 480, 549 Friedlander, Samuel L, MD...... 266 Ertel, Joy B, MD...... 94, 95 Fenton, Andrew H, MD...... 501 Friedman, Judah D, MD...... 238 Ervine, William E, DO...... 27 Ferencak, Jamie L, PA...... 101 Friedman, Roger L, DPM...... 464 Erwin, Christopher D, OD...... 747 Ferenczy, Stephen J, MD...... 136, 193 Friedt, Heather L, PA...... 530 Erwin, Stephanie L, OD...... 748 Ferraro, Christina S, NP...... 777 Fritz, Colleen M, MS...... 690 Esch, Peter A, MD...... 136 Ferrell Whited Physical Therapy..853, 854 Fumich, Dacia, LPC...... 615 Escolas, John W, MD...... 125 Ferriols, Jessie, MSW...... 649 Functional Physical Therapy Of Ohio.. 851 Escuro, Ruben S, MD...... 430 Ferris, Edward M, MD...... 808 Funk, Brianna B, FNP...... 182 Eshelman Fields, Danelle R, MA...... 682 Fike, William R, MD...... 62 Funk, Jonathan R, MD...... 808 Esho, Adetokunbo O, MD.241, 242, 305, Fillmore, Michelle A, MA...... 649 Furlan, Anthony J, MD...... 251 404, 405 Findlay, Alycia G, MD...... 193 G Esho, Mary A, MD...... 136 Finizia, Anthony J, MD...... 193 Gable, Richard N, PA...... 455, 530 Esmail, Lena A, FNP...... 784 Fink, Cindy, NP...... 786 Gahr, Susan A, MA...... 562 Esparaz, Elizabeth S, MD...... 753 Finley, Lori B, MD...... 167 Gajda, Meredith B, NP...... 768 Espinosa, Roger G, MD.269, 270, 273, Fior, Molly E, PA...... 174, 175 Galang, Maria Angela C, MD...... 504, 509 274, 305 Firelands Comm Hosp/Prof Fees.622, 623, Galaxy Medical Products...... 853 Esterle, Lisa M, DO...... 185 649 Galeski, Janine, FNP...... 47 Esty, Debora, PHD...... 682 Firelands Regional Medical Center.623, Gallagher, Emily B, MA...... 562, 649 Eubanks, Jason D, MD...... 253, 326 649, 867 Gallion, Lorri, MA...... 483 Evans, Edward J, MA...... 595 First Choice Home Health Srvs...... 791 Gallogly, Molly M, MD...... 507, 509 Evans, Katelyn L, SLP...... 545 Fisher, Donald L, MD...... 518 Galvez, Maria Elena S, DMD.706, 716, Evans, Natalie S, MD...... 230 Fitzgerald, Antonia L, MD...... 677 726 Evans, Sarah D, SLP...... 545 Fitzgerald, Steven J, MD...... 518 Gamerman, Larisa L, MD...... 31 Eye For Change Youth And Family Fkc Medina County...... 852 Gangel, Michael G, MD...... 547 Services...... 576 Flask, Vaishali, MD...... 167, 214 Gannon, Patricia A, MD...... 137 Ezell, Joshua E, DO...... 242, 305, 306, 405 Flick, Susan M, NP...... 762, 768 Garcia, Lleowell M, MD...... 480 Ezzie, Fida E, DDS...... 706, 716, 726 Flores, Toribio C, MD...... 523 Garcia, Ronald L, MD...... 137 F Floro, Norman A, MD...... 136 Garcia-Zuazaga, Jorge A, MD...... 283, 496 Fabian, Nicholas M, DC...... 373 Fmc Wadsworth...... 852 Garg, Anubhav, MD...... 484 Fabian, Rachel L, CSW...... 595 Fog, Erica L, NP...... 777 Garrow, Andrew, MD...... 350 Fabien, Andre M, MD...... 350 Fogle, Kirsten, MA...... 595 Gault, Debora L, MA...... 596 Failinger, Ann L, MD...... 39, 95 Folger, Allison R, NP...... 34, 78, 153, 204 Gavin, Maura A, PA...... 258, 339 Fairchild, Tracey L, MA...... 571 Foote, Meghan J, DO...... 808 Gavlak, Gerald E, PA...... 432, 433 Fairways...... 790, 877 Ford, Grace C, MA...... 649 Gaw, Catherine A, PHD...... 572, 573, 587 Falcone, Michael, NP...... 777 Ford, Ramone, PHD...... 682 Gayomali, Nestor G, MD...... 137 Falconi, Genevive R, MD...... 214 Ford, Tasha, MA...... 649 Geauga Rehab Engineering...... 844 Fall, Douglas L, MD...... 214 Foreman, Emily L, CSW...... 649 Gedeon, Sarah E, NP...... 204 Falzone, Lori, AUD...... 266, 267 Fortaleza LLC...... 867, 871, 872, 875 Geiger-Dugandzic, Melissa D, MA...... 596 Families First Health Services...... 872 Forte Sullen, Kara, MS...... 569, 613, 671 Geisman, Carol, NP...... 26 Family Planning Service Of Lorain Cnty. Forte, Annie C, PA...... 43, 101, 102, 218 Geiss, Paul R, DDS...... 706, 716 ...... 849 Foss, Richard J, MA...... 596 Geller, Laura, MA...... 650 Family Pride Of Northeast Ohio Inc..... 856 Foster, Julianne M, MA...... 689 Geller, Lawrence L, MD...... 547 Fannin, Stephen W, MD.483, 484, 487, Francis, Ashish, MD...... 830 Gellner, Eve, MA...... 650 488 Francis, Melinda R, CSW...... 596 Gemberling, Christine, MSW...... 690 Farah, George M, MD...... 274, 306 Francis, Melissa P, FNP...... 115 Gentile, Maria A, MA...... 650 Farah, Michel G, MD.270, 274, 306, 484, Francy, Scott A, MD...... 167 George, Ava J, DO...... 185 488, 509 Frania, Stephen J, DPM...... 346 George, Jessica, CNM...... 760 Farhat, Naim Z, MD...... 366 Frank, Keith, LPC...... 572 George, Joseph W, MD...... 433 Farley, Donald R, DPM...... 346 Franklin, Sharon R, CSW...... 649 George, Kellie M, SLP...... 545 Farrell, Ruth M, MD...... 796, 797 Franko, Andrew P, MD...... 125 Gerber, Cheryl L, MS...... 650 Frantz, Elizabeth, PSY...... 636 Gerber, Robert B, MD...... 541 MMOH.21.999.01.9.005 Index 899

Index

Gerdes, Adam S, MA...... 596 Gould, Jennifer W, MD...... 376, 496 H Gerges, Meana R, MD...... 137, 193 Gould, Mark D, DPM...... 464, 465 Haas, Christopher A, MD...... 477 Gerhard, John P, DPM...... 464 Goyal, Yatish, MD...... 193, 194 Haas, Gwen H, MD...... 51 Gerhardstein, Sarah E, DO...... 51 Grabenstetter, Jennifer L, MD...... 809 Haber, Aimee V, MD...... 738 Gerhardt, Loretta I, MA...... 596 Grabenstetter, Neil F, MD...... 185 Haber, Robert S, MD...... 283 Gersman, Emily A, PA...... 43, 102, 218 Graf, Amanda M, PA...... 531 Hackett, Martha N, MD...... 51 Gessler, Tonya M, MS...... 569 Graf, Dana E, PT...... 526 Haddad, Abdo, MD...... 395, 396 Getachew, Samuel, MD...... 168 Graf, Jason A, PT...... 526 Haddadeen, Yazan H, DDS...... 707, 717 Gfell, James A, MSW...... 650 Graf, Meghan, PT...... 526 Hafez, Mhd Nazem, MD...... 195 Ghaffari, Saman, DO...... 449 Grand River Health & Rehab Center.... 841 Haffey, Helen L, NP...... 34 Ghandour, Rashed A, MD...... 264, 354 Granieri, Janice A, MD...... 352 Hagge, Matthew D, SLP...... 545 Ghanem, Yassin I, MS...... 613 Grant-Venable, Raquel, PA...... 175 Hahn, Katie E, AUD...... 267 Ghazal, Feras H, DDS...... 716 Gray, Anna, PA...... 339 Hain, Jamie M, MS...... 570 Gherman, Cynthia R, MD...... 95 Gray, Leslie A, MS...... 597, 650 Haines, Brian P, MD...... 397 Ghobrial, Michael M, MD.262, 350, 469, Great Lakes Ambulatory Surgery Center. Hainline, Angela, MA...... 615 541, 542 ...... 846 Halabi, Nariman A, MD...... 542 Ghosh, Debabrata, MD...... 426 Green, Albert M, MD...... 803 Hale, Courtney A, MA...... 597 Ghoubrial, Sam N, MD...... 193 Green, Karen S, MS...... 562, 597, 650, 690 Hall, Amanda R, NP...... 762, 768 Ghreiwati, Nadine, DMD.706, 711, 716, Green, Sarah M, SLP...... 545 Hall, Ami M, DO...... 51 724 Greene, Kenneth A, MD...... 519 Hall, Elizabeth A, MA...... 651 Giblin, Meghan E, MA...... 650 Greene, Lloyd H, MD...... 275 Hallgarth, Kevin J, DDS.717, 723, 726, Gibson-Owens, Dawn M, FNP...... 153 Greenfield, Aric W, MD...... 297 729 Gienke, Laura, NP...... 115, 116 Greenfield, Daniel J, MD.242, 307, 308, Hamaty, Marwan, MD...... 377 Giesel, Jennifer M, MA...... 587 406, 407 Hamilton, Kristen L, SLP...... 545 Gifford, Brooke E, MA...... 690 Greenspan, Gary A, MD...... 31 Hamilton, Matthew D, DC...... 492 Gigliotti, Thomas V, MA...... 596 Greer, Jennifer A, MD...... 344 Hamilton, William F, MS...... 651 Gilbert, Kimberly M, MS...... 613 Gregg, Alice J, MA...... 651 Hamm, Nathaniel A, DPM...... 539 Gilchrist, Dorena L, MA...... 650 Griffiths, Maria M, MD...... 523 Hamoud, Tamouh, MD.361, 366, 484, 488 Gilham, Shannon C, DO...... 797 Griggs, Carolyn, MA...... 597 Hampole, Vagesh M, MD...... 473 Gillespie, Robert J, MD...... 253, 326 Grimm, Kenneth, DO...... 447, 523 Han, Samuel, MD...... 389 Gilmore, Edward C, MD...... 514, 828 Grinberg, Anna, MD...... 40 Hanahan, Paul C, MD...... 58, 324 Girgis, Girgis Emil E, DO...... 447 Grippi, Patricia A, NP...... 569, 573 Hanasoge, Lakshmi V, MD...... 168 Gitiforooz, Habibeh L, MD...... 793 Gritti, Layne A, MD...... 577 Hand, Andrea L, MA...... 651 Glass, Pauline, MA...... 597 Grove, Michelle L, CNM...... 757, 758 Hange, Kendall R, DC...... 493 Gleason, Mary, LPC...... 562 Grundfest-Broniatowski, Sharon F, MD. Hanna, Lisa G, MD...... 62 Glory Homecare...... 792 ...... 294 Hanna, Nagy, DMD...... 727 Glotzbecker, Michael P, MD...... 518 Guay, Marc E, MD...... 445 Hanna, Rita, MA...... 651 Glovatskaya, Galina, MD...... 306, 307 Guenther, Donald E, MA...... 651 Hannan, Michele M, NP...... 205 Glowski, Edward J, DDS...... 706, 716 Guerini, Debra S, MD...... 243, 308, 407 Hansford, Carmen K, MD...... 168 Gma Consultants Inc...... 576, 597 Guidestone A...... 651 Hanzs, Taylor L, NP...... 765 Godoy, Audrey T, NP...... 777 Guiser, Rachel, OTR...... 516 Happ-Smith, Carrie S, MD...... 731 Golden, Catherine, PHD...... 559 Gulati, Kapil, MD...... 62 Harbor Behavioral Healthcare.860, 867, Goldman, Matthew J, MD...... 125 Gullette, Danielle M, MA...... 651 872 Goldman, Sara G, MD...... 553 Gulling-Leftwich, Tracy L, DO.... 138, 194 Hardacre, Jeffrey M, MD...... 501 Goldstein, Jessica H, MD...... 816 Gulotta, Kristina D, MD...... 501 Hardy, Mark A, DPM...... 540 Goldstein, Robert N, MD...... 274 Gunning, Richard H, MD...... 185 Harmat, Jill A, DO...... 28 Gombaski, Jeannie, NP...... 204 Gunselman, Beth A, NP.34, 78, 79, 153, Harmat, Laszlo S, DO...... 254 Gomez, Gustavo, MD...... 125, 126 154, 204 Harper, Roseann, CSW...... 651 Gooch-Brown, Laura M, CSW...... 650 Gunzler, Julie L, MD...... 40 Harris, Craig K, MD...... 383, 407 Goodwin, Donna S, NP...... 153 Gupta, Ajay K, MD...... 738 Harris, Daytona C, MA...... 597 Goodwin, Ryan C, MD...... 433, 519 Gupta, Anjan, MD...... 229, 230 Harris, Elizabeth M, PHD...... 559 Gopal, Naveen, MD...... 242, 307, 405, 406 Gupta, Mohit, MD...... 138, 194 Harris, Lauren D, MD...... 803 Gordon, Zachary L, MD...... 253, 519 Gupta, Parshotam C, MD...... 447 Harroff, Peter E, MD...... 803 Gorjanc, Michael L, PHD...... 576 Gupta, Shalini, MD...... 138, 195 Harth, Karem C, MD. ...236, 294, 295, 390 Gorty, Archana A, MD...... 137 Gurd, David P, MD...... 326 Harvan, Alexandra M, NP...... 205 Gostkowski, Michal, DO...... 426, 623 Gurley Chasidy...... 879 Harvan, Amanda J, NP...... 205 Gotfryd, Esther B, MA...... 569, 768 Guthrie, Robert R, DDS...... 726 Hasan, Sana, DO...... 497 Gottlob, Louise, MA...... 597 Gutjahr, Charmaine D, MD...... 62, 95 Hasenstaub, Mary M, DNP...... 614 MMOH.21.999.01.9.005 Index 900

Index

Hassinger, Hilary J, MD...... 682, 683 Hillard, Bradley G, DO...... 51, 52 Hull, Susan H, MA...... 562, 598 Hastings Home Health Center...... 853 Hillard, Erin M, DO...... 52 Hull, Thomas P, MD...... 753 Hatab, Sarah Z, MD...... 825 Hintz, David J, DPM...... 466 Hummel, Karen M, MD...... 195, 214 Hauff, Tamara, MA...... 651 Hiti, Frank M, MD...... 126 Humphrey, Rachel A, MA...... 562 Hawkins, Altovise R, MA...... 572 Ho, Winston, MD...... 63 Hussain, Aamir, MD...... 251 Hawkins, Erica L, MA...... 597 Hoashi, Jane S, MD...... 433 Hussain, Saadia, MD...... 126 Hayek, Salim M, MD...... 334 Hochendoner, Noah J, NP...... 205 Hutchison, Laurie A, MSW...... 652 Hayes, Alissa R, OTR...... 324 Hofelich, Barbara G, MS...... 652 Hutzel, Nicole M, SLP...... 545 Hayes, Teagan M, DO...... 51 Hoffart, Marie, CSW...... 690 Hwang, Catherine J, MD...... 738, 739 Hayne, Gregory W, MD...... 383 Hoffman, Jacquelynn, NP...... 671 Hyland, Jennifer L, NP...... 778 Hazarika, Surovi, MD...... 367 Hofius, Daniel L, DO...... 52 I Hazzi, Rami, MD...... 138, 195 Hogan, Brianna C, SLP...... 545 Iafelice, John P, MD...... 797 Headlam, Isabella Blue, MA...... 652 Hoit, Brian D, MD.270, 275, 308, 485, Iammarino, Caitlyn, AUD...... 267 Health Express Urgent Care Centers.... 839 489, 509 Ibrahim, Rim S, MD...... 623 Health Solution Centers Of Lorain...... 851 Holan, Jane E, MD...... 673, 677 Ice, Seema J, MD...... 732 Healthquest Of Brunswick...... 854 Holiday, Joanne M, MD...... 449 Ievers-Landis, Carolyn E, PHD....587, 683 Hearn-Vance, Kimberely S, MA...... 598 Holiday, Wes J, DO...... 367 Iliano, Amanda B, NP...... 52 Heart To Heart Home Health Care...... 792 Hollcraft, Jacqueline, PA...... 339 Ilic, Mira S, RD...... 323, 430 Heartland Of Mentor...... 841 Hollobaugh, Susan A, PA...... 102 Ilieva, Antoaneta I, MD...... 63 Heartland Of Willoughby...... 841 Homestead Ii...... 841 Imfeld, Samantha M, MD...... 577 Heather Hill Care Communities...... 840 Homoki, Kristin R, PA...... 102, 219 Immler, Wes, OD...... 748 Heather, John A, MD...... 553 Honaker, Jeremy S, NP...... 768 In Motion Physical Therapy...... 854 Heavenly Circle...... 792 Hong, Sandra J, MD...... 359 Incare Home Health Northern Ohio. .... 792 Heers, Rachel R, NP...... 786 Hoon, Megan E, MA...... 562, 652 Infinity Counseling Group...... 677, 691 Hegde, Shura S, MD...... 623 Hopebridge...... 863 Inkrott, Bradley P, MD...... 519 Hegde, Vinayak A, MD...... 484 Hopebridge Oh...... 847 Inkster, Michelle D, MD...... 291 Hehemann, Christopher T, DPM..346, 540 Hopkins, Maeve K, MD...... 803, 809 Insight Counseling And Wellness LLC. Heidemann, Melissa M, MA...... 598 Horansky, Kristin H, MD...... 168 ...... 577, 598 Heidenreich, Bess, DO...... 308 Horinger, John W, MD...... 63 Intelisano, Shannon, SLP...... 264 Heider, Alison M, NP...... 762 Horvath, Mikhenan M, MD...... 283 Interim Healthcare Of Akron-Canton... 790 Heidl, Robert J, MA...... 652 Horwood, Raymond L, MD...... 434 Iorio, Clark D, DO...... 52, 186 Heinrich, Christopher R, PA...... 218 Hosking, Jill K, DPM...... 466 Iqbal, Sabahat K, MD...233, 286, 287, 380 Heins, Gregory C, DO...... 488 Hosmer, Amy E, MD...... 383 Isakov, Daniela G, MD...... 40 Heintz-Martin, Stephanie L, NP...... 205 Hottois, Michael D, MD...... 553, 623 Isakov, Vyacheslav R, MD...... 52, 53, 96 Helfgott Emmer, Janet S, CSW...... 690 Hou, Juliet Y, MD...... 524 Iskhakova, Milana, MA...... 598 Henderson, Lashelle S, MS...... 570 Houghton, Blythe, CSW...... 690 Issa, Khaled, MD...... 383, 408 Heng, Julia A, MD...... 51 Householder, Kacie M, MA...... 691 Ivy House Assisted Living...... 790 Henry, Cynthia L, DO...... 376 Hovest, Jennifer F, NP...... 34, 79, 206 J Henry, Jonathon E, CSW...... 598 Howland, Alisha, NP...... 768 Jabboure, Jose P, DDS...... 717 Henthorne, Edie, MA...... 652 Hrabowy, Ingeborg, PHD...... 683 Jackson Jacqueline D...... 880 Herbert, Christopher W, DPM...... 465, 466 Hsia, Augusto T, MD...... 352 Jackson, Glenna S, MD...... 186 Herbert, Eileen F, MD...... 138 Huang, Alex Y, MD...... 827 Jackson, Joann, MD...... 96 Herbert, Joseph J, DC...... 493 Huang, Yanming, CA...... 358 Jackson, Lauren E, PA...... 455, 531 Herbert, Linda A, MS...... 562 Huck, Patrick D, MD...... 295 Jacobs, Katherine A, MD...... 739 Herbert, Lisa G, DC...... 493 Hudak, Donald T, MD...... 344, 731 Jacobson, David A, PA...... 455, 531 Herman, Stacey E, PA...... 175 Hudec, Brian J, DMD...... 707, 717 Jacono, Kari M, MD...... 168 Herron, Diane M, NP...... 768, 777 Hudec, David E, DDS...... 707, 717 Jadhao, Yogesh, MD...... 138, 195 Hershey, Jeffrey A, MD...... 488, 489 Hudec, John A, DDS...... 707, 717 Jain, Alok K, MD...... 384 Hershey, Sarah, MA...... 690 Hudnall Diane...... 880 Jain, Mukesh K, MD...... 270, 275 Hershner, Todd A, OD...... 748 Hudock, Paul A, MD...... 809 Jain, Prantesh, MD...... 195 Hetrick, Pamela L, CNM...... 797 Hudson, Susan J, CNM...... 758 Jain, Rashmi, MD...... 138, 139 Heyka, Robert J, MD...... 513 Huff, Randal N, DO...... 95 Jain, Sushil K, MD...... 195 Higgins, Mamie N, MD...... 332 Huffman, David W, NP.762, 763, 768, Jain, Than M, MD...... 489 Higgins, Sally, PT...... 452 769, 777, 778 Jakubowski, Sarah E, PA...... 102 Higgins, Svetlana M, NP. .34, 79, 154, 205 Huffman, Jessica L, MA...... 35, 551 James, Gwenette M, MS...... 589, 599 Hijaz, Adonis K, MD...... 478 Hughes Tracy...... 878 James, Karmon L, MD...... 809 Hild, Gina, DPM...... 540 Hughes, Lawrence M, MD...... 63 Jamieson, Amy E, RD...... 516 Hileman, Craig M, MD...... 232, 286, 498 Hughes, Ronae J, NP...... 79 Jamili, Ashkan, PT...... 527 MMOH.21.999.01.9.005 Index 901

Index

Janezic, Kaci, MS...... 691 Kalina Hammond, Julie A, CSW...... 599 Khalil, Al-Amin A, MD...... 334 Janik, Matthew, MD...... 376 Kalra, Ankur, MD...... 485 Khalili, Ali S, MD...... 815, 827 Janis, Patricia M, MA...... 599 Kaminski, Beth A, MD...... 826 Khallafi, Hicham, MD...... 384, 385 Jansen, Mary L, MA...... 691 Kaminski, Matthew A, MD...... 489 Khan, Kashif Z, MD...... 139 Januzzi, Jenna L, FNP...... 116 Kaminski, Peggy A, MD...... 40 Khan, Leila Z, MD...... 285 Jarmoszuk, Irene, MD...... 359 Kammer, Gary M, MD...... 352 Khan, Nauman A, MD...... 196 Jasper, John J, MD...... 295 Kammerman, Teresa M, MD...... 40 Khan, Safdar G, MD...... 470, 542 Jayber, Mohammed A, DO...... 126 Kane, Laura L, NP...... 154, 155 Khan, Zia U, MD...... 623 Jee, Kathleen, MD...... 739, 740 Kane, Saul, MD...... 291 Khandekar, Rahul P, DPM...... 540 Jeet, Anant, MD...... 378 Kang, Harleen, MD...... 243, 309, 408 Khandelwal, Anand V, MD...... 196 Jenkins Garrett, Richelle D, MS...... 614 Kannensohn, Jon D, MD...... 96 Khandelwal, Shobha, MD...... 191, 196 Jenkins, Jessica M, MS...... 182, 183 Kantharaj, Belagodu, MD...... 431 Khandelwal, Vivek J, MD...... 196 Jenkins, Trevor L, MD...... 270, 275 Kaplan, Gary B, MD...... 351 Khatri, Saloni, MD...... 140 Jennings, Matthew S, MD...... 96 Karadsheh, Yazan F, DDS...... 707 Khoudari, George, MD...... 140, 196 Jensen, Vanessa K, PHD...... 587 Karbassi, Alireza, DMD...... 727, 729 Khouri, Joseph S, MD...... 460 Jerson, Joann S, MA...... 572 Kareti, Mohan Y, MD...... 524 Khoury, Fadi R, MD...... 420, 421, 511 Jesse, Michael L, DO...... 127 Karns, Michael R, MD...... 326 Khubber, Shameer, MD...... 140, 196 Jesudoss, Rajinish S, MD.262, 351, 469, Karohl, Jennifer M, NP...... 778 Kidney Center Of Brunswick...... 852 470 Karp, Kimberly, RD...... 324 Kightlinger, Elizabeth A, MD...... 64 Jewish Family Service Association.553, Karp, Tina C, CSW...... 563, 652 Kim, Dug Soo, DMD...... 707, 718 562 Kase, Jonathan A, MD...... 519 Kim, Simon, MD...... 264 Jez, Joseph A, DDS...... 707, 717 Kashyap, Vikram S, MD...... 549 Kim, Suh Hee, DMD...... 708, 718 Jezewski, Donna, CSW...... 652 Kassavin, Daniel S, MD...... 549 Kim, Susan M, DC...... 280 Johnson, Allyssa K, PA...... 103 Kassim, Muhanad A, DDS...... 707, 718 Kimberlin, Jessica M, MA...... 615 Johnson, Christopher, LPC...... 572 Kater, Donna E, NP...... 769 Kimmel, Howard M, DPM...... 347 Johnson, Deborah J, CSW...... 652 Katharotiya, Pradip C, DDS...... 707, 718 King, Ashlee, MA...... 563 Johnson, Earlene P, MA...... 599 Kauble, Andrea M, MA...... 653 King, Jean M, MA...... 599 Johnson, Holly A, AUD.228, 238, 267, Kaufman, Megan, MA...... 691 King, Roxanne M, MA...... 653 297 Kawaguchi, Myra C, PHD...... 636 Kinney, Janelle, MA...... 653 Johnson, Mark R, MA...... 599 Kayani, Natalie, MD...... 191 Kirby, Karen C, DDS...... 718 Johnson, Nicole, MS...... 671 Kazaglis, Louis D, MD...... 474, 544 Kirksey, Levester, MD...... 549 Johnson, Tanya N, DPM...... 466, 467 Kazi, Daanish A, DO...... 390 Kirsch, Michael, MD...... 291, 309 Johnston, Michelle L, NP. ..35, 79, 80, 206 Kelland, Samantha E, OTR...... 516 Kiss, Megan A, MA...... 653 Jones Braden, Sharon, MA...... 360 Keller, Julie C, MD...... 53, 186 Kissig, Samantha, LPC...... 572 Jones, Brylee, MA...... 652 Kelley, Brenna J, NP...... 778 Kitchen, Bonnie S, NP...... 80 Jones, Jeffrey S, MS...... 614 Kelley, Wendy J, CSW...... 599 Klatte, Paul A, MD...... 355, 478, 548 Jones, Thomas B, MD...... 254 Kellis, Michael J, DO...... 233 Klaus, Derek J, MD...... 505 Jones-Wood Psychological...... 554, 563 Kelly, Brittany J, MA...... 653 Klautky, Stephen A, MD...... 485, 490 Jordan, Joy A, DDS...... 717 Kelly, Patricia D, NP. .... 26, 28, 47, 48, 53 Klein, Sarah E, MD...... 169 Joseph, Dawn R, MD...... 63 Kendel, James A, DC...... 493 Klein, Susan, CNM...... 758 Josephson, Richard A, MD.270, 275, 308, Kenderes, Kelly M, MA...... 691 Klemenc, Jennifer F, MD...... 40 485, 489, 509 Kendis, Hallie, MD...... 321 Klenotic, Eveline R, DO...... 295 Joshi, Deepak, MD.230, 275, 276, 367, Kennard, Latasha S, MA...... 653 Klimas Morrison, Nicole M, MA...... 653 368 Kephart, Sharon, MA...... 691 Kline, Michele M, NP...... 80 Joyce, David B, MD...... 368 Kerfonta, Christina R, MA.563, 599, 653, Klosterman, Kristin M, MD...... 804 Joyce, Emily L, MD...... 816, 828 691 Klubnik, Erin T, BA...... 672 Joyce, Tina, DO...... 53 Kern Laydner, Humberto, MD...... 355 Klucar, Julie A, PA...... 532 Juanita K Hardy...... 879 Kerns, Kaitlin E, PA...... 455, 531 Knerem, Karen, MA...... 691 Judge, Constance M, MD...... 96 Kerns, Samuel C, MD...... 332 Knoepp, Lindsey D, MA...... 654 Juhasz, Robert S, DO...... 63, 64 Kershaw, Lindsey J, MA...... 551 Knott, Robin, MA...... 654 Junko, Jeffrey T, MD...... 519 Kessler, Joseph J, MD...... 53 Kobylski, Rebecca J, MA...... 654 Jurek, Ilona E, MD...... 127 Keum, Matthew M, MD...... 335 Koehler, Michael K, MD...... 235 Juth, Kailyn N, CSW...... 652 Keystone Pointe Health & Rehabilitation. Koenig, Joseph M, MD...... 517 K ...... 842 Kohanski, Paul, NP...... 769, 786 Kabbany, Muhammad N, MD...... 822 Keystone Rehabilitation System...... 848 Kolasky, Maureen A, NP...... 80, 206 Kacmarcik, Wendy, MA...... 652 Kezele, Gregory P, MD...... 287 Kolczun, Michael C, MD...... 434 Kakumanu, Vijay, MD...... 195 Khader, Safwan, MD...... 408 Kolman, Natalie A, NP...... 80 Kalata-Cetin, Ann Marie, DO...... 168 Khaitan, Leena, MD...... 236 Koludrovich, Brian A, DPM...... 347 MMOH.21.999.01.9.005 Index 902

Index

Komuravelly, Arpitha, MD...... 197 Kumins, Norman H, MD...... 265, 357, 481 Leimkuehler Orth-Pros Ctr...... 850 Konheim, Ari L, MD...... 496 Kunchik, Joseph A, DDS...... 718, 719 Leizman, Jonathan B, MD...... 54 Koniarczyk, Michael P, MD...... 64 Kuper-Sasse, Margaret E, MD...... 319 Leland, J Martin, MD...... 254, 326 Konieczny, Carly A, PA...... 455, 532 Kushnir, Ori, MD...... 797 Lele, Anju S, MD...... 65 Kontak, Jeffery R, MD...... 186 Kwasny Dolores M...... 879 Lele, Shreeniwas N, MD...... 65 Korah, Joey M, MD...... 96 Kwasny, Lauren N, NP...... 155 Lemire, Thomas G, DC...... 281 Korduba, Renee M, PA...... 103 L Lemoine, Kara R, MS...... 601 Koren, Natasha, MD...... 186 Lagman, Dennis V, MD...... 58, 59, 65 Lenhart, Leonard J, DC...... 231 Kosdrosky, Martin, MD...... 548 Lahiff, Rachel K, MA...... 563, 654 Lenk, Jean B, MD...... 66 Koser, Lisa K, NP...... 778 Lai, Ching Feng, DO...... 390 Lentz Hartup, Denise D, DO...... 794, 798 Kosmides, Robert W, MD...... 321 Laiq, Zenab, MD...... 490 Leonard, Cynthia J, MA...... 563 Kosmidis, Alexander P, MD...... 740 Lake County Council On Aging...... 790 Leone, Louis D, DO...... 28 Kost, Margaret M, MA...... 267 Lake Geauga Recovery Centers Inc.554, Leone, Pamela J, MD...... 385 Kostraba, Andrew J, MD...... 64, 140 563, 577, 578, 600 Lepore, Nicole, MA...... 601 Kosunick, Gregory M, OD...... 748, 749 Lake Health...... 833, 834, 860 Lester, Shayla K, MD...... 66 Kotak, Sandeep V, MD...... 64 Lake Health Allied Health Professionals. Letterio, John J, MD...... 827 Kotheimer, Barry J, DC...... 231 ...... 45, 46, 108, 109, 110, 111, 112, 113 Levan, Patricia A, MD...... 28 Kottapalli, Manjula, MD...... 623 Lake Health Reference Lab...... 847 Levandovski, Yelena, PA.340, 456, 533, Kountz, Patricia A, NP...... 763 Lake Hospital System...856, 860, 861, 867 578, 624, 677 Kousa, Haitham J, MD...... 64, 577 Lake Vista Of Cortland...... 877, 878 Levar, Timothy J, DPM...... 347 Kovacevich, Gregory J, MD...... 809 Lalley, Kristina A, NP...... 206 Levine, Frederic J, MD...... 264, 355 Kozek, Courtney K, PA...... 103 Lally, Maureen M, NP...... 35, 81, 206 Levine, Mark R, MD...... 740 Kragt, Diane, MA...... 599 Lam, Louis S, MD...... 542 Levy, Edward A, MD...... 460 Kramer, Sylvia M, DDS...... 708, 718 Lamb Diana L...... 879 Lew, Michael M, MD...... 434 Kranz, Kristin N, MD...... 186 Lamb, Catherine M, CNM...... 758, 759 Lewis, Bethany, MA...... 654 Krasnyansky, Inna, MD...... 64 Landon, Gabrielle, CNM...... 755 Lewis, Christopher M, NP...... 35, 82 Kraus, Sara K, PA...... 455, 532 Lane, James S, MD...... 732 Lewis, Julie A, PA...... 103 Krause, Robin V, MA...... 570 Langford, Benjamin A, PA.259, 340, 456, Lewis, Karen S, NP...... 26, 48 Kraynack, Nathan C, MD...... 822 533 Lewis, Lana D, MA...... 572 Kraynak-Nolen, Laurel A, PA...... 339 Language Learning Associates.....848, 854 Li, Ang, MD...... 740 Kraynick, Nichole R, NP...... 786 Lanham, Jaclyn A, NP...... 614 Liang, Jake R, MD...... 140, 197 Krebs, Audra E, MD...... 191, 197 Lanzi, Michelle L, CSW...... 600, 654, 691 Libecco, Julia A, MD...... 214 Krebs, Viktor E, MD...... 434 Lappen, Justin R, MD...... 511 Licursi, Gina M, MA...... 563 Kreisher, Hayley R, PA...... 258 Larchian, William A, MD...... 478 Life Care Center Of Elyria...... 842 Kretzmann, Kris W, MA...... 654 Lard, Michelle, NP...... 769 Life Care Center Of Medina...... 843 Kreuer, Carrie E, NP.. 35, 80, 81, 155, 206 Larion, Colleen L, NP...... 787 Life, Brenda J, NP...... 779 Krishna, Samavedam A, MD...... 197 Larouere, Aimee C, NP...... 206 Lifestance Health Pbc.578, 579, 601, 602, Krishnamurthy, Vikram D, MD. ..285, 497 Lashin, Ossama M, MD...... 378 624, 654 Kroh, Dawn E, MA...... 654 Lassaletta, Margarita, MD...... 187 Lightner, Valerie A, MS...... 551, 563 Krolik, Eric W, PA...... 339, 455, 532, 533 Lassen, Alena G, MA...... 563 Lim, Kathleen Jade D, MD...... 197 Kruithoff, Keith L, MD...... 276 Latoche, Mary T, SLP...... 545 Limperos, Richard C, DPM...... 540 Krupitzer, Thomas R, MD...... 186 Laurelwood Associates...... 578, 600 Lin, Beth E, OD...... 749 Kruse, Elizabeth A, MD...... 53 Laurelwood Associates Inc...... 861 Lincare...... 847, 853 Ksenich, Nicholas J, MD...... 127 Lavi, Richard F, MD...... 228 Lindbloom, Kristopher, DO..243, 310, 409 Kucharski, Jason, PT...... 452 Lawrence, Lisa M, NP...... 35, 81, 206 Ling, Joseph J, MD...... 741 Kuchta, Lisa M, NP...... 778 Layton Physical Therapy Co...... 848 Ling, Joseph, MD...... 741 Kuchynski, Marie N, MD...... 543 Layton, Loretta A, PT...... 336 Linick, Alison M, SLP...... 545 Kucinski, Hope R, NP...... 787 Lazar, Andrew E, MD...... 250 Lishneveski, Diana, MD...... 187 Kuenzle, Kelly, FNP...... 779 Lazar, Catherine L, MS...... 600 Lisi, James E, MD...... 385 Kufahl, Christine, PA...... 456 Lazarescu, Nancy J, DO...... 65 Litam, Patrick P, MD...... 397, 431 Kukay, John M, MD...... 169 Lederer, Joan A, MD...... 624 Liu, Raymond W, MD...... 520 Kulick, Victor B, DDS...... 708, 718 Ledvin, Veronica, MD.243, 309, 310, 408, Loch, Amy E, BA...... 654 Kulkarni, Geeta, PA.258, 339, 340, 456, 409 Lodi Community Care Center...... 222 533 Lee, Alexis R, MA...... 692 Lodi Community Hospital...... 837 Kulow, Kent M, PA...... 43, 103, 175, 219 Lee, John J, MD...... 450 Lodi Family Practice Clinic...... 222 Kumar, Sanjay, DO...... 450 Lee, Tonya, NP...... 763 Longenecker, Christopher T, MD...... 276 Kumar, Sunir C, MD...... 140 Lefevre, Larry E, MD...... 578, 624 Longo, Dana L, NP...... 769 Kumar, Vikramjeet, MD...... 408 Leidenheimer, Stephen T, DDS...... 719 Lonzer, M Deborah, MD...... 96 MMOH.21.999.01.9.005 Index 903

