GCMB Approved Emergency Practice Permit/ Temp License 2020

EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2 3/23/2020 7/30/2021 Brian David Quint MD 586 Bothwell Drive Richmond Hill GA 31324

3 4/30/2020 7/30/2021 Mark E Franke MD 13422 Black Gum Ct Chantilly VA 20151

4 4/30/2020 7/30/2021 Ashley Noelle Davis MD 293 Deering Road NW Atlanta GA 30309

5 4/30/2020 7/30/2021 Tonja L. Gadsden MD 10817 Legend Manor Lane Glenn Dale MD 20769

6 4/30/2020 7/30/2021 Erin Kim APRN 155 South Court Avenue Orlando FL 32801

7 4/30/2020 7/30/2021 Kyle Ward APRN 7800 Freestyle Lane Winter Garden FL 34787

8 4/30/2020 7/30/2021 Mary E. Carrigan APRN 701 15th Ave S. Jax Beach FL 32250

9 4/30/2020 7/30/2021 Christine Thorogood MD 916 E. Pleasant Pl. St. Johns FL 32259

10 4/30/2020 7/30/2021 Courtney Allison Bryant Whatley RCP 98 N. Charity Lane Warner Robins GA 31088

11 4/30/2020 7/30/2021 Julia Tuyet Vu MD 105 Longwood Drive Jonesboro GA 30236

12 4/30/2020 7/30/2021 Susamma George Nathew MD 3525 Sugarloaf Parkway Lawrenceville GA 30044

13 4/30/2020 7/30/2021 Magdy Nassif Falstiny MD 1257 SW 87th PL Ocala FL 34476

14 4/30/2020 7/30/2021 Kirby Douglas Slifer DO 2554 Walker Drive Valparaiso IN 46385

15 4/30/2020 7/30/2021 Roy Niels Skousen DO 2112 Cooperfield Stillwater OK 74074

16 4/30/2020 7/30/2021 John Silver, MD, FCCP MD 810 East Pine Street Stayton OR 97383

17 4/30/2020 7/30/2021 Tiffany Best MD 3300 N. 7th Avenue Phoenix AZ 85013

01-Jul-21 Page 1 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

18 4/30/2020 7/30/2021 Ravikumar Patel DO 104 Chamblee Blvd. Greenville SC 29615

19 4/30/2020 7/30/2021 LaTania Michelle Akers-White, MD MD 512 Besler Lane Richmond VA 23223

20 4/30/2020 7/30/2021 Asha Zakiya Robinson-Parks, MD MD 5137 Sorrento Blvd. W. St. Cloud FL 344771

21 4/30/2020 7/30/2021 Heidi Ann Morris, DO DO 5317 Sanctuary Lane Sheffield village OH 44054

22 4/30/2020 7/30/2021 Peter John Vasquez MD 18427 N. Madison Road Maricopa AZ 85139

23 4/30/2020 7/30/2021 Nathaniel Morin DO 785 32nd Street Boulder CO 80303

24 4/30/2020 7/30/2021 Nicola Mario Zetola MD 3610 Dillon Street Baltimore MD 21224

25 4/30/2020 7/30/2021 Laura Gunder McClary PA 4245 Anderson Circle Evans GA 30809

26 4/30/2020 7/30/2021 Robert Harrell Martin, Jr. MD 1464 South 16th Section Road Monticello AR 71655

27 4/30/2020 7/30/2021 Tuesday Cunningham APRN 10733 Cambbage Tree Loop Orlando FL 32825

28 4/30/2020 7/30/2021 Cam Wagner APRN 401 E. Fairbanks Avenue Winter Park FL 32789

29 4/30/2020 7/30/2021 Eric Palmer APRN 6405 Diane Ct. St. Cloud FL 34771

30 4/30/2020 7/30/2021 Deborah Messier APRN 6362 Sedona Leaf Court Windermere FL 34786

31 4/30/2020 7/30/2021 Sharron McDonald APRN 8408 Diamond Cove Cr. Orlando FL 32838

32 4/30/2020 7/30/2021 Paula Vasquez APRN 1024 Girard Drive Orlando FL 32824

33 4/30/2020 7/30/2021 Heather Elizabeth Henry MD 905 20th Avenue S Nashville TN 37203

34 4/30/2020 7/30/2021 Lynne M. Evoy APRN 14975 Fern Hammock Drive NorthJacksonville FL 32258

35 3/24/2020 7/30/2021 Pamela J. Parsons MD Premier Psychiatric Services, LLCBaton Rouge LA 70816

36 3/26/2020 7/30/2021 Annette Wilson PA 3034 Fermanagh Dr. Tallahassee FL 32309

01-Jul-21 Page 2 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

37 3/26/2020 7/30/2021 Meeredith Ann Stasi PA 7871 Kiverton Place Atlanta GA 30350-588

38 3/26/2020 7/30/2021 Keyanna Monique Williams PA 3505 Cobblestone Blvd. Fayetteville GA 30215

39 3/26/2020 7/30/2021 Heather Ann Lewis Prusik PA 2638 Rangewood Drive Atlanta GA 30345

40 3/26/2020 7/30/2021 Brian Michael Free RCP 75 Rosewood Lane Young Harris GA 30582