Index

Loparo, Maetinee, NP...... 763 Maimone, Kathryn A, MA...... 657 Masci, Paul A, DO...... 508 Lopez, Lillian Y, DO...... 54 Main Street Care Center...... 842 Maslowski, Marcelle A, MS...... 769, 779 Lorain County Alc Drug Abs Svcs.655, Maiti, Baidehi, MD...... 298, 398 Massari, Jessica V, DDS...... 708, 719 656, 692 Mak, T Matthew, MD...... 741 Massey, Sara R, MS...... 657 Lorain County Office On Aging... 791, 879 Mak, Tai-Hung M, MD...... 741 Massouh, Rafik, MD...... 244, 310, 410 Lorenz, Lisa A, NP...... 779 Makadia, Ashok P, MD...... 470 Mathai, Susan P, MD...... 473 Lorenzo, Caitlyn E, DDS...... 708, 719 Makowski, Kristen N, MD...... 214 Matheson, James K, DO...... 804 Loss, Sarah, PA...... 340 Malak, Osama A, MD...... 448 Mathew, Sunita A, MD...... 624 Loudenslager, Randall S, OD...... 749 Malaya, Ramon M, MD...... 390 Mathews, Samantha, MA...... 657 Louie, Lung S, NP...... 514 Maldonado Rivera, Karen L, MA...... 616 Mathias, Jennifer, FNP...... 207 Louis, Gregory J, MD...... 732 Malear, Kathleen M, NP.117, 118, 156, Mathur, Sunjay, MD...... 450 Love, Amanda M, MS...... 564 157 Matko, Andrew J, DO...... 437 Lowe, Michele D, DO...... 804 Malik, Simee I, MD...... 97, 579 Matos, Jose G, MA...... 657 Lowery, Carly, CSW...... 656 Malinowski, Mark D, MD...... 40 Matos, Larissa S, MA...... 657 Lowry, Joseph M, DO...... 435 Mancini, Gabriel B, DO...... 187 Matthews, Clarissa, MA...... 657 Lozier, John S, MD...... 821 Mandel, Irwin M, MD...... 435 Mauer, Yael, MD...... 142, 198 Lu, Meng X, MA...... 656 Mandelik, James A, MD...... 97 Maxim Healthcare Services...... 790 Lucak, Alexandra L, PA...... 175 Manger, Kelly M, MD...... 54 May Dugan Center...... 867 Lucas, Jennifer L, MD...... 376 Manickam, Sundara K, MD...... 141 Mayer, Daniel J, MD...... 753 Lucas, Julianna N, NP...... 82 Manley, Mollie O, MD...... 505, 520 Mayne, Susan L, MS...... 785, 787 Lucky, Ava T, MA...... 564 Manohar, Chenguttai J, MD...... 66 Mays, Mary Ann Y, MD...... 427 Lucy Idol Center For The Handicapped. Manos, Michael J, PHD...... 616, 636 Mc Mobility Systems...... 847 ...... 878, 879 Manzeo, William A, PA...... 341 Mcausland, Susan M, MA...... 657 Lumapas, Arminda L, MD...... 263, 352 Manzon, Judith D, MD...... 473 Mcavinew, Courtney L, NP...... 769 Lupica, Jeffrey C, DPM...... 347 Manzoor, Nousheen B, DMD...... 708 Mccallister, Scott H, MD...... 361, 368 Luppa, Viktoria F, NP...... 35, 82, 207 Mapes, Jamie, MA...... 602 Mccarty, Brendan C, DPM...... 467 Lusk, Megan, MA...... 656 Mapleview Country Villa...... 840 Mcclave, Julie L, MD...... 97 Luzar, Michael, MA...... 602 March, Melissa I, MD...... 249 Mcclelland, Erika L, MA...... 603, 657, 692 Lyden, Sean P, MD...... 481 Marchinchin, Nicolas J, NP...... 769 Mccloskey, Jacquelyn R, PA...... 259 Lynch, Holly, MS...... 656 Marek, Andrea, NP...... 36, 83 Mccomsey, Kevin W, MD...... 810 Lynn, Bradley S, DDS...... 719 Marfori, Norberto R, MD...... 461 Mccormick, Katherine E, MA...... 603 Lyons, Sean V, MD...... 361, 368 Marin, Patricia A, NP...... 36, 83, 157, 207 Mccoy, Brett W, MD...... 437, 438 M Marino, Carlo, DDS...... 719 Mccoy, Christopher J, MA...... 658 Macaron, Carole, MD...... 292 Markowitz, Alan H, MD...... 475 Mccreedy, William H, PT...... 452 Maccluskie, Kathryn C, PHD...... 636 Markowitz, Jill K, NP...... 779 Mccullar, Jeffrey S, NP...... 157 Macdonald, Leslie A, MA...... 602 Marks Robin...... 880 Mcdaniel, Molly M, SLP...... 546 Mach, Jaclyn T, CSW...... 602 Marks, Jeffrey M, MD...... 237 Mcdonnell, Matthew C, MD...... 523 Mack, Marissa M, NP...... 82 Marocco, Irene, MA...... 602 Mcdonough, Joan M, DO...... 66 Mackert, Justin, DMD...... 708, 719 Marple, Jennifer L, MA.564, 602, 657, Mcdonough, John W, MA...... 614 Mackow, Anne K, MD...... 295, 818 692 Mcgee, Eileen S, MD...... 579 Macleish, Sarah A, DO...... 826 Marple, Rebecca J, MA...... 657 Mcintyre, Patrick J, MD...... 334 Madan Mohan, Sri K, MD...... 271, 276 Marr, Edgar R, MD...... 141 Mckee, Patrick J, DPM...... 347 Madden, Maria T, MD...... 237 Marr, Matthew J, DC...... 493 Mckeen, Shannon, DO...... 496 Madden, Rachel M, MA...... 602 Marrott, Erin M, NP...... 36, 83 Mckelvey, Erin J, MD...... 810 Maddock, Nicole, NP...... 116, 117, 155 Marsh, David G, MD...... 435, 436 Mckenna, Colleen A, MS.564, 603, 658, Madison Health Care...... 841 Marsh, Noah R, MA...... 657 692 Maditz, Rhyan, DO...... 410, 423 Marshall, Rachel, MA...... 657 Mckenzie, Margaret L, MD...... 804 Magiera, Michael D, MD...... 579 Martin Telfer, Colleen F, CSW...... 603 Mckernan, Margaret R, PA...... 534 Magro, Robert J, MD...... 97 Martin, Danielle S, DO...... 141, 197 Mckinley, Nicolle D, PT...... 527 Maguire Medical LLC...... 113 Martin, James E, PT...... 336 Mcknight, Eric J, MD...... 810 Mahajan, Darshan, MD...... 427 Martinez, Manuel A, MD...... 436 Mclaughlin, Daniel J, MD...... 481 Mahajan, Neeraj, MD...... 507 Martins, Moshood, DDS.719, 723, 727, Mclaughlin, Patrick J, DC...... 281 Mahajan, Supriya M, MD...... 427 729 Mclean, Shoghi M, MD.244, 311, 410, Maheshwer, Conjeevaram, MD...... 435 Marucci, Tatum S, NP...... 283 411 Mahlay, Taras N, MD...... 197 Marvin, Alisa F, PA.259, 341, 456, 457, Mclellan, Brendon M, LPC...... 616 Mahmood, Jaudat, MD...... 524 533 Mcmillin, Jennifer L, NP...... 36, 83, 207 Mahmood, Mushtaq, MD...... 140 Maryanne Arnold...... 855 Mcnaughton, Marc J, MD...... 54 Mahmoud, Ahmed, MD...... 229 Maschke, Steven D, MD...... 520 Mcrae, Trisha, MA...... 693 MMOH.21.999.01.9.005 Index 904

Index

Meager, Jahala K, MS...... 693 Mickles, Alicia J, DDS...... 708, 719 Moore, Mariah, MSW...... 564 Medina Hospital...... 837 Micklewright, Sarah E, PA...... 341, 457 Moore, Timothy T, DC...... 281 Medina Meadows Nursing And Rehab Miclat, Romeo S, MD...... 142 Morcos Ebied, Sherif, DDS...... 727, 729 Center...... 843 Mid Ohio Behavioral Health...... 867 Morledge, Thomas J, MD...... 67 Medina Square Dialysis...... 852 Migoni, Natalie J, DC...... 281, 373 Morley, Wynne A, MD...... 741, 742 Medina Surgery Center...... 852 Migra, Mary M, MS...... 660 Morra, Nariman K, MD.198, 245, 312, Meehan, Matthew P, DC...... 493 Miguel, Barbara A, NP...... 770 411, 412 Meehan, Ryan P, DC...... 493, 494 Mikhail, Emad A, MD...... 334, 335 Morrison, Hannah, NP...... 787 Meehan-De La Cruz, Kathleen A, MD. 127 Mikhail, Josephine R, MD...... 66 Morrow, Paul M, PA...... 457, 534, 535 Meek, Lisa C, NP...... 763 Miklovich, Robyn J, NP...... 158 Mosca, Crystal L, MD...... 187 Meek, Lisa E, MD...... 66 Miler, Roy, MD...... 357, 481 Mosenkis, Ari, MD...... 250 Meeks, Deborah K, NP...... 84 Miljkovic-Goodrich, Susan M, MD. .... 502 Moses, Jonathan D, MD...... 816, 827 Mehta, Dharmesh A, MD...... 66 Millar, Emily, CSW...... 660 Mosneag, Katalin E, NP.36, 84, 158, 207, Mehta, Govindram K, MD...... 445 Millennium Rehabilitation...... 854 208 Meine, Julie A, NP...... 764, 770 Miller, Bethaney, CSW...... 660 Moss, Montrel T, MA...... 660 Melaragno, Joann, MA...... 603 Miller, Brittany L, MA...... 614 Mossad, Dalia M, MD...... 67 Mele, Kristi L, NP...... 761, 763, 764, 770 Miller, Elizabeth J, SLP...... 546 Most, Gary J, DPM...... 261 Meleca, Vildan A, MS...... 614 Miller, Heather M, NP...... 207 Mottershead, Sabrina, SLP...... 546 Memberg, Stacey J, MD...... 215 Miller, James R, MD...... 344 Mourany, Adnan E, MD...... 445 Mendelson, Jessica I, DO...... 198 Miller, Jennifer A, MD...... 794, 798 Movens, Amanda R, PA...... 535 Mendes, Shanon L, MA...... 564, 658 Miller, Kim C, NP...... 84 Moya, Rummel T, MD...... 143 Mendis, Phillip G, DO...... 450 Miller, Lisa A, MA...... 603 Moyer, Eric D, MD...... 28, 54 Mendise, Thomas J, MD...... 810 Miller, Lisa N, PA...... 259, 341, 342, 534 Moyer, Michelle J, PA...... 457, 535 Mendoza, Jose E, MD...... 142 Miller, Melissa G, CNM...... 756 Mubarak, Mohammed A, DDS.709, 711, Menolasino, Michael J, DO.244, 245, 311, Milliman, Jessica A, DPM...... 260 720, 724, 727, 729 312 Mills, Ryan J, AUD...... 228, 267, 268 Mueller, Margaret H, NP...... 36, 84, 208 Mental Health Services For Homeless Pers. Mindzora, Judy, NP...... 770 Mukunda, Beejadi N, MD...... 67 ...... 861, 867 Minnillo, Paul R, PHD...... 559 Mullen, Lori S, MD...... 798 Mentor Ridge Health & Rehab...... 841 Misbah, Seema A, MD...... 399, 508 Mulligan, Erika A, DO...... 31 Mentor Surgery Center...... 846 Misencik, Melissa, MA...... 660 Mundy, Ruth A, NP...... 764, 770, 787 Mercy Allen Hospital...... 835 Misencik, Michael J, DDS...... 709, 727 Munzar, Saad, MD...... 143, 198 Mercy Health Physicians Lorain.177, 178, Miskovsky, Shana N, MD...... 327 Murray, Brinkman A, DO...... 187 179, 658, 659 Mistry, Niraj C, MD...... 142 Musat, Lisa, NP...... 158 Mercy Health Physicians Youngstown. 659 Mistur, Joan E, MS...... 660 Muscutar, Alina, MD...... 198 Mercy Home Health Care...... 791 Mistur, Rachel L, MD...... 283 Mutnal, Amar B, MD...... 438 Mercy Medical Partners.179, 180, 181, Mitchell, Darla G, CNM...... 759 Muzina, Kathryn S, MD...... 580 182 Mitchell, Robert A, MS.564, 603, 660, 693 Myers, David B, MD...... 500 Mercy Regional Medical Center...... 835 Mitra, Sudeshna, MD...... 822 Myers, Doris A, DO...... 292 Mercy Regional Medical Center Mitterling, Tina M, PA...... 176 Myers, Frank J, DO...... 327, 328 Laboratory...... 850 Mize, Jennifer A, FNP...... 774 Myers, Leanne D, NP...... 36, 85, 208 Merheb, Maya, MD...... 499, 500 Modarelli, Daniel C, DO...... 54 Myers, Martha L, MD...... 215 Mericle, Megan M, PSY...... 636 Moeller, Jessica M, PHD...... 683 N Merkel, Kayla C, MA...... 660 Mohammad, Haneen A, MD...... 198 Nabeel, Yassar, MD...... 490 Mervart, Miloslava A, MD...... 811 Mohan, Amit, MD...... 624 Nadkarni, Vivek, MD...... 424 Mesko, Stephanie, DO...... 187 Mohan, Geetha, MD...... 361 Naftzger, Troy, PA...... 535 Messerly, Margaret M, MD...... 624 Mohseni, Razieh N, MD...... 66, 67 Nagel, Charlene M, NP...... 208 Messner, Caitlin A, MD...... 215 Mok, Shaffer R, MD...... 385, 386 Nagrant, Erin C, MD...... 199, 215 Metheny, Leland L, MD...... 239, 298, 398 Mok, Sheu-Lun J, DMD...... 727 Nagy, Ryan S, MD...... 245, 554 Metro Pro Group Midlevel Providers... 222 Molloy, Robert M, MD...... 438 Nahra, Mitchell E, MD...... 328 Metrohealth Professional Group.580, 677, Mone, Tyra L, MD...... 187 Nair, Dileep R, MD...... 515 872 Mong, Renee C, PA...... 534 Nair, Priti, MD...... 450 Meyers, Farzana A, PA.259, 341, 457, 534 Mongenel, Jennifer, MS...... 603, 604 Najm, Imad M, MD...... 427, 515 Mezaris, Michelle N, MA...... 603 Monheim, Karen M, MD...... 198 Nall, Terence L, CSW...... 693 Mgbudem, Nneka F, FNP...... 570 Monte, James R, MD...... 811 Nancy Lowrie And Associates LLC.580, Michalak, Sarah G, PA...... 534 Montgomery, Andre L, DC...... 373 604, 625, 660, 678, 693 Michalski, Charlotte A, DDS...... 719 Montgomery, Kelly, MA...... 671, 672 Nanjunde Gowda, Madan Kumar, MD.245, Michel, Michelle L, NP...... 207, 527 Moodley, Sangithan J, MD...... 421, 511 246, 250, 312, 313, 320, 412, 424 Moore, Brian W, MD...... 284, 496 MMOH.21.999.01.9.005 Index 905

Index

Naples, Patrick J, MD...... 811 Novak, Megan M, NP...... 818 Pacheco, Theodore R, MD...... 369 Naso, Arabi, MD...... 276, 277 Novak, Michael A, MD...... 732, 742 Pagano, Trina M, MD...... 811 Nason Center Of Breckenridge Village.790 Novak, William J, MD...... 515, 544 Page, Carrie L, PA...... 259 Nassif, Christopher T, DDS...... 720 Noveske, F Gregory F, MD...... 627 Page, Denise L, NP.. 36, 85, 159, 160, 208 Nassif, Ivan A, DC...... 232 Novotny, David A, MD...... 461 Pagliaccio, Lynn M, PA...... 457 Natesan, Corattur, MD...... 412 Nukta, Emad M, MD.361, 369, 413, 485, Pahlman, Abigail D, MA...... 604 Nationwide Childrens Hospital. ...625, 661 490, 510 Pahr, Dean C, DO...... 335 Naumoff, Thomas, MD...... 287, 498 Nurko, Saul, MD...... 320 Pajevic, Brian, DC...... 494 Navartnarajah, Nishanthika, MD...... 143 Nutter, Dian M, PA...... 259, 342 Palma, Michael M, DMD.720, 723, 727, Nawrocki, Colleen M, NP...... 85 Nxstage Cleveland...... 852 729 Ndonye, Selina, MA...... 604 Nyalakonda, Kavita, MD...... 378 Palmer, Sherry N, NP...... 765, 771 Neal, Jeffrey A, MA...... 604, 661, 693 O Pap, Steven M, MD...... 812 Neely, Timothy R, DO...... 28, 54 O E Meyer Co...... 850 Paparizos, Stella C, MD...... 742 Neighborhood Alliance...... 791 O'boyle, Katherine M, NP...... 764, 771 Papay, Francis A, MD...... 461 Neilsen, Susan A, MD...... 54, 188 O'brien-Black, Penny R, NP...... 208 Papouras, William C, MD...... 502 Nejad, Maziar A, DC...... 373 O'connor, Corinne, MA...... 661 Parikh, Mona H, MD...... 144 Nelson, Kenneth N, DO...... 369 O'neill Healthcare North Ridgeville. .... 842 Park, Sarah, MD...... 798 Neri-Nixon, Maria S, MD...... 143 O'neill, Johanna R, MD...... 804 Park, Soon J, MD...... 372, 475 New Destiny Treatment Center...... 693 O'shaughnessy, Charles D, MD...... 143 Parker, Kelly K, NP...... 36 New Directions...... 580, 604 O'shea, Robert S, MD...... 292 Parker, Lydia U, MD...... 284 New Leaf Counseling Services LLC.625, Oak Hills Nursing Center...... 842 Parker, Michael R, OD...... 749 661, 678, 693 Oberlander, Nicole, RSW...... 693 Parkside Care Corporation Ii...... 790 Newman, Georgia L, MD.143, 246, 313, Oflaherty, Holly C, MS...... 661 Parmar, Harbhajan S, MD...... 67, 68 412, 413 Ohio Living Breckenridge Village...... 841 Parran, Theodore V, MD...... 313, 568, 581 Newsome, Elizabeth A, PA...... 44 Ohio Living Home Hlth-Greater Parrish, Susanne L, DDS...... 703 Nguyen, Bi T, DC...... 281 Cleveland...... 790 Parsons, Eric M, MD...... 328, 329 Nice, Timothy J, MD...... 328 Ohio Mentor...... 628, 662 Partners Physician Group.554, 564, 581, Nichelson, Kimberly M, DPM...... 467 Ohioguidestone.... 856, 862, 868, 869, 873 604, 605, 628, 662, 678, 679, 694 Nicholas, Michele, NP...... 208 Ohliger, James E, DO...... 127 Pastoriza, Sarah, DO...... 451 Nichols, Theodore J, MD...... 67 Ohman Family Living At Blossom...... 840 Patadia, Deepa D, MD...... 359, 820 Nicholson, Bryson A, MD...... 237, 296 Ohman Family Living At Briar...... 840 Patel, Achala A, MD...... 628 Nickodem, Robert J, MD...... 328 Ohman Family Living At Holly...... 840 Patel, Chetan P, MD...... 277 Nicolosi, Nicole M, DPM...... 348 Okon, Roseline E, MD...... 580, 581, 628 Patel, Darshana G, MD...... 287, 498 Nissen, Lynn, MA...... 661 Olasokan, Olapeju F, MD...... 144, 199 Patel, Dhruv R, MD...... 428 Noble, Mark J, MD...... 478 Older, Naz M, NP...... 208 Patel, Karen K, PA...... 457, 536 Noce, Kala, MA...... 564 Oley, Peter, DO...... 31 Patel, Mita S, MD...... 391 Nock, Courtney M, PA...... 535 Oneeighty Inc...... 873 Patel, Rahul A, MD...... 378 Nockowitz, Richard A, MD...... 625 Oneill, Amy, SLP...... 546 Pathway Caring For Children...... 857 Noffsinger, Stephen, MD...... 554, 625 Oney, Kimberly M, PHD...... 683 Pathways Counseling And Growth Center. Nord Center...... 862, 867, 868, 873 Onwuka Smarty, Sylvester I, MD...... 581 ...... 869, 870 Norman, Michele M, RN...... 614 Oprisescu, Gina M, MD...... 144 Patterson, Andrew J, MD...... 486 Norr, Sigmund C, MD...... 41, 97, 169 Orasanu, Bogdan, MD...... 811 Patterson, Sean D, PA...... 458, 536 Norris, Joan, MSW...... 661 Orcg Mentor Dialysis...... 846 Patwa, Premal, MD...... 581 North Coast Orthotics...... 851 Orlowski, Robin J, MA...... 604 Paul, John H, MD...... 329 North Coast Surgery Center...... 849 Ormsby, Thomas M, DC...... 494 Paul, Rosanne M, DO...... 376, 496 North East Ohio Health Services...... 604 Ornelas, Joanna L, NP...... 159 Pawlicki, Matthew B, MD...... 28 North Ridge Dialysis...... 846 Orosz, Linda S, MD...... 97 Pearlview Rehab & Wellness Center.... 843 North Shore Pedorthics...... 850 Orr, Robert D, MD...... 438 Pedro, Abraham O, MD...... 128 Northeast Ohio Grp Practice...46, 113, 182 Orta, Holly D, PA...... 535 Peechakara, Seenia V, MD...... 378 Northeast Ohio Practitioner...... 113 Ortiz, Carrie L, NP...... 133, 779 Peerzada, Maajid M, MD...... 199 Northern Oh Medical Specialist.554, 580, Ortiz, Marisol, NP...... 780 Pember, Carolyn Y, MA...... 662 626, 627, 678 Otoole, John, MD...... 237, 296, 391 Pendergast, Scott D, MD...... 743 Northern Ohio Recovery Association... 868 Otteson, Todd D, MD...... 332 Peng, Charles Y, MD...... 262 Northridge Health Center...... 842 Ouhadi, Stephanie M, DPM...... 467 Perala, Norman R, MD...... 29, 55 Nosanchuk, Bernard L, MS...... 570 P Perisa, Michael P, MD...... 41 Nouneh, Imad E, DDS.709, 712, 720, 724, P Antonelli Dist...... 848 Perla, Bernard D, MD...... 732 725, 727, 729 P T Services Rehabilitation...... 851 Perni, Uma C, MD.318, 421, 512, 799, Novack, Peter S, DO...... 510, 678 Pacer, Kyra M, MA...... 671, 673 804, 805, 812 MMOH.21.999.01.9.005 Index 906

Index

Perozeni, Pamela A, PA. 44, 103, 104, 219 Porter, Dan K, MSW...... 605 Rakesh Ranjan Md And Assoc.862, 870, Perry, Sharon E, NP...... 771, 787 Porter, Dewanda L, NP...... 37, 86 874 Persaud, Beena, PSY...... 684 Porter, Michele, MA...... 662 Rakesh Ranjan Md And Associates.863, Pesch, Aaron, OTR...... 516 Posey, Laura L, NP...... 780 871, 874, 875 Pesek, Jeffrey S, PA...... 458, 536 Potluri, Satish B, MD. ..247, 314, 414, 415 Ralofsky, Louis W, MD...... 129, 629 Pestak, Regina M, DO...... 128, 188 Potoczak, Douglas J, MD...... 128 Ramadugu, Ashok, MD...... 470, 474 Peter, Mary A, MA...... 662 Powell, Gregory S, MD...... 292 Rambasek, Todd E, MD...... 359 Peters, Christina M, DO...... 199 Pozsgay, Mark, DO...... 502 Ramos, Carmen D, MA...... 605 Peters, Erica E, MD...... 392 Pozuelo, Leopoldo J, MD...... 628 Ramzan, Iram, MD...... 68 Peterson, Corie M, NP...... 160 Prabhakaran, Anbazhagan, MD...... 144 Range, Samantha S, NP....37, 87, 161, 210 Peterson, Michael C, PA...... 104 Prabhakaran, Radhai, MD...... 170, 215 Ranjan, Rakesh, MD...... 582, 629, 679 Peterson, Nicolle L, DO...... 246, 313, 413 Praisler, Kathy J, NP...... 37, 86, 160, 209 Rao, Kancherla S, MD...... 629 Petrill, Amy L, MS...... 694 Pratt, Donna E, MD...... 629 Rao, Llewelyn J, MD...... 743, 744 Petrosky, Jacob, MD...... 237 Pratt, Kaitlin, BA...... 616 Rao, Vikram K, MD...... 279, 357 Petrov, Velizar, DMD...... 720 Prepetit, Melanie J, MA...... 605 Rasanow, Matthew, DDS...... 721 Petrucci, Cynthia L, MSW...... 662 Preston, Andrea D, MD...... 170 Rastogi, Vijay, MD...... 68 Petrus, Alexandra M, PA...... 536 Priel, Lisa A, MS...... 663 Ravenwood Mental Health Center.857, Petti, Margaret M...... 790, 791, 792 Primary Nurse Practitioner...... 114 858 Pfantz, Patrick J, DC...... 494 Primc, Michael J, MD...... 582 Ravichandran, Kamaleswary, MD...... 144 Pfefferle, Kiel J, MD...... 520 Priority Home Health Care...... 790 Ray, Elisabeth T, MD...... 352 Pham, Hang T, MD...... 733, 754 Pritchard, Timothy J, MD...... 296 Ray, Michael, MD...... 582 Pham, Thuan V, DPM...... 467, 468 Privitera, Jerome M, DPM...... 348 Ray, Monica N, MD...... 293 Phipps, Melanie D, RSW...... 564 Pro-Activities...... 845 Razack, Abdul T, MD...... 386 Physicians Plus Oh...... 848 Proctor, Andrew H, PA...... 342 Razmjouei, Karim, MD...... 69 Picha, Brad M, MD...... 329, 520 Psych And Psych Services.629, 663, 679, Rcg Heritage...... 850 Pierre, Daniel J, MD...... 743 694 Reardon, Robert E, PHD...... 559 Pierson, Terri, NP...... 780 Psychology Consultants.582, 605, 679, Reber, Kate H, NP...... 771 Pietz, Ellen H, MS...... 662 694 Rebound Physical Therapy Inc...... 849 Pintchuk, Kelly, PA...... 259 Puffer, Shelley J, CSW...... 605 Recovery Resources...... 870 Pishchik, Vitaliy I, MD...... 298 Puliyel, Divya E, DDS...... 709, 720, 727 Recovery Works Columbus...... 870, 874 Pizarro, James T, MD...... 31 Puljic, Rachael E, NP.37, 86, 87, 160, 161, Redding, Carol J, CSW...... 663 Planned Parenthood Gtr Oho...... 849, 852 209, 210 Reddy, Anantha B, MD...... 451 Plas, Jeffrey C, MD...... 628 Punia, Vineet, MD...... 428, 515 Reddy, Sailaja G, DMD...... 728 Platt, Sean M, MD...... 733 Punjabi, Eshwar B, MD...... 292 Redfern, Christina, MS...... 551 Platz, Michelle M, MD...... 287, 498 Purcell, Megan E, NP...... 161 Reed, Deborah A, MD...... 515 Plecha, Ferdinand M, MD...... 549 Purgert, Robert J, MD...... 733 Regan, Marsha B, CSW...... 565, 663 Plott, Lauren A, MS...... 605 Pustelnik, Iola, CNM...... 756 Regis, Deon K, MD...... 129 Plummer, Sarah T, MD.814, 819, 825, 831 Putka, Brian S, MD...... 386 Rehabcare Group East...... 845, 854 Poblete, J Vicente P, MD...... 461, 462 Q Rehabcare Group East Oh...... 855 Poblete-Lopez, Christine M, MD...... 376 Quan, Kara J, MD...... 370 Rehman, Saif U, MD...... 506, 510 Polakowski, Lisa M, PT...... 336 Quercioli, Jacquelyn L, DPM...... 261 Rehmer, Jenna M, MD...... 805 Poliakova, Marina, MD...... 68 Querubin, Renato D, MD...... 446 Reid, Kathleen, MA...... 663 Pollack, Michael J, MD...... 292 Quest Diagnostics...... 847 Reidy, Tara, MA...... 636 Poludniak, Brian L, PT...... 452 Quinn, Kucia, MA...... 605 Reigle, Melissa D, MD...... 265, 355 Ponsky, Lee E, MD...... 355, 478 Quinn, Patrick A, MD...... 799 Reimer, Meredith S, MD...... 284 Pop, Stefan C, MD.246, 313, 314, 413, Qureshi, Andleeb Z, DMD...... 728 Reinhold, Jean S, MD...... 805 414 R Reiss, Samuel L, OD...... 754 Popa, Matthew A, MD...... 438, 439 Rabets, John C, MD...... 265 Reitz, Keith W, MD...... 582 Pope, Douglas A, MD...246, 247, 314, 414 Radford, Diane M, MD...... 392 Reljin, Emily D, MS...... 672 Pope, Stephanie M, MD...... 581, 582 Radford, Robert R, OTR...... 324 Resar, Taneesha M, NP...... 161, 162 Pophal, Mark D, MD...... 754 Rafferty, Dianne M, NP...... 570, 771 Rescare Home Care...... 790 Popik, Audra M, MA...... 662 Ragsdale, Ellie S, MD...... 249 Resnick, Lee A, MD...... 288, 498 Popil, Tyler J, PA...... 55 Rai, Hardeep S, MD...... 543 Rexrode, Kathleen, MA...... 605, 606 Popovsky, Jennifer L, MD...... 496 Raimey, Deirdre D, MA...... 570, 771 Reyes, Christopher J, MA...... 695 Popp, Jeremy, NP...... 37, 85, 86, 160, 209 Raines, Joshua D, DO...... 188 Reyes, Roland J, MD...... 462 Poptic, Jennifer, MD...... 188 Rainey, Jon M, MD...... 68 Reynolds, Harry L, MD...... 237 Portage Path Community Mental Health Rair Krug, Susan J, MA...... 695 Rhee, Audrey C, MD...... 823, 830 Cen...... 873, 874 Rajesh Agarwal Md...... 114 Riad, Kamal S, MD...... 277 MMOH.21.999.01.9.005 Index 907

Index

Rice, Shaneeka J, NP...... 37, 87, 162, 210 Ross, Jonathan H, MD...... 830 Sandhu, Satnam, MD...... 250, 320, 321 Rich, Justin T, MD...... 41 Roter, Elisabeth S, MD...... 353 Sanford Russo, Janice, MS...... 664 Richards, Alicia R, NP...... 210 Roth, David L, MD...... 69 Sanniti, Dominic V, DO...... 29 Richards, Jessica A, CSW...... 663 Rothstein, Brian D, MD...... 817, 828 Santantonio, Diana S, PHD...... 636 Richards, Kathryn E, MD...... 400 Row, Jenny R, MS...... 606 Sanyurah, Saad A, MD...... 482 Richards, Todd B, PA.....44, 104, 176, 219 Rowane, Barbara G, MD...... 98 Sarah Z Frankel...... 850 Richardson, Jennifer L, PA...... 458 Rowe, Amanda S, NP...... 780 Saravanan, Balaji, MD...... 630 Richardson, William S, MD...... 144 Rowe, Michael E, PA...... 458, 537 Sarkisian, Gregory, DO...... 255 Richter, Elana S, NP...... 170 Rowland, Joy W, DPM...... 468 Savon, Summer P, MD...... 582 Rico, James M, DDS...... 709, 721, 728 Rowles, Daniel, MA...... 607 Sayon, Abraham, MD...... 392, 393 Ridenour, Adam J, NP...... 771 Royak, Boris, MD...... 629 Scaminace, Joseph M, NP...... 88 Ridge, Shari N, PHD...... 588 Rozel, Kent, PHD...... 588 Scarbrough, Ann L, NP...... 37, 88, 210 Riedy, Melinda D, NP...... 162 Rozelle, Dawn M, NP...... 87 Scarcella, Joseph B, MD...... 521 Rifka, Mona G, MD...... 41 Rozman, Raymond W, MD...... 235 Schaberl, Marissa M, PA...... 458, 537 Riley, Kathryn L, MD...... 376 Rubin, Sheila N, MD...... 322 Schaefer, Elizabeth C, CCM...... 607, 664 Riley, Michelle R, DO...... 144 Rudert, Nicole K, PA.44, 105, 176, 219, Schaeffer, John W, MD...... 370 Ringel, Roman A, MD...... 462 260, 342, 537 Schaeffer, Matthew S, MD...... 129 Rish, Michael J, MD...... 129 Rudolph, Joseph N, MD...... 322 Schafer, Natalie, MA...... 665 Ritz, Gary A, DPM...... 261 Rudy, Nicholas, DDS...... 709 Schaffer, Daniel J, DC...... 373 Ritzenthaler, Holli R, MA...... 606 Rukin-Gold, Deborah R, MD...... 817 Schaffer, Mary, PHD...... 588 Rivera, Lindsy M, MA...... 663 Rupprecht, Christopher C, PA...... 458, 537 Schartman, Cynthia, MA...... 607 Roach-Armao, Laurel E, MD...... 215 Russell, Hannah L, MA...... 664 Schartman, Jerome P, MD....733, 744, 754 Roberts, Jeffrey J, MD...... 439 Russell, Krystal M, NP...... 118, 162 Scheidemantel, Thomas, MD...... 679 Roberts, Kasey M, MD...... 794 Russell, Susan M, MS...... 695 Scheithauer, Richard S, DC...... 373 Robinson, Angela B, MD...... 823 Ruszala, Michael W, NP...... 780 Schenkelberg, Richard, MD...... 582 Robinson, Joann, MD...... 97 Ruthenberg, Kristen R, NP...... 88 Schieda, Heather L, AUD...... 360 Robinson, Larry E, DO...... 129 Rutherford, James A, NP...... 780 Schlagel, Rachel A, PT...... 527 Robinson, Sarah A, MA...... 606 Rutledge, Ethan B, DO.247, 263, 315, Schlesinger, Alan B, DDS...... 710 Robinson, Tyrone D, MA...... 606 351, 415, 471 Schlueter, Martin E, MD...... 503 Robke, Jason M, MD...... 476 Rutz, Jordan, DC...... 494 Schmeiser, Thomas J, DO...... 55, 188 Roble, Arlene G, MD...... 170 S Schmitt, Heather E, PT...... 452 Robles, George A, MD...... 451 Sabbagh, Ahmad F, MD...... 379 Schmitz, Leah M, PA...... 459 Roche, Shacara D, MA...... 606, 612 Sabe, Ramy M, MD...... 827, 829 Schneider, Kelli L, SLP...... 546 Rochford, Megan, MS...... 606 Sabharwal, Vivek M, MD...... 428, 515 Schneider, Kurt W, MD...... 265, 355 Rock, Joseph W, PHD...... 588 Sabik, Ellen Mayer, MD...... 486, 490 Schoenhagen, Paul, MD.231, 277, 278, Rodemann, Sarah C, MS...... 663 Sabin, John W, MS...... 664 370, 371, 491 Rodgers, Allison, MA...... 606 Sabine, Laurie L, MD...... 129 Schordock, David A, PT...... 336 Rodio, James R, MD...... 554, 555 Sabo, Frank M, MD...... 439, 440 Schreiner, Jessica L, MD...... 430 Rodriguez Velazquez, Karen J, DPM... 348 Sadid, Sandra, PA...... 458 Schreiner, Stacie D, NP...... 210 Rodriguez, Delimar V, MA...... 663 Sadlon, Stephanie J, MD...... 69 Schremp Deborah L...... 880 Rodway, Nancy V, MD...... 335, 582 Saeed, Pasha M, MD...... 335 Schroeder, James R, NP...... 583 Rohal, Lauren O, MA...... 695 Saffell, Stacy L, NP...... 210 Schuerger, Nathan D, PA...... 459 Rollins, David L, MD...... 280, 357 Sagar, Jyoti, DMD...... 709, 721, 728 Schuldt, Stephen E, MD...... 630 Rom, Michael E, MD...... 730, 733 Sakiewicz, Andrew J, MD...... 370, 490 Schuller, Mindy C, NP...... 211 Romero, Lynne D, MD...... 170 Salameh, Nour I, PA...... 44, 105, 220 Schultz, Howard A, PA...... 44, 105, 220 Ronyak, Julie A, DO...... 199 Salamon, Samuel M, MD...... 733 Schumacher, Andrew J, PA.45, 105, 106, Ropelewski, Mattie K, MA...... 695 Salata, Michael J, MD...... 520 176, 220 Rorick, Mark B, MD...... 252, 322 Salay, Elizabeth R, MD...... 199 Schwall, Trevor, MA...... 565 Rosace, Regina M, MD...... 819 Saleem, Rubina, DDS...... 709 Schwartz, Steven M, MD...... 293 Rose, Peter G, MD...... 505 Salem, Bashar, MD...... 471 Scullin, Heather R, DO...... 451 Rose, Rachael, MA...... 565 Saltzman, Joel N, MD...... 298 Scully, Meghan E, NP...... 771, 772 Rose, Richard F, MD...... 520, 679 Sam N Ghoubrial Md...... 222, 223 Scully, Sharon L, PA. ...260, 342, 343, 537 Roseman, Charles A, OD...... 749, 750 Sanad, Mohamed A, MD...... 145 Sears, Jonathan Eliot, MD...... 744 Rosenberg, Jennifer, MD...... 555 Sanctuary Wadsworth...... 843 Sechler, James L, MD...... 491 Rosenblatt, Steven M, MD...... 296 Sandalakis, Andegoni M, NP...... 787 Secin, Fernando P, MD...... 478 Rosenthal, Jeffrey, DDS...... 709 Sanders, Kimberly A, MS...... 570, 571 Secrist, John G, MD...... 376, 377 Rosneck, James, MD...... 329 Sandhu, Harkeet S, MD.415, 416, 440, Sedlak, Stephanie A, CNM...... 760 Rospert, Elizabeth A, NP...... 162 441 Seeds Orthopaedics...... 849 MMOH.21.999.01.9.005 Index 908

Index

Seeley Medical Oxygen Co Of Andover. Shock, Addie, NP...... 162 Smith, Jordan L, PA...... 106 ...... 850 Shockley, Jennifer, NP...... 162, 163 Smith, Kristen A, MD...... 322 Seffo, Firas, MD...... 247, 315, 416, 417 Sidari, Bonnie J, DO...... 55, 288 Smith, Madonna, OTR...... 517 Segraves, Robert T, MD...... 679 Siddiqi, Ahmad, MD...... 428 Smith, Renee B, NP...... 163 Seidu, Saada A, MD...... 393 Sidlo, Virginia, MS...... 607 Smith, Sandra L, NP...... 782 Seifried Ash, Karolin, MA...... 607 Sidloski, Jay E, DO...... 399 Smith, Susan, FNP...... 765 Seipel, Scott H, OD...... 750 Siegel, M B, MD...... 250, 321 Smolock, Christopher J, MD...... 482 Seleshi, Ermias, MD...... 583, 630 Sieniawski, Cory J, DC...... 494 Smyth, Jennifer J, NP...... 88, 89, 163, 211 Seneviratne, Saliya S, DMD...... 728 Sierschula, Jessica R, SLP...... 546 Snair, Trisha L, DO...... 216 Senokozlieff, Heidi, DO...... 215, 216 Signature Health...... 847, 862, 863, 874 Snider, Alicia E, MD...... 296 Seo, Monica E, MD...... 145, 146 Sikaffy, Carlos N, MS...... 571 Sodeinde, Adedeji, MD...... 425 Serels, Anna, MD...... 336 Sila, Cathy A, MD...... 252 Soetanto, Jun A, DMD...... 710, 722 Serfozo, Rebecca A, MA...... 665 Silbiger, Daniel R, DO...... 299 Solak, Kraig K, DO...... 255 Serhal, Dina I, MD...... 379 Siles, Roxana I, MD...... 359, 360 Solanki, Neha, MD...... 543 Serna, Alfred, MD...... 441 Silver, Benjamin A, MD...... 255 Solaro, Lori R, MD...... 630 Serrano, Ania T, NP...... 780, 781 Simantiris, Daman P, DMD...... 722 Solomon, Mary L, DO...... 830 Sestito, Joseph, MS...... 565, 607, 665 Siminovitch, Jeffrey P, MD...... 356 Solsman, Megan, RSW...... 702 Setlak Micheller, Diane K, CSW.565, 607, Simmons, Brianna M, CNM...... 756 Son-Hing, Jochen P, MD...... 329 665, 695 Simmons, Jean R, PHD...... 573, 588 Sonnenberg, Emma, MA...... 665 Shabab, Wadie, MD...... 170 Simon, Daniel I, MD...... 229 Soptelean, Nicole M, NP...... 782, 783 Shafran, Tamar B, MD...... 734 Simon, James F, MD...... 425 Sorma, Kaleena, MA...... 764, 774, 784 Shah, Bharat C, MD...... 417, 448 Simon, Margo, DO...... 31 Sotolongo, Antonio J, MD...... 229 Shah, Karan S, PT...... 452 Simoson, Leo H, DC...... 374 Southwest General Health Center...... 837 Shah, Rohit, MD...... 814, 824 Simpson, Stephen P, DDS.722, 723, 728, Sozeri, Yasemin G, MD...... 734, 735 Shah, Tushar, MD...... 199 729 Sparano, Dina M, MD...... 231 Shah, Yogesh G, MD...... 421, 422, 512 Sims, Danielle, PHD...... 684 Speaker, Rae E, MS...... 665 Shahid, Asim M, MD...... 813, 822, 828 Sinclair, Patricia, MA...... 607 Spear, Kevin A, MD...... 548 Shaia, Samir J, DO...... 146 Singer, Amanda L, NP...... 37, 88, 163, 211 Spech-Holderbaum, Michelle M, MD.... 69 Shapiro Krew, Anna P, MD...... 583 Singerman, Lawrence J, MD...... 734 Spencer, Jennie M, PA...... 107 Shapiro, David B, MD...... 442, 443 Singh, Annapurna, MD...... 745 Spillan, Scott D, NP...... 784, 788 Shapiro, Eric J, MD...... 235, 555 Singh, Chandra M, MD...... 471 Spino, Zachary A, NP...... 788 Sharif, Bahman, MD...... 583 Singh, Katherine A, MD...... 318, 422, 512 Spiros, Judith A, PA...... 220, 221 Sharma, Bipin K, MD...... 500 Singh, Mansumeet, MD...... 510, 513 Spitzer, Ashley A, MS...... 695 Sharma-Sahni, Priyanka, MD...... 200 Singh, Paramjit, PA...... 45, 106, 220 Spoden, Cristen A, NP...... 130, 164 Sharp, Nicole A, NP...... 829 Sinopoli, Jillian N, DO...... 476 Spradling, Elnora N, MD...... 517 Sharpe, Carissa L, DPM...... 348 Sipple, Beth A, MS...... 608 Sprenger Retirement Ctr...... 791 Sharpe, Jonathan J, DPM...... 348, 349 Sipus, Jenna C, PA...... 459 Sprout, Kelly L, MD...... 630 Shatnawei, Abdullah S, MD...... 387 Siracuse, Danielle A, MSW...... 608 Squeri, Michael V, MD...... 583 Shavonne, Morgan, MA...... 607 Sirvaitis, Ringaile, NP. .765, 772, 785, 787 Srebala, Paula L, MA...... 665 Shaw, Leslie A, PA...... 459 Siscu, Haralambie, MD...... 129, 130 St Vincent Medical Group.555, 565, 583, Shaw, Staci, MS...... 695 Sivaraman, Indu, MD...... 817 608, 630, 631, 665, 666, 680, 695 Shcherabakov, Dennis, PT...... 337 Skef, Suzan, MD...... 233, 288, 381 Staats, Mark D, NP...... 773 Shedron, Julie F, MS...... 665 Skinner, Megan M, NP...... 781 Stacey, Nicole, LPC...... 666, 696 Sheets, Kimberly C, DO...... 188 Skof, Katelyn E, PA...... 260 Stachowicz, Rafal Z, MD...... 505, 521 Shephard, Leslie E, MA...... 665 Slabaugh, Rachel L, PA..45, 106, 177, 220 Stagliano, Vanessa J, MD...... 130, 189 Sherlock, Douglas J, MD...... 805, 806 Slabe, Kristi D, PA...... 538 Staib, Clayton T, DC...... 281 Sherman, Crystal E, PA...... 343, 538 Sloane, Steven, MA...... 608 Staley, Jessica N, PA...... 343 Sheth, Aditi M, MD...... 630, 679 Slocombe, Kimberly E, NP...... 772, 782 Stallard, Kayla M, MA...... 666 Sheth, Neha N, MD...... 98 Slodov, Andrew J, DDS...... 710, 711 Stalter, Brian J, PT...... 337 Shewbridge, Richard K, MD...... 497 Small, Sarah J, NP...... 764, 772 Stalzer, Alison G, DO...... 799 Shewmon, David A, MD...... 379, 417 Smarsch, Robert D, DO...... 130, 188, 189 Stamatis, Bonnie, MD...... 146 Sheyn, David, MD...... 794 Smith, Amber M, RSW...... 665 Stanfield, William B, MD...... 443, 444 Shin, Carl K, MD...... 734 Smith, Angela, BA...... 608 Stansbrey, Robert J, MD...... 555 Shin, Joyce J, MD...... 296 Smith, David G, MD...... 278 Stanton-Hicks, Ursula, MD...... 284 Shin, Paul C, MD...... 524 Smith, Howell R, MA...... 608 Starck, Rebecca N, MD...... 806 Shingleton, Anne M, NP...... 211 Smith, Jacqulyn, MA...... 608 Starkey, Dianne E, DC...... 494 Shisila, David A, MD...... 41 Smith, Jessica M, NP...... 782 Starkey, Patrick W, DC...... 495, 527 Shneyderman, Julia I, DMD...... 721 Smith, Jessica, NP...... 614, 782 Stearns, Duncan S, MD...... 508, 828, 831 MMOH.21.999.01.9.005 Index 909

Index

Stebbins, Mark C, PA...... 45, 107, 221 Syed, Qarab H, MD...... 491 Thomas, Robert L, MD...... 147 Stein, Richard B, MD...... 296 Szalkowski, Diane R, PA...... 221 Thomas, Roy H, MD...... 746 Stein, Richard E, MD...... 69 Szarka, Lindsey A, NP...... 37, 38, 89, 211 Thomas, Santhosh A, DO...... 448, 451 Stein, Ronald A, DPM...... 541 Szekely, Rachel A, MD...... 266 Thompson, Rebecca L, NP...... 783 Steinberg, Joel, MD...... 556 Sziraky, Patrick E, MD...... 521 Thompson, Stephanie M, MS...... 699 Steiner, Barbara J, NP...... 211 T Thornton, Kristen M, CSW...... 699 Steiner, Eric M, MS...... 696 Tabin, Jenifer, CNM...... 756 Thrive Behavioral Health Center Inc.858, Steiner, Kelly, PT...... 527 Tackett, Heather C, MA...... 699 871, 874 Stella Maris Inc...... 870 Tadross, Nabil A, MD...... 146 Tidmore, Joi R, MD...... 799, 806 Stenger, Jeremy C, LPC...... 572 Tak, James I, MD...... 147, 200 Tincher, Kristie M, NP...... 26, 27 Stephens, Donald C, MD...... 735, 745 Takacs, Steven M, DO...... 29, 30 Tincher, Kristie, NP...... 27 Stephens, John, MA...... 666 Talcott, Katherine E, MD...... 745 Tobin, Jessica R, NP...... 783 Stephens, Susan E, MD...... 329, 330 Taliercio, Jonathan J, DO...... 425 Todorinov, Alexandar L, MD...... 70 Stephenson, Leighanna K, MS...... 571 Taliwal, Rajiv, MD...... 521 Tokodi, Sarah V, NP...... 788 Stern, Denise I, MD...... 200 Taljan, Katherine E, MD...... 584 Tomco, Ashley, PSY...... 667 Sterna, David J, OD...... 750 Tamaskar, Ila R, MD...... 324, 325 Toney, Ashley, CM...... 609, 667, 699, 700 Stevens, Brian S, PA...... 459 Tamaskar, Ranjit B, MD...... 70 Toothman, Jessica D, MA...... 667 Stevenson, Kelly A, MS...... 609, 696 Tanaka-Esposito, Christine C, MD...... 371 Torok, Leonard J, MD...... 522 Stevenson, Laura A, MA...... 666 Tang, Maria C, MD...... 98 Torres, Belinda J, PHD...... 588, 589 Stewart, Jillian, MA...... 666 Tani, Marie, MD...... 323 Torrico, Pedro J, MD...... 323 Stickney, Donald P, MD...... 521 Tantibhedhyangkul, Julierut, MD...... 806 Torsney, Anne B, PA...... 45, 107, 177, 221 Stine, Alexandra R, MA...... 609, 666, 696 Tarakji, Khaldoun G, MD...... 362, 371 Torzok, Thomas B, DC...... 281 Stock, Dina, DPM...... 349 Taylor, Jay M, MD...... 55 Total Joint Rehabilitation...... 851 Stojic, Andrey S, MD...... 428, 516 Taylor, Michael D, MD...... 393 Towns Scott, Mattie, MS...... 609 Stokkermans, Thomas J, OD...... 735 Tcaciuc, Daniela, MD...... 200 Tran, Terri T, DMD...... 710, 722 Stoltz, Kathryn R, FNP.....26, 48, 119, 183 Tchelidze, Tea A, MD...... 147, 200 Trennel, Patricia A, MA...... 609 Stone, Julie M, MA...... 615 Teitelbaum, Mary A, PHD...... 637 Treska, Julia R, NP...... 783 Stopper, Jennifer, MA...... 666 Tellep, Darci, MSW...... 667 Tricaso-Torrence, Joanna, MA...... 672 Strack, Leanne K, DO...... 471 Temes, R Thomas, MD...... 354 Trill, Kristin C, NP...... 183, 211 Strainic, James P, MD...... 821, 825 Temple, Julie A, MA...... 667 Tripodi, Michael A, PA...... 343 Strausbaugh, Steven D, MD.263, 351, 813, Templeton, Jesse E, MD...... 444 Trochelman, R D, MD...... 518 817 Tenhuisen, Janna L, MA...... 699 Tsai, Margaret, MD...... 473, 474 Strimbu, Victor P, MD...... 444 Tenney, William D, DPM...... 349 Tsai, Thomas J, MD...... 754 Strodtbeck, Leslie A, FNP...... 119 Terry, Francine M, MD...... 288, 498 Tschannen Isabella, Theresa A, PHD... 684 Stuart, Ann Marie, MD...... 189, 190 Terry, Karen L, NP...... 783 Tseng, Emily I, DO...... 131 Stutzman, Regina M, PA...... 260 Terrys Shoes Footcare Ctr...... 847 Tucker, Abigail M, MD...... 800 Stypa, Robert, PA...... 45 Tessman, Patrick A, MD...... 323 Tucker, Carrie A, NP...... 773 Sullivan, John F, MD...... 235 Testen, Cristina F, AUD...... 268 Tucker, Karen V, MSW...... 609 Sumego, Marianne J, MD...... 69 Teston, Lois J, MD...... 508, 510, 517 Tudico, Marina G, PA...... 343 Summa Health System...... 837 Thabet, Walid R, DDS...... 710, 722 Tulodzieski-Ahlstrom, Jacqueline M, Summa Physicians.223, 224, 225, 680, Thaler, Donald C, DDS...... 710 DPM...... 541 696, 697, 698, 699 Thall, Edmond H, MD...... 746 Tumbush, John A, DO...... 29 Sun, Yun-Lai, MD...... 130, 133 The Centers For Families And Children. Turbett, James A, MD...... 56 Sundaram, Murali, MD.556, 583, 584, ...... 870 Turc, Marinella L, MD...... 70 631, 632, 680 The Counseling Center Of Wayne & Turell, Jeffrey M, MD...... 584 Sundaram, Rajendran, MD...... 146 Holmes...... 874 Turell, Marni F, MD...... 41 Sundararajan, Sophia N, MD...... 322, 428 The Village Network...... 871 Turley, Dale R, PA...... 459 Sunshine, Joshua J, MD...... 323 The Village Of St Edward At Wadsworth. Turner, Jennifer L, NP...... 89 Supan, Alexis W, RD...... 430 ...... 792 Turner, Kevin L, MD...... 171 Suri, Anu, MD...... 471, 472, 543 Therapy In Motion...... 855 Turoczi, Steven, MD...... 32, 70, 71 Surso, John M, MD...... 189 Thet, Phyo K, MD...... 147, 201 Turoczi, Timea F, MS...... 551, 571 Susan, Luay P, MD...... 479 Thiagarajan, Kiruthika, MD...... 147 Tuten, Weston C, OD...... 736 Sutton, Diane L, OD...... 750 Thiruchelvam, Nirosshan, MD.417, 472, Tuttle, Nicholas J, PA...... 459 Sutton, Jazmine M, MD...... 146, 200 510, 543 Twining, Shannon K, LPC...... 616 Suzanne Slusher...... 877 Thomas, Judith A, SLP...... 546 Tyneski, Kristen, NP...... 212 Svec, Kimberly A, FNP...... 49 Thomas, Kathryn M, NP...... 49, 55 U Svoboda, Brittanie N, NP...... 89 Thomas, Leslie D, NP...... 783 Uh Chagrin Highlands Urg Care...... 839 Swirsky, Sarah, MA...... 699 Thomas, Paul C, DO...... 56 Uh Mentor Surgery Center...... 846 MMOH.21.999.01.9.005 Index 910

Index

Uh North Ridgeville Endoscopy Center. Vij, Alok, MD...... 377 Warner, Keith M, MD...... 393 ...... 849 Vij, Sarah L, MD...... 479 Warren, Robert C, MD...... 393, 394 Ui, Jennifer, MD...... 429 Vijay Kakumanu Md...... 226 Washek, James, PT...... 337 Ulchaker, James C, MD...... 479 Villa Camillus...... 842 Washington, Nina T, MD...... 830 Uli, Naveen K, MD...... 826 Villa Of North Ridgeville...... 850 Wasserbauer Kingston, Nancy, DO...... 360 Ungprasert, Patompong, MD...... 474, 544 Villarosa, Leonardo L, MD...... 451 Watson, David J, MA...... 669 Unity Health Network...... 225, 226, 680 Vincent, Christopher M, DO...... 429 Watson, Kelsey D, MA...... 669 University Hospital Lab Serv Foundation. Visiting Angels...... 791 Watson, Ronald C, DC...... 374 ...... 844, 847, 853 Viswanath, Basavarajappa, MD...... 133 Wattar, Abdul R, MD...... 278, 279, 372 University Hospitals Elyria Medical Ctr. Viswanathan, Anuradha, MD.285, 497, Wattley, Kaitlyn A, NP...... 788 ...... 835, 836, 838 815, 819, 826, 832 Waxman, Howard M, DPM...... 349 University Hospitals Geauga Medical Ctr. Vitiello, Angela L, MD...... 42 Weatherbie, Stacy, PT...... 528 ...... 833 Vito, Kenneth J, MD...... 332, 333 Weaver, Rachel, MD...... 800 University Hospitals Medical Group.114, Vlastaris, Anthony G, MD...... 491 Weaver, Robert D, DPM...... 261 556, 557, 565, 566, 584, 609, 610, 632, Vlastaris, Catherine A, MD...... 377 Webb, Jane R, MA...... 268 667, 680, 700 Vnpc/Visiting Nurse Svc...... 792 Weber, Tristan P, NP...... 672 University Primary Care Practices.557, Vogelgesang, Ryan J, MD...... 216 Webster, Pamela J, NP. ....38, 90, 164, 212 558, 566, 567, 568, 585, 586, 610, 611, Vogler, Caitlin M, CSW...... 669 Weddle, Justin L, PA...... 460, 539 632, 633, 634, 667, 668, 669, 680, 681, Vogt, Beth A, MD...... 816 Wegelin, Susan Y, CSW...... 669 700, 701 Vojtko, Loretta A, PT...... 527 Wegryn, John D, MD...... 548 Unnithan, Jaya S, MD...... 147 Vojtko, Steve E, OTR...... 517 Weinberger, Leonard M, MD...... 323 Unsdorfer, Gary L, DPM...... 503, 541 Vojtush, Nicole L, MA...... 611 Weiner, Scott D, MD...... 522 Urban, Monica M, MD...... 71 Von Gunten, Shannon W, PA...... 177 Weisbarth, Madison, PT...... 258 Ursick, Marissa A, PT...... 337 Votypka, Vanessa K, NP...... 38, 89 Weiss, Daniel, MD...... 285 Usis, Eriks A, MD...... 98 Voytas, John D, MD...... 394 Weitzel, Corrie D, OD...... 751 Utech, Kathleen K, MD...... 41 Vrabel, Laura, NP...... 773, 788 Welch, Casey O, MA...... 611, 612 V Vucetic, Henry E, MD...... 335 Welcome Nursing Home...... 842 Vacante, Michael, DO...... 372 W Wells, Skye W, PA...... 221 Vacca, Maidana, MD...... 148 Wachs, Rhonda L, MS...... 611 Wendschuh, Philip D, MD...... 418 Vaclav, Mackenzie L, PA...... 538 Wacker, Sheryl, MA...... 701 Wesleyan Village...... 842 Valentine, David S, DC...... 374 Wadden, Daniel, NP...... 773 West, Sara G, MD...... 634 Valentino, Cassandra L, PA...... 460, 538 Wadsworth Pointe...... 843 Western Reserve Catering...... 790 Van Dyke, Cheryl M, MA...... 701 Waehler, Charles, PHD...... 684 Western Reserve Prof Grp...... 845 Van Heeckeren, Willem J, MD...... 299 Wagamon, Sharon S, MD...... 252 Wetherwax, Colleen M, CSW...... 568 Van Keuls, Nancy D, MD...... 171 Wagner, Katherine M, MD...... 42 Wharton, Anysia I, CSW...... 669 Van Nostran, Sharon E, DO...... 189 Wagner, Thomas W, DO...... 131 White, Leah V, MA...... 669 Van Skyhock, Gary A, DC...... 374 Wagner, Timothy J, DO...... 131 White, Lori, PHD...... 589 Van Skyhock, Jason, DC...... 374 Waked, Monda T, DC...... 281 White, Molly M, FNP...... 27, 49, 120, 183 Vanbrook, Wienel Y, MA...... 611 Waldo, Albert L, MD...... 271, 278 White, Patrick, PHD...... 684 Vanburen, George A, MD...... 319 Walker, James H, MD...... 330 White, Richard B, MD...... 131 Vandyke, Arthur E, MD...... 278 Walker-Askew, Tracey, MA...... 611 White, Robert J, DPM...... 468 Vanek, Paul F, MD...... 344, 345 Wall, Palak B, MD...... 754 Whitehouse, Lauren M, NP...... 38, 90, 212 Vanfossen, Victoria L, MD...... 503 Wallace, Shannon L, MD...... 812 Whitehouse, Robert J, MD...... 56, 57 Vanscoder, Jacquelyn J, MA...... 669 Wallin, John A, MA...... 611 Whitling, Stephanie, PA...... 539 Vanscoyoc, Karen L, MA...... 568, 611 Walsh, Patrick J, DDS...... 722 Whitmer, Dorota A, MD...... 379 Varghai, Mohammad A, MD...... 300 Walter, Ellen M, NP...... 788 Whitt, Tana, MSN...... 672 Vasavada, Sandip P, MD...... 479 Walters, Faith, MSW...... 684, 701 Whyte, Leann K, NP...... 788, 789 Veale, Kodi A, PA...... 538 Wanek, Steven A, MD...... 503 Wickliffe Country Place...... 841 Veenstra, Steven T, PT...... 257, 258 Wang, James J, MD...... 148 Wiech, Lisbeth, MSW...... 670 Velotta, Jennifer A, MD...... 800 Wang, Kai, MD...... 248, 316, 417, 418 Wieland, Jeffrey W, DPM...... 261 Ventura, Jessica L, NP...... 788 Wang, Linda M, MD...... 503 Wiesen, Ari J, MD...... 293 Ventura, Jessica, MA...... 672 Waraich, Kanwaljit K, MD...... 201 Wikel, Leah A, MA...... 670 Verdun, Mark, DO...... 330 Ward, Eric, OD...... 750 Wilber, Amy E, DO...... 806 Verghese, Cherian, MD...... 300 Wardrop, Terrance, PT...... 337 Wilcox, Mark, MD...... 801, 806 Vicario, Deborah A, MD...... 131 Ware, Charles F, MD...... 248, 316, 418 Wilcox, Toni Y, NP...... 38 Vidrine, Jill S, PA...... 538 Ware, Rebecca A, MD...... 148 Wiley, William F, MD...... 746 Vieweg, Walter M, DO...... 29, 56 Warholici, Kristin H, MA...... 615 Wilhelm, Carolyn M, MD.815, 819, 821, Warmington, Ashley S, NP...... 90 824, 825, 832 MMOH.21.999.01.9.005 Index 911

Index

Wilhelm, Scott M, MD...... 297 Yarham, Abby L, OD...... 751, 752 Zuchowski, Sara E, MD...... 586, 682 Wilkes, Jaline N, NP...... 90 Yarosh, Michael J, PA...... 460, 539 Zufan, Crista M, NP...... 166 Wilkins, Alicia V, MA...... 702 Yarovitsky, Dmitriy M, DDS...... 710, 723 Zuponcic, Jacqueline R, DO...... 812 Wilkins, Catherine V, MD...... 807 Yarovitsky, Irina A, DMD...... 710, 723 Zurkey, Adam W, OD...... 752 Wilkins, Margaret A, MS...... 702 Yatish Goyal Md...... 227 Williams Reid, Jennifer L, MD...... 29 Yeh, Eric Y, MD...... 353 Williams, Barbara A, MD.....486, 491, 511 Yeh, Lloyd R, MD...... 42 Williams, David H, PA...... 539 Yergin, Courtney J, MA...... 612 Williams, Jillian L, MSW...... 670 Yetzer, Judy A, NP...... 784, 789 Williams, Luke R, NP...... 764, 773 Yezzi Shareef, Ann Marie, PHD...... 637 Williams, Lynn A, PHD...... 637 Yilmaz, Turker, MD...... 333 Williams, Marc S, MD...... 189 Ymca Of Greater Cleveland Mdpp...... 850 Williams, Monique, NP...... 91 Yoder, Beth A, OD...... 752 Williams, Morgan T, PA...... 260 Yoder, James S, PT...... 337 Williamson, Alexandra K, OD...... 751 Yoder, Tayler, NP...... 774 Williamson, Paulina, DDS.710, 722, 723, Yonan, Sameh R, MD...... 448, 449 728 Yonke, Joseph E, PA...... 177 Willis, Jeanine R, NP.38, 91, 120, 164, Young, Kimberly W, MS...... 571 165, 212 Young, Lisa, NP...... 784 Willowood Care Center Of Brunswick. 843 Young, Mindy S, SLP...... 475 Wilson, Marcietta R, DO...... 807 Yu, Liming, MD...... 238 Wilson, N S, DDS...... 728 Yursky, Mary E, NP...... 765, 774, 784 Wilson, Thomas S, MD.271, 279, 316, 317 Z Wilson-Costello, Deanne E, MD...... 249 Zacharias, Dawn M, MD...... 482, 483, 511 Wimpie, Nina F, MD...... 216 Zack, Brian H, MD...... 42 Wirth, Michelle K, OTR...... 430 Zadeh, Barry J, MD...... 546 Witt, Anita, CSW...... 670 Zahka, Kenneth G, MD...... 821 Witten, Eileen K, MD...... 812 Zahn, John C, PT...... 453 Wolen, James, MA...... 612 Zaizafoun, Manaf, MD...... 472, 473 Wolf, Jason M, MD...... 293, 294 Zalar, Rosemarie S, NP...... 91 Wolfe, Lisa A, NP...... 773 Zang, Jie, MD...... 248, 317, 419 Wolff, Stacy R, SLP...... 546 Zangmeister, John M, MD...... 131, 190 Wolford, Danielle A, NP...... 773 Zanick, Beth R, NP...... 784 Wolkoff, Lawrence H, MD...... 356 Zanotti, Robert M, MD...... 444, 445 Womack, Delores T, LPN...... 568 Zapotocky, Lisa C, MD...... 71 Womensafe Inc...... 858, 863 Zappitelli-Sason, Lucille, NP...... 92 Wong, Christina Y, MD...... 284 Zarowitz, Joshua H, DO...... 586 Wong, Eileen H, MD...... 263 Zart, Janie M, MD...... 93, 801 Wong, Virginia L, MD...... 358, 550 Zavarella, Rosanna O, PHD...... 589 Woo, Lynn L, MD...... 356, 818 Zaw, Tin Z, MD...... 148, 201 Woodhouse, Justin G, MD...... 232, 284 Zayas, Audra, NP...... 165, 166 Woodland Centers Inc...... 871 Zayicek, Christina M, NP.....30, 38, 57, 92 Workman Estrella R...... 877 Zeiger, Todd M, MD...... 190 Workman, Nathan A, NP..38, 91, 165, 212 Zell, Michael A, MD...... 479 Wrh Physicians...... 226, 227 Zhu, Ye, MD...... 57 Wrice, Danae B, MA...... 616 Ziegler-Alban, Kristin K, MA...... 612 Wu, Nancy, MD...... 148 Zimmer, Scott M, MD...... 255, 330 Wyckoff, Neeti J, MD...... 586 Zimmerman, Teresa N, MD...... 826, 832 Wyszynski, Richard E, MD...... 735 Zimmerman, Tina M, MS...... 670 X Zinni, Richard A, MD...... 317 Xiong, Dingding, MD...... 821, 824 Ziol, Janet E, NP...... 213, 789 Y Znidarsic, Robert, MD...... 30, 57 Yacapraro, Lauren E, PA...... 260, 343 Znidarsic, Robin L, MD...... 57, 58 Yalcinkaya, Gulgun F, MD...... 249, 814 Zografakis, John G, MD...... 504 Yanetta, Stacey L, MA...... 670 Zolli, Alexander F, MD...... 475 Yang, Guang, MD...... 525 Zraik, Bassem, MD...... 419 Yang, Youapa S, MD...... 288, 499 Zuberi, Mussaret A, MD.248, 249, 318, Yard, Lynsey, MA...... 612 419, 420 MMOH.21.999.01.9.005

912

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Pharmacy Index 913

B Planned Parenthood Of Greater Ohio Lorai. Buderer Drug Company, Avon...... 886 ...... 888 C R Ccf-Willoughby Hills Pharmacy...... 882 Rite Aid Pharmacy 01283...... 891 Cleveland Clinic Avon Ambulatory Rite Aid Pharmacy 02590...... 888 Pharmac...... 886 Rite Aid Pharmacy 02654...... 881 Cleveland Clinic Medina Ambulatory Rite Aid Pharmacy 03011...... 884 Pharm...... 890 Rite Aid Pharmacy 03169...... 888 Cvs Pharmacy #16379...... 890 Rite Aid Pharmacy 03174...... 884 Cvs Pharmacy #16484...... 882 Rite Aid Pharmacy 03195...... 884 Cvs Pharmacy #16570...... 886 Rite Aid Pharmacy 03365...... 888 Cvs Pharmacy #16666...... 886 Rite Aid Pharmacy 04245...... 889 Cvs Pharmacy #17202...... 891 Rite Aid Pharmacy 04279...... 881 Cvs Pharmacy #17388...... 882 Rite Aid Pharmacy 04683...... 889 Cvs Pharmacy #17416...... 886 Rite Aid Pharmacy 04766...... 889 G Rite Aid Pharmacy 04784...... 884 Gates Pharmacy...... 887 Rite Aid Pharmacy 04811...... 892 Genoa Healthcare, LLC...... 881, 882 Rite Aid Pharmacy 04847...... 884 Giant Eagle Pharmacy #0199...... 887 Rite Aid Pharmacy 04947...... 889 Giant Eagle Pharmacy #0203...... 881 Rite Aid Pharmacy 04953...... 892 Giant Eagle Pharmacy #0216...... 882 S Giant Eagle Pharmacy #0220...... 887 Sams Pharmacy 10-4846...... 884 Giant Eagle Pharmacy #0229...... 891 Sams Pharmacy 10-6314...... 889 Giant Eagle Pharmacy #0231...... 887 Senior Pharmacy Services...... 885 Giant Eagle Pharmacy #0515...... 881 Signature Health Pharmacy...... 885 Giant Eagle Pharmacy #1217...... 883 Southside Pharmacy Of Lorain Inc...... 889 Giant Eagle Pharmacy #1282...... 883 U Giant Eagle Pharmacy #1284...... 887 University Hospitals Geauga Medical Cent. Giant Eagle Pharmacy #4097...... 883 ...... 881 Giant Eagle Pharmacy #4098...... 881 W Giant Eagle Pharmacy #4133...... 881 Wal-Mart Pharmacy 10-5309...... 889 Giant Eagle Pharmacy #4601...... 891 Walgreens #10222...... 889 Giant Eagle Pharmacy #5839...... 891 Walgreens #10518...... 885 Giant Eagle Pharmacy #6375...... 887 Walgreens #13058...... 885 Giant Eagle Pharmacy #6377...... 883 Walgreens #4294...... 885 Giant Eagle Pharmacy #6381...... 883 Walgreens #4317...... 885 H Walgreens #5138...... 889 Harvest Grove Ltc...... 891 Walgreens #5431...... 892 L Walgreens #5820...... 885 Lagrange Pharmacy...... 887 Walgreens #5821...... 885 Lake Health Pharmacy Retail-West. .... 883 Walgreens #6458...... 892 Lake Health Retail Pharmacy - Tripoint. Walgreens #6574...... 890 ...... 883 Walgreens #6588...... 890 Lake Health/University Hospitals Seidman. Walgreens #9372...... 890 ...... 883 Walmart Pharmacy 10-1839...... 890 M Walmart Pharmacy 10-1857...... 885 Marcs...... 883, 884, 887, 891 Walmart Pharmacy 10-1863...... 886 Meijer Pharmacy #308...... 888 Walmart Pharmacy 10-1894...... 892 Meijer Pharmacy #309...... 884 Walmart Pharmacy 10-2966...... 892 Meijer Pharmacy #318...... 888 Walmart Pharmacy 10-3293...... 882 Mercy Health Lorain Outpatient Pharmacy. Walmart Pharmacy 10-3608...... 886 ...... 888 Walmart Pharmacy 10-4255...... 890 Midview Drug...... 888 Walmart Pharmacy 10-5066...... 890 N Walmart Pharmacy 10-5387...... 882 Nord Center's Pharmacy...... 888 O Omnicare Of Wadsworth #48324...... 891 P Paragon Rx...... 884 MMOH.21.999.01.9.005

914

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915

AreasAreas of Expertise Index of Expertise Index

ABUSE (E010) Psych And Psych Services629, 663, 679, Lorain County Alc Drug Abs Svcs655, 694 656, 692 A Renewed Mind ...... 589 Ravenwood Mental Health Center857, 858 Magiera, Michael D, MD...... 579 Afsarifard, Farshid, PHD ...... 586 Ridge, Shari N, PHD...... 588 Mental Health Services For Homeless Pers Ahmed, Samina, LPC ...... 682 Row, Jenny R, MS ...... 606 861, 867 Andrews, Christine N, MS...... 685 Rozel, Kent, PHD ...... 588 Metrohealth Professional Group. 580, 677 Applewood Center Inc 859, 864, 865, 871 Russell, Susan M, MS...... 695 Migra, Mary M, MS...... 660 Beech Brook...... 634, 635, 639, 640 Sanford Russo, Janice, MS ...... 664 Mistur, Joan E, MS ...... 660 Belcher, Wendelyn L, MS ...... 612 Santantonio, Diana S, PHD...... 636 Mohan, Amit, MD...... 624 Blackwell, Samantha, MS...... 640, 641 Sharif, Bahman, MD...... 583 Mongenel, Jennifer, MS...... 603, 604 Brown, Mark C, PHD ...... 559 Signature Health...... 862, 863 Nord Center...... 862, 867, 868, 873 Bulucea, Tina W, MA...... 591 Sinclair, Patricia, MA ...... 607 Norris, Joan, MSW ...... 661 Burns, Laura C, PHD...... 587 Speaker, Rae E, MS ...... 665 Oneeighty Inc...... 873 Community Assessment And Treatment Spitzer, Ashley A, MS ...... 695 Onwuka Smarty, Sylvester I, MD...... 581 Servi ...... 676, 688 Stevenson, Kelly A, MS ...... 609 Pathway Caring For Children ...... 857 Compton, Zev W, MS...... 594 Stone, Julie M, MA...... 615 Pathways Counseling And Growth Center Copeland, Philip R, MS ...... 646 Teitelbaum, Mary A, PHD...... 637 869, 870 Costantini, Nadine R, MA ...... 647 The Village Network...... 871 Pope, Stephanie M, MD...... 581, 582 Crossroads Lake County Adolescent856, Tricaso-Torrence, Joanna, MA ...... 672 Rakesh Ranjan Md And Assoc862, 870, 859, 860, 866 Tucker, Karen V, MSW...... 609 874 Cunningham, Kelly E, MS...... 689 Van Dyke, Cheryl M, MA ...... 701 Ravenwood Mental Health Center857, 858 Delong, Victoria Y, MD ...... 677 Womensafe Inc ...... 858, 863 Recovery Resources...... 870 Drake, Lauren, MA...... 648 Woodland Centers Inc...... 871 Rozel, Kent, PHD ...... 588 Eden, Diane H, MD ...... 576 Yezzi Shareef, Ann Marie, PHD...... 637 Sanford Russo, Janice, MS ...... 664 Eltrich, Pamela P, MS...... 648 Zavarella, Rosanna O, PHD...... 589 Sharif, Bahman, MD...... 583 Firelands Regional Medical Center .....867 Zimmerman, Tina M, MS ...... 670 Stansbrey, Robert J, MD...... 556 Frantz, Elizabeth, PSY...... 636 Teitelbaum, Mary A, PHD...... 637 Ghanem, Yassin I, MS...... 613 ADOLESCENT CARE (13-18 YEARS) The Village Network...... 871 Golden, Catherine, PHD ...... 559 (A010) Tucker, Karen V, MSW...... 609 Goldman, Sara G, MD ...... 553 A Renewed Mind ...... 589 Warholici, Kristin H, MA ...... 615 Gottlob, Louise, MA...... 597 Abou Haidar, Said N, MD ...... 616 Wilkins, Margaret A, MS...... 702 Green, Karen S, MS....562, 597, 650, 690 Adamo, John J, MSN...... 569, 670 Woodland Centers Inc...... 871 Afsarifard, Farshid, PHD ...... 586 Grippi, Patricia A, NP...... 569, 573 Zimmerman, Tina M, MS ...... 670 Guidestone A ...... 651 Alliant Treatment Center LLC.... 859, 864 Hain, Jamie M, MS ...... 570 Almhana, Diab M, MD ...... 617 ADOLESCENT CARE (13-18 YEARS) Hamilton, William F, MS ...... 651 Andrews, Christine N, MS...... 685 (P080) Harris, Elizabeth M, PHD...... 559 Applewood Center Inc 859, 864, 865, 871 A Renewed Mind ...... 589 Heidemann, Melissa M, MA...... 598 Benjamin, Michele L, MS...... 785 Adityanjee, A, MD...... 617 Hofelich, Barbara G, MS ...... 652 Brown, Mark C, PHD ...... 559 Ahmed, Samina, LPC ...... 682 Huffman, Jessica L, MA ...... 35, 551 Catholic Charities Corporation ...... 872 Alliant Treatment Center LLC.... 859, 864 Ibrahim, Rim S, MD ...... 623 Corpus, Peter A, MD ...... 576 Andrews, Christine N, MS...... 685 Krause, Robin V, MA ...... 570 Crossroads Lake County Adolescent856, Applewood Center Inc859, 864, 865, 866, Lake Geauga Recovery Centers Inc554, 859, 860, 866 871 563, 577, 578, 600 Cunningham, Kelly E, MS...... 689 Aussem, Kasandra M, MS ...... 639 Lederer, Joan A, MD ...... 624 Eltrich, Pamela P, MS...... 648 Baker, Gary, MS ...... 590 Lemoine, Kara R, MS ...... 601 Esty, Debora, PHD...... 682 Costantini, Nadine R, MA ...... 647 Lynch, Holly, MS ...... 656 Giesel, Jennifer M, MA ...... 587 Daugherty, Danielle, MSW...... 647 Mistur, Joan E, MS ...... 660 Gottlob, Louise, MA...... 597 Emerson, Phillip H, MS...... 648 Mongenel, Jennifer, MS...... 603, 604 Guidestone A ...... 651 Emmer, Robert N, MS ...... 689 Noffsinger, Stephen, MD...... 554, 625 Hain, Jamie M, MS ...... 570 Firelands Regional Medical Center .....867 Nord Center...... 862, 867, 868, 873 Hamilton, William F, MS ...... 651 Ghanem, Yassin I, MS...... 613 Oneeighty Inc...... 873 Hassinger, Hilary J, MD ...... 682, 683 Giesel, Jennifer M, MA ...... 587 Pathway Caring For Children ...... 857 Ibrahim, Rim S, MD ...... 623 Golden, Catherine, PHD ...... 559 Pathways Counseling And Growth Center Ievers-Landis, Carolyn E, PHD .. 587, 683 Gotfryd, Esther B, MA...... 569, 768 869, 870 Imfeld, Samantha M, MD ...... 577 Gottlob, Louise, MA...... 597 Pietz, Ellen H, MS ...... 662 Laurelwood Associates Inc...... 861 Gullette, Danielle M, MA ...... 651 Portage Path Community Mental Health Lemoine, Kara R, MS ...... 601 Harris, Elizabeth M, PHD...... 559 Cen ...... 873, 874 Heidemann, Melissa M, MA...... 598 MMOH.21.999.01.9.005

916

Areas of Expertise Index Areas of Expertise Index

Henderson, Lashelle S, MS...... 570 Pathway Caring For Children ...... 857 Eltrich, Pamela P, MS...... 648 Herbert, Linda A, MS ...... 562 Pietz, Ellen H, MS ...... 662 Emerson, Phillip H, MS...... 648 Hofelich, Barbara G, MS ...... 652 Ravenwood Mental Health Center857, 858 Emmer, Robert N, MS ...... 689 Hrabowy, Ingeborg, PHD ...... 683 Sanford Russo, Janice, MS ...... 664 Entwistle, David, PSY ...... 682 Imfeld, Samantha M, MD ...... 577 Santantonio, Diana S, PHD...... 636 Eshelman Fields, Danelle R, MA ...... 682 Janezic, Kaci, MS ...... 691 Stone, Julie M, MA...... 615 Esty, Debora, PHD...... 682 Kaufman, Megan, MA ...... 691 Teitelbaum, Mary A, PHD...... 637 Firelands Regional Medical Center .....867 Lazar, Catherine L, MS...... 600 The Village Network...... 871 Fitzgerald, Antonia L, MD...... 677 Lorain County Alc Drug Abs Svcs655, Wilkins, Margaret A, MS...... 702 Fogle, Kirsten, MA ...... 595 656, 692 Zavarella, Rosanna O, PHD...... 589 Ford, Ramone, PHD...... 682 Lynch, Holly, MS ...... 656 Zimmerman, Tina M, MS ...... 670 Fortaleza LLC ...... 867, 872 Massey, Sara R, MS...... 657 ADULT CARE (18 + YEARS) (P010) Forte Sullen, Kara, MS ...... 569, 613, 671 Miller, Brittany L, MA ...... 614 Frantz, Elizabeth, PSY...... 636 Misencik, Melissa, MA...... 660 A Renewed Mind ...... 589 Fritz, Colleen M, MS ...... 690 Mohan, Amit, MD...... 624 Abou Haidar, Said N, MD ...... 616 Gemberling, Christine, MSW ...... 690 Norman, Michele M, RN ...... 614 Adityanjee, A, MD...... 617 Gessler, Tonya M, MS...... 569 Oberlander, Nicole, RSW ...... 693 Afsarifard, Farshid, PHD ...... 586 Giesel, Jennifer M, MA ...... 587 Oflaherty, Holly C, MS...... 661 Ahmed, Mohammed M, MD ...... 573 Gigliotti, Thomas V, MA...... 596 Onwuka Smarty, Sylvester I, MD...... 581 Ahmed, Samina, LPC ...... 682 Golden, Catherine, PHD ...... 559 Persaud, Beena, PSY...... 684 Akkireddi, Padmalatha, MD ...... 617 Goldman, Sara G, MD ...... 553 Petrill, Amy L, MS ...... 694 Alliant Treatment Center LLC.... 859, 864 Gorjanc, Michael L, PHD ...... 576 Pope, Stephanie M, MD...... 581, 582 Almhana, Diab M, MD ...... 617 Gotfryd, Esther B, MA...... 569, 768 Popik, Audra M, MA ...... 662 Andrews, Christine N, MS...... 685 Gottlob, Louise, MA...... 597 Rair Krug, Susan J, MA...... 695 Applewood Center Inc859, 864, 865, 866, Green, Karen S, MS....562, 597, 650, 690 Rozel, Kent, PHD ...... 588 871 Grippi, Patricia A, NP...... 569, 573 Russell, Susan M, MS...... 695 Aussem, Kasandra M, MS ...... 639 Guidestone A ...... 651 Shedron, Julie F, MS...... 665 Baker, Gary, MS ...... 590 Hain, Jamie M, MS ...... 570 Solaro, Lori R, MD ...... 630 Barker, Cheryl, PHD...... 634 Harris, Elizabeth M, PHD...... 559 Spitzer, Ashley A, MS ...... 695 Beech Brook...... 634, 635, 640 Hasenstaub, Mary M, DNP...... 614 Stacey, Nicole, LPC...... 666, 696 Belcher, Wendelyn L, MS ...... 612 Hassinger, Hilary J, MD ...... 683 Towns Scott, Mattie, MS ...... 609 Benjamin, Michele L, MS...... 785 Heidemann, Melissa M, MA...... 598 Van Dyke, Cheryl M, MA ...... 701 Bergman, Alf H, MD ...... 574 Henderson, Lashelle S, MS...... 570 Bielefeld, Marie G, PHD ...... 635 Herbert, Linda A, MS ...... 562 ADOLESCENT CARE (13-18 YEARS) Bofah, Isaac O, MA ...... 613 (SP05) Hofelich, Barbara G, MS ...... 652 Brar, Ravinder K, MD ...... 674 Hrabowy, Ingeborg, PHD ...... 683 Rakesh Ranjan Md And Associates863, Brocco Kish, Karen J, MD...... 674 Huffman, Jessica L, MA ...... 35, 551 871, 875 Brown, Cynthia L, MD ...... 619, 674 Hull, Susan H, MA ...... 562, 598 Summa Health System...... 837 Brown, Mark C, PHD ...... 559 Ibrahim, Rim S, MD ...... 623 ADOPTION (E015) Budny, Paul A, MA ...... 613 Imfeld, Samantha M, MD ...... 577 Bulucea, Tina W, MA...... 591 Janezic, Kaci, MS ...... 691 Andrews, Christine N, MS...... 685 Burns, Laura C, PHD...... 587 Applewood Center Inc 859, 864, 865, 871 Johnson, Nicole, MS...... 671 Burzinski Gorfinkel, Amy N, MS...... 591 Jones, Jeffrey S, MS...... 614 Beech Brook...... 634, 635, 639, 640 Campbell, Kathleen M, MS ...... 642 Brown, Mark C, PHD ...... 559 Kaufman, Megan, MA ...... 691 Catholic Charities Corporation ...... 872 Kershaw, Lindsey J, MA ...... 551 Coleman Professional Services...... 856 Christian, Lorraine M, MD ...... 619 Costantini, Nadine R, MA ...... 647 Krause, Robin V, MA ...... 570 Cohen Seed, Dorit A, MS ...... 594 Lake Geauga Recovery Centers Inc554, Cunningham, Kelly E, MS...... 689 Community Assessment And Treatment Frantz, Elizabeth, PSY...... 636 563, 577, 578, 600 Servi ...... 676, 688 Lake Health...... 860 Ghanem, Yassin I, MS...... 613 Compton, Zev W, MS...... 594 Guidestone A ...... 651 Lake Hospital System ...... 861, 867 Copeland, Philip R, MS ...... 646 Lanham, Jaclyn A, NP ...... 614 Harris, Elizabeth M, PHD...... 559 Costantini, Nadine R, MA ...... 647 Ibrahim, Rim S, MD ...... 623 Laurelwood Associates Inc...... 861 Cunningham, Kelly E, MS...... 689 Lazar, Catherine L, MS...... 600 Lederer, Joan A, MD ...... 624 Damis, Marina F, MD...... 553 Lynch, Holly, MS ...... 656 Lederer, Joan A, MD ...... 624 Daugherty, Danielle, MSW...... 647 Lemoine, Kara R, MS ...... 601 Magiera, Michael D, MD...... 579 Demeter, Lisa A, MS ...... 595 Mistur, Joan E, MS ...... 660 Lorain County Alc Drug Abs Svcs655, Domb, Jane A, MD ...... 576 656, 692 Mongenel, Jennifer, MS...... 603, 604 Drake, Lauren, MA...... 648 Noffsinger, Stephen, MD...... 554, 625 Marocco, Irene, MA...... 602 Eden, Diane H, MD ...... 576 Massey, Sara R, MS...... 657 MMOH.21.999.01.9.005

917

AreasAreas of Expertise Index of Expertise Index

Mayne, Susan L, MS...... 785, 787 Santantonio, Diana S, PHD...... 636 Corpus, Peter A, MD ...... 576 Mericle, Megan M, PSY ...... 636 Saravanan, Balaji, MD...... 630 Costantini, Nadine R, MA ...... 647 Messerly, Margaret M, MD ...... 624 Savon, Summer P, MD ...... 582 Crossroads Lake County Adolescent856, Metrohealth Professional Group. 580, 677 Schaffer, Mary, PHD ...... 588 859, 860, 866 Mezaris, Michelle N, MA ...... 603 Schenkelberg, Richard, MD...... 583 Cunningham, Kelly E, MS...... 689 Migra, Mary M, MS...... 660 Segraves, Robert T, MD ...... 679 Daugherty, Danielle, MSW...... 647 Miller, Brittany L, MA ...... 614 Sharif, Bahman, MD...... 583 Domb, Jane A, MD ...... 576 Misencik, Melissa, MA...... 660 Shedron, Julie F, MS...... 665 Drake, Lauren, MA...... 648 Mistur, Joan E, MS ...... 660 Signature Health...... 863 Eden, Diane H, MD ...... 576 Moeller, Jessica M, PHD ...... 683 Sims, Danielle, PHD...... 684 Eltrich, Pamela P, MS...... 648 Mohan, Amit, MD...... 624 Sinclair, Patricia, MA ...... 607, 608 Emerson, Phillip H, MS...... 648 Montgomery, Kelly, MA ...... 671, 672 Sipple, Beth A, MS ...... 608 Emmer, Robert N, MS ...... 689 Nockowitz, Richard A, MD...... 625 Smith, Angela, BA...... 608 Esty, Debora, PHD...... 682 Noffsinger, Stephen, MD...... 554, 625 Speaker, Rae E, MS ...... 665 Firelands Regional Medical Center .....867 Nord Center...... 862, 867, 868, 873 Spitzer, Ashley A, MS ...... 695 Fitzgerald, Antonia L, MD...... 677 Norman, Michele M, RN ...... 614 Stacey, Nicole, LPC...... 666, 696 Frantz, Elizabeth, PSY...... 636 Norris, Joan, MSW ...... 661 Steiner, Eric M, MS ...... 696 Ghanem, Yassin I, MS...... 613 Northern Ohio Recovery Association..868 Stevenson, Kelly A, MS ...... 609 Giesel, Jennifer M, MA ...... 587 Oberlander, Nicole, RSW ...... 693 Stone, Julie M, MA...... 615 Gigliotti, Thomas V, MA...... 596 Oflaherty, Holly C, MS...... 661 Teitelbaum, Mary A, PHD...... 637 Golden, Catherine, PHD ...... 559 Ohioguidestone ...856, 862, 868, 869, 873 Thompson, Stephanie M, MS ...... 699 Green, Karen S, MS....562, 597, 650, 690 Okon, Roseline E, MD...... 580, 581 Thrive Behavioral Health Center Inc858, Grippi, Patricia A, NP...... 569, 573 Oneeighty Inc...... 873 871 Guidestone A ...... 651 Onwuka Smarty, Sylvester I, MD...... 581 Towns Scott, Mattie, MS ...... 609 Hassinger, Hilary J, MD ...... 682, 683 Pacer, Kyra M, MA...... 671, 673 Tricaso-Torrence, Joanna, MA ...... 672 Heidemann, Melissa M, MA...... 598 Patel, Achala A, MD...... 628 Tucker, Karen V, MSW...... 609 Henderson, Lashelle S, MS...... 570 Pathways Counseling And Growth Center Turell, Jeffrey M, MD...... 584 Herbert, Linda A, MS ...... 562 869, 870 Turoczi, Timea F, MS...... 551, 571 Ibrahim, Rim S, MD ...... 623 Patwa, Premal, MD...... 581 Van Dyke, Cheryl M, MA ...... 701 Kaufman, Megan, MA ...... 691 Persaud, Beena, PSY...... 684 Waehler, Charles, PHD...... 684 Krause, Robin V, MA ...... 570 Petrill, Amy L, MS ...... 694 White, Patrick, PHD ...... 684 Lake Geauga Recovery Centers Inc554, Pietz, Ellen H, MS ...... 662 Whitt, Tana, MSN...... 672 563, 577, 578, 600 Plott, Lauren A, MS...... 605 Wilkins, Alicia V, MA...... 702 Lederer, Joan A, MD ...... 624 Pope, Stephanie M, MD...... 581, 582 Womensafe Inc ...... 858, 863 Lemoine, Kara R, MS ...... 601 Popik, Audra M, MA ...... 662 Woodland Centers Inc...... 871 Lorain County Alc Drug Abs Svcs655, Portage Path Community Mental Health Yezzi Shareef, Ann Marie, PHD...... 637 656, 692 Cen ...... 874 Zavarella, Rosanna O, PHD...... 589 Mericle, Megan M, PSY ...... 636 Pozuelo, Leopoldo J, MD ...... 629 Zimmerman, Tina M, MS ...... 670 Migra, Mary M, MS...... 660 Primc, Michael J, MD...... 582 Zuchowski, Sara E, MD...... 586, 682 Mistur, Joan E, MS ...... 660 Psych And Psych Services629, 663, 679, ANGER (E017) Mongenel, Jennifer, MS...... 603, 604 694 Noffsinger, Stephen, MD...... 554, 625 A Renewed Mind ...... 589 Rair Krug, Susan J, MA...... 695 Nord Center...... 862, 867, 868, 873 Abou Haidar, Said N, MD ...... 616 Rakesh Ranjan Md And Assoc862, 870, Norris, Joan, MSW ...... 661 Adamo, John J, MSN...... 569, 670 874 Oflaherty, Holly C, MS...... 661 Adityanjee, A, MD...... 617 Rao, Kancherla S, MD...... 629 Okon, Roseline E, MD...... 580, 581, 628 Ahmed, Samina, LPC ...... 682 Ravenwood Mental Health Center857, 858 Oneeighty Inc...... 873 Akkireddi, Padmalatha, MD ...... 617 Ray, Michael, MD...... 582 Pacer, Kyra M, MA...... 671, 673 Andrews, Christine N, MS...... 685 Recovery Resources...... 870 Pathways Counseling And Growth Center Applewood Center Inc 859, 864, 865, 871 Reljin, Emily D, MS ...... 672 Ashai, Ayesha, MD...... 552 869, 870 Ridge, Shari N, PHD...... 588 Baker, Gary, MS ...... 590 Portage Path Community Mental Health Rochford, Megan, MS...... 606 Beech Brook...... 634, 635, 639, 640 Cen ...... 873, 874 Rock, Joseph W, PHD ...... 588 Blackwell, Samantha, MS...... 640, 641 Psych And Psych Services629, 663, 679, Rodio, James R, MD...... 554, 555 Brown, Mark C, PHD ...... 559 694 Row, Jenny R, MS ...... 606 Bulucea, Tina W, MA...... 591 Rair Krug, Susan J, MA...... 695 Royak, Boris, MD...... 629 Catholic Charities Corporation856, 859, Rakesh Ranjan Md And Assoc862, 870, Rozel, Kent, PHD ...... 588 866, 872 874 Russell, Susan M, MS...... 695 Ravenwood Mental Health Center857, 858 Sanford Russo, Janice, MS ...... 664 Copeland, Philip R, MS ...... 646 MMOH.21.999.01.9.005

918

Areas of Expertise Index Areas of Expertise Index

Ray, Michael, MD...... 582 Bulucea, Tina W, MA...... 591 Hrabowy, Ingeborg, PHD ...... 683 Recovery Resources...... 870 Burns, Laura C, PHD...... 587 Huffman, Jessica L, MA ...... 35, 551 Recovery Works Columbus ...... 870, 874 Burzinski Gorfinkel, Amy N, MS...... 591 Hull, Susan H, MA ...... 562, 598 Reljin, Emily D, MS ...... 672 Bush, Contessa L, MA...... 591 Ibrahim, Rim S, MD ...... 623 Rock, Joseph W, PHD ...... 588 Campbell, Kathleen M, MS ...... 642 Ievers-Landis, Carolyn E, PHD .. 587, 683 Row, Jenny R, MS ...... 606 Catholic Charities Corporation856, 859, Imfeld, Samantha M, MD ...... 577 Rozel, Kent, PHD ...... 588 866, 872 James, Gwenette M, MS ...... 589, 599 Russell, Susan M, MS...... 695 Chmielewski, Eric S, MA ...... 592 Janezic, Kaci, MS ...... 691 Sanford Russo, Janice, MS ...... 664 Christian, Lorraine M, MD ...... 619 Jensen, Vanessa K, PHD...... 587 Santantonio, Diana S, PHD...... 636 Cohen Seed, Dorit A, MS ...... 593, 594 Johnson, Nicole, MS...... 671 Schenkelberg, Richard, MD...... 582 Community Assessment And Treatment Jones, Jeffrey S, MS...... 614 Signature Health...... 862, 863 Servi ...... 676, 688 Kauble, Andrea M, MA ...... 653 Sims, Danielle, PHD...... 684 Compton, Zev W, MS...... 594 Kaufman, Megan, MA ...... 691 Sinclair, Patricia, MA ...... 607 Copeland, Philip R, MS ...... 646 Kennard, Latasha S, MA...... 653 Spitzer, Ashley A, MS ...... 695 Corpus, Peter A, MD ...... 576 Kottapalli, Manjula, MD...... 623, 624 Stella Maris Inc...... 870 Costantini, Nadine R, MA ...... 647 Krause, Robin V, MA ...... 570 Stevenson, Kelly A, MS ...... 609 Crossroads Lake County Adolescent856, Lake Geauga Recovery Centers Inc554, Stone, Julie M, MA...... 615 859, 860, 866 563, 577, 578, 600 The Village Network...... 871 Cunningham, Kelly E, MS...... 689 Lanham, Jaclyn A, NP ...... 614 Thompson, Stephanie M, MS ...... 699 Czajka, Michael A, PA ...... 454 Lazar, Catherine L, MS...... 600 Thrive Behavioral Health Center Inc858, Damis, Marina F, MD...... 553 Lemoine, Kara R, MS ...... 601 871, 874 Delong, Victoria Y, MD ...... 677 Lorain County Alc Drug Abs Svcs655, Towns Scott, Mattie, MS ...... 609 Demeter, Lisa A, MS ...... 595 656, 692 Tricaso-Torrence, Joanna, MA ...... 672 Domb, Jane A, MD ...... 576 Lynch, Holly, MS ...... 656 Wilkins, Alicia V, MA...... 702 Drake, Lauren, MA...... 648 Magiera, Michael D, MD...... 579 Wilkins, Margaret A, MS...... 702 Dugan, Amy K, MA ...... 595 Manos, Michael J, PHD...... 616, 636 Woodland Centers Inc...... 871 Eden, Diane H, MD ...... 576 Massey, Sara R, MS...... 657 ANXIETY (E020) Eltrich, Pamela P, MS...... 648 Mericle, Megan M, PSY ...... 636 Emerson, Phillip H, MS...... 648 Messerly, Margaret M, MD ...... 624 A Renewed Mind ...... 589 Entwistle, David, PSY ...... 682 Metrohealth Professional Group. 580, 677 Abou Haidar, Said N, MD ...... 616 Eshelman Fields, Danelle R, MA ...... 682 Mezaris, Michelle N, MA ...... 603 Adamo, John J, MSN...... 569, 670 Esty, Debora, PHD...... 682 Migra, Mary M, MS...... 660 Adams, Steven, MA...... 589 Firelands Regional Medical Center .....867 Mistur, Joan E, MS ...... 660 Adityanjee, A, MD...... 617 Fitzgerald, Antonia L, MD...... 677 Moeller, Jessica M, PHD ...... 683 Afsarifard, Farshid, PHD ...... 586 Forte Sullen, Kara, MS ...... 569, 613, 671 Mohan, Amit, MD...... 624 Ahmed, Mohammed M, MD ...... 573 Frantz, Elizabeth, PSY...... 636 Mongenel, Jennifer, MS...... 603, 604 Ahmed, Samina, LPC ...... 682 Gemberling, Christine, MSW ...... 690 Montgomery, Kelly, MA ...... 671, 672 Akkireddi, Padmalatha, MD ...... 617 Gessler, Tonya M, MS...... 569 Nockowitz, Richard A, MD...... 625 Almhana, Diab M, MD ...... 617 Ghanem, Yassin I, MS...... 613 Noffsinger, Stephen, MD...... 554, 625 Andrews, Christine N, MS...... 685 Giesel, Jennifer M, MA ...... 587 Nord Center...... 862, 867, 868, 873 Applewood Center Inc 859, 864, 865, 871 Golden, Catherine, PHD ...... 559 Oberlander, Nicole, RSW ...... 693 Ashai, Ayesha, MD...... 552 Goldman, Sara G, MD ...... 553 Oflaherty, Holly C, MS...... 661 Austerman, Joseph M, DO...... 618 Gorjanc, Michael L, PHD ...... 576 Okon, Roseline E, MD...... 580, 581 Averill, Marley, CSW...... 590 Gottlob, Louise, MA...... 597 Oneeighty Inc...... 873 Baker, Gary, MS ...... 590 Green, Karen S, MS....562, 597, 650, 690 Onwuka Smarty, Sylvester I, MD...... 581 Barker, Cheryl, PHD...... 634 Grippi, Patricia A, NP...... 569, 573 Pacer, Kyra M, MA...... 671, 673 Beech Brook...... 634, 635, 639, 640 Guidestone A ...... 651 Patel, Achala A, MD...... 628 Belcher, Wendelyn L, MS ...... 612 Hain, Jamie M, MS ...... 570 Pathway Caring For Children ...... 857 Benjamin, Michele L, MS...... 785 Hamilton, William F, MS ...... 651 Pathways Counseling And Growth Center Bergman, Alf H, MD ...... 574 Harris, Elizabeth M, PHD...... 559 Bielefeld, Marie G, PHD ...... 635 869, 870 Hasenstaub, Mary M, DNP...... 614 Patwa, Premal, MD...... 581 Blackwell, Samantha, MS...... 640, 641 Heidemann, Melissa M, MA...... 598 Bofah, Isaac O, MA ...... 613 Persaud, Beena, PSY...... 684 Henderson, Lashelle S, MS...... 570 Pietz, Ellen H, MS ...... 662 Brar, Ravinder K, MD ...... 674 Herbert, Linda A, MS ...... 562 Brocco Kish, Karen J, MD...... 674 Plas, Jeffrey C, MD...... 628 Hoffart, Marie, CSW...... 690 Plott, Lauren A, MS...... 605 Brown, Cynthia L, MD ...... 619, 674 Hoffman, Jacquelynn, NP...... 671 Pope, Stephanie M, MD...... 581, 582 Brown, Mark C, PHD ...... 559 Hottois, Michael D, MD ...... 623 Bryner, Jacquelyne J, MA...... 591 Portage Path Community Mental Health Houghton, Blythe, CSW ...... 690 Cen ...... 873, 874 MMOH.21.999.01.9.005

919

AreasAreas of Expertise Index of Expertise Index

Pozuelo, Leopoldo J, MD ...... 629 Woodland Centers Inc...... 871 Krause, Robin V, MA ...... 570 Primc, Michael J, MD...... 582 Wyckoff, Neeti J, MD...... 586 Lederer, Joan A, MD ...... 624 Psych And Psych Services629, 663, 679, Yanetta, Stacey L, MA...... 670 Lemoine, Kara R, MS ...... 601 694 Yezzi Shareef, Ann Marie, PHD...... 637 Lynch, Holly, MS ...... 656 Raimey, Deirdre D, MA...... 570, 771 Zavarella, Rosanna O, PHD...... 589 Magiera, Michael D, MD...... 579 Rair Krug, Susan J, MA...... 695 Ziegler-Alban, Kristin K, MA ...... 612 Manos, Michael J, PHD...... 616, 636 Rao, Kancherla S, MD...... 629 Zimmerman, Tina M, MS ...... 670 Massey, Sara R, MS...... 657 Ravenwood Mental Health Center857, 858 Zuchowski, Sara E, MD...... 586, 682 Metrohealth Professional Group. 580, 677 Ray, Michael, MD...... 582 ATTENTION DEFICIT DISORDERS Mistur, Joan E, MS ...... 660 Recovery Resources...... 870 (ADHD) (E025) Mohan, Amit, MD...... 624 Redfern, Christina, MS ...... 551 Mongenel, Jennifer, MS...... 603, 604 Reljin, Emily D, MS ...... 672 A Renewed Mind ...... 589 Nockowitz, Richard A, MD...... 625 Ridge, Shari N, PHD...... 588 Abou Haidar, Said N, MD ...... 616 Noffsinger, Stephen, MD...... 554, 625 Rochford, Megan, MS...... 606 Adamo, John J, MSN...... 569, 670 Nord Center...... 862, 867, 868, 873 Rock, Joseph W, PHD ...... 588 Adityanjee, A, MD...... 617 Oflaherty, Holly C, MS...... 661 Rodio, James R, MD...... 554, 555 Afsarifard, Farshid, PHD ...... 586 Onwuka Smarty, Sylvester I, MD...... 581 Row, Jenny R, MS ...... 606 Almhana, Diab M, MD ...... 617 Pacer, Kyra M, MA...... 671, 673 Royak, Boris, MD...... 629 Andrews, Christine N, MS...... 685 Pathway Caring For Children ...... 857 Rozel, Kent, PHD ...... 588 Applewood Center Inc 859, 864, 865, 871 Pathways Counseling And Growth Center Russell, Susan M, MS...... 695 Austerman, Joseph M, DO...... 618 869, 870 Sanford Russo, Janice, MS ...... 664 Baker, Gary, MS ...... 590 Patwa, Premal, MD...... 581 Santantonio, Diana S, PHD...... 636 Beech Brook...... 634, 635, 639, 640 Persaud, Beena, PSY...... 684 Saravanan, Balaji, MD...... 630 Belcher, Wendelyn L, MS ...... 612 Pope, Stephanie M, MD...... 581, 582 Schaffer, Mary, PHD ...... 588 Benjamin, Michele L, MS...... 785 Primc, Michael J, MD...... 582 Schenkelberg, Richard, MD...... 582, 583 Bofah, Isaac O, MA ...... 613 Psych And Psych Services629, 663, 679, Brar, Ravinder K, MD ...... 674 Sharif, Bahman, MD...... 583 694 Brown, Mark C, PHD ...... 559 Shedron, Julie F, MS...... 665 Rakesh Ranjan Md And Assoc862, 870, Coleman Professional Services...... 856 Signature Health...... 862, 863 874 Corpus, Peter A, MD ...... 576 Simmons, Jean R, PHD...... 573, 588 Ravenwood Mental Health Center857, 858 Crossroads Lake County Adolescent856, Sims, Danielle, PHD...... 684 Recovery Resources...... 870 859, 860, 866 Sinclair, Patricia, MA ...... 607 Redfern, Christina, MS ...... 551 Cunningham, Kelly E, MS...... 689 Sipple, Beth A, MS ...... 608 Ridge, Shari N, PHD...... 588 Delong, Victoria Y, MD ...... 677 Smith, Angela, BA...... 608 Row, Jenny R, MS ...... 606 Domb, Jane A, MD ...... 576 Solaro, Lori R, MD ...... 630 Royak, Boris, MD...... 629 Dugan, Amy K, MA ...... 595 Speaker, Rae E, MS ...... 665 Sanford Russo, Janice, MS ...... 664 Eden, Diane H, MD ...... 576 Spitzer, Ashley A, MS ...... 695 Santantonio, Diana S, PHD...... 636 Eltrich, Pamela P, MS...... 648 Stacey, Nicole, LPC...... 666, 696 Savon, Summer P, MD ...... 582 Eshelman Fields, Danelle R, MA ...... 682 Stansbrey, Robert J, MD...... 556 Signature Health...... 862, 863 Esty, Debora, PHD...... 682 Steiner, Eric M, MS ...... 696 Sinclair, Patricia, MA ...... 607 Firelands Regional Medical Center .....867 Stella Maris Inc...... 870 Solaro, Lori R, MD ...... 630 Fitzgerald, Antonia L, MD...... 677 Stevenson, Kelly A, MS ...... 609 Speaker, Rae E, MS ...... 665 Gessler, Tonya M, MS...... 569 Stone, Julie M, MA...... 615 Spitzer, Ashley A, MS ...... 695 Ghanem, Yassin I, MS...... 613 Taljan, Katherine E, MD...... 584 Stansbrey, Robert J, MD...... 556 Golden, Catherine, PHD ...... 559 Teitelbaum, Mary A, PHD...... 637 Stevenson, Kelly A, MS ...... 609 Guidestone A ...... 651 Thompson, Stephanie M, MS ...... 699 Stone, Julie M, MA...... 615 Hain, Jamie M, MS ...... 570 Thrive Behavioral Health Center Inc858, Teitelbaum, Mary A, PHD...... 637 Harris, Elizabeth M, PHD...... 559 871 The Village Network...... 871 Heidemann, Melissa M, MA...... 598 Trennel, Patricia A, MA...... 609 Tricaso-Torrence, Joanna, MA ...... 672 Henderson, Lashelle S, MS...... 570 Tricaso-Torrence, Joanna, MA ...... 672 Van Dyke, Cheryl M, MA ...... 701 Hofelich, Barbara G, MS ...... 652 Tucker, Karen V, MSW...... 609 Warholici, Kristin H, MA ...... 615 Hoffart, Marie, CSW...... 690 Turoczi, Timea F, MS...... 551, 571 Wilkins, Margaret A, MS...... 702 Hoffman, Jacquelynn, NP...... 671 Van Dyke, Cheryl M, MA ...... 701 Woodland Centers Inc...... 871 Ibrahim, Rim S, MD ...... 623 Ventura, Jessica, MA ...... 672 Yezzi Shareef, Ann Marie, PHD...... 637 Ievers-Landis, Carolyn E, PHD .. 587, 683 Warholici, Kristin H, MA ...... 615 Zimmerman, Tina M, MS ...... 670 Imfeld, Samantha M, MD ...... 577 Welch, Casey O, MA...... 611, 612 Zuchowski, Sara E, MD...... 586, 682 Janezic, Kaci, MS ...... 691 White, Patrick, PHD ...... 684 AUTISM (E147) Wilkins, Alicia V, MA...... 702 Johnson, Nicole, MS...... 671 Wilkins, Margaret A, MS...... 702 Kaufman, Megan, MA ...... 691 A Renewed Mind ...... 589 MMOH.21.999.01.9.005

920

Areas of Expertise Index Areas of Expertise Index

Alliant Treatment Center LLC.... 859, 864 Lorain County Alc Drug Abs Svcs655, Green, Karen S, MS....562, 597, 650, 690 Applewood Center Inc 859, 864, 865, 871 656, 692 Heidemann, Melissa M, MA...... 598 Beech Brook...... 634, 635, 639, 640 Ohioguidestone ...856, 862, 868, 869, 873 Henderson, Lashelle S, MS...... 570 Blackwell, Samantha, MS...... 641 Pathway Caring For Children ...... 857 Herbert, Linda A, MS ...... 562 Catholic Charities Corporation ...... 872 Signature Health...... 863 Hoffman, Jacquelynn, NP...... 671 Coleman Professional Services...... 856 Teitelbaum, Mary A, PHD...... 637 Johnson, Nicole, MS...... 671 Copeland, Philip R, MS ...... 646 Womensafe Inc ...... 858, 863 Jones, Jeffrey S, MS...... 614 Kelly, Brittany J, MA ...... 653 AUTISM SPECTRUM DISORDER Kaufman, Megan, MA ...... 691 Lorain County Alc Drug Abs Svcs655, (A065) Lazar, Catherine L, MS...... 600 656, 692 Lemoine, Kara R, MS ...... 601 Mohan, Amit, MD...... 624 Metrohealth Professional Group. 580, 677 Mohan, Amit, MD...... 624 Noffsinger, Stephen, MD...... 554, 625 AUTISM SPECTRUM DISORDERS Montgomery, Kelly, MA ...... 671, 672 Ohioguidestone ...856, 862, 868, 869, 873 (E390) Okon, Roseline E, MD...... 580, 581, 628 Oneeighty Inc...... 873 Abou Haidar, Said N, MD ...... 616 Persaud, Beena, PSY...... 684 Signature Health...... 862, 863 Applewood Center Inc859, 864, 865, 866, Psych And Psych Services629, 663, 679, Yezzi Shareef, Ann Marie, PHD...... 637 871 694 AUTISM (E187) Beech Brook...... 634, 635, 640 Redfern, Christina, MS ...... 551 Brown, Mark C, PHD ...... 559 Reljin, Emily D, MS ...... 672 Andrews, Christine N, MS...... 685 Rock, Joseph W, PHD ...... 588 Applewood Center Inc859, 864, 865, 866, Corpus, Peter A, MD ...... 576 Ghanem, Yassin I, MS...... 613 Rozel, Kent, PHD ...... 588 871 Russell, Susan M, MS...... 695 Baker, Gary, MS ...... 590 Harris, Elizabeth M, PHD...... 559 Hofelich, Barbara G, MS ...... 652 Schaffer, Mary, PHD ...... 588 Beech Brook...... 634, 635, 639, 640 Schenkelberg, Richard, MD...... 582, 583 Burzinski Gorfinkel, Amy N, MS...... 591 Ibrahim, Rim S, MD ...... 623 Imfeld, Samantha M, MD ...... 577 Shedron, Julie F, MS...... 665 Coleman Professional Services...... 856 Solaro, Lori R, MD ...... 630 Copeland, Philip R, MS ...... 646 Magiera, Michael D, MD...... 579 Noffsinger, Stephen, MD...... 554, 625 Thompson, Stephanie M, MS ...... 699 Damis, Marina F, MD...... 553 Tricaso-Torrence, Joanna, MA ...... 672 Ohioguidestone ...856, 862, 868, 869, 873 Firelands Regional Medical Center .....867 Warholici, Kristin H, MA ...... 615 Pathways Counseling And Growth Center Golden, Catherine, PHD ...... 559 Yezzi Shareef, Ann Marie, PHD...... 637 Green, Karen S, MS....562, 597, 650, 690 869, 870 Guidestone A ...... 651 Redfern, Christina, MS ...... 551 BLINDNESS OR VISUALLY Harris, Elizabeth M, PHD...... 559 Solaro, Lori R, MD ...... 630 IMPAIRED (BVI) Heidemann, Melissa M, MA...... 598 Spitzer, Ashley A, MS ...... 695 Greenspan, Gary A, MD ...... 31 Janezic, Kaci, MS ...... 691 Woodland Centers Inc...... 871 Weiner, Scott D, MD ...... 522 Kaufman, Megan, MA ...... 691 BIOFEEDBACK (E040) BLINDNESS OR VISUALLY Lemoine, Kara R, MS ...... 601 Ahmed, Samina, LPC ...... 682 IMPAIRED (E378) Noffsinger, Stephen, MD...... 554, 625 Blackwell, Samantha, MS...... 640, 641 Ohioguidestone ...856, 862, 868, 869, 873 Copeland, Philip R, MS ...... 646 Brown, Mark C, PHD ...... 559 Guidestone A ...... 651 Oneeighty Inc...... 873 Burns, Laura C, PHD...... 587 Pathway Caring For Children ...... 857 Lemoine, Kara R, MS ...... 601 Eshelman Fields, Danelle R, MA ...... 682 Ohioguidestone ...856, 862, 868, 869, 873 Portage Path Community Mental Health Rozel, Kent, PHD ...... 588 CAREGIVER SERVICES (P100) Cen ...... 873, 874 Signature Health...... 862, 863 Ravenwood Mental Health Center857, 858 A Renewed Mind ...... 589 BIPOLAR DISORDER (E042) Rozel, Kent, PHD ...... 588 Rozel, Kent, PHD ...... 588 Sanford Russo, Janice, MS ...... 664 A Renewed Mind ...... 589 Van Dyke, Cheryl M, MA ...... 701 Womensafe Inc ...... 858, 863 Abou Haidar, Said N, MD ...... 616 CASE MANAGEMENT (E043) Yezzi Shareef, Ann Marie, PHD...... 637 Adityanjee, A, MD...... 617 A Renewed Mind ...... 589 AUTISM (E256) Akkireddi, Padmalatha, MD ...... 617 Andrews, Christine N, MS...... 685 Alliant Treatment Center LLC.... 859, 864 Ohioguidestone ...856, 862, 868, 869, 873 Austerman, Joseph M, DO...... 618 Applewood Center Inc 859, 864, 865, 871 Recovery Resources...... 870 Belcher, Wendelyn L, MS ...... 612 Aussem, Kasandra M, MS ...... 639 AUTISM (E379) Brocco Kish, Karen J, MD...... 674 Beech Brook...... 634, 635, 639, 640 Blackwell, Samantha, MS...... 640, 641 Alliant Treatment Center LLC.... 859, 864 Compton, Zev W, MS...... 594 Catholic Charities Corporation ...... 872 Applewood Center Inc859, 864, 865, 866, Copeland, Philip R, MS ...... 646 Community Assessment And Treatment 871 Fitzgerald, Antonia L, MD...... 677 Servi ...... 676, 688 Beech Brook...... 634, 635, 640 Forte Sullen, Kara, MS ...... 569, 613, 671 Compton, Zev W, MS...... 594 Copeland, Philip R, MS ...... 646 Gessler, Tonya M, MS...... 569 Copeland, Philip R, MS ...... 646 Guidestone A ...... 651 Golden, Catherine, PHD ...... 559 MMOH.21.999.01.9.005

921

AreasAreas of Expertise Index of Expertise Index

Delong, Victoria Y, MD ...... 677 Ravenwood Mental Health Center857, 858 Ohioguidestone ...856, 862, 868, 869, 873 Firelands Regional Medical Center .....867 Rozel, Kent, PHD ...... 588 Pathway Caring For Children ...... 857 Guidestone A ...... 651 Sanford Russo, Janice, MS ...... 664 Spitzer, Ashley A, MS ...... 695 Lake Geauga Recovery Centers Inc554, Stansbrey, Robert J, MD...... 556 Womensafe Inc ...... 858, 863 563, 577, 578, 600 Teitelbaum, Mary A, PHD...... 637 CHRISTIAN COUNSELING (E050) Lorain County Alc Drug Abs Svcs655, The Village Network...... 871 656, 692 Wilkins, Margaret A, MS...... 702 Brocco Kish, Karen J, MD...... 674 Oberlander, Nicole, RSW ...... 693 Woodland Centers Inc...... 871 Campbell, Kathleen M, MS ...... 642 Oflaherty, Holly C, MS...... 661 Zimmerman, Tina M, MS ...... 670 Green, Karen S, MS....562, 597, 650, 690 Heidemann, Melissa M, MA...... 598 Ohioguidestone ...856, 862, 868, 869, 873 CHILD CARE (6-12 YEARS) (P013) Oneeighty Inc...... 873 Kaufman, Megan, MA ...... 691 A Renewed Mind ...... 589 Pathway Caring For Children ...... 857 Lynch, Holly, MS ...... 656 Andrews, Christine N, MS...... 685 Pathways Counseling And Growth Center Psych And Psych Services629, 663, 679, Applewood Center Inc859, 864, 865, 866, 694 869, 870 871 Rair Krug, Susan J, MA...... 695 Primc, Michael J, MD...... 582 Aussem, Kasandra M, MS ...... 639 Ravenwood Mental Health Center857, 858 Ravenwood Mental Health Center857, 858 Baker, Gary, MS ...... 590 Sanford Russo, Janice, MS ...... 664 Rozel, Kent, PHD ...... 588 Belcher, Wendelyn L, MS ...... 612 Towns Scott, Mattie, MS ...... 609 Signature Health...... 862, 863 Costantini, Nadine R, MA ...... 647 Zavarella, Rosanna O, PHD...... 589 Spitzer, Ashley A, MS ...... 695 Daugherty, Danielle, MSW...... 647 The Village Network...... 871 CHRONIC ILLNESS (CIL) Dye Perkins, Jamillah R, MS...... 671 Thrive Behavioral Health Center Inc858, Emerson, Phillip H, MS...... 648 Abumeri, Sana, MD ...... 134 871 Emmer, Robert N, MS ...... 689 Argekar, Pushkar A, MD ...... 512, 513 Womensafe Inc ...... 858, 863 Firelands Regional Medical Center .....867 Brigham, Mark S, DO...... 522 CHILD CARE (6-12 YEARS) (A025) Giesel, Jennifer M, MA ...... 587 Gerber, Robert B, MD ...... 541 Greenspan, Gary A, MD ...... 31 A Renewed Mind ...... 589 Golden, Catherine, PHD ...... 559 Jayber, Mohammed A, DO ...... 126 Adamo, John J, MSN...... 569, 670 Gotfryd, Esther B, MA...... 569, 768 Sanyurah, Saad A, MD ...... 482 Applewood Center Inc 859, 864, 865, 871 Gottlob, Louise, MA...... 597 Sharma-Sahni, Priyanka, MD ...... 200 Benjamin, Michele L, MS...... 785 Gullette, Danielle M, MA ...... 651 Singh, Chandra M, MD...... 471 Brown, Mark C, PHD ...... 559 Heidemann, Melissa M, MA...... 598 Singh, Mansumeet, MD ...... 510, 513 Catholic Charities Corporation ...... 872 Henderson, Lashelle S, MS...... 570 Skef, Suzan, MD...... 233, 288, 381 Corpus, Peter A, MD ...... 576 Hofelich, Barbara G, MS ...... 652 Stamatis, Bonnie, MD...... 146 Crossroads Lake County Adolescent856, Imfeld, Samantha M, MD ...... 577 Janezic, Kaci, MS ...... 691 Weiner, Scott D, MD ...... 522 859, 860, 866 Zolli, Alexander F, MD ...... 476 Eltrich, Pamela P, MS...... 648 Kaufman, Megan, MA ...... 691 Gottlob, Louise, MA...... 597 Kelly, Brittany J, MA ...... 653 CO-OCCURRING DISORDERS Guidestone A ...... 651 Lynch, Holly, MS ...... 656 (MENTAL AND SUBSTANCE) (E062) Hain, Jamie M, MS ...... 570 Mohan, Amit, MD...... 624 A Renewed Mind ...... 589 Ibrahim, Rim S, MD ...... 623 Norman, Michele M, RN ...... 614 Adityanjee, A, MD...... 617 Ievers-Landis, Carolyn E, PHD .. 587, 683 Oflaherty, Holly C, MS...... 661 Andrews, Christine N, MS...... 685 Imfeld, Samantha M, MD ...... 577 Onwuka Smarty, Sylvester I, MD...... 581 Applewood Center Inc 859, 864, 865, 871 Lemoine, Kara R, MS ...... 601 Petrill, Amy L, MS ...... 694 Beech Brook...... 634, 635, 639, 640 Magiera, Michael D, MD...... 579 Pope, Stephanie M, MD...... 581, 582 Blackwell, Samantha, MS...... 640, 641 Mental Health Services For Homeless Pers Russell, Susan M, MS...... 695 Catholic Charities Corporation ...... 872 861, 867 Solaro, Lori R, MD ...... 630 Community Assessment And Treatment Spitzer, Ashley A, MS ...... 695 Metrohealth Professional Group. 580, 677 Servi ...... 676, 688 Stacey, Nicole, LPC...... 666, 696 Mongenel, Jennifer, MS...... 603, 604 Copeland, Philip R, MS ...... 646 Van Dyke, Cheryl M, MA ...... 701 Nord Center...... 862, 867, 868, 873 Damis, Marina F, MD...... 553 Oneeighty Inc...... 873 CHILD WELFARE SERVICES (E375) Domb, Jane A, MD ...... 576 Onwuka Smarty, Sylvester I, MD...... 581 Applewood Center Inc859, 864, 865, 866, Firelands Regional Medical Center .....867 Pathway Caring For Children ...... 857 871 Ghanem, Yassin I, MS...... 613 Pathways Counseling And Growth Center Beech Brook...... 634, 635, 640 Giesel, Jennifer M, MA ...... 587 869, 870 Delong, Victoria Y, MD ...... 677 Green, Karen S, MS....562, 597, 650, 690 Pope, Stephanie M, MD...... 581, 582 Guidestone A ...... 651 Guidestone A ...... 651 Psych And Psych Services629, 663, 679, Heidemann, Melissa M, MA...... 598 Hassinger, Hilary J, MD ...... 682, 683 694 Lynch, Holly, MS ...... 656 Jones, Jeffrey S, MS...... 614 Rakesh Ranjan Md And Assoc862, 870, Noffsinger, Stephen, MD...... 554, 625 Kelly, Brittany J, MA ...... 653 874 MMOH.21.999.01.9.005

922

Areas of Expertise Index Areas of Expertise Index

Lake Geauga Recovery Centers Inc554, Copeland, Philip R, MS ...... 646 Sanford Russo, Janice, MS ...... 664 563, 577, 578, 600 Costantini, Nadine R, MA ...... 647 Santantonio, Diana S, PHD...... 636 Lemoine, Kara R, MS ...... 601 Crossroads Lake County Adolescent856, Schaffer, Mary, PHD ...... 588 Manos, Michael J, PHD...... 616, 636 859, 860, 866 Signature Health...... 862, 863 Marocco, Irene, MA...... 602 Cunningham, Kelly E, MS...... 689 Sinclair, Patricia, MA ...... 607 Noffsinger, Stephen, MD...... 554, 625 Drake, Lauren, MA...... 648 Sipple, Beth A, MS ...... 608 Nord Center...... 862, 867, 868, 873 Eltrich, Pamela P, MS...... 648 Speaker, Rae E, MS ...... 665 Okon, Roseline E, MD...... 580, 581, 628 Entwistle, David, PSY ...... 682 Spitzer, Ashley A, MS ...... 695 Oneeighty Inc...... 873 Esty, Debora, PHD...... 682 Stella Maris Inc...... 870 Pathways Counseling And Growth Center Firelands Regional Medical Center .....867 Stevenson, Kelly A, MS ...... 609 869, 870 Forte Sullen, Kara, MS ...... 569, 613, 671 Stone, Julie M, MA...... 615 Portage Path Community Mental Health Fritz, Colleen M, MS ...... 690 Teitelbaum, Mary A, PHD...... 637 Cen ...... 873, 874 Gemberling, Christine, MSW ...... 690 The Village Network...... 871 Rair Krug, Susan J, MA...... 695 Ghanem, Yassin I, MS...... 613 Towns Scott, Mattie, MS ...... 609 Ravenwood Mental Health Center857, 858 Giesel, Jennifer M, MA ...... 587 Tricaso-Torrence, Joanna, MA ...... 672 Rozel, Kent, PHD ...... 588 Golden, Catherine, PHD ...... 559 Wilkins, Margaret A, MS...... 702 Russell, Susan M, MS...... 695 Gottlob, Louise, MA...... 597 Womensafe Inc ...... 858, 863 Signature Health...... 862, 863 Green, Karen S, MS....562, 597, 650, 690 Woodland Centers Inc...... 871 Spitzer, Ashley A, MS ...... 695 Guidestone A ...... 651 Yezzi Shareef, Ann Marie, PHD...... 637 Stella Maris Inc...... 870 Harris, Elizabeth M, PHD...... 559 Zavarella, Rosanna O, PHD...... 589 Stone, Julie M, MA...... 615 Hassinger, Hilary J, MD ...... 682, 683 Zimmerman, Tina M, MS ...... 670 The Village Network...... 871 Heidemann, Melissa M, MA...... 598 COGNITIVE PROCESSING Tricaso-Torrence, Joanna, MA ...... 672 Houghton, Blythe, CSW ...... 690 THERAPY (A108) Woodland Centers Inc...... 871 Ibrahim, Rim S, MD ...... 623 Yezzi Shareef, Ann Marie, PHD...... 637 Yezzi Shareef, Ann Marie, PHD...... 637 Ievers-Landis, Carolyn E, PHD .. 587, 683 COMMUNITY INTEGRATION CO-OCCURRING DISORDERS Kaufman, Megan, MA ...... 691 Lederer, Joan A, MD ...... 624 COUNSELING (CIC) (E056) TREATMENT (CODT) Lemoine, Kara R, MS ...... 601 A Renewed Mind ...... 589 Abumeri, Sana, MD ...... 134 Lynch, Holly, MS ...... 656 Applewood Center Inc 859, 864, 865, 871 Greenspan, Gary A, MD ...... 31 Marocco, Irene, MA...... 602 Coleman Professional Services...... 856 Jayber, Mohammed A, DO ...... 126 Metrohealth Professional Group. 580, 677 Guidestone A ...... 651 Sanyurah, Saad A, MD ...... 482 Migra, Mary M, MS...... 660 Northern Ohio Recovery Association..868 Stamatis, Bonnie, MD...... 146 Mistur, Joan E, MS ...... 660 Ohioguidestone ...856, 862, 868, 869, 873 Weiner, Scott D, MD ...... 522 Moeller, Jessica M, PHD ...... 683 Yezzi Shareef, Ann Marie, PHD...... 637 COGNITIVE BEHAVIORAL Mohan, Amit, MD...... 624 COMMUNITY PSYCHIATRIC THERAPY (E055) Noffsinger, Stephen, MD...... 554, 625 Nord Center...... 862, 867, 868, 873 SUPPORT & TREATMENT (CPST) A Renewed Mind ...... 589 Northern Ohio Recovery Association..868 (E320) Abou Haidar, Said N, MD ...... 616 A Renewed Mind ...... 589 Afsarifard, Farshid, PHD ...... 586 Okon, Roseline E, MD...... 580, 581, 628 Ahmed, Samina, LPC ...... 682 Oneeighty Inc...... 873 Adamo, John J, MSN...... 569, 670 Almhana, Diab M, MD ...... 617 Patel, Achala A, MD...... 628 Alliant Treatment Center LLC.... 859, 864 Andrews, Christine N, MS...... 685 Pathway Caring For Children ...... 857 Applewood Center Inc859, 864, 865, 866, Pathways Counseling And Growth Center Applewood Center Inc 859, 864, 865, 871 871 Baker, Gary, MS ...... 590 869, 870 Baker, Jennifer L, CSW...... 590 Barker, Cheryl, PHD...... 634 Pietz, Ellen H, MS ...... 662 Beech Brook...... 634, 635, 640 Beech Brook...... 634, 635, 639, 640 Portage Path Community Mental Health Blackston Balogh, Amber N, CSW590, 591 Bielefeld, Marie G, PHD ...... 635 Cen ...... 873, 874 Blackwell, Samantha, MS...... 641 Blackwell, Samantha, MS...... 640, 641 Psych And Psych Services629, 663, 679, Catholic Charities Corporation ...... 872 Brown, Cynthia L, MD ...... 619, 674 694 Compton, Zev W, MS...... 594 Brown, Mark C, PHD ...... 559 Rair Krug, Susan J, MA...... 695 Family Pride Of Northeast Ohio Inc....856 Bulucea, Tina W, MA...... 591 Rakesh Ranjan Md And Assoc862, 870, Firelands Regional Medical Center .....867 Burns, Laura C, PHD...... 587 874 Guidestone A ...... 651 Burzinski Gorfinkel, Amy N, MS...... 591 Ravenwood Mental Health Center857, 858 Heidemann, Melissa M, MA...... 598 Catholic Charities Corporation856, 859, Redfern, Christina, MS ...... 551 Hoffart, Marie, CSW...... 690 Mitchell, Robert A, MS564, 603, 660, 693 866, 872 Reljin, Emily D, MS ...... 672 Community Assessment And Treatment Ridge, Shari N, PHD...... 588 Mongenel, Jennifer, MS...... 603, 604 Ohio Mentor...... 628, 662 Servi ...... 676, 688 Row, Jenny R, MS ...... 606 Rozel, Kent, PHD ...... 588 Pathway Caring For Children ...... 857 MMOH.21.999.01.9.005

923

AreasAreas of Expertise Index of Expertise Index

Porter, Dan K, MSW...... 605 Hoffart, Marie, CSW...... 690 Crossroads Lake County Adolescent856, Rakesh Ranjan Md And Assoc862, 870, Lake Geauga Recovery Centers Inc554, 859, 860, 866 874 563, 577, 578, 600 Cunningham, Kelly E, MS...... 689 Ravenwood Mental Health Center857, 858 Lake Health...... 860 Czajka, Michael A, PA ...... 454 Sanford Russo, Janice, MS ...... 664 Lake Hospital System ...... 860, 861, 867 Damis, Marina F, MD...... 553 Signature Health...... 863 Mitchell, Robert A, MS564, 603, 660, 693 Daugherty, Danielle, MSW...... 647 Womensafe Inc ...... 858, 863 Mongenel, Jennifer, MS...... 603, 604 Delong, Victoria Y, MD ...... 677 COMPULSIVE GAMBLING (E060) Northern Ohio Recovery Association..868 Demeter, Lisa A, MS ...... 595 Porter, Dan K, MSW...... 605 Domb, Jane A, MD ...... 576 Copeland, Philip R, MS ...... 646 Ravenwood Mental Health Center857, 858 Drake, Lauren, MA...... 648 Cunningham, Kelly E, MS...... 689 Womensafe Inc ...... 858, 863 Dugan, Amy K, MA ...... 595 Damis, Marina F, MD...... 553 DEPRESSION (E070) Eden, Diane H, MD ...... 576 Firelands Regional Medical Center .....867 Eltrich, Pamela P, MS...... 648 Ghanem, Yassin I, MS...... 613 A Renewed Mind ...... 589 Emerson, Phillip H, MS...... 648 Guidestone A ...... 651 Abou Haidar, Said N, MD ...... 616 Entwistle, David, PSY ...... 682 Huffman, Jessica L, MA ...... 35, 551 Adamo, John J, MSN...... 569, 670 Eshelman Fields, Danelle R, MA ...... 682 Lake Geauga Recovery Centers Inc554, Adams, Steven, MA...... 589 Esty, Debora, PHD...... 682 563, 577, 578, 600 Adityanjee, A, MD...... 617 Firelands Regional Medical Center .....867 Lorain County Alc Drug Abs Svcs655, Afsarifard, Farshid, PHD ...... 586 Fitzgerald, Antonia L, MD...... 677 656, 692 Ahmed, Mohammed M, MD ...... 573 Forte Sullen, Kara, MS ...... 569, 613, 671 Noffsinger, Stephen, MD...... 554, 625 Ahmed, Samina, LPC ...... 682 Frantz, Elizabeth, PSY...... 636 Ohioguidestone ...856, 862, 868, 869, 873 Akkireddi, Padmalatha, MD ...... 617 Fritz, Colleen M, MS ...... 690 Psych And Psych Services629, 663, 679, Almhana, Diab M, MD ...... 617 Gemberling, Christine, MSW ...... 690 694 Andrews, Christine N, MS...... 685 Ghanem, Yassin I, MS...... 613 Recovery Resources...... 870 Applewood Center Inc 859, 864, 865, 871 Giesel, Jennifer M, MA ...... 587 Stone, Julie M, MA...... 615 Ashai, Ayesha, MD...... 552 Golden, Catherine, PHD ...... 559 Yezzi Shareef, Ann Marie, PHD...... 637 Austerman, Joseph M, DO...... 618 Goldman, Sara G, MD ...... 553 Averill, Marley, CSW...... 590 CONTINUING DAY TREATMENT Gorjanc, Michael L, PHD ...... 576 Baker, Gary, MS ...... 590 PROGRAM (CDTP) (E388) Gottlob, Louise, MA...... 597 Barker, Cheryl, PHD...... 634 Green, Karen S, MS....562, 597, 650, 690 Ohioguidestone ...856, 862, 868, 869, 873 Beech Brook...... 634, 635, 639, 640 Grippi, Patricia A, NP...... 569, 573 CRISIS DIVERSION (NON-HOSPITAL Belcher, Wendelyn L, MS ...... 612 Guidestone A ...... 651 SERVICES) (E065) Benjamin, Michele L, MS...... 785 Hain, Jamie M, MS ...... 570 Bergman, Alf H, MD ...... 574 A Renewed Mind ...... 589 Hamilton, William F, MS ...... 651 Bielefeld, Marie G, PHD ...... 635 Applewood Center Inc 859, 864, 865, 871 Harris, Elizabeth M, PHD...... 559 Blackwell, Samantha, MS...... 641 Blackwell, Samantha, MS...... 640, 641 Hasenstaub, Mary M, DNP...... 614 Bofah, Isaac O, MA ...... 613 Bulucea, Tina W, MA...... 591 Heidemann, Melissa M, MA...... 598 Brar, Ravinder K, MD ...... 674 Cunningham, Kelly E, MS...... 689 Henderson, Lashelle S, MS...... 570 Brocco Kish, Karen J, MD...... 674 Firelands Regional Medical Center .....867 Herbert, Linda A, MS ...... 562 Brown, Cynthia L, MD ...... 619, 674 Grippi, Patricia A, NP...... 569, 573 Hoffman, Jacquelynn, NP...... 671 Brown, Mark C, PHD ...... 559 Guidestone A ...... 651 Hottois, Michael D, MD ...... 623 Bryner, Jacquelyne J, MA...... 591 Migra, Mary M, MS...... 660 Hrabowy, Ingeborg, PHD ...... 683 Bulucea, Tina W, MA...... 591 Ohioguidestone ...856, 862, 868, 869, 873 Huffman, Jessica L, MA ...... 35, 551 Burns, Laura C, PHD...... 587 Portage Path Community Mental Health Hull, Susan H, MA ...... 562, 598 Burzinski Gorfinkel, Amy N, MS...... 591 Ibrahim, Rim S, MD ...... 623 Cen ...... 873, 874 Bush, Contessa L, MA...... 591 Ravenwood Mental Health Center857, 858 Ievers-Landis, Carolyn E, PHD .. 587, 683 Campbell, Kathleen M, MS ...... 642 Imfeld, Samantha M, MD ...... 577 Signature Health...... 862, 863 Catholic Charities Corporation856, 859, The Village Network...... 871 James, Gwenette M, MS ...... 589, 599 866, 872 Janezic, Kaci, MS ...... 691 CRISIS INTERVENTION (E398) Chmielewski, Eric S, MA ...... 592 Jensen, Vanessa K, PHD...... 587 A Renewed Mind ...... 589 Christian, Lorraine M, MD ...... 619 Johnson, Nicole, MS...... 671 Adamo, John J, MSN...... 569, 670 Cohen Seed, Dorit A, MS ...... 593, 594 Jones, Jeffrey S, MS...... 614 Alliant Treatment Center LLC.... 859, 864 Community Assessment And Treatment Kauble, Andrea M, MA ...... 653 Baker, Jennifer L, CSW...... 590 Servi ...... 676, 688 Kaufman, Megan, MA ...... 691 Beech Brook...... 634, 635, 640 Compton, Zev W, MS...... 594 Kennard, Latasha S, MA...... 653 Blackston Balogh, Amber N, CSW590, 591 Copeland, Philip R, MS ...... 646 Kottapalli, Manjula, MD...... 623, 624 Family Pride Of Northeast Ohio Inc....856 Corpus, Peter A, MD ...... 576 Krause, Robin V, MA ...... 570 Heidemann, Melissa M, MA...... 598 Costantini, Nadine R, MA ...... 647 Lanham, Jaclyn A, NP ...... 614 MMOH.21.999.01.9.005

924

Areas of Expertise Index Areas of Expertise Index

Lazar, Catherine L, MS...... 600 Sanford Russo, Janice, MS ...... 664 Damis, Marina F, MD...... 553 Lemoine, Kara R, MS ...... 601 Santantonio, Diana S, PHD...... 636 Domb, Jane A, MD ...... 576 Lorain County Alc Drug Abs Svcs655, Saravanan, Balaji, MD...... 630 Eden, Diane H, MD ...... 576 656, 692 Schaffer, Mary, PHD ...... 588 Eltrich, Pamela P, MS...... 648 Lynch, Holly, MS ...... 656 Schenkelberg, Richard, MD...... 582, 583 Emmer, Robert N, MS ...... 689 Magiera, Michael D, MD...... 579 Sharif, Bahman, MD...... 583 Firelands Regional Medical Center .....867 Manos, Michael J, PHD...... 616, 636 Signature Health...... 862, 863 Giesel, Jennifer M, MA ...... 587 Mericle, Megan M, PSY ...... 636 Simmons, Jean R, PHD...... 573, 588 Gigliotti, Thomas V, MA...... 596 Messerly, Margaret M, MD ...... 624 Sinclair, Patricia, MA ...... 607 Green, Karen S, MS....562, 597, 650, 690 Metrohealth Professional Group. 580, 677 Sipple, Beth A, MS ...... 608 Guidestone A ...... 651 Mezaris, Michelle N, MA ...... 603 Smith, Angela, BA...... 608 Hassinger, Hilary J, MD ...... 682, 683 Migra, Mary M, MS...... 660 Solaro, Lori R, MD ...... 630 Heidemann, Melissa M, MA...... 598 Miller, Brittany L, MA ...... 614 Speaker, Rae E, MS ...... 665 Hoffart, Marie, CSW...... 690 Mistur, Joan E, MS ...... 660 Spitzer, Ashley A, MS ...... 695 Hoffman, Jacquelynn, NP...... 671 Moeller, Jessica M, PHD ...... 683 Stacey, Nicole, LPC...... 666, 696 Ibrahim, Rim S, MD ...... 623 Mohan, Amit, MD...... 624 Stansbrey, Robert J, MD...... 556 Imfeld, Samantha M, MD ...... 577 Mongenel, Jennifer, MS...... 603, 604 Steiner, Eric M, MS ...... 696 Kaufman, Megan, MA ...... 691 Montgomery, Kelly, MA ...... 671, 672 Stella Maris Inc...... 870 Lederer, Joan A, MD ...... 624 Nockowitz, Richard A, MD...... 625 Stevenson, Kelly A, MS ...... 609 Lemoine, Kara R, MS ...... 601 Noffsinger, Stephen, MD...... 554, 625 Stone, Julie M, MA...... 615 Marocco, Irene, MA...... 602 Nord Center...... 862, 867, 868, 873 Taljan, Katherine E, MD...... 584 Metrohealth Professional Group. 580, 677 Oberlander, Nicole, RSW ...... 693 Teitelbaum, Mary A, PHD...... 637 Mitchell, Robert A, MS564, 603, 660, 693 Oflaherty, Holly C, MS...... 661 Thompson, Stephanie M, MS ...... 699 Mohan, Amit, MD...... 624 Ohio Mentor...... 628, 662 Thrive Behavioral Health Center Inc858, Nockowitz, Richard A, MD...... 625 Okon, Roseline E, MD...... 580, 581 871 Noffsinger, Stephen, MD...... 554, 625 Oneeighty Inc...... 873 Trennel, Patricia A, MA...... 609 Norris, Joan, MSW ...... 661 Onwuka Smarty, Sylvester I, MD...... 581 Tricaso-Torrence, Joanna, MA ...... 672 Ohioguidestone ...856, 862, 868, 869, 873 Pacer, Kyra M, MA...... 671, 673 Tucker, Karen V, MSW...... 609 Onwuka Smarty, Sylvester I, MD...... 581 Patel, Achala A, MD...... 628 Van Dyke, Cheryl M, MA ...... 701 Pathways Counseling And Growth Center Pathway Caring For Children ...... 857 Ventura, Jessica, MA ...... 672 869, 870 Pathways Counseling And Growth Center Warholici, Kristin H, MA ...... 615 Patwa, Premal, MD...... 581 869, 870 Welch, Casey O, MA...... 611, 612 Persaud, Beena, PSY...... 684 Patwa, Premal, MD...... 581 White, Patrick, PHD ...... 684 Portage Path Community Mental Health Persaud, Beena, PSY...... 684 Wilkins, Alicia V, MA...... 702 Cen ...... 873, 874 Pietz, Ellen H, MS ...... 662 Woodland Centers Inc...... 871 Psych And Psych Services629, 663, 679, Plas, Jeffrey C, MD...... 628 Wyckoff, Neeti J, MD...... 586 694 Plott, Lauren A, MS...... 605 Yanetta, Stacey L, MA...... 670 Ravenwood Mental Health Center857, 858 Pope, Stephanie M, MD...... 581, 582 Yezzi Shareef, Ann Marie, PHD...... 637 Ray, Michael, MD...... 582 Portage Path Community Mental Health Zavarella, Rosanna O, PHD...... 589 Recovery Resources...... 870 Cen ...... 873, 874 Ziegler-Alban, Kristin K, MA ...... 612 Redfern, Christina, MS ...... 551 Pozuelo, Leopoldo J, MD ...... 629 Zimmerman, Tina M, MS ...... 670 Rochford, Megan, MS...... 606 Psych And Psych Services629, 663, 679, Zuchowski, Sara E, MD...... 586, 682 Santantonio, Diana S, PHD...... 636 694 DEPRESSION (E198) Sharif, Bahman, MD...... 583 Signature Health...... 863 Raimey, Deirdre D, MA...... 570, 771 A Renewed Mind ...... 589 Sinclair, Patricia, MA ...... 607 Rair Krug, Susan J, MA...... 695 Abou Haidar, Said N, MD ...... 616 Spitzer, Ashley A, MS ...... 695 Rao, Kancherla S, MD...... 629 Adityanjee, A, MD...... 617 Stevenson, Kelly A, MS ...... 609 Ravenwood Mental Health Center857, 858 Andrews, Christine N, MS...... 685 Stone, Julie M, MA...... 615 Ray, Michael, MD...... 582 Ashai, Ayesha, MD...... 552 The Village Network...... 871 Recovery Resources...... 870 Barker, Cheryl, PHD...... 634 Van Dyke, Cheryl M, MA ...... 701 Redfern, Christina, MS ...... 551 Belcher, Wendelyn L, MS ...... 612 Wilkins, Alicia V, MA...... 702 Ridge, Shari N, PHD...... 588 Bulucea, Tina W, MA...... 591 Woodland Centers Inc...... 871 Rochford, Megan, MS...... 606 Burns, Laura C, PHD...... 587 Zuchowski, Sara E, MD...... 586, 682 Rock, Joseph W, PHD ...... 588 Coleman Professional Services...... 856 Rodio, James R, MD...... 554, 555 Community Assessment And Treatment DETOXIFICATION (SP30) Row, Jenny R, MS ...... 606 Servi ...... 676, 688 Summa Health System...... 837 Royak, Boris, MD...... 629 Corpus, Peter A, MD ...... 576 Rozel, Kent, PHD ...... 588 Cunningham, Kelly E, MS...... 689 Russell, Susan M, MS...... 695 MMOH.21.999.01.9.005

925

AreasAreas of Expertise Index of Expertise Index

DEVELOPMENTALLY DISABLED Green, Karen S, MS....562, 597, 650, 690 Green, Karen S, MS....562, 597, 650, 690 (E075) Heidemann, Melissa M, MA...... 598 Guidestone A ...... 651 Ibrahim, Rim S, MD ...... 623 Hamilton, William F, MS ...... 651 Applewood Center Inc 859, 864, 865, 871 Kaufman, Megan, MA ...... 691 Heidemann, Melissa M, MA...... 598 Baker, Gary, MS ...... 590 Lemoine, Kara R, MS ...... 601 Herbert, Linda A, MS ...... 562 Beech Brook...... 634, 635, 639, 640 Manos, Michael J, PHD...... 616, 636 Huffman, Jessica L, MA ...... 35, 551 Blackwell, Samantha, MS...... 641 Mericle, Megan M, PSY ...... 636 Kaufman, Megan, MA ...... 691 Brown, Mark C, PHD ...... 559 Noffsinger, Stephen, MD...... 554, 625 Krause, Robin V, MA ...... 570 Bulucea, Tina W, MA...... 591 Ohioguidestone ...856, 862, 868, 869, 873 Lazar, Catherine L, MS...... 600 Corpus, Peter A, MD ...... 576 Oneeighty Inc...... 873 Lederer, Joan A, MD ...... 624 Crossroads Lake County Adolescent856, Pathways Counseling And Growth Center Lemoine, Kara R, MS ...... 601 859, 860, 866 869, 870 Lynch, Holly, MS ...... 656 Demeter, Lisa A, MS ...... 595 Persaud, Beena, PSY...... 684 Marocco, Irene, MA...... 602 Dugan, Amy K, MA ...... 595 Portage Path Community Mental Health Migra, Mary M, MS...... 660 Frantz, Elizabeth, PSY...... 636 Cen ...... 873, 874 Mistur, Joan E, MS ...... 660 Ghanem, Yassin I, MS...... 613 Primc, Michael J, MD...... 582 Noffsinger, Stephen, MD...... 554, 625 Guidestone A ...... 651 Rozel, Kent, PHD ...... 588 Oneeighty Inc...... 873 Harris, Elizabeth M, PHD...... 559 Sanford Russo, Janice, MS ...... 664 Pathways Counseling And Growth Center Heidemann, Melissa M, MA...... 598 Signature Health...... 862, 863 869, 870 Hoffman, Jacquelynn, NP...... 671 Sinclair, Patricia, MA ...... 607 Portage Path Community Mental Health Ibrahim, Rim S, MD ...... 623 Spitzer, Ashley A, MS ...... 695 Cen ...... 873, 874 Lynch, Holly, MS ...... 656 Stevenson, Kelly A, MS ...... 609 Psych And Psych Services629, 663, 679, Noffsinger, Stephen, MD...... 554, 625 Stone, Julie M, MA...... 615 694 Ohio Mentor...... 628, 662 The Village Network...... 871 Rair Krug, Susan J, MA...... 695 Ohioguidestone ...856, 862, 868, 869, 873 Tucker, Karen V, MSW...... 609 Ravenwood Mental Health Center857, 858 Onwuka Smarty, Sylvester I, MD...... 581 Woodland Centers Inc...... 871 Row, Jenny R, MS ...... 606 Pathways Counseling And Growth Center Yezzi Shareef, Ann Marie, PHD...... 637 Sanford Russo, Janice, MS ...... 664 869, 870 Zavarella, Rosanna O, PHD...... 589 Santantonio, Diana S, PHD...... 636 Rao, Kancherla S, MD...... 629 Signature Health...... 862, 863 Ravenwood Mental Health Center857, 858 DISABILITY EVALUATION & MANAGEMENT (E391) Sinclair, Patricia, MA ...... 607 Signature Health...... 862, 863 Speaker, Rae E, MS ...... 665 Spitzer, Ashley A, MS ...... 695 Hoffart, Marie, CSW...... 690 Spitzer, Ashley A, MS ...... 695 Stansbrey, Robert J, MD...... 556 Lemoine, Kara R, MS ...... 601 Stevenson, Kelly A, MS ...... 609 Stevenson, Kelly A, MS ...... 609 Mitchell, Robert A, MS564, 603, 660, 693 Stone, Julie M, MA...... 615 Stone, Julie M, MA...... 615 Teitelbaum, Mary A, PHD...... 637 The Village Network...... 871 Teitelbaum, Mary A, PHD...... 637 Woodland Centers Inc...... 871 Tucker, Karen V, MSW...... 609 Tricaso-Torrence, Joanna, MA ...... 672 DOMESTIC VIOLENCE (E090) Van Dyke, Cheryl M, MA ...... 701 Woodland Centers Inc...... 871 A Renewed Mind ...... 589 Womensafe Inc ...... 858, 863 Yezzi Shareef, Ann Marie, PHD...... 637 Woodland Centers Inc...... 871 Zimmerman, Tina M, MS ...... 670 Afsarifard, Farshid, PHD ...... 586 Ahmed, Samina, LPC ...... 682 Zavarella, Rosanna O, PHD...... 589 DIALECTICAL BEHAVIORAL Andrews, Christine N, MS...... 685 EATING DISORDERS (E392) THERAPY (E080) Applewood Center Inc 859, 864, 865, 871 A Renewed Mind ...... 589 A Renewed Mind ...... 589 Ashai, Ayesha, MD...... 552 Austerman, Joseph M, DO...... 618 Applewood Center Inc 859, 864, 865, 871 Belcher, Wendelyn L, MS ...... 612 Belcher, Wendelyn L, MS ...... 612 Baker, Gary, MS ...... 590 Blackwell, Samantha, MS...... 641 Burns, Laura C, PHD...... 587 Barker, Cheryl, PHD...... 634 Brown, Mark C, PHD ...... 559 Damis, Marina F, MD...... 553 Beech Brook...... 634, 635, 639, 640 Bulucea, Tina W, MA...... 591 Family Pride Of Northeast Ohio Inc....856 Blackwell, Samantha, MS...... 641 Burns, Laura C, PHD...... 587 Green, Karen S, MS....562, 597, 650, 690 Burns, Laura C, PHD...... 587 Campbell, Kathleen M, MS ...... 642 Hassinger, Hilary J, MD ...... 683 Campbell, Kathleen M, MS ...... 642 Copeland, Philip R, MS ...... 646 Ibrahim, Rim S, MD ...... 623 Catholic Charities Corporation856, 859, Costantini, Nadine R, MA ...... 647 Persaud, Beena, PSY...... 684 866, 872 Cunningham, Kelly E, MS...... 689 Plott, Lauren A, MS...... 605 Cunningham, Kelly E, MS...... 689 Domb, Jane A, MD ...... 576 Pope, Stephanie M, MD...... 581, 582 Firelands Regional Medical Center .....867 Eden, Diane H, MD ...... 576 Portage Path Community Mental Health Ghanem, Yassin I, MS...... 613 Eltrich, Pamela P, MS...... 648 Cen ...... 874 Giesel, Jennifer M, MA ...... 587 Firelands Regional Medical Center .....867 Psych And Psych Services629, 663, 679, Goldman, Sara G, MD ...... 553 Gigliotti, Thomas V, MA...... 596 694 MMOH.21.999.01.9.005

926

Areas of Expertise Index Areas of Expertise Index

Santantonio, Diana S, PHD...... 636 Eltrich, Pamela P, MS...... 648 Zimmerman, Tina M, MS ...... 670 Spitzer, Ashley A, MS ...... 695 Emerson, Phillip H, MS...... 648 FETAL ALCOHOL SYNDROME Woodland Centers Inc...... 871 Firelands Regional Medical Center .....867 (E394) Golden, Catherine, PHD ...... 559 ELECTRO-CONVULSIVE THERAPY A Renewed Mind ...... 589 (ECT) (E095) Gottlob, Louise, MA...... 597 Guidestone A ...... 651 Noffsinger, Stephen, MD...... 554, 625 Damis, Marina F, MD...... 553 Hamilton, William F, MS ...... 651 Yezzi Shareef, Ann Marie, PHD...... 637 Metrohealth Professional Group. 580, 677 Ievers-Landis, Carolyn E, PHD .. 587, 683 FINANCIAL MANAGEMENT Mohan, Amit, MD...... 624 Janezic, Kaci, MS ...... 691 SERVICES (E372) Nockowitz, Richard A, MD...... 625 Kershaw, Lindsey J, MA ...... 551 Coleman Professional Services...... 856 Pozuelo, Leopoldo J, MD ...... 629 Lake Geauga Recovery Centers Inc554, Sharif, Bahman, MD...... 583 563, 577, 578, 600 FUNCTIONAL FAMILY THERAPY EMPLOYEE ASSISTANCE Lederer, Joan A, MD ...... 624 (FFT) (E396) PROFESSIONAL (EAP) (A045) Lemoine, Kara R, MS ...... 601 A Renewed Mind ...... 589 Gigliotti, Thomas V, MA...... 596 Manos, Michael J, PHD...... 616, 636 Applewood Center Inc859, 864, 865, 866, Hamilton, William F, MS ...... 651 Marocco, Irene, MA...... 602 871 Heidemann, Melissa M, MA...... 598 Migra, Mary M, MS...... 660 GENERAL THERAPY (E112) Mistur, Joan E, MS ...... 660 Kaufman, Megan, MA ...... 691 Abou Haidar, Said N, MD ...... 616 Migra, Mary M, MS...... 660 Mongenel, Jennifer, MS...... 603, 604 Nord Center...... 862, 867, 868, 873 Abumeri, Sana, MD ...... 134 Mistur, Joan E, MS ...... 660 Adamo, John J, MSN...... 569, 670 Montgomery, Kelly, MA ...... 671, 672 Oflaherty, Holly C, MS...... 661 Ohioguidestone ...856, 862, 868, 869, 873 Adams, Diana M, CSW ...... 637 Norris, Joan, MSW ...... 661 Adams, Steven, MA...... 589 Teitelbaum, Mary A, PHD...... 637 Oneeighty Inc...... 873 Patel, Achala A, MD...... 628 Adityanjee, A, MD...... 617 EMPLOYMENT SUPPORT Pathway Caring For Children ...... 857 Adkins, Amber L, MA...... 685 (ON-GOING) (E366) Pathways Counseling And Growth Center Afsarifard, Farshid, PHD ...... 586 Applewood Center Inc859, 864, 865, 866, 869, 870 Ahmed, Mohammed M, MD ...... 573 871 Petrill, Amy L, MS ...... 694 Allen, Jeffrey S, MA...... 685 Catholic Charities Corporation ...... 872 Pietz, Ellen H, MS ...... 662 Almhana, Diab M, MD ...... 617 Copeland, Philip R, MS ...... 646 Plott, Lauren A, MS...... 605 Andrews, Christine N, MS...... 685 Firelands Regional Medical Center .....867 Portage Path Community Mental Health Archer, Michelle J, CSW...... 638, 639 Nord Center...... 862, 867, 868, 873 Cen ...... 874 Armstrong, Amy J, MD ...... 504 Ravenwood Mental Health Center857, 858 Psych And Psych Services629, 663, 679, Arouszy, Allison E, MA ...... 590 Austerman, Joseph M, DO...... 618 Recovery Resources...... 870 694 Avenues Of Counseling And Mediation Thrive Behavioral Health Center Inc858, Rakesh Ranjan Md And Assoc862, 870, 673, 674, 685 871 874 Averill, Marley, CSW...... 590 Ravenwood Mental Health Center857, 858 FAMILY THERAPY (P030) Ayers, Daphne C, MA ...... 639 Recovery Resources...... 870 A Renewed Mind ...... 589 Barker, Cheryl, PHD...... 634 Reljin, Emily D, MS ...... 672 Afsarifard, Farshid, PHD ...... 586 Basu, Basanti, MD ...... 618 Row, Jenny R, MS ...... 606 Ahmed, Samina, LPC ...... 682 Beech Brook...... 634, 635, 639, 640 Rozel, Kent, PHD ...... 588 Alliant Treatment Center LLC.... 859, 864 Bell, Jerry C, DO ...... 50 Russell, Susan M, MS...... 695 Andrews, Christine N, MS...... 685 Benjamin, Michele L, MS...... 785 Sanford Russo, Janice, MS ...... 664 Bergman, Alf H, MD ...... 574 Applewood Center Inc859, 864, 865, 866, Santantonio, Diana S, PHD...... 636 Bering, Shana, MA ...... 640 871 Signature Health...... 863 Bielefeld, Marie G, PHD ...... 635 Aussem, Kasandra M, MS ...... 639 Speaker, Rae E, MS ...... 665 Bissett, Julia A, MS ...... 569 Baker, Gary, MS ...... 590 Spitzer, Ashley A, MS ...... 695 Blackston Balogh, Amber N, CSW590, 591 Beech Brook...... 634, 635, 640 Stacey, Nicole, LPC...... 666, 696 Blackwell, Samantha, MS...... 641 Brown, Mark C, PHD ...... 559 Stella Maris Inc...... 870 Bofah, Isaac O, MA ...... 613 Bulucea, Tina W, MA...... 591 Stevenson, Kelly A, MS ...... 609 Boone, Markia B, MA ...... 641 Catholic Charities Corporation ...... 872 Stone, Julie M, MA...... 615 Brar, Ravinder K, MD ...... 674 Christian, Lorraine M, MD ...... 619 Teitelbaum, Mary A, PHD...... 637 Brown, Cynthia L, MD ...... 619, 674 Copeland, Philip R, MS ...... 646 The Village Network...... 871 Brown, Mark C, PHD ...... 559 Costantini, Nadine R, MA ...... 647 Tucker, Karen V, MSW...... 609 Brummitt, Mike D, CSW...... 642 Crossroads Lake County Adolescent856, Van Dyke, Cheryl M, MA ...... 701 Bryner, Jacquelyne J, MA...... 591 859, 860, 866 Wilkins, Alicia V, MA...... 702 Bulucea, Tina W, MA...... 591 Cunningham, Kelly E, MS...... 689 Yezzi Shareef, Ann Marie, PHD...... 637 Burns, Laura C, PHD...... 587 Demeter, Lisa A, MS ...... 595 Zavarella, Rosanna O, PHD...... 589 MMOH.21.999.01.9.005

927

AreasAreas of Expertise Index of Expertise Index

Burzinski Gorfinkel, Amy N, MS...... 591 Gooch-Brown, Laura M, CSW ...... 650 Mathew, Sunita A, MD...... 624 Bush, Contessa L, MA...... 591 Gotfryd, Esther B, MA...... 569, 768 Mccoy, Christopher J, MA...... 658 Campbell, Kathleen M, MS ...... 642 Gottlob, Louise, MA...... 597 Memberg, Stacey J, MD ...... 215 Castele Smith, Kathryn L, MA ...... 642 Grabenstetter, Neil F, MD ...... 185 Mericle, Megan M, PSY ...... 636 Catholic Charities Corporation ...... 872 Green, Karen S, MS...... 650 Messerly, Margaret M, MD ...... 624 Cheres, Christ-Roi, MD241, 303, 403, 404 Griggs, Carolyn, MA ...... 597 Mezaris, Michelle N, MA ...... 603 Chmielewski, Eric S, MA ...... 592 Grippi, Patricia A, NP...... 569, 573 Migra, Mary M, MS...... 660 Christian, Lorraine M, MD ...... 619 Guenther, Donald E, MA...... 651 Miller, Lisa A, MA ...... 603 Citak, Rachel A, MA ...... 642 Hain, Jamie M, MS ...... 570 Mistur, Joan E, MS ...... 660 Cohen Seed, Dorit A, MS ...... 593, 594 Hamilton, William F, MS ...... 651 Moeller, Jessica M, PHD ...... 683 Coleman, Darrell, MA ...... 646 Harbor Behavioral Healthcare860, 867, Mongenel, Jennifer, MS...... 603, 604 Combs, Madison B, MA ...... 646 872 Monte, James R, MD ...... 811 Compton, Zev W, MS...... 594 Harper, Roseann, CSW...... 651 Muzina, Kathryn S, MD...... 580 Copeland, Philip R, MS ...... 646 Harris, Elizabeth M, PHD...... 559 Nagy, Ryan S, MD...... 245, 554 Corpus, Peter A, MD ...... 576 Hassinger, Hilary J, MD ...... 682, 683 Nahra, Mitchell E, MD ...... 328 Cortes, Maximino, MSW561, 594, 646, Hawkins, Erica L, MA...... 597 Ndonye, Selina, MA ...... 604 688, 689 Headlam, Isabella Blue, MA...... 652 Noce, Kala, MA ...... 564 Crossroads Lake County Adolescent856, Hearn-Vance, Kimberely S, MA ...... 598 Nockowitz, Richard A, MD...... 625 859, 860, 866 Heidemann, Melissa M, MA...... 598 Nord Center...... 862, 867, 868, 873 Cunningham, Kelly E, MS...... 689 Herbert, Linda A, MS ...... 562 Norris, Joan, MSW ...... 661 Czajka, Michael A, PA ...... 454 Hofelich, Barbara G, MS ...... 652 Noveske, F Gregory F, MD ...... 627 Dealexandro, Michella F, MA ...... 647 Hoffart, Marie, CSW...... 690 Novotny, David A, MD ...... 461 Defranco, Richard J, MD...... 568 Hottois, Michael D, MD ...... 623 O'shaughnessy, Charles D, MD ...... 143 Delong, Victoria Y, MD ...... 677 Hull, Susan H, MA ...... 562, 598 Oneeighty Inc...... 873 Demeter, Lisa A, MS ...... 595 Ibrahim, Rim S, MD ...... 623 Onwuka Smarty, Sylvester I, MD...... 581 Diturno, Kelly, MSW...... 637, 647 Ievers-Landis, Carolyn E, PHD .. 587, 683 Pacer, Kyra M, MA...... 671, 673 Divis, Amanda B, MA ...... 648 James, Gwenette M, MS ...... 589, 599 Parran, Theodore V, MD .... 313, 568, 581 Domb, Jane A, MD ...... 576 Janis, Patricia M, MA ...... 599 Partners Physician Group554, 564, 581, Dornice, Friday, MA...... 595 Jensen, Vanessa K, PHD...... 587 604, 605, 628, 662, 678, 679, 694 Dougan, Virginia L, MS ...... 689 Jerson, Joann S, MA ...... 572 Patel, Achala A, MD...... 628 Drake, Lauren, MA...... 648 Kacmarcik, Wendy, MA...... 652 Pathway Caring For Children ...... 857 Dugan, Amy K, MA ...... 595 Kalina Hammond, Julie A, CSW...... 599 Pathways Counseling And Growth Center Durell, Kristen, MA ...... 648 Kauble, Andrea M, MA ...... 653 869, 870 Ebersole, Rachel A, MA ...... 648, 689 Kennard, Latasha S, MA...... 653 Patwa, Premal, MD...... 581 Eden, Diane H, MD ...... 576 Kephart, Sharon, MA...... 691 Phipps, Melanie D, RSW...... 564 Edgington, Angela M, MA ...... 648 Kershaw, Lindsey J, MA ...... 551 Pietz, Ellen H, MS ...... 662 Edmondson, Tonya, MS ...... 613 Kottapalli, Manjula, MD...... 623, 624 Plas, Jeffrey C, MD...... 628 Elam, Ebony, NP ...... 671 Krause, Robin V, MA ...... 570 Plott, Lauren A, MS...... 605 Eltrich, Pamela P, MS...... 648 Lake Geauga Recovery Centers Inc554, Pope, Douglas A, MD.246, 247, 314, 414 Eshelman Fields, Danelle R, MA ...... 682 563, 577, 578, 600 Pope, Stephanie M, MD...... 581, 582 Esty, Debora, PHD...... 682 Lake Hospital System ...... 860, 861, 867 Portage Path Community Mental Health Fabian, Rachel L, CSW ...... 595 Lanham, Jaclyn A, NP ...... 614 Cen ...... 873, 874 Fairchild, Tracey L, MA ...... 571 Lanzi, Michelle L, CSW600, 654, 691, 692 Pozuelo, Leopoldo J, MD ...... 629 Family Pride Of Northeast Ohio Inc....856 Laurelwood Associates Inc...... 861 Primc, Michael J, MD...... 582 Feick, Rebecca L, MS...... 595 Lederer, Joan A, MD ...... 624 Psychology Consultants582, 605, 679, 694 Firelands Regional Medical Center .....867 Lemoine, Kara R, MS ...... 601 Quinn, Kucia, MA...... 605 Ford, Ramone, PHD...... 682 Leonard, Cynthia J, MA...... 563 Raimey, Deirdre D, MA...... 570, 771 Foss, Richard J, MA...... 596 Lifestance Health Pbc578, 579, 601, 602, Rair Krug, Susan J, MA...... 695 Friedlander, Samuel L, MD ...... 266 624, 654 Rao, Kancherla S, MD...... 629 Fritz, Colleen M, MS ...... 690 Luzar, Michael, MA...... 602 Ravenwood Mental Health Center857, 858 Gavin, Maura A, PA ...... 258, 339 Maccluskie, Kathryn C, PHD ...... 636 Ray, Michael, MD...... 582 Gentile, Maria A, MA...... 650 Madden, Rachel M, MA ...... 602 Recovery Resources...... 870 Giblin, Meghan E, MA ...... 650 Magiera, Michael D, MD...... 579 Redding, Carol J, CSW...... 663 Gifford, Brooke E, MA...... 690 Manos, Michael J, PHD...... 616, 636 Rexrode, Kathleen, MA ...... 605, 606 Gigliotti, Thomas V, MA...... 596 Mapes, Jamie, MA ...... 602 Reyes, Christopher J, MA...... 695 Gilbert, Kimberly M, MS ...... 613 Marocco, Irene, MA...... 602 Ridge, Shari N, PHD...... 588 Gilchrist, Dorena L, MA...... 650 Marshall, Rachel, MA...... 657 Robinson, Larry E, DO ...... 129 Goldman, Sara G, MD ...... 553 Martin Telfer, Colleen F, CSW...... 603 Robinson, Tyrone D, MA ...... 606 MMOH.21.999.01.9.005

928

Areas of Expertise Index Areas of Expertise Index

Roche, Shacara D, MA ...... 606, 612 Zavarella, Rosanna O, PHD...... 589 Alliant Treatment Center LLC.... 859, 864 Rochford, Megan, MS...... 606 Ziegler-Alban, Kristin K, MA ...... 612 Andrews, Christine N, MS...... 685 Rock, Joseph W, PHD ...... 588 Zimmerman, Tina M, MS ...... 670 Aussem, Kasandra M, MS ...... 639 Rodio, James R, MD...... 554, 555 Zinni, Richard A, MD...... 317 Belcher, Wendelyn L, MS ...... 612 Rodway, Nancy V, MD ...... 335, 582 Zuchowski, Sara E, MD...... 586, 682 Bergman, Alf H, MD ...... 574 Romero, Lynne D, MD ...... 170 GERIATRIC CARE (65+ YEARS) Brar, Ravinder K, MD ...... 674 Rosenberg, Jennifer, MD ...... 555 (A050) Brown, Mark C, PHD ...... 559 Row, Jenny R, MS ...... 606 Burns, Laura C, PHD...... 587 Rowles, Daniel, MA ...... 607 Abou Haidar, Said N, MD ...... 616 Chasteen, Linda, MA ...... 686 Royak, Boris, MD...... 629 Afsarifard, Farshid, PHD ...... 586 Chen, Peijun, MD ...... 552 Sanders, Kimberly A, MS...... 570, 571 Ahmed, Mohammed M, MD ...... 573 Compton, Zev W, MS...... 594 Sanford Russo, Janice, MS ...... 664 Alliant Treatment Center LLC.... 859, 864 Copeland, Philip R, MS ...... 646 Santantonio, Diana S, PHD...... 636 Brown, Mark C, PHD ...... 559 Costantini, Nadine R, MA ...... 647 Saravanan, Balaji, MD...... 630 Bulucea, Tina W, MA...... 591 Eden, Diane H, MD ...... 576 Savon, Summer P, MD ...... 582 Burzinski Gorfinkel, Amy N, MS...... 591 Entwistle, David, PSY ...... 682 Schartman, Cynthia, MA ...... 607 Catholic Charities Corporation ...... 872 Eshelman Fields, Danelle R, MA ...... 682 Segraves, Robert T, MD ...... 679 Cohen Seed, Dorit A, MS ...... 593, 594 Firelands Regional Medical Center .....867 Seleshi, Ermias, MD ...... 630 Compton, Zev W, MS...... 594 Fitzgerald, Antonia L, MD...... 677 Sharif, Bahman, MD...... 583 Damis, Marina F, MD...... 553 Fogle, Kirsten, MA ...... 595 Shavonne, Morgan, MA...... 607 Demeter, Lisa A, MS ...... 595 Forte Sullen, Kara, MS ...... 569, 613, 671 Signature Health...... 862, 863 Fitzgerald, Antonia L, MD...... 677 Gemberling, Christine, MSW ...... 690 Simmons, Jean R, PHD...... 573, 588 Ford, Ramone, PHD...... 682 Gigliotti, Thomas V, MA...... 596 Sinclair, Patricia, MA ...... 607 Fritz, Colleen M, MS ...... 690 Golden, Catherine, PHD ...... 559 Sipple, Beth A, MS ...... 608 Grippi, Patricia A, NP...... 569, 573 Gotfryd, Esther B, MA...... 569, 768 Sloane, Steven, MA ...... 608 Hain, Jamie M, MS ...... 570 Gottlob, Louise, MA...... 597 Smith, Jacqulyn, MA ...... 608 Hassinger, Hilary J, MD ...... 682, 683 Green, Karen S, MS....562, 597, 650, 690 Solsman, Megan, RSW...... 702 Messerly, Margaret M, MD ...... 624 Herbert, Linda A, MS ...... 562 Sorma, Kaleena, MA...... 764, 774, 784 Metrohealth Professional Group. 580, 677 Huffman, Jessica L, MA ...... 35, 551 Speaker, Rae E, MS ...... 665 Migra, Mary M, MS...... 660 Hull, Susan H, MA ...... 562, 598 Spitzer, Ashley A, MS ...... 695 Moeller, Jessica M, PHD ...... 683 Jones, Jeffrey S, MS...... 614 Stansbrey, Robert J, MD...... 556 Mohan, Amit, MD...... 624 Lazar, Catherine L, MS...... 600 Steiner, Eric M, MS ...... 696 Nockowitz, Richard A, MD...... 625 Lemoine, Kara R, MS ...... 601 Stella Maris Inc...... 870 Norris, Joan, MSW ...... 661 Mayne, Susan L, MS...... 785, 787 Stevenson, Kelly A, MS ...... 609 Oneeighty Inc...... 873 Mistur, Joan E, MS ...... 660 Stone, Julie M, MA...... 615 Pathways Counseling And Growth Center Mohan, Amit, MD...... 624 Summa Physicians223, 224, 225, 680, 696, 869, 870 Montgomery, Kelly, MA ...... 671, 672 697, 698, 699 Portage Path Community Mental Health Onwuka Smarty, Sylvester I, MD...... 581 Taljan, Katherine E, MD...... 584 Cen ...... 873, 874 Pacer, Kyra M, MA...... 671, 673 Teitelbaum, Mary A, PHD...... 637 Primc, Michael J, MD...... 582 Persaud, Beena, PSY...... 684 Temple, Julie A, MA ...... 667 Rakesh Ranjan Md And Assoc862, 870, Reljin, Emily D, MS ...... 672 The Centers For Families And Children870 874 Ridge, Shari N, PHD...... 588 Trennel, Patricia A, MA...... 609 Ravenwood Mental Health Center857, 858 Rozel, Kent, PHD ...... 588 Tucker, Karen V, MSW...... 609 Ray, Michael, MD...... 582 Schaffer, Mary, PHD ...... 588 Turell, Jeffrey M, MD...... 584 Recovery Resources...... 870 Schenkelberg, Richard, MD...... 583 Vanscoder, Jacquelyn J, MA ...... 669 Royak, Boris, MD...... 629 Sinclair, Patricia, MA ...... 607, 608 Ventura, Jessica, MA ...... 672 Segraves, Robert T, MD ...... 679 Tackett, Heather C, MA...... 699 Wallin, John A, MA...... 611 Sharif, Bahman, MD...... 583 Teitelbaum, Mary A, PHD...... 637 Warholici, Kristin H, MA ...... 615 Sipple, Beth A, MS ...... 608 Turell, Jeffrey M, MD...... 584 Watson, Kelsey D, MA...... 669 The Village Network...... 871 Yezzi Shareef, Ann Marie, PHD...... 637 White, Patrick, PHD ...... 684 Wegelin, Susan Y, CSW...... 669 GERIATRIC CARE (65+ YEARS) Woodland Centers Inc...... 871 Welch, Casey O, MA...... 611, 612 (SP50) West, Sara G, MD...... 634 Zimmerman, Tina M, MS ...... 670 White, Patrick, PHD ...... 684 GERIATRIC CARE (65+ YEARS) Fortaleza LLC ...... 871, 875 Wilkins, Alicia V, MA...... 702 (P035) Rakesh Ranjan Md And Associates863, 871, 875 Wilkins, Margaret A, MS...... 702 Abou Haidar, Said N, MD ...... 616 Wolen, James, MA...... 612 Adityanjee, A, MD...... 617 GRIEF (E115) Woodland Centers Inc...... 871 Ahmed, Samina, LPC ...... 682 A Renewed Mind ...... 589 Yanetta, Stacey L, MA...... 670 MMOH.21.999.01.9.005

929

AreasAreas of Expertise Index of Expertise Index

Adamo, John J, MSN...... 569, 670 Norris, Joan, MSW ...... 661 Weiner, Scott D, MD ...... 522 Afsarifard, Farshid, PHD ...... 586 Oberlander, Nicole, RSW ...... 693 HIV/AIDS (HV) Ahmed, Samina, LPC ...... 682 Ohio Mentor...... 628, 662 Andrews, Christine N, MS...... 685 Oneeighty Inc...... 873 Weiner, Scott D, MD ...... 522 Applewood Center Inc 859, 864, 865, 871 Pacer, Kyra M, MA...... 671, 673 HOMELESSNESS (HLC) Ashai, Ayesha, MD...... 552 Patel, Achala A, MD...... 628 Weiner, Scott D, MD ...... 522 Baker, Gary, MS ...... 590 Pathway Caring For Children ...... 857 Barker, Cheryl, PHD...... 634 Pathways Counseling And Growth Center HYPNOSIS THERAPY (E135) Beech Brook...... 634, 635, 639, 640 869, 870 Copeland, Philip R, MS ...... 646 Bielefeld, Marie G, PHD ...... 635 Pietz, Ellen H, MS ...... 662 Gigliotti, Thomas V, MA...... 596 Blackwell, Samantha, MS...... 641 Plott, Lauren A, MS...... 605 Rozel, Kent, PHD ...... 588 Bulucea, Tina W, MA...... 591 Portage Path Community Mental Health Zavarella, Rosanna O, PHD...... 589 Burns, Laura C, PHD...... 587 Cen ...... 873, 874 IN-HOME CARE/HOME VISITS Cohen Seed, Dorit A, MS ...... 593, 594 Psych And Psych Services629, 663, 679, (E130) Community Assessment And Treatment 694 A Renewed Mind ...... 589 Servi ...... 676, 688 Rakesh Ranjan Md And Assoc862, 870, Coleman Professional Services...... 856 Compton, Zev W, MS...... 594 874 Compton, Zev W, MS...... 594 Copeland, Philip R, MS ...... 646 Ravenwood Mental Health Center857, 858 Damis, Marina F, MD...... 553 Costantini, Nadine R, MA ...... 647 Recovery Resources...... 870 Grippi, Patricia A, NP...... 569, 573 Crossroads Lake County Adolescent856, Rochford, Megan, MS...... 606 Guidestone A ...... 651 859, 860, 866 Row, Jenny R, MS ...... 606 Mistur, Joan E, MS ...... 660 Damis, Marina F, MD...... 553 Rozel, Kent, PHD ...... 588 Mongenel, Jennifer, MS...... 603, 604 Demeter, Lisa A, MS ...... 595 Russell, Susan M, MS...... 695 Nord Center...... 862, 867, 868, 873 Domb, Jane A, MD ...... 576 Sanford Russo, Janice, MS ...... 664 Ohioguidestone ...856, 862, 868, 869, 873 Eden, Diane H, MD ...... 576 Santantonio, Diana S, PHD...... 636 Pathways Counseling And Growth Center Eltrich, Pamela P, MS...... 648 Signature Health...... 862, 863 869, 870 Emerson, Phillip H, MS...... 648 Sinclair, Patricia, MA ...... 607 Sanford Russo, Janice, MS ...... 664 Firelands Regional Medical Center .....867 Sipple, Beth A, MS ...... 608 Zimmerman, Tina M, MS ...... 670 Fitzgerald, Antonia L, MD...... 677 Spitzer, Ashley A, MS ...... 695 Forte Sullen, Kara, MS ...... 569, 613, 671 Stacey, Nicole, LPC...... 666, 696 INDIVIDUALLY QUALIFIED Giesel, Jennifer M, MA ...... 587 Stella Maris Inc...... 870 MEDICAL EXAMINER (E140) Golden, Catherine, PHD ...... 559 Stone, Julie M, MA...... 615 Moeller, Jessica M, PHD ...... 683 Goldman, Sara G, MD ...... 553 Teitelbaum, Mary A, PHD...... 637 Nockowitz, Richard A, MD...... 625 Gottlob, Louise, MA...... 597 Thompson, Stephanie M, MS ...... 699 Onwuka Smarty, Sylvester I, MD...... 581 Green, Karen S, MS....562, 597, 650, 690 Tucker, Karen V, MSW...... 609 Segraves, Robert T, MD ...... 679 Grippi, Patricia A, NP...... 569, 573 Wilkins, Margaret A, MS...... 702 INFANT CARE (0-3 YEARS) (A099) Guidestone A ...... 651 Woodland Centers Inc...... 871 Harris, Elizabeth M, PHD...... 559 Yezzi Shareef, Ann Marie, PHD...... 637 Catholic Charities Corporation ...... 872 Hassinger, Hilary J, MD ...... 682, 683 Zavarella, Rosanna O, PHD...... 589 Guidestone A ...... 651 Heidemann, Melissa M, MA...... 598 Zimmerman, Tina M, MS ...... 670 Mental Health Services For Homeless Pers 861, 867 Herbert, Linda A, MS ...... 562 HABILITATION SERVICES (E367) Hoffman, Jacquelynn, NP...... 671 Metrohealth Professional Group. 580, 677 Huffman, Jessica L, MA ...... 35, 551 Applewood Center Inc859, 864, 865, 866, Ohioguidestone ...856, 862, 868, 869, 873 Imfeld, Samantha M, MD ...... 577 871 Oneeighty Inc...... 873 Kaufman, Megan, MA ...... 691 HEARING IMPAIRED Onwuka Smarty, Sylvester I, MD...... 581 Krause, Robin V, MA ...... 570 POPULATIONS (E120) Pathway Caring For Children ...... 857 Pathways Counseling And Growth Center Lake Geauga Recovery Centers Inc554, Guidestone A ...... 651 869, 870 563, 577, 578, 600 Ibrahim, Rim S, MD ...... 623 Lederer, Joan A, MD ...... 624 Mistur, Joan E, MS ...... 660 Pope, Stephanie M, MD...... 581, 582 Lemoine, Kara R, MS ...... 601 Noffsinger, Stephen, MD...... 554, 625 Rakesh Ranjan Md And Assoc862, 870, Lynch, Holly, MS ...... 656 Ohioguidestone ...856, 862, 868, 869, 873 874 Marocco, Irene, MA...... 602 Ravenwood Mental Health Center857, 858 Massey, Sara R, MS...... 657 HEARING IMPAIRED The Village Network...... 871 Mistur, Joan E, MS ...... 660 POPULATIONS (HIMP) Woodland Centers Inc...... 871 Moeller, Jessica M, PHD ...... 683 Brigham, Mark S, DO...... 522 INFANT CARE (0-3 YEARS) (E142) Mohan, Amit, MD...... 624 Greenspan, Gary A, MD ...... 31 Corpus, Peter A, MD ...... 576 Noffsinger, Stephen, MD...... 554, 625 Sanyurah, Saad A, MD ...... 482, 483 Nord Center...... 862, 867, 868, 873 Sharma-Sahni, Priyanka, MD ...... 200 MMOH.21.999.01.9.005

930

Areas of Expertise Index Areas of Expertise Index

Crossroads Lake County Adolescent856, Applewood Center Inc859, 864, 865, 866, Persaud, Beena, PSY...... 684 859, 860, 866 871 Pietz, Ellen H, MS ...... 662 Ibrahim, Rim S, MD ...... 623 Baker, Gary, MS ...... 590 Portage Path Community Mental Health INFERTILITY (E145) Beech Brook...... 634, 635, 640 Cen ...... 873, 874 Costantini, Nadine R, MA ...... 647 Psych And Psych Services629, 663, 679, Andrews, Christine N, MS...... 685 Crossroads Lake County Adolescent856, 694 Barker, Cheryl, PHD...... 634 859, 860, 866 Rakesh Ranjan Md And Assoc862, 870, Cunningham, Kelly E, MS...... 689 Esty, Debora, PHD...... 682 874 Eden, Diane H, MD ...... 576 Guidestone A ...... 651 Ravenwood Mental Health Center857, 858 Giesel, Jennifer M, MA ...... 587 Heidemann, Melissa M, MA...... 598 Ridge, Shari N, PHD...... 588 Guidestone A ...... 651 Janezic, Kaci, MS ...... 691 Row, Jenny R, MS ...... 606 Lemoine, Kara R, MS ...... 601 Lorain County Alc Drug Abs Svcs655, Rozel, Kent, PHD ...... 588 Ohioguidestone ...856, 862, 868, 869, 873 656, 692 Santantonio, Diana S, PHD...... 636 Santantonio, Diana S, PHD...... 636 Lynch, Holly, MS ...... 656 Sinclair, Patricia, MA ...... 607 Spitzer, Ashley A, MS ...... 695 Oneeighty Inc...... 873 Spitzer, Ashley A, MS ...... 695 Zavarella, Rosanna O, PHD...... 589 Sanford Russo, Janice, MS ...... 664 Tucker, Karen V, MSW...... 609 INPATIENT Signature Health...... 863 Zavarella, Rosanna O, PHD...... 589 ELECTRO-CONVULSIVE THERAPY Spitzer, Ashley A, MS ...... 695 LESBIAN, GAY, BISEXUAL, (SP55) The Village Network...... 871 TRANSGENDER, & QUEER (LGBTQ) Summa Health System...... 837 Woodland Centers Inc...... 871 CARE (E110) INTENSIVE IN-HOME CHILD & LEARNING DISABILITIES (E361) Gottlob, Louise, MA...... 597 ADOLESCENT PSYCHIATRIC Teitelbaum, Mary A, PHD...... 637 Harris, Elizabeth M, PHD...... 559 SERVICES (IICAPS) (E395) LESBIAN, GAY, BISEXUAL, Lemoine, Kara R, MS ...... 601 Beech Brook...... 634, 635, 640 TRANSGENDER, & QUEER (LGBTQ) Migra, Mary M, MS...... 660 Ravenwood Mental Health Center857, 858 CARE (E105) Ravenwood Mental Health Center857, 858 LEARNING DISABILITIES (E150) A Renewed Mind ...... 589 LESBIAN, GAY, BISEXUAL, TRANSGENDER, & QUEER (LGBTQ) Andrews, Christine N, MS...... 685 Andrews, Christine N, MS...... 685 CARE (E385) Applewood Center Inc 859, 864, 865, 871 Applewood Center Inc 859, 864, 865, 871 Baker, Gary, MS ...... 590 Baker, Gary, MS ...... 590 A Renewed Mind ...... 589 Blackwell, Samantha, MS...... 641 Barker, Cheryl, PHD...... 634 Adityanjee, A, MD...... 617 Bulucea, Tina W, MA...... 591 Belcher, Wendelyn L, MS ...... 612 Andrews, Christine N, MS...... 685 Corpus, Peter A, MD ...... 576 Bielefeld, Marie G, PHD ...... 635 Applewood Center Inc859, 864, 865, 866, Cunningham, Kelly E, MS...... 689 Bulucea, Tina W, MA...... 591 871 Eden, Diane H, MD ...... 576 Community Assessment And Treatment Blackwell, Samantha, MS...... 641 Eshelman Fields, Danelle R, MA ...... 682 Servi ...... 676, 688 Community Assessment And Treatment Frantz, Elizabeth, PSY...... 636 Compton, Zev W, MS...... 594 Servi ...... 676, 688 Guidestone A ...... 651 Copeland, Philip R, MS ...... 646 Copeland, Philip R, MS ...... 646 Hamilton, William F, MS ...... 651 Cunningham, Kelly E, MS...... 689 Ghanem, Yassin I, MS...... 613 Harris, Elizabeth M, PHD...... 559 Eden, Diane H, MD ...... 576 Guidestone A ...... 651 Hoffman, Jacquelynn, NP...... 671 Golden, Catherine, PHD ...... 559 Harris, Elizabeth M, PHD...... 559 Ibrahim, Rim S, MD ...... 623 Gottlob, Louise, MA...... 597 Heidemann, Melissa M, MA...... 598 Janezic, Kaci, MS ...... 691 Guidestone A ...... 651 Lemoine, Kara R, MS ...... 601 Lynch, Holly, MS ...... 656 Heidemann, Melissa M, MA...... 598 Ohioguidestone ...856, 862, 868, 869, 873 Noffsinger, Stephen, MD...... 554, 625 Imfeld, Samantha M, MD ...... 577 Portage Path Community Mental Health Onwuka Smarty, Sylvester I, MD...... 581 Kaufman, Megan, MA ...... 691 Cen ...... 873, 874 Pathways Counseling And Growth Center Lazar, Catherine L, MS...... 600 Psych And Psych Services629, 663, 679, 869, 870 Lederer, Joan A, MD ...... 624 694 Ravenwood Mental Health Center857, 858 Lemoine, Kara R, MS ...... 601 Rozel, Kent, PHD ...... 588 Stone, Julie M, MA...... 615 Marocco, Irene, MA...... 602 Spitzer, Ashley A, MS ...... 695 Teitelbaum, Mary A, PHD...... 637 Mayne, Susan L, MS...... 785, 787 Van Dyke, Cheryl M, MA ...... 701 Migra, Mary M, MS...... 660 The Village Network...... 871 LONG-ACTING ANTIPSYCHOTIC Noffsinger, Stephen, MD...... 554, 625 Tricaso-Torrence, Joanna, MA ...... 672 INJECTIONS (E381) Yezzi Shareef, Ann Marie, PHD...... 637 Ohioguidestone ...856, 862, 868, 869, 873 Oneeighty Inc...... 873 Adityanjee, A, MD...... 617 LEARNING DISABILITIES (E218) Pathways Counseling And Growth Center Lorain County Alc Drug Abs Svcs655, A Renewed Mind ...... 589 869, 870 656, 692 MMOH.21.999.01.9.005

931

AreasAreas of Expertise Index of Expertise Index

Mohan, Amit, MD...... 624 Wilkins, Alicia V, MA...... 702 MEDICATION ASSISTED MARRIAGE & COUPLE'S THERAPY Woodland Centers Inc...... 871 TREATMENT (MAT) (A081) (P020) Yezzi Shareef, Ann Marie, PHD...... 637 Zavarella, Rosanna O, PHD...... 589 Mental Health Services For Homeless Pers A Renewed Mind ...... 589 Zimmerman, Tina M, MS ...... 670 861, 867 Afsarifard, Farshid, PHD ...... 586 MEDICAID CASE MANAGEMENT MEDICATION ASSISTED Andrews, Christine N, MS...... 685 TREATMENT (MAT) (A100) Applewood Center Inc859, 864, 865, 866, (E290) 871 Applewood Center Inc859, 864, 865, 866, A Renewed Mind ...... 589 Baker, Gary, MS ...... 590 871 Adityanjee, A, MD...... 617 Barker, Cheryl, PHD...... 634 Metrohealth Professional Group...... 872 Alliant Treatment Center LLC.... 859, 864 Bielefeld, Marie G, PHD ...... 635 Ohioguidestone ...856, 862, 868, 869, 873 Brocco Kish, Karen J, MD...... 674 Brown, Mark C, PHD ...... 559 Brown, Cynthia L, MD ...... 619, 674 MEDICAL ILLNESS & DISEASE Fortaleza LLC ...... 867, 872 Bulucea, Tina W, MA...... 591 MANAGEMENT (E155) Campbell, Kathleen M, MS ...... 642 Lorain County Alc Drug Abs Svcs655, Copeland, Philip R, MS ...... 646 Ahmed, Samina, LPC ...... 682 656, 692 Cunningham, Kelly E, MS...... 689 Andrews, Christine N, MS...... 685 Mohan, Amit, MD...... 624 Demeter, Lisa A, MS ...... 595 Applewood Center Inc 859, 864, 865, 871 Montgomery, Kelly, MA ...... 671, 672 Distefano, Nancy, MS...... 595 Brown, Cynthia L, MD ...... 619, 674 Oneeighty Inc...... 873 Eltrich, Pamela P, MS...... 648 Bulucea, Tina W, MA...... 591 Onwuka Smarty, Sylvester I, MD...... 581 Emerson, Phillip H, MS...... 648 Burns, Laura C, PHD...... 587 Portage Path Community Mental Health Firelands Regional Medical Center .....867 Compton, Zev W, MS...... 594 Cen ...... 873, 874 Grippi, Patricia A, NP...... 569, 573 Demeter, Lisa A, MS ...... 595 Stone, Julie M, MA...... 615 Guidestone A ...... 651 Frantz, Elizabeth, PSY...... 636 MEDICATION ASSISTED Giesel, Jennifer M, MA ...... 587 Hassinger, Hilary J, MD ...... 683 TREATMENT (MAT) (A103) Heidemann, Melissa M, MA...... 598 Green, Karen S, MS....562, 597, 650, 690 A Renewed Mind ...... 589 Herbert, Linda A, MS ...... 562 Grippi, Patricia A, NP...... 569, 573 Mohan, Amit, MD...... 624 Hoffart, Marie, CSW...... 690 Hassinger, Hilary J, MD ...... 682, 683 Kaufman, Megan, MA ...... 691 Herbert, Linda A, MS ...... 562 MEDICATION ASSISTED Lederer, Joan A, MD ...... 624 Hoffman, Jacquelynn, NP...... 671 TREATMENT (MAT) (E167) Huffman, Jessica L, MA ...... 35, 551 Marocco, Irene, MA...... 602 Recovery Works Columbus ...... 870, 874 Migra, Mary M, MS...... 660 Ievers-Landis, Carolyn E, PHD .. 587, 683 MEDICATION ASSISTED Mistur, Joan E, MS ...... 660 Lemoine, Kara R, MS ...... 601 Nord Center...... 862, 867, 868, 873 Messerly, Margaret M, MD ...... 624 TREATMENT (MAT) (E172) Ohioguidestone ...856, 862, 868, 869, 873 Mistur, Joan E, MS ...... 660 Adityanjee, A, MD...... 617 Oneeighty Inc...... 873 Moeller, Jessica M, PHD ...... 683 Community Assessment And Treatment Pathways Counseling And Growth Center Mohan, Amit, MD...... 624 Servi ...... 676, 688 869, 870 Nockowitz, Richard A, MD...... 625 Esty, Debora, PHD...... 682 Pietz, Ellen H, MS ...... 662 Noffsinger, Stephen, MD...... 554, 625 Fortaleza LLC ...... 867, 872 Portage Path Community Mental Health Nord Center...... 862, 867, 868, 873 Lorain County Alc Drug Abs Svcs655, Cen ...... 874 Norris, Joan, MSW ...... 661 656, 692 Psych And Psych Services629, 663, 679, Ohioguidestone ...856, 862, 868, 869, 873 Oneeighty Inc...... 873 694 Okon, Roseline E, MD...... 580, 581 Rakesh Ranjan Md And Assoc862, 870, Rakesh Ranjan Md And Assoc862, 870, Pietz, Ellen H, MS ...... 662 874 874 Pozuelo, Leopoldo J, MD ...... 629 Ravenwood Mental Health Center857, 858 Ravenwood Mental Health Center857, 858 Primc, Michael J, MD...... 582 Signature Health...... 863 Reljin, Emily D, MS ...... 672 Rock, Joseph W, PHD ...... 588 Stone, Julie M, MA...... 615 Row, Jenny R, MS ...... 606 Royak, Boris, MD...... 629 Rozel, Kent, PHD ...... 588 MEDICATION ASSISTED Rozel, Kent, PHD ...... 588 TREATMENT (MAT) (E238) Sanford Russo, Janice, MS ...... 664 Santantonio, Diana S, PHD...... 636 Santantonio, Diana S, PHD...... 636 Saravanan, Balaji, MD...... 630 Mental Health Services For Homeless Pers Segraves, Robert T, MD ...... 679 Signature Health...... 863 861, 867 Sharif, Bahman, MD...... 583 Simmons, Jean R, PHD...... 573, 588 Oneeighty Inc...... 873 Signature Health...... 863 Stone, Julie M, MA...... 615 MEDICATION ASSISTED Speaker, Rae E, MS ...... 665 Thompson, Stephanie M, MS ...... 699 TREATMENT (MAT) (E365) Yezzi Shareef, Ann Marie, PHD...... 637 Stella Maris Inc...... 870 A Renewed Mind ...... 589 Stone, Julie M, MA...... 615 Zavarella, Rosanna O, PHD...... 589 Zimmerman, Tina M, MS ...... 670 Adityanjee, A, MD...... 617 Teitelbaum, Mary A, PHD...... 637 Alliant Treatment Center LLC.... 859, 864 MMOH.21.999.01.9.005

932

Areas of Expertise Index Areas of Expertise Index

Community Assessment And Treatment Kareti, Mohan Y, MD...... 524 Whitt, Tana, MSN...... 672 Servi ...... 676, 688 Khalil, Al-Amin A, MD...... 334 Wilkins, Catherine V, MD...... 807 Fortaleza LLC ...... 867, 872 Khan, Zia U, MD ...... 623 Yang, Youapa S, MD...... 289, 499 Lake Geauga Recovery Centers Inc554, Krasnyansky, Inna, MD ...... 64 Yonan, Sameh R, MD...... 448, 449 563, 577, 578, 600 Kulow, Kent M, PA ...... 44, 103, 175, 219 Yonke, Joseph E, PA ...... 177 Lorain County Alc Drug Abs Svcs655, Lagman, Dennis V, MD...... 58, 59, 65 Zang, Jie, MD ...... 248, 317, 419 656, 692 Levandovski, Yelena, PA340, 456, 533, Zarowitz, Joshua H, DO...... 586 Mohan, Amit, MD...... 624 578, 624, 677 Zinni, Richard A, MD...... 317 Stone, Julie M, MA...... 615 Lindbloom, Kristopher, DO 243, 310, 409 MEDICATION MANAGEMENT (E160) Mahajan, Darshan, MD...... 427 MEDICATION ASSISTED A Renewed Mind ...... 589 TREATMENT (MAT) (E404) Malak, Osama A, MD...... 448 Marr, Edgar R, MD...... 141 Abou Haidar, Said N, MD ...... 616 Alliant Treatment Center LLC.... 859, 864 Massouh, Rafik, MD... 244, 310, 311, 410 Adamo, John J, MSN...... 569, 670 Mohan, Amit, MD...... 624 Matheson, James K, DO ...... 804 Adityanjee, A, MD...... 617 Ohioguidestone ...856, 862, 868, 869, 873 Mclean, Shoghi M, MD ...... 244, 311, 411 Ahmed, Mohammed M, MD ...... 573 Portage Path Community Mental Health Meek, Lisa C, NP...... 763 Ahmed, Razia, MD ...... 617 Cen ...... 874 Mikhail, Emad A, MD ...... 334, 335 Ahmed, Samina, LPC ...... 682 Alliant Treatment Center LLC.... 859, 864 MEDICATION ASSISTED Munzar, Saad, MD...... 143, 198 Almhana, Diab M, MD ...... 617 TREATMENT (MAT) (E405) Muzina, Kathryn S, MD...... 580 Nagy, Ryan S, MD...... 245, 554 Applewood Center Inc 859, 864, 865, 871 Portage Path Community Mental Health Natesan, Corattur, MD...... 412 Ashai, Ayesha, MD...... 552 Cen ...... 874 Nockowitz, Richard A, MD...... 625 Austerman, Joseph M, DO...... 618 MEDICATION ASSISTED Nutter, Dian M, PA...... 259, 342 Beech Brook...... 634, 635, 639, 640 TREATMENT (MAT) (MAT1) Onwuka Smarty, Sylvester I, MD...... 581 Bell, Jerry C, DO ...... 50 Pagano, Trina M, MD ...... 811 Benjamin, Michele L, MS...... 785 Abraham, Benjamin, MD...... 446 Bofah, Isaac O, MA ...... 613 Ahmann, Maureen E, DO ...... 213 Parran, Theodore V, MD .... 313, 568, 581 Pawlicki, Matthew B, MD ...... 28 Brar, Ravinder K, MD ...... 674 Babiuch, Christopher M, MD ...... 120 Budny, Paul A, MA ...... 613 Perni, Uma C, MD318, 421, 512, 799, 804, Beeman, Patrick C, MD...... 618, 801 Catholic Charities Corporation ...... 872 805, 812 Benjamin, Michele L, MS...... 785 Christian, Lorraine M, MD ...... 619 Pop, Stefan C, MD246, 313, 314, 413, 414 Bofah, Isaac O, MA ...... 613 Corpus, Peter A, MD ...... 576 Pozuelo, Leopoldo J, MD ...... 629 Bowersox, Harold J, DO...... 50, 58, 60 Crossroads Lake County Adolescent856, Ranjan, Rakesh, MD...... 582, 629, 679 Bowling, Tamara L, FNP...... 671, 784 859, 860, 866 Reinhold, Jean S, MD ...... 805 Brocco Kish, Karen J, MD...... 674 Czajka, Michael A, PA ...... 454 Riedy, Melinda D, NP...... 162 Brown, Cynthia L, MD ...... 619, 674 Damis, Marina F, MD...... 553 Robinson, Larry E, DO ...... 129 Brown, Lisa A, MD ...... 256, 257, 333 Domb, Jane A, MD ...... 576 Rodio, James R, MD...... 554, 555 Brugger, Virginia B, NP .33, 74, 150, 202 Dye Perkins, Jamillah R, MS...... 671 Royak, Boris, MD...... 629 Cales, Carrie L, NP ...... 75 Eden, Diane H, MD ...... 576 Sanders, Kimberly A, MS...... 571 Cammock, Leona M, MD ...... 232 Eltrich, Pamela P, MS...... 648 Saravanan, Balaji, MD...... 630 Carson, Dennis E, MD...... 123 Firelands Regional Medical Center .....867 Sayon, Abraham, MD ...... 392, 393 Chapa, Jeff B, MD ...... 318, 420, 511 Fortaleza LLC ...... 867, 872 Schlueter, Martin E, MD...... 503 Chen, Peijun, MD ...... 552 Forte Sullen, Kara, MS ...... 569, 613, 671 Schuller, Mindy C, NP...... 211 Davis, Cherrica T, MD...... 61 Friedlander, Samuel L, MD ...... 266 Seffo, Firas, MD247, 248, 315, 316, 416, Defranco, Richard J, MD...... 568 Gessler, Tonya M, MS...... 569 417 Dorobek, Ann M, MD...... 124, 125 Ghanem, Yassin I, MS...... 613 Segraves, Robert T, MD ...... 679 Franko, Andrew P, MD...... 125 Gilbert, Kimberly M, MS ...... 613 Shah, Bharat C, MD...... 417, 448 Getachew, Samuel, MD ...... 168 Golden, Catherine, PHD ...... 559 Glovatskaya, Galina, MD ...... 306, 307 Shah, Rohit, MD ...... 814, 824 Goldman, Sara G, MD ...... 553 Goldman, Matthew J, MD ...... 125 Singh, Katherine A, MD ..... 319, 422, 512 Gorjanc, Michael L, PHD ...... 576 Goldman, Sara G, MD ...... 553 Smarsch, Robert D, DO ...... 130, 188, 189 Gotfryd, Esther B, MA...... 569, 768 Gopal, Naveen, MD ....242, 307, 405, 406 Starck, Rebecca N, MD ...... 806 Grippi, Patricia A, NP...... 569, 573 Grabenstetter, Neil F, MD ...... 185 Steinberg, Joel, MD ...... 556 Guidestone A ...... 651 Heidenreich, Bess, DO...... 308 Stone, Julie M, MA...... 615 Hain, Jamie M, MS ...... 570 Hudson, Susan J, CNM...... 758 Strausbaugh, Steven D, MD263, 352, 813, Harbor Behavioral Healthcare860, 867, Iqbal, Sabahat K, MD ...... 380, 381 817 872 Jayber, Mohammed A, DO ...... 126 Terry, Karen L, NP ...... 783 Hoffman, Jacquelynn, NP...... 671 Turoczi, Timea F, MS...... 571 Jenkins, Jessica M, MS ...... 182 Holan, Jane E, MD...... 673, 677 Kane, Laura L, NP ...... 154, 155 Wang, Kai, MD...... 248, 316, 417, 418 Hottois, Michael D, MD ...... 623 MMOH.21.999.01.9.005

933

AreasAreas of Expertise Index of Expertise Index

Huffman, Jessica L, MA ...... 35, 551 Segraves, Robert T, MD ...... 679 Austerman, Joseph M, DO...... 618 Ibrahim, Rim S, MD ...... 623 Shapiro Krew, Anna P, MD...... 583 Averill, Marley, CSW...... 590 Imfeld, Samantha M, MD ...... 577 Sharif, Bahman, MD...... 583 Baker, Gary, MS ...... 590 Johnson, Nicole, MS...... 671 Signature Health...... 863 Barker, Cheryl, PHD...... 634 Jones, Jeffrey S, MS...... 614 Solaro, Lori R, MD ...... 630 Beech Brook...... 634, 635, 639, 640 Kershaw, Lindsey J, MA ...... 551 Sorma, Kaleena, MA...... 764, 774, 784 Benjamin, Michele L, MS...... 785 Kottapalli, Manjula, MD...... 624 Stansbrey, Robert J, MD...... 556 Bielefeld, Marie G, PHD ...... 635 Krause, Robin V, MA ...... 570 Stone, Julie M, MA...... 615 Blackwell, Samantha, MS...... 641 Lake Geauga Recovery Centers Inc554, Taljan, Katherine E, MD...... 584 Bofah, Isaac O, MA ...... 613 563, 577, 578, 600 The Village Network...... 871 Brar, Ravinder K, MD ...... 674 Lake Health...... 860 Thrive Behavioral Health Center Inc858, Brocco Kish, Karen J, MD...... 674 Lake Hospital System ...... 860, 861, 867 871 Brown, Cynthia L, MD ...... 619, 674 Lanham, Jaclyn A, NP ...... 614 Tricaso-Torrence, Joanna, MA ...... 672 Brown, Mark C, PHD ...... 559 Laurelwood Associates Inc...... 861 Ventura, Jessica, MA ...... 672 Bryner, Jacquelyne J, MA...... 591 Lederer, Joan A, MD ...... 624 Warholici, Kristin H, MA ...... 615 Bulucea, Tina W, MA...... 591 Lorain County Alc Drug Abs Svcs655, West, Sara G, MD...... 634 Burns, Laura C, PHD...... 587 656, 692 Whitt, Tana, MSN...... 672 Burzinski Gorfinkel, Amy N, MS...... 591 Magiera, Michael D, MD...... 579 Woodland Centers Inc...... 871 Bush, Contessa L, MA...... 591 Memberg, Stacey J, MD ...... 215 Wyckoff, Neeti J, MD...... 586 Campbell, Kathleen M, MS ...... 642 Messerly, Margaret M, MD ...... 624 Zinni, Richard A, MD...... 317 Catholic Charities Corporation856, 859, Metrohealth Professional Group. 580, 677 Zuchowski, Sara E, MD...... 586, 682 866, 872 Miller, Brittany L, MA ...... 614 MENTAL HEALTH FORENSICS FOR Chmielewski, Eric S, MA ...... 592 Mohan, Amit, MD...... 624 AT RISK OFFENDERS (E100) Christian, Lorraine M, MD ...... 619 Nagy, Ryan S, MD...... 245, 554 Cohen Seed, Dorit A, MS ...... 593, 594 Nahra, Mitchell E, MD ...... 328 Adityanjee, A, MD...... 617 Community Assessment And Treatment Nockowitz, Richard A, MD...... 625 Afsarifard, Farshid, PHD ...... 586 Servi ...... 676, 688 Noffsinger, Stephen, MD...... 554, 625 Blackwell, Samantha, MS...... 641 Compton, Zev W, MS...... 594 Nord Center...... 862, 867, 868, 873 Ibrahim, Rim S, MD ...... 623 Copeland, Philip R, MS ...... 646 Norman, Michele M, RN ...... 614 Noffsinger, Stephen, MD...... 554, 625 Corpus, Peter A, MD ...... 576 Northern Ohio Recovery Association..868 Nord Center...... 862, 867, 868, 873 Crossroads Lake County Adolescent856, O'shaughnessy, Charles D, MD ...... 143 Oneeighty Inc...... 873 859, 860, 866 Okon, Roseline E, MD...... 580, 581 Onwuka Smarty, Sylvester I, MD...... 581 Cunningham, Kelly E, MS...... 689 Oneeighty Inc...... 873 Rair Krug, Susan J, MA...... 695 Czajka, Michael A, PA ...... 454 Onwuka Smarty, Sylvester I, MD...... 581 Ravenwood Mental Health Center857, 858 Damis, Marina F, MD...... 553 Parran, Theodore V, MD .... 313, 568, 581 Recovery Resources...... 870 Daugherty, Danielle, MSW...... 647 Patel, Achala A, MD...... 628 Rozel, Kent, PHD ...... 588 Delong, Victoria Y, MD ...... 677 Pathway Caring For Children ...... 857 Signature Health...... 862, 863 Drake, Lauren, MA...... 648 Patwa, Premal, MD...... 581 Stone, Julie M, MA...... 615 Dugan, Amy K, MA ...... 595 Plas, Jeffrey C, MD...... 628 The Village Network...... 871 Eden, Diane H, MD ...... 576 Pope, Douglas A, MD.246, 247, 314, 414 Woodland Centers Inc...... 871 Eltrich, Pamela P, MS...... 648 Pope, Stephanie M, MD...... 581, 582 MENTAL HEALTH Emerson, Phillip H, MS...... 648 Portage Path Community Mental Health REHABILITATION (E407) Esty, Debora, PHD...... 682 Cen ...... 873, 874 Ohioguidestone ...856, 862, 868, 869, 873 Firelands Regional Medical Center .....867 Pozuelo, Leopoldo J, MD ...... 629 Fitzgerald, Antonia L, MD...... 677 MOOD DISORDERS (E165) Primc, Michael J, MD...... 582 Forte Sullen, Kara, MS ...... 569, 613, 671 Psych And Psych Services629, 663, 679, A Renewed Mind ...... 589 Frantz, Elizabeth, PSY...... 636 694 Abou Haidar, Said N, MD ...... 616 Ghanem, Yassin I, MS...... 613 Raimey, Deirdre D, MA...... 570, 771 Adamo, John J, MSN...... 569, 670 Giesel, Jennifer M, MA ...... 587 Rao, Kancherla S, MD...... 629 Adams, Steven, MA...... 589 Golden, Catherine, PHD ...... 559 Ravenwood Mental Health Center857, 858 Adityanjee, A, MD...... 617 Goldman, Sara G, MD ...... 553 Ray, Michael, MD...... 582 Afsarifard, Farshid, PHD ...... 586 Gottlob, Louise, MA...... 597 Recovery Resources...... 870 Ahmed, Mohammed M, MD ...... 573 Green, Karen S, MS....562, 597, 650, 690 Redfern, Christina, MS ...... 551 Ahmed, Samina, LPC ...... 682 Grippi, Patricia A, NP...... 569, 573 Reljin, Emily D, MS ...... 672 Akkireddi, Padmalatha, MD ...... 617 Guidestone A ...... 651 Royak, Boris, MD...... 629 Almhana, Diab M, MD ...... 617 Hain, Jamie M, MS ...... 570 Saravanan, Balaji, MD...... 630 Andrews, Christine N, MS...... 685 Hamilton, William F, MS ...... 651 Savon, Summer P, MD ...... 582 Applewood Center Inc 859, 864, 865, 871 Harris, Elizabeth M, PHD...... 559 Schenkelberg, Richard, MD...... 582, 583 Ashai, Ayesha, MD...... 552 Heidemann, Melissa M, MA...... 598 MMOH.21.999.01.9.005

934

Areas of Expertise Index Areas of Expertise Index

Henderson, Lashelle S, MS...... 570 Recovery Resources...... 870 MULTIDIMENSIONAL FAMILY Herbert, Linda A, MS ...... 562 Redfern, Christina, MS ...... 551 THERAPY (MDFT) (E397) Hoffart, Marie, CSW...... 690 Reljin, Emily D, MS ...... 672 Hoffman, Jacquelynn, NP...... 671 Ridge, Shari N, PHD...... 588 Applewood Center Inc859, 864, 865, 866, Hottois, Michael D, MD ...... 623 Rochford, Megan, MS...... 606 871 Huffman, Jessica L, MA ...... 35, 551 Rodio, James R, MD...... 554, 555 NEUROPSYCHOLOGICAL TESTING Hull, Susan H, MA ...... 562, 598 Row, Jenny R, MS ...... 606 (A055) Ibrahim, Rim S, MD ...... 623 Royak, Boris, MD...... 629 Sims, Danielle, PHD...... 684 Ievers-Landis, Carolyn E, PHD .. 587, 683 Rozel, Kent, PHD ...... 588 Yezzi Shareef, Ann Marie, PHD...... 637 Imfeld, Samantha M, MD ...... 577 Russell, Susan M, MS...... 695 Jensen, Vanessa K, PHD...... 587 Sanford Russo, Janice, MS ...... 664 NURSE WITH PRESCRIPTIVE Jones, Jeffrey S, MS...... 614 Santantonio, Diana S, PHD...... 636 PRIVILEGES (A060) Kauble, Andrea M, MA ...... 653 Saravanan, Balaji, MD...... 630 A Renewed Mind ...... 589 Kennard, Latasha S, MA...... 653 Schaffer, Mary, PHD ...... 588 Adamo, John J, MSN...... 569, 670 Kottapalli, Manjula, MD...... 624 Setlak Micheller, Diane K, CSW565, 607, Applewood Center Inc 859, 864, 865, 871 Krause, Robin V, MA ...... 570 665, 695 Belcher, Wendelyn L, MS ...... 612 Lanham, Jaclyn A, NP ...... 614 Sharif, Bahman, MD...... 583 Benjamin, Michele L, MS...... 785 Lazar, Catherine L, MS...... 600 Signature Health...... 863 Bofah, Isaac O, MA ...... 613 Lemoine, Kara R, MS ...... 601 Simmons, Jean R, PHD...... 573, 588 Budny, Paul A, MA ...... 613 Lorain County Alc Drug Abs Svcs655, Sinclair, Patricia, MA ...... 607 Crossroads Lake County Adolescent856, 656, 692 Sipple, Beth A, MS ...... 608 859, 860, 866 Magiera, Michael D, MD...... 579 Speaker, Rae E, MS ...... 665 Dye Perkins, Jamillah R, MS...... 671 Manos, Michael J, PHD...... 616, 636 Spitzer, Ashley A, MS ...... 695 Forte Sullen, Kara, MS ...... 569, 613, 671 Mayne, Susan L, MS...... 785, 787 Stansbrey, Robert J, MD...... 556 Gessler, Tonya M, MS...... 569 Messerly, Margaret M, MD ...... 624 Steiner, Eric M, MS ...... 696 Ghanem, Yassin I, MS...... 613 Metrohealth Professional Group. 580, 677 Stella Maris Inc...... 870 Gotfryd, Esther B, MA...... 569, 768 Mezaris, Michelle N, MA ...... 603 Stevenson, Kelly A, MS ...... 609 Grippi, Patricia A, NP...... 569, 573 Migra, Mary M, MS...... 660 Stone, Julie M, MA...... 615 Guidestone A ...... 651 Mistur, Joan E, MS ...... 660 Taljan, Katherine E, MD...... 584 Hain, Jamie M, MS ...... 570 Moeller, Jessica M, PHD ...... 683 Teitelbaum, Mary A, PHD...... 637 Hasenstaub, Mary M, DNP...... 614 Mohan, Amit, MD...... 624 Trennel, Patricia A, MA...... 609 Henderson, Lashelle S, MS...... 570 Mongenel, Jennifer, MS...... 603, 604 Tricaso-Torrence, Joanna, MA ...... 672 Hoffman, Jacquelynn, NP...... 671 Montgomery, Kelly, MA ...... 671, 672 Tucker, Karen V, MSW...... 609 Huffman, Jessica L, MA ...... 35, 551 Nockowitz, Richard A, MD...... 625 Ventura, Jessica, MA ...... 672 Johnson, Nicole, MS...... 671 Noffsinger, Stephen, MD...... 554, 625 Warholici, Kristin H, MA ...... 615 Jones, Jeffrey S, MS...... 614 Nord Center...... 862, 867, 868, 873 Welch, Casey O, MA...... 611, 612 Kershaw, Lindsey J, MA ...... 551 Oflaherty, Holly C, MS...... 661 White, Patrick, PHD ...... 684 Krause, Robin V, MA ...... 570 Okon, Roseline E, MD...... 580, 581 Wilkins, Alicia V, MA...... 702 Lake Geauga Recovery Centers Inc554, Onwuka Smarty, Sylvester I, MD...... 581 Woodland Centers Inc...... 871 563, 577, 578, 600 Patel, Achala A, MD...... 628 Yanetta, Stacey L, MA...... 670 Lanham, Jaclyn A, NP ...... 614 Pathway Caring For Children ...... 857 Yezzi Shareef, Ann Marie, PHD...... 637 Lorain County Alc Drug Abs Svcs655, Pathways Counseling And Growth Center Zavarella, Rosanna O, PHD...... 589 656, 692 869, 870 Ziegler-Alban, Kristin K, MA ...... 612 Metrohealth Professional Group. 580, 677 Patwa, Premal, MD...... 581 Zimmerman, Tina M, MS ...... 670 Miller, Brittany L, MA ...... 614 Pietz, Ellen H, MS ...... 662 Zuchowski, Sara E, MD...... 586, 682 Montgomery, Kelly, MA ...... 671, 672 Plas, Jeffrey C, MD...... 628 MULTI-SYSTEMIC THERAPY (MST) Norman, Michele M, RN ...... 614 Plott, Lauren A, MS...... 605 (E166) Northern Ohio Recovery Association..868 Pope, Stephanie M, MD...... 581, 582 Applewood Center Inc 859, 864, 865, 871 Ohioguidestone ...856, 862, 868, 869, 873 Portage Path Community Mental Health Catholic Charities Corporation856, 859, Portage Path Community Mental Health Cen ...... 873, 874 Cen ...... 873, 874 Pozuelo, Leopoldo J, MD ...... 629 866, 872 Coleman Professional Services...... 856 Rakesh Ranjan Md And Assoc862, 870, Psych And Psych Services629, 663, 679, Lemoine, Kara R, MS ...... 601 874 694 Rozel, Kent, PHD ...... 588 Recovery Resources...... 870 Raimey, Deirdre D, MA...... 570, 771 Signature Health...... 863 Redfern, Christina, MS ...... 551 Ranjan, Rakesh, MD...... 582, 629, 679 The Village Network...... 871 Reljin, Emily D, MS ...... 672 Rao, Kancherla S, MD...... 629 Stone, Julie M, MA...... 615 Ravenwood Mental Health Center857, 858 The Centers For Families And Children870 Ray, Michael, MD...... 582 MMOH.21.999.01.9.005

935

AreasAreas of Expertise Index of Expertise Index

The Village Network...... 871 Damis, Marina F, MD...... 553 Saravanan, Balaji, MD...... 630 Tricaso-Torrence, Joanna, MA ...... 672 Daugherty, Danielle, MSW...... 647 Schenkelberg, Richard, MD...... 582, 583 Ventura, Jessica, MA ...... 672 Domb, Jane A, MD ...... 576 Segraves, Robert T, MD ...... 679 Whitt, Tana, MSN...... 672 Eden, Diane H, MD ...... 576 Sharif, Bahman, MD...... 583 NURSING HOME VISITS (E168) Emmer, Robert N, MS ...... 689 Signature Health...... 863 Firelands Regional Medical Center .....867 Sinclair, Patricia, MA ...... 607 Abou Haidar, Said N, MD ...... 616 Forte Sullen, Kara, MS ...... 569, 613, 671 Solaro, Lori R, MD ...... 630 Adityanjee, A, MD...... 617 Frantz, Elizabeth, PSY...... 636 Speaker, Rae E, MS ...... 665 Ahmed, Mohammed M, MD ...... 573 Ghanem, Yassin I, MS...... 613 Spitzer, Ashley A, MS ...... 695 Andrews, Christine N, MS...... 685 Giesel, Jennifer M, MA ...... 587 Stevenson, Kelly A, MS ...... 609 Burzinski Gorfinkel, Amy N, MS...... 591 Gigliotti, Thomas V, MA...... 596 Stone, Julie M, MA...... 615 Cohen Seed, Dorit A, MS ...... 593, 594 Gottlob, Louise, MA...... 597 The Village Network...... 871 Coleman Professional Services...... 856 Grippi, Patricia A, NP...... 569, 573 Tricaso-Torrence, Joanna, MA ...... 672 Compton, Zev W, MS...... 594 Guidestone A ...... 651 Wilkins, Alicia V, MA...... 702 Damis, Marina F, MD...... 553 Harris, Elizabeth M, PHD...... 559 Wilkins, Margaret A, MS...... 702 Fitzgerald, Antonia L, MD...... 677 Hassinger, Hilary J, MD ...... 682, 683 Woodland Centers Inc...... 871 Ford, Ramone, PHD...... 682 Heidemann, Melissa M, MA...... 598 Wyckoff, Neeti J, MD...... 586 Forte Sullen, Kara, MS ...... 569, 613, 671 Hoffman, Jacquelynn, NP...... 671 Yezzi Shareef, Ann Marie, PHD...... 637 Fritz, Colleen M, MS ...... 690 Ibrahim, Rim S, MD ...... 623 Zuchowski, Sara E, MD...... 586, 682 Houghton, Blythe, CSW ...... 690 Imfeld, Samantha M, MD ...... 577 OUTPATIENT Mayne, Susan L, MS...... 785, 787 Kaufman, Megan, MA ...... 691 Mohan, Amit, MD...... 624 ELECTRO-CONVULSIVE THERAPY Krause, Robin V, MA ...... 570 (SP65) Montgomery, Kelly, MA ...... 671, 672 Lederer, Joan A, MD ...... 624 Nockowitz, Richard A, MD...... 625 Lemoine, Kara R, MS ...... 601 Summa Health System...... 837 Rozel, Kent, PHD ...... 588 Magiera, Michael D, MD...... 579 PAIN MANAGEMENT (E180) Schaffer, Mary, PHD ...... 588 Marocco, Irene, MA...... 602 Ahmed, Samina, LPC ...... 682 Sharif, Bahman, MD...... 583 Metrohealth Professional Group. 580, 677 Sipple, Beth A, MS ...... 608 Andrews, Christine N, MS...... 685 Mohan, Amit, MD...... 624 Ashai, Ayesha, MD...... 552 Steiner, Eric M, MS ...... 696 Nockowitz, Richard A, MD...... 625 Stone, Julie M, MA...... 615 Bofah, Isaac O, MA ...... 613 Noffsinger, Stephen, MD...... 554, 625 Brown, Mark C, PHD ...... 559 White, Patrick, PHD ...... 684 Nord Center...... 862, 867, 868, 873 Yezzi Shareef, Ann Marie, PHD...... 637 Bulucea, Tina W, MA...... 591 Ohio Mentor...... 628, 662 Burns, Laura C, PHD...... 587 OBSESSIVE COMPULSIVE Okon, Roseline E, MD...... 580, 581 Compton, Zev W, MS...... 594 DISORDER (OCD) (E170) Onwuka Smarty, Sylvester I, MD...... 581 Cunningham, Kelly E, MS...... 689 Abou Haidar, Said N, MD ...... 616 Pacer, Kyra M, MA...... 671, 673 Eden, Diane H, MD ...... 576 Adamo, John J, MSN...... 569, 670 Patel, Achala A, MD...... 628 Giesel, Jennifer M, MA ...... 587 Almhana, Diab M, MD ...... 617 Pathway Caring For Children ...... 857 Goldman, Sara G, MD ...... 553 Applewood Center Inc859, 864, 865, 866, Pathways Counseling And Growth Center Grippi, Patricia A, NP...... 569, 573 871 869, 870 Hassinger, Hilary J, MD ...... 682, 683 Austerman, Joseph M, DO...... 618 Patwa, Premal, MD...... 581 Herbert, Linda A, MS ...... 562 Baker, Gary, MS ...... 590 Persaud, Beena, PSY...... 684 Noffsinger, Stephen, MD...... 554, 625 Beech Brook...... 634, 635, 639, 640 Plott, Lauren A, MS...... 605 Pathways Counseling And Growth Center Belcher, Wendelyn L, MS ...... 612 Portage Path Community Mental Health 869, 870 Benjamin, Michele L, MS...... 785 Cen ...... 873, 874 Primc, Michael J, MD...... 582 Bergman, Alf H, MD ...... 574 Psych And Psych Services629, 663, 679, Reljin, Emily D, MS ...... 672 Bielefeld, Marie G, PHD ...... 635 694 Rozel, Kent, PHD ...... 588 Blackwell, Samantha, MS...... 641 Rakesh Ranjan Md And Assoc862, 870, Signature Health...... 863 Brown, Mark C, PHD ...... 559 874 Thompson, Stephanie M, MS ...... 699 Burzinski Gorfinkel, Amy N, MS...... 591 Rao, Kancherla S, MD...... 629 Yezzi Shareef, Ann Marie, PHD...... 637 Christian, Lorraine M, MD ...... 619 Ravenwood Mental Health Center857, 858 Zavarella, Rosanna O, PHD...... 589 Ray, Michael, MD...... 582 Community Assessment And Treatment PAIN MANAGEMENT (E235) Servi ...... 676, 688 Recovery Resources...... 870 Copeland, Philip R, MS ...... 646 Redfern, Christina, MS ...... 551 Adityanjee, A, MD...... 617 Corpus, Peter A, MD ...... 576 Rochford, Megan, MS...... 606 Baker, Gary, MS ...... 590 Crossroads Lake County Adolescent856, Rock, Joseph W, PHD ...... 588 Blackwell, Samantha, MS...... 641 859, 860, 866 Rodio, James R, MD...... 554, 555 Brown, Mark C, PHD ...... 559 Cunningham, Kelly E, MS...... 689 Row, Jenny R, MS ...... 606 Bulucea, Tina W, MA...... 591 Santantonio, Diana S, PHD...... 636 Compton, Zev W, MS...... 594 MMOH.21.999.01.9.005

936

Areas of Expertise Index Areas of Expertise Index

Cunningham, Kelly E, MS...... 689 Applewood Center Inc859, 864, 865, 866, Portage Path Community Mental Health Damis, Marina F, MD...... 553 871 Cen ...... 873, 874 Eden, Diane H, MD ...... 576 Belcher, Wendelyn L, MS ...... 612 Primc, Michael J, MD...... 582 Firelands Regional Medical Center .....867 Blackwell, Samantha, MS...... 641 Psych And Psych Services629, 663, 679, Ghanem, Yassin I, MS...... 613 Brar, Ravinder K, MD ...... 674 694 Guidestone A ...... 651 Bulucea, Tina W, MA...... 591 Rakesh Ranjan Md And Assoc862, 870, Harris, Elizabeth M, PHD...... 559 Campbell, Kathleen M, MS ...... 642 874 Hassinger, Hilary J, MD ...... 683 Christian, Lorraine M, MD ...... 619 Ravenwood Mental Health Center857, 858 Huffman, Jessica L, MA ...... 35, 551 Community Assessment And Treatment Recovery Resources...... 870 Ibrahim, Rim S, MD ...... 623 Servi ...... 676, 688 Redfern, Christina, MS ...... 551 Ievers-Landis, Carolyn E, PHD .. 587, 683 Compton, Zev W, MS...... 594 Reljin, Emily D, MS ...... 672 Mental Health Services For Homeless Pers Copeland, Philip R, MS ...... 646 Rochford, Megan, MS...... 606 861, 867 Corpus, Peter A, MD ...... 576 Row, Jenny R, MS ...... 606 Mohan, Amit, MD...... 624 Cunningham, Kelly E, MS...... 689 Rozel, Kent, PHD ...... 588 Nockowitz, Richard A, MD...... 625 Damis, Marina F, MD...... 553 Russell, Susan M, MS...... 695 Noffsinger, Stephen, MD...... 554, 625 Domb, Jane A, MD ...... 576 Santantonio, Diana S, PHD...... 636 Norris, Joan, MSW ...... 661 Firelands Regional Medical Center .....867 Saravanan, Balaji, MD...... 630 Ohioguidestone ...856, 862, 868, 869, 873 Forte Sullen, Kara, MS ...... 569, 613, 671 Segraves, Robert T, MD ...... 679 Onwuka Smarty, Sylvester I, MD...... 581 Frantz, Elizabeth, PSY...... 636 Sharif, Bahman, MD...... 583 Patwa, Premal, MD...... 581 Ghanem, Yassin I, MS...... 613 Signature Health...... 863 Portage Path Community Mental Health Giesel, Jennifer M, MA ...... 587 Sinclair, Patricia, MA ...... 607 Cen ...... 873, 874 Gigliotti, Thomas V, MA...... 596 Sipple, Beth A, MS ...... 608 Ravenwood Mental Health Center857, 858 Goldman, Sara G, MD ...... 553 Spitzer, Ashley A, MS ...... 695 Redfern, Christina, MS ...... 551 Green, Karen S, MS....562, 597, 650, 690 Stella Maris Inc...... 870 Rozel, Kent, PHD ...... 588 Grippi, Patricia A, NP...... 569, 573 Stevenson, Kelly A, MS ...... 609 Saravanan, Balaji, MD...... 630 Guidestone A ...... 651 Stone, Julie M, MA...... 615 Sharif, Bahman, MD...... 583 Hain, Jamie M, MS ...... 570 The Village Network...... 871 Signature Health...... 863 Heidemann, Melissa M, MA...... 598 Tricaso-Torrence, Joanna, MA ...... 672 Sinclair, Patricia, MA ...... 607, 608 Hoffart, Marie, CSW...... 690 Warholici, Kristin H, MA ...... 615 Stone, Julie M, MA...... 615 Hoffman, Jacquelynn, NP...... 671 Wilkins, Alicia V, MA...... 702 Tricaso-Torrence, Joanna, MA ...... 672 Ibrahim, Rim S, MD ...... 623 Woodland Centers Inc...... 871 Yezzi Shareef, Ann Marie, PHD...... 637 Imfeld, Samantha M, MD ...... 577 PERSONALIZED RECOVERY Zavarella, Rosanna O, PHD...... 589 Jones, Jeffrey S, MS...... 614 ORIENTED SERVICES (PROS) (E186) PARTIAL INPATIENT CARE (E399) Kaufman, Megan, MA ...... 691 Krause, Robin V, MA ...... 570 Andrews, Christine N, MS...... 685 Ravenwood Mental Health Center857, 858 Lederer, Joan A, MD ...... 624 Applewood Center Inc859, 864, 865, 866, PEER BRIDGER/SUPPORT Lemoine, Kara R, MS ...... 601 871 SERVICES (A066) Lorain County Alc Drug Abs Svcs655, Blackwell, Samantha, MS...... 641 Community Assessment And Treatment Catholic Charities Corporation ...... 872 656, 692 Marocco, Irene, MA...... 602 Servi ...... 676, 688 Ravenwood Mental Health Center857, 858 Lorain County Alc Drug Abs Svcs655, Recovery Resources...... 870 Mericle, Megan M, PSY ...... 636 656, 692 Thrive Behavioral Health Center Inc858, Migra, Mary M, MS...... 660 Oneeighty Inc...... 873 871 Mistur, Joan E, MS ...... 660 Mitchell, Robert A, MS564, 603, 660, 693 Ravenwood Mental Health Center857, 858 PEER SUPPORT PROGRAMS (E295) Mohan, Amit, MD...... 624 Signature Health...... 863 Catholic Charities Corporation ...... 872 Nockowitz, Richard A, MD...... 625 PERVASIVE DEVELOPMENT Nord Center...... 862, 867, 868, 873 Noffsinger, Stephen, MD...... 554, 625 DISORDER (A062) Nord Center...... 862, 867, 868, 873 Ravenwood Mental Health Center857, 858 The Village Network...... 871 Recovery Resources...... 870 Ohio Mentor...... 628, 662 PHOBIAS (E190) PERSONALITY DISORDERS (E185) Okon, Roseline E, MD...... 580, 581 Oneeighty Inc...... 873 A Renewed Mind ...... 589 A Renewed Mind ...... 589 Patel, Achala A, MD...... 628 Abou Haidar, Said N, MD ...... 616 Abou Haidar, Said N, MD ...... 616 Pathways Counseling And Growth Center Ahmed, Samina, LPC ...... 682 Adityanjee, A, MD...... 617 869, 870 Almhana, Diab M, MD ...... 617 Afsarifard, Farshid, PHD ...... 586 Patwa, Premal, MD...... 581 Applewood Center Inc859, 864, 865, 866, Ahmed, Samina, LPC ...... 682 Persaud, Beena, PSY...... 684 871 Akkireddi, Padmalatha, MD ...... 617 Plott, Lauren A, MS...... 605 Ashai, Ayesha, MD...... 552 Austerman, Joseph M, DO...... 618 MMOH.21.999.01.9.005

937

AreasAreas of Expertise Index of Expertise Index

Baker, Gary, MS ...... 590 Stone, Julie M, MA...... 615 Herbert, Linda A, MS ...... 562 Beech Brook...... 634, 635, 639, 640 Teitelbaum, Mary A, PHD...... 637 Hoffart, Marie, CSW...... 690 Blackwell, Samantha, MS...... 641 The Village Network...... 871 Ibrahim, Rim S, MD ...... 623 Bofah, Isaac O, MA ...... 613 Woodland Centers Inc...... 871 Lederer, Joan A, MD ...... 624 Brown, Mark C, PHD ...... 559 Yezzi Shareef, Ann Marie, PHD...... 637 Lemoine, Kara R, MS ...... 601 Bulucea, Tina W, MA...... 591 PHYSICAL & MENTAL Mericle, Megan M, PSY ...... 636 Christian, Lorraine M, MD ...... 619 DISABILITIES (E373) Mitchell, Robert A, MS564, 603, 660, 693 Compton, Zev W, MS...... 594 Mohan, Amit, MD...... 624 Copeland, Philip R, MS ...... 646 Applewood Center Inc859, 864, 865, 866, Noffsinger, Stephen, MD...... 554, 625 Corpus, Peter A, MD ...... 576 871 Okon, Roseline E, MD...... 580, 581, 628 Crossroads Lake County Adolescent856, Blackwell, Samantha, MS...... 641 Oneeighty Inc...... 873 859, 860, 866 Harris, Elizabeth M, PHD...... 559 Portage Path Community Mental Health Cunningham, Kelly E, MS...... 689 Hoffman, Jacquelynn, NP...... 671 Cen ...... 873, 874 Damis, Marina F, MD...... 553 Imfeld, Samantha M, MD ...... 577 Rakesh Ranjan Md And Assoc862, 870, Eden, Diane H, MD ...... 576 Lynch, Holly, MS ...... 656 874 Emerson, Phillip H, MS...... 648 Noffsinger, Stephen, MD...... 554, 625 Ravenwood Mental Health Center857, 858 Firelands Regional Medical Center .....867 Onwuka Smarty, Sylvester I, MD...... 581 Recovery Resources...... 870 Frantz, Elizabeth, PSY...... 636 Teitelbaum, Mary A, PHD...... 637 Redfern, Christina, MS ...... 551 Goldman, Sara G, MD ...... 553 Tricaso-Torrence, Joanna, MA ...... 672 Rochford, Megan, MS...... 606 Gottlob, Louise, MA...... 597 Yezzi Shareef, Ann Marie, PHD...... 637 Row, Jenny R, MS ...... 606 Guidestone A ...... 651 PHYSICAL DISABILITIES (E376) Santantonio, Diana S, PHD...... 636 Hain, Jamie M, MS ...... 570 Ahmed, Samina, LPC ...... 682 Signature Health...... 862, 863 Harris, Elizabeth M, PHD...... 559 Copeland, Philip R, MS ...... 646 Sinclair, Patricia, MA ...... 607 Hassinger, Hilary J, MD ...... 682, 683 Guidestone A ...... 651 Stevenson, Kelly A, MS ...... 609 Heidemann, Melissa M, MA...... 598 Lemoine, Kara R, MS ...... 601 Stone, Julie M, MA...... 615 Ibrahim, Rim S, MD ...... 623 Noffsinger, Stephen, MD...... 554, 625 Tricaso-Torrence, Joanna, MA ...... 672 Ievers-Landis, Carolyn E, PHD .. 587, 683 Ohioguidestone ...856, 862, 868, 869, 873 Woodland Centers Inc...... 871 Lederer, Joan A, MD ...... 624 Rozel, Kent, PHD ...... 588 Zavarella, Rosanna O, PHD...... 589 Lemoine, Kara R, MS ...... 601 Yezzi Shareef, Ann Marie, PHD...... 637 POST TRAUMATIC STRESS Lynch, Holly, MS ...... 656 DISORDER (PTSD) (E200) Marocco, Irene, MA...... 602 PHYSICAL DISABILITIES (PDB) Metrohealth Professional Group. 580, 677 Greenspan, Gary A, MD ...... 31 A Renewed Mind ...... 589 Mistur, Joan E, MS ...... 660 Sanyurah, Saad A, MD ...... 482, 483 Abou Haidar, Said N, MD ...... 616 Nockowitz, Richard A, MD...... 625 Sharma-Sahni, Priyanka, MD ...... 200 Adamo, John J, MSN...... 569, 670 Noffsinger, Stephen, MD...... 554, 625 Weiner, Scott D, MD ...... 522 Adityanjee, A, MD...... 617 Ahmed, Samina, LPC ...... 682 Nord Center...... 862, 867, 868, 873 POST TRAUMATIC STRESS Akkireddi, Padmalatha, MD ...... 617 Patel, Achala A, MD...... 628 DISORDER (PTSD) (E085) Pathways Counseling And Growth Center Almhana, Diab M, MD ...... 617 869, 870 Adityanjee, A, MD...... 617 Andrews, Christine N, MS...... 685 Patwa, Premal, MD...... 581 Applewood Center Inc 859, 864, 865, 871 Applewood Center Inc859, 864, 865, 866, Portage Path Community Mental Health Austerman, Joseph M, DO...... 618 871 Cen ...... 873, 874 Beech Brook...... 634, 635, 639, 640 Ashai, Ayesha, MD...... 552 Blackwell, Samantha, MS...... 641 Psych And Psych Services629, 663, 679, Austerman, Joseph M, DO...... 618 Bulucea, Tina W, MA...... 591 694 Baker, Gary, MS ...... 590 Coleman Professional Services...... 856 Rao, Kancherla S, MD...... 629 Beech Brook...... 634, 635, 639, 640 Copeland, Philip R, MS ...... 646 Ravenwood Mental Health Center857, 858 Bielefeld, Marie G, PHD ...... 635 Cunningham, Kelly E, MS...... 689 Recovery Resources...... 870 Blackwell, Samantha, MS...... 641 Damis, Marina F, MD...... 553 Redfern, Christina, MS ...... 551 Bofah, Isaac O, MA ...... 613 Eden, Diane H, MD ...... 576 Rock, Joseph W, PHD ...... 588 Brar, Ravinder K, MD ...... 674 Firelands Regional Medical Center .....867 Row, Jenny R, MS ...... 606 Brown, Mark C, PHD ...... 559 Gigliotti, Thomas V, MA...... 596 Santantonio, Diana S, PHD...... 636 Bulucea, Tina W, MA...... 591 Gottlob, Louise, MA...... 597 Saravanan, Balaji, MD...... 630 Burns, Laura C, PHD...... 587 Green, Karen S, MS....562, 597, 650, 690 Savon, Summer P, MD ...... 582 Campbell, Kathleen M, MS ...... 642 Grippi, Patricia A, NP...... 569, 573 Sharif, Bahman, MD...... 583 Christian, Lorraine M, MD ...... 619 Guidestone A ...... 651 Signature Health...... 863 Community Assessment And Treatment Hain, Jamie M, MS ...... 570 Sinclair, Patricia, MA ...... 607 Servi ...... 676, 688 Hamilton, William F, MS ...... 651 Solaro, Lori R, MD ...... 630 Copeland, Philip R, MS ...... 646 Heidemann, Melissa M, MA...... 598 Stevenson, Kelly A, MS ...... 609 Corpus, Peter A, MD ...... 576 MMOH.21.999.01.9.005

938

Areas of Expertise Index Areas of Expertise Index

Crossroads Lake County Adolescent856, Pietz, Ellen H, MS ...... 662 Crossroads Lake County Adolescent856, 859, 860, 866 Pope, Stephanie M, MD...... 581, 582 859, 860, 866 Cunningham, Kelly E, MS...... 689 Portage Path Community Mental Health Eltrich, Pamela P, MS...... 648 Damis, Marina F, MD...... 553 Cen ...... 873, 874 Gottlob, Louise, MA...... 597 Distefano, Nancy, MS...... 595 Primc, Michael J, MD...... 582 Guidestone A ...... 651 Domb, Jane A, MD ...... 576 Psych And Psych Services629, 663, 679, Hain, Jamie M, MS ...... 570 Drake, Lauren, MA...... 648 694 Ibrahim, Rim S, MD ...... 623 Eden, Diane H, MD ...... 576 Rair Krug, Susan J, MA...... 695 Ievers-Landis, Carolyn E, PHD .. 587, 683 Emerson, Phillip H, MS...... 648 Rakesh Ranjan Md And Assoc862, 870, Imfeld, Samantha M, MD ...... 577 Esty, Debora, PHD...... 682 874 Mental Health Services For Homeless Pers Firelands Regional Medical Center .....867 Rao, Kancherla S, MD...... 629 861, 867 Fitzgerald, Antonia L, MD...... 677 Ravenwood Mental Health Center857, 858 Metrohealth Professional Group. 580, 677 Frantz, Elizabeth, PSY...... 636 Ray, Michael, MD...... 582 Mongenel, Jennifer, MS...... 603, 604 Ghanem, Yassin I, MS...... 613 Recovery Resources...... 870 Ohioguidestone ...856, 862, 868, 869, 873 Giesel, Jennifer M, MA ...... 587 Redfern, Christina, MS ...... 551 Oneeighty Inc...... 873 Gigliotti, Thomas V, MA...... 596 Ridge, Shari N, PHD...... 588 Onwuka Smarty, Sylvester I, MD...... 581 Golden, Catherine, PHD ...... 559 Rochford, Megan, MS...... 606 Pathway Caring For Children ...... 857 Goldman, Sara G, MD ...... 553 Rock, Joseph W, PHD ...... 588 Pathways Counseling And Growth Center Gottlob, Louise, MA...... 597 Rodio, James R, MD...... 554, 555 869, 870 Green, Karen S, MS....562, 597, 650, 690 Row, Jenny R, MS ...... 606 Pope, Stephanie M, MD...... 581, 582 Grippi, Patricia A, NP...... 569, 573 Royak, Boris, MD...... 629 Rakesh Ranjan Md And Assoc862, 870, Guidestone A ...... 651 Rozel, Kent, PHD ...... 588 874 Hamilton, William F, MS ...... 651 Sanford Russo, Janice, MS ...... 664 Ravenwood Mental Health Center857, 858 Harris, Elizabeth M, PHD...... 559 Santantonio, Diana S, PHD...... 636 Stansbrey, Robert J, MD...... 556 Hassinger, Hilary J, MD ...... 683 Saravanan, Balaji, MD...... 630 Teitelbaum, Mary A, PHD...... 637 Heidemann, Melissa M, MA...... 598 Savon, Summer P, MD ...... 582 The Village Network...... 871 Herbert, Linda A, MS ...... 562 Segraves, Robert T, MD ...... 679 Woodland Centers Inc...... 871 Hofelich, Barbara G, MS ...... 652 Sharif, Bahman, MD...... 583 Zimmerman, Tina M, MS ...... 670 Hoffart, Marie, CSW...... 690 Signature Health...... 863 PRESCHOOL PTSD TREATMENT Ibrahim, Rim S, MD ...... 623 Sinclair, Patricia, MA ...... 607 (A112) Ievers-Landis, Carolyn E, PHD .. 587, 683 Sipple, Beth A, MS ...... 608 Imfeld, Samantha M, MD ...... 577 Solaro, Lori R, MD ...... 630 Mohan, Amit, MD...... 624 Kaufman, Megan, MA ...... 691 Speaker, Rae E, MS ...... 665 PROLONGED EXPOSURE (TRAUMA Krause, Robin V, MA ...... 570 Spitzer, Ashley A, MS ...... 695 SPECIFIC) (A107) Lazar, Catherine L, MS...... 600 Stella Maris Inc...... 870 Yezzi Shareef, Ann Marie, PHD...... 637 Lederer, Joan A, MD ...... 624 Stevenson, Kelly A, MS ...... 609 Lemoine, Kara R, MS ...... 601 Stone, Julie M, MA...... 615 PSYCHOLOGICAL EVALUATIONS Lorain County Alc Drug Abs Svcs655, Teitelbaum, Mary A, PHD...... 637 FOR BARIATRIC/GASTRIC 656, 692 The Village Network...... 871 SURGERY (E030) Magiera, Michael D, MD...... 579 Thompson, Stephanie M, MS ...... 699 Ahmed, Samina, LPC ...... 682 Marocco, Irene, MA...... 602 Thrive Behavioral Health Center Inc858, Burns, Laura C, PHD...... 587 Massey, Sara R, MS...... 657 871 Copeland, Philip R, MS ...... 646 Metrohealth Professional Group. 580, 677 Tucker, Karen V, MSW...... 609 Hassinger, Hilary J, MD ...... 682, 683 Mistur, Joan E, MS ...... 660 Warholici, Kristin H, MA ...... 615 Ibrahim, Rim S, MD ...... 623 Mitchell, Robert A, MS564, 603, 660, 693 Wilkins, Margaret A, MS...... 702 Marocco, Irene, MA...... 602 Mohan, Amit, MD...... 624 Woodland Centers Inc...... 871 Metrohealth Professional Group. 580, 677 Mongenel, Jennifer, MS...... 603, 604 Wyckoff, Neeti J, MD...... 586 Moeller, Jessica M, PHD ...... 683 Nockowitz, Richard A, MD...... 625 Yezzi Shareef, Ann Marie, PHD...... 637 Mohan, Amit, MD...... 624 Noffsinger, Stephen, MD...... 554, 625 Zavarella, Rosanna O, PHD...... 589 Onwuka Smarty, Sylvester I, MD...... 581 Norris, Joan, MSW ...... 661 Zimmerman, Tina M, MS ...... 670 Pathways Counseling And Growth Center Onwuka Smarty, Sylvester I, MD...... 581 Zuchowski, Sara E, MD...... 586, 682 869, 870 Pacer, Kyra M, MA...... 671, 673 PRESCHOOL AGE CARE (0-5 Rakesh Ranjan Md And Assoc862, 870, Patel, Achala A, MD...... 628 YEARS) (A070) 874 Pathway Caring For Children ...... 857 Applewood Center Inc 859, 864, 865, 871 Rozel, Kent, PHD ...... 588 Pathways Counseling And Growth Center Santantonio, Diana S, PHD...... 636 869, 870 Brown, Mark C, PHD ...... 559 Catholic Charities Corporation ...... 872 Stone, Julie M, MA...... 615 Patwa, Premal, MD...... 581 Woodland Centers Inc...... 871 Persaud, Beena, PSY...... 684 Corpus, Peter A, MD ...... 576 MMOH.21.999.01.9.005

939

AreasAreas of Expertise Index of Expertise Index

Yezzi Shareef, Ann Marie, PHD...... 637 A Renewed Mind ...... 589 Portage Path Community Mental Health PSYCHOLOGICAL TESTING (E205) Adamo, John J, MSN...... 569, 670 Cen ...... 873, 874 Adityanjee, A, MD...... 617 Primc, Michael J, MD...... 582 Afsarifard, Farshid, PHD ...... 586 Almhana, Diab M, MD ...... 617 Rakesh Ranjan Md And Assoc862, 870, Ahmed, Samina, LPC ...... 682 Andrews, Christine N, MS...... 685 874 Applewood Center Inc859, 864, 865, 866, Applewood Center Inc859, 864, 865, 866, Rao, Kancherla S, MD...... 629 871 871 Ravenwood Mental Health Center857, 858 Baker, Gary, MS ...... 590 Austerman, Joseph M, DO...... 618 Ray, Michael, MD...... 582 Brown, Mark C, PHD ...... 559 Beech Brook...... 634, 635, 639, 640 Recovery Resources...... 870 Burns, Laura C, PHD...... 587 Benjamin, Michele L, MS...... 785 Redfern, Christina, MS ...... 551 Damis, Marina F, MD...... 553 Blackwell, Samantha, MS...... 641 Reljin, Emily D, MS ...... 672 Firelands Regional Medical Center .....867 Brar, Ravinder K, MD ...... 674 Rochford, Megan, MS...... 606 Ghanem, Yassin I, MS...... 613 Bulucea, Tina W, MA...... 591 Rodio, James R, MD...... 554, 555 Golden, Catherine, PHD ...... 559 Cohen Seed, Dorit A, MS ...... 593, 594 Row, Jenny R, MS ...... 606 Goldman, Sara G, MD ...... 553 Community Assessment And Treatment Royak, Boris, MD...... 629 Guidestone A ...... 651 Servi ...... 676, 688 Saravanan, Balaji, MD...... 630 Hassinger, Hilary J, MD ...... 683 Compton, Zev W, MS...... 594 Savon, Summer P, MD ...... 582 Hoffman, Jacquelynn, NP...... 671 Corpus, Peter A, MD ...... 576 Schenkelberg, Richard, MD...... 582, 583 Huffman, Jessica L, MA ...... 35, 551 Costantini, Nadine R, MA ...... 647 Sharif, Bahman, MD...... 583 Ievers-Landis, Carolyn E, PHD .. 587, 683 Crossroads Lake County Adolescent856, Signature Health...... 863 Lynch, Holly, MS ...... 656 859, 860, 866 Sinclair, Patricia, MA ...... 607 Moeller, Jessica M, PHD ...... 683 Damis, Marina F, MD...... 553 Sipple, Beth A, MS ...... 608 Portage Path Community Mental Health Domb, Jane A, MD ...... 576 Speaker, Rae E, MS ...... 665 Cen ...... 873, 874 Eden, Diane H, MD ...... 576 Stevenson, Kelly A, MS ...... 609 Psych And Psych Services629, 663, 679, Firelands Regional Medical Center .....867 Stone, Julie M, MA...... 615 694 Forte Sullen, Kara, MS ...... 569, 613, 671 The Village Network...... 871 Rakesh Ranjan Md And Assoc862, 870, Ghanem, Yassin I, MS...... 613 Tricaso-Torrence, Joanna, MA ...... 672 874 Golden, Catherine, PHD ...... 559 Warholici, Kristin H, MA ...... 615 Ravenwood Mental Health Center857, 858 Green, Karen S, MS....562, 597, 650, 690 Woodland Centers Inc...... 871 Redfern, Christina, MS ...... 551 Grippi, Patricia A, NP...... 569, 573 Zuchowski, Sara E, MD...... 586, 682 Ridge, Shari N, PHD...... 588 Guidestone A ...... 651 SERIOUS MENTAL ILLNESS (E377) Rozel, Kent, PHD ...... 588 Hain, Jamie M, MS ...... 570 Santantonio, Diana S, PHD...... 636 Harris, Elizabeth M, PHD...... 559 Adityanjee, A, MD...... 617 Schaffer, Mary, PHD ...... 588 Hoffart, Marie, CSW...... 690 Austerman, Joseph M, DO...... 618 Sharif, Bahman, MD...... 583 Hoffman, Jacquelynn, NP...... 671 Beech Brook...... 634, 635, 640 Signature Health...... 863 Huffman, Jessica L, MA ...... 35, 551 Blackwell, Samantha, MS...... 641 Sims, Danielle, PHD...... 684 Ibrahim, Rim S, MD ...... 623 Bofah, Isaac O, MA ...... 613 Stone, Julie M, MA...... 615 Imfeld, Samantha M, MD ...... 577 Brocco Kish, Karen J, MD...... 674 Teitelbaum, Mary A, PHD...... 637 Jones, Jeffrey S, MS...... 614 Community Assessment And Treatment The Village Network...... 871 Krause, Robin V, MA ...... 570 Servi ...... 676, 688 Tricaso-Torrence, Joanna, MA ...... 672 Lazar, Catherine L, MS...... 600 Costantini, Nadine R, MA ...... 647 Woodland Centers Inc...... 871 Lederer, Joan A, MD ...... 624 Damis, Marina F, MD...... 553 Yezzi Shareef, Ann Marie, PHD...... 637 Magiera, Michael D, MD...... 579 Firelands Regional Medical Center .....867 PSYCHOSOCIAL REHABILITATION Marocco, Irene, MA...... 602 Forte Sullen, Kara, MS ...... 569, 613, 671 (E325) Mayne, Susan L, MS...... 785, 787 Ghanem, Yassin I, MS...... 613 Messerly, Margaret M, MD ...... 624 Green, Karen S, MS....562, 597, 650, 690 Applewood Center Inc859, 864, 865, 866, Guidestone A ...... 651 871 Metrohealth Professional Group. 580, 677 Mitchell, Robert A, MS564, 603, 660, 693 Harris, Elizabeth M, PHD...... 559 Beech Brook...... 634, 635, 640 Heidemann, Melissa M, MA...... 598 Blackwell, Samantha, MS...... 641 Mohan, Amit, MD...... 624 Nockowitz, Richard A, MD...... 625 Henderson, Lashelle S, MS...... 570 Coleman Professional Services...... 856 Hoffman, Jacquelynn, NP...... 671 Ohioguidestone ...856, 862, 868, 869, 873 Noffsinger, Stephen, MD...... 554, 625 Nord Center...... 862, 867, 868, 873 Imfeld, Samantha M, MD ...... 577 RESPITE CARE (E212) Ohio Mentor...... 628, 662 Jones, Jeffrey S, MS...... 614 Lazar, Catherine L, MS...... 600 Beech Brook...... 634, 635, 639, 640 Okon, Roseline E, MD...... 580, 581 Mohan, Amit, MD...... 624 Blackwell, Samantha, MS...... 641 Onwuka Smarty, Sylvester I, MD...... 581 Guidestone A ...... 651 Patwa, Premal, MD...... 581 Noffsinger, Stephen, MD...... 554, 625 Persaud, Beena, PSY...... 684 Okon, Roseline E, MD...... 580, 581, 628 SCHIZOPHRENIA (E210) Onwuka Smarty, Sylvester I, MD...... 581 MMOH.21.999.01.9.005

940

Areas of Expertise Index Areas of Expertise Index

Pope, Stephanie M, MD...... 581, 582 Okon, Roseline E, MD...... 580, 581, 628 Signature Health...... 863 Redfern, Christina, MS ...... 551 Patwa, Premal, MD...... 581 Thrive Behavioral Health Center Inc858, Thrive Behavioral Health Center Inc858, Portage Path Community Mental Health 871 871 Cen ...... 873, 874 SUBSTANCE USE DISORDER (A021) Tricaso-Torrence, Joanna, MA ...... 672 Redfern, Christina, MS ...... 551 A Renewed Mind ...... 589 SERIOUS MENTAL ILLNESS (SMI) Santantonio, Diana S, PHD...... 636 Sharif, Bahman, MD...... 583 Afsarifard, Farshid, PHD ...... 586 Jayber, Mohammed A, DO ...... 126 Signature Health...... 863 Alliant Treatment Center LLC.... 859, 864 Weiner, Scott D, MD ...... 522 Sinclair, Patricia, MA ...... 607 Brown, Cynthia L, MD ...... 619, 674 SEXUAL DYSFUNCTION (E225) Stevenson, Kelly A, MS ...... 609 Campbell, Kathleen M, MS ...... 642 Catholic Charities Corporation ...... 872 Blackwell, Samantha, MS...... 641 Stone, Julie M, MA...... 615 Tricaso-Torrence, Joanna, MA ...... 672 Community Assessment And Treatment Brown, Mark C, PHD ...... 559 Servi ...... 676, 688 Bulucea, Tina W, MA...... 591 SUBSTANCE ABUSE DISORDERS Crossroads Lake County Adolescent856, Burns, Laura C, PHD...... 587 (A074) 859, 860, 866 Coleman Professional Services...... 856 Catholic Charities Corporation ...... 872 Cunningham, Kelly E, MS...... 689 Copeland, Philip R, MS ...... 646 Esty, Debora, PHD...... 682 Cunningham, Kelly E, MS...... 689 SUBSTANCE ABUSE DISORDERS Fortaleza LLC ...... 867, 872 Damis, Marina F, MD...... 553 (A075) Giesel, Jennifer M, MA ...... 587 Eden, Diane H, MD ...... 576 Guidestone A ...... 651 Guidestone A ...... 651 Grippi, Patricia A, NP...... 569, 573 Nord Center...... 862, 867, 868, 873 Ibrahim, Rim S, MD ...... 623 Heidemann, Melissa M, MA...... 598 Ohioguidestone ...856, 862, 868, 869, 873 Lake Geauga Recovery Centers Inc554, Lederer, Joan A, MD ...... 624 SUBSTANCE ABUSE DISORDERS 563, 577, 578, 600 Lemoine, Kara R, MS ...... 601 (E177) Mistur, Joan E, MS ...... 660 Lorain County Alc Drug Abs Svcs655, Mohan, Amit, MD...... 624 Lorain County Alc Drug Abs Svcs655, 656, 692 Nockowitz, Richard A, MD...... 625 656, 692 Marocco, Irene, MA...... 602 Noffsinger, Stephen, MD...... 554, 625 Signature Health...... 863 Migra, Mary M, MS...... 660 Mistur, Joan E, MS ...... 660 Ohioguidestone ...856, 862, 868, 869, 873 SUBSTANCE ABUSE DISORDERS Portage Path Community Mental Health New Directions ...... 580, 604 (E280) Nockowitz, Richard A, MD...... 625 Cen ...... 873, 874 Lake Geauga Recovery Centers Inc554, Primc, Michael J, MD...... 582 Nord Center...... 862, 867, 868, 873 563, 577, 578, 600 Santantonio, Diana S, PHD...... 636 Norris, Joan, MSW ...... 661 Thrive Behavioral Health Center Inc858, Segraves, Robert T, MD ...... 679 Northern Ohio Recovery Association..868 Signature Health...... 863 871 Oneeighty Inc...... 873 Speaker, Rae E, MS ...... 665 SUBSTANCE ABUSE DISORDERS Parran, Theodore V, MD .... 313, 568, 581 (E281) Primc, Michael J, MD...... 582 SLEEP DISORDERS (E230) Rair Krug, Susan J, MA...... 695 Abou Haidar, Said N, MD ...... 616 A Renewed Mind ...... 589 Rakesh Ranjan Md And Assoc862, 870, Ahmed, Samina, LPC ...... 682 Alliant Treatment Center LLC.... 859, 864 874 Almhana, Diab M, MD ...... 617 Applewood Center Inc859, 864, 865, 866, Ray, Michael, MD...... 582 Ashai, Ayesha, MD...... 552 871 Recovery Resources...... 870 Blackwell, Samantha, MS...... 641 Beech Brook...... 634, 635, 640 Russell, Susan M, MS...... 695 Brown, Mark C, PHD ...... 559 Catholic Charities Corporation ...... 872 Stella Maris Inc...... 870 Burns, Laura C, PHD...... 587 Family Pride Of Northeast Ohio Inc....856 The Village Network...... 871 Coleman Professional Services...... 856 Firelands Regional Medical Center .....867 Thrive Behavioral Health Center Inc858, Copeland, Philip R, MS ...... 646 Fortaleza LLC ...... 867, 872 871 Cunningham, Kelly E, MS...... 689 Lake Geauga Recovery Centers Inc554, Woodland Centers Inc...... 871 563, 577, 578, 600 Damis, Marina F, MD...... 553 SUBSTANCE USE DISORDER (E285) Eden, Diane H, MD ...... 576 Laurelwood Associates Inc...... 861 Ghanem, Yassin I, MS...... 613 Lorain County Alc Drug Abs Svcs655, A Renewed Mind ...... 589 Ievers-Landis, Carolyn E, PHD .. 587, 683 656, 692 Adityanjee, A, MD...... 617 Lederer, Joan A, MD ...... 624 Metrohealth Professional Group. 580, 677 Alliant Treatment Center LLC.... 859, 864 Lynch, Holly, MS ...... 656 Northern Ohio Recovery Association..868 Applewood Center Inc859, 864, 865, 866, Moeller, Jessica M, PHD ...... 683 Oneeighty Inc...... 873 871 Mohan, Amit, MD...... 624 Rakesh Ranjan Md And Assoc862, 870, Ashai, Ayesha, MD...... 552 Nockowitz, Richard A, MD...... 625 874 Belcher, Wendelyn L, MS ...... 612 Noffsinger, Stephen, MD...... 554, 625 Ravenwood Mental Health Center857, 858 Blackwell, Samantha, MS...... 641 Ohioguidestone ...856, 862, 868, 869, 873 Recovery Resources...... 870 Burzinski Gorfinkel, Amy N, MS...... 591 MMOH.21.999.01.9.005

941

AreasAreas of Expertise Index of Expertise Index

Catholic Charities Corporation ...... 872 TARGETED CASE MANAGEMENT - Mohan, Amit, MD...... 624 Community Assessment And Treatment SERIOUS EMOTIONAL Royak, Boris, MD...... 629 Servi ...... 676, 688 DISTURBANCES (SED) (E330) Schenkelberg, Richard, MD...... 582 Copeland, Philip R, MS ...... 646 TRANSGENDER CARE (E240) Delong, Victoria Y, MD ...... 677 Ohioguidestone ...856, 862, 868, 869, 873 Demeter, Lisa A, MS ...... 595 TELEMENTAL HEALTH Applewood Center Inc859, 864, 865, 866, Firelands Regional Medical Center .....867 CAPABILITY (A101) 871 Ghanem, Yassin I, MS...... 613 Ashai, Ayesha, MD...... 552 Aussem, Kasandra M, MS ...... 639 Bulucea, Tina W, MA...... 591 Giesel, Jennifer M, MA ...... 587 Barker, Cheryl, PHD...... 634 Guidestone A ...... 651 Coleman Professional Services...... 856 Bofah, Isaac O, MA ...... 613 Community Assessment And Treatment Henderson, Lashelle S, MS...... 570 Brocco Kish, Karen J, MD...... 674 Huffman, Jessica L, MA ...... 35, 551 Servi ...... 676, 688 Costantini, Nadine R, MA ...... 647 Copeland, Philip R, MS ...... 646 Imfeld, Samantha M, MD ...... 577 Distefano, Nancy, MS...... 595 Lake Geauga Recovery Centers Inc554, Cunningham, Kelly E, MS...... 689 Emerson, Phillip H, MS...... 648 Damis, Marina F, MD...... 553 563, 577, 578, 600 Fitzgerald, Antonia L, MD...... 677 Lemoine, Kara R, MS ...... 601 Ghanem, Yassin I, MS...... 613 Gellner, Eve, MA...... 650 Golden, Catherine, PHD ...... 559 Lorain County Alc Drug Abs Svcs655, Gessler, Tonya M, MS...... 569 656, 692 Hain, Jamie M, MS ...... 570 Giesel, Jennifer M, MA ...... 587 Harris, Elizabeth M, PHD...... 559 Metrohealth Professional Group. 580, 677 Gigliotti, Thomas V, MA...... 596 Mohan, Amit, MD...... 624 Heidemann, Melissa M, MA...... 598 Gorjanc, Michael L, PHD ...... 576 Imfeld, Samantha M, MD ...... 577 Noffsinger, Stephen, MD...... 554, 625 Gotfryd, Esther B, MA...... 569, 768 Lederer, Joan A, MD ...... 624 Northern Ohio Recovery Association..868 Gottlob, Louise, MA...... 597 Lemoine, Kara R, MS ...... 601 Oneeighty Inc...... 873 Heidemann, Melissa M, MA...... 598 Marocco, Irene, MA...... 602 Psych And Psych Services629, 663, 679, Hofelich, Barbara G, MS ...... 652 Noffsinger, Stephen, MD...... 554, 625 694 Huffman, Jessica L, MA ...... 35, 551 Ohioguidestone ...856, 862, 868, 869, 873 Rair Krug, Susan J, MA...... 695 Kaufman, Megan, MA ...... 691 Pathways Counseling And Growth Center Ravenwood Mental Health Center857, 858 Kelly, Brittany J, MA ...... 653 Sanford Russo, Janice, MS ...... 664 869, 870 Lanham, Jaclyn A, NP ...... 614 Portage Path Community Mental Health Signature Health...... 863 Lazar, Catherine L, MS...... 600 Spitzer, Ashley A, MS ...... 695 Cen ...... 873, 874 Lemoine, Kara R, MS ...... 601 Psych And Psych Services629, 663, 679, Stone, Julie M, MA...... 615 Montgomery, Kelly, MA ...... 671, 672 694 Tricaso-Torrence, Joanna, MA ...... 672 Nockowitz, Richard A, MD...... 625 Ravenwood Mental Health Center857, 858 Norman, Michele M, RN ...... 614 SUPPORTS FOR SELF-DIRECTED Sinclair, Patricia, MA ...... 607, 608 Norris, Joan, MSW ...... 661 CARE (E370) Spitzer, Ashley A, MS ...... 695 Ohioguidestone ...856, 862, 868, 869, 873 Coleman Professional Services...... 856 Stone, Julie M, MA...... 615 Onwuka Smarty, Sylvester I, MD...... 581 Van Dyke, Cheryl M, MA ...... 701 TARGETED CASE MANAGEMENT Pietz, Ellen H, MS ...... 662 (E287) Pope, Stephanie M, MD...... 581, 582 TRANSITION AGE GROUP (16-21 Adamo, John J, MSN...... 569, 670 Rair Krug, Susan J, MA...... 695 YEARS) (A073) Alliant Treatment Center LLC.... 859, 864 Reidy, Tara, MA ...... 636 Catholic Charities Corporation ...... 872 Applewood Center Inc859, 864, 865, 866, Ridge, Shari N, PHD...... 588 Crossroads Lake County Adolescent856, 871 Rozel, Kent, PHD ...... 588 859, 860, 866 Baker, Jennifer L, CSW...... 590 Savon, Summer P, MD ...... 582 Laurelwood Associates Inc...... 861 Blackston Balogh, Amber N, CSW590, 591 Schaffer, Mary, PHD ...... 588 Metrohealth Professional Group. 580, 677 Blackwell, Samantha, MS...... 641 Shedron, Julie F, MS...... 665 Oneeighty Inc...... 873 Catholic Charities Corporation ...... 872 Sidlo, Virginia, MS...... 607 Pathway Caring For Children ...... 857 Coleman Professional Services...... 856 Sinclair, Patricia, MA ...... 607 Pathways Counseling And Growth Center Heidemann, Melissa M, MA...... 598 Smith, Angela, BA...... 608 869, 870 Mongenel, Jennifer, MS...... 603, 604 Solaro, Lori R, MD ...... 630 Portage Path Community Mental Health Oneeighty Inc...... 873 Speaker, Rae E, MS ...... 665 Cen ...... 873, 874 Pathway Caring For Children ...... 857 Tackett, Heather C, MA...... 699 Rakesh Ranjan Md And Assoc862, 870, Porter, Dan K, MSW...... 605 Turoczi, Timea F, MS...... 551, 571 874 Rair Krug, Susan J, MA...... 695 Woodland Centers Inc...... 871 Ravenwood Mental Health Center857, 858 Ravenwood Mental Health Center857, 858 Wyckoff, Neeti J, MD...... 586 Woodland Centers Inc...... 871 Yezzi Shareef, Ann Marie, PHD...... 637 TRANSITIONAL EMPLOYMENT TRANSCRANIAL MAGNETIC SERVICES (E363) STIMULATION (A102) MMOH.21.999.01.9.005

942

Areas of Expertise Index Areas of Expertise Index

Catholic Charities Corporation ...... 872 Community Assessment And Treatment Copeland, Philip R, MS ...... 646 Servi ...... 676, 688 Nord Center...... 862, 867, 868, 873 Compton, Zev W, MS...... 594 Ravenwood Mental Health Center857, 858 Copeland, Philip R, MS ...... 646 Recovery Resources...... 870 Damis, Marina F, MD...... 553 TRAUMA (E215) Esty, Debora, PHD...... 682 Firelands Regional Medical Center .....867 A Renewed Mind ...... 589 Ghanem, Yassin I, MS...... 613 Andrews, Christine N, MS...... 685 Giesel, Jennifer M, MA ...... 587 Applewood Center Inc859, 864, 865, 866, Guidestone A ...... 651 871 Harris, Elizabeth M, PHD...... 559 Beech Brook...... 634, 635, 640 Heidemann, Melissa M, MA...... 598 Blackwell, Samantha, MS...... 641 Imfeld, Samantha M, MD ...... 577 Bulucea, Tina W, MA...... 591 Kaufman, Megan, MA ...... 691 Cunningham, Kelly E, MS...... 689 Lemoine, Kara R, MS ...... 601 Domb, Jane A, MD ...... 576 Lorain County Alc Drug Abs Svcs655, Firelands Regional Medical Center .....867 656, 692 Gigliotti, Thomas V, MA...... 596 Lynch, Holly, MS ...... 656 Gottlob, Louise, MA...... 597 Mohan, Amit, MD...... 624 Guidestone A ...... 651 Noffsinger, Stephen, MD...... 554, 625 Hain, Jamie M, MS ...... 570 Ohioguidestone ...856, 862, 868, 869, 873 Hamilton, William F, MS ...... 651 Pathway Caring For Children ...... 857 Harris, Elizabeth M, PHD...... 559 Pope, Stephanie M, MD...... 581, 582 Heidemann, Melissa M, MA...... 598 Psych And Psych Services629, 663, 679, Kaufman, Megan, MA ...... 691 694 Lederer, Joan A, MD ...... 624 Redfern, Christina, MS ...... 551 Lemoine, Kara R, MS ...... 601 Rozel, Kent, PHD ...... 588 Noffsinger, Stephen, MD...... 554, 625 Sanford Russo, Janice, MS ...... 664 Nord Center...... 862, 867, 868, 873 Spitzer, Ashley A, MS ...... 695 Oneeighty Inc...... 873 Teitelbaum, Mary A, PHD...... 637 Pathways Counseling And Growth Center Van Dyke, Cheryl M, MA ...... 701 869, 870 Yezzi Shareef, Ann Marie, PHD...... 637 Persaud, Beena, PSY...... 684 Pietz, Ellen H, MS ...... 662 TREATMENT FOR SEXUAL Pope, Stephanie M, MD...... 581, 582 OFFENDERS (E220) Ravenwood Mental Health Center857, 858 Afsarifard, Farshid, PHD ...... 586 Santantonio, Diana S, PHD...... 636 Compton, Zev W, MS...... 594 Signature Health...... 863 Copeland, Philip R, MS ...... 646 Sinclair, Patricia, MA ...... 607 Firelands Regional Medical Center .....867 Speaker, Rae E, MS ...... 665 Ghanem, Yassin I, MS...... 613 Spitzer, Ashley A, MS ...... 695 Guidestone A ...... 651 Stevenson, Kelly A, MS ...... 609 Heidemann, Melissa M, MA...... 598 Stone, Julie M, MA...... 615 Noffsinger, Stephen, MD...... 554, 625 The Village Network...... 871 Nord Center...... 862, 867, 868, 873 Tucker, Karen V, MSW...... 609 Portage Path Community Mental Health Woodland Centers Inc...... 871 Cen ...... 873, 874 Zavarella, Rosanna O, PHD...... 589 Psych And Psych Services629, 663, 679, TRAUMA (E374) 694 Ravenwood Mental Health Center857, 858 A Renewed Mind ...... 589 Signature Health...... 863 Ahmed, Samina, LPC ...... 682 Stone, Julie M, MA...... 615 Applewood Center Inc859, 864, 865, 866, The Village Network...... 871 871 Aussem, Kasandra M, MS ...... 639 Beech Brook...... 634, 635, 640 Blackwell, Samantha, MS...... 641 Burns, Laura C, PHD...... 587 MMOH.21.999.01.9.005

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CSOH21MC4909368_000 MMOH.21.999.01.9.005

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