41 3/26/2020 7/30/2021 Mark Ivo Kaminski MD 345 E 54th Street New York NY 10022

42 3/26/2020 7/30/2021 John R. Langefeld MD 2246 Vinings CV SE Smyrna GA 30080

43 3/26/2020 7/30/2021 Nicholas Wisnoski MD 154 E 29th Street New York NY 10016

44 3/26/2020 7/30/2021 Amy M. Korn-Reavis RCP 9573 Turkey Oak Bend Orlando FL 32817

45 3/26/2020 7/30/2021 Miri W. Rosen MD 1751 Second Avenue New York NY 10128

46 3/26/2020 7/30/2021 Jonathan Ohenhen MD 921 W. 11th Street Sulphur OK 73086

47 3/26/2020 7/30/2021 Soujanya Pulluru MD 3908 Littlestone Circle Naperville IL 60564

48 3/26/2020 7/30/2021 Tiffani L. Bell MD 6182 Barrington Oaks Dr. Clemmons NC 27012

49 3/26/2020 7/30/2021 Janet Marie Warrington DO 5533 Superior Dr. Lakeland FL 33805

50 3/26/2020 7/30/2021 Kairul Steven Lehardi APRN 10426 S 952 PR SE Kennewick WA 99338

51 3/26/2020 7/30/2021 Steven Arthur Rabin MD 10061 Riverside Dr. Toluca Lake CA 91602

52 3/26/2020 7/30/2021 Tiandra LaShay Quiller RCP 26 Cross Pointe Greenville SC 29607

53 3/30/2020 7/30/2021 Marjorie Lantum MD 333 Cedarcreek Drive Nashville TN 37211

54 3/30/2020 7/30/2021 Heidi Hansen Ashbaugh MD 841 Prudential Drive Jacksonville FL 32207

55 3/30/2020 7/30/2021 Dustin Huntington Brimblecom MD 841 Prudential Drive Jaconsonville FL 32207

01-Jul-21 Page 3 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

56 3/30/2020 7/30/2021 Karah Lynn Brown PA 11395 Old Post Road Hortense GA 31543

57 3/30/2020 7/30/2021 Dantae L. Bowie DO 14 Meadow Valley Court Midland GA 31820

58 3/30/2020 7/30/2021 Marcelo Carlos Darabos DO 841 Prudential Drive Jacksonville FL 32207

59 3/30/2020 7/30/2021 Jasmine Renay Dillard APRN 1401 Centerville Road Tallahassee FL 32308

60 3/30/2020 7/30/2021 David Jerry Dixon DO 1401 Centerville Road Tallahassee FL 32308

61 3/30/2020 7/30/2021 Alexander Dumas Jesse Brickler, III MD 1401 Centerville Road Tallahassee FL 32308

62 3/30/2020 7/30/2021 Erin Michaele Ferguson PA 7304 Gracemont Lane Brunswick GA 31525

63 3/30/2020 7/30/2021 Darrell Wayne Fixler Jr. RCP 178 Somersby Blvd. Pooler GA 31322

64 3/30/2020 7/30/2021 Andrea King Friall MD 1401 Centerville Road Tallahassee FL 32308

65 3/28/2020 7/30/2021 Christopher Joseph Gasho MD 52 Ivy Lane Santa Rosa Beach FL 32459

66 3/30/2020 7/30/2021 Joseph P. Grajo DO 461 Ron Horse Lane Walnut Creek CA 94597

67 3/30/2020 7/30/2021 Candice Priscilla Gregg APRN 1401 Centerville Road Tallahassee FL 32308

68 3/30/2020 7/30/2021 Laura J. Grippa MD 841 Prudential Drive Jacksonville FL 32207

69 3/30/2020 7/30/2021 Francisco Javier Gutierrez DO 841 Prudential Drive Suite 1400 FL 32207

70 3/30/2020 7/30/2021 Amy Marlo Haddock MD 1401 Centerville Road Tallahassee FL 32308

71 3/30/2020 7/30/2021 Stella Marie Hayes MD 841 Prudential Drive, Jacksonville FL 32201

72 3/30/2020 7/30/2021 Smruti J. Kinariwala MD 95002 Buckeye Court Fernandine Beach FL 65267

73 3/30/2020 7/30/2021 Jeffrey Ling Kang MD 147 Royal Palm Drive Fort Lauderdale FL 33301

74 3/30/2020 7/30/2021 Sajid Khan MD 1040 SW 2nd Ave Ocala FL 34471

01-Jul-21 Page 4 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

75 3/30/2020 7/30/2021 Joseph Mark King MD 841 Prudential Drive Jacksonville FL 32207

76 3/30/2020 7/30/2021 Kendra Wooley Marcinowski APRN 1401 Centerville Road Tallahassee FL 32308

77 3/30/2020 7/30/2021 Kenneth John McAlpine MD 1401 Centerville Road Tallahassee FL 32308

78 3/30/2020 7/30/2021 Sean F. McGrath MD 841 Prudential Drive Jacksonville FL 32207

79 3/30/2020 7/30/2021 Vikki Margaret McKinnie MD 1401 Centerville Road Tallahassee FL 32308

80 3/30/2020 7/30/2021 Rajasree Nambron MD 157 Birch Creek Drive Birmingham AL 35242

81 3/30/2020 7/30/2021 Lemuel Pierre PA 10842 Blue Palm Street Plantation FL 33324

82 3/30/2020 7/30/2021 Steven Arthur Rabin MD 10061 Riverside Drive Toluca Lake CA 91602

83 3/30/2020 7/30/2021 Gurijala Ramesh Ramayya MD 215 Autumn Trace Court Macon GA 31210

84 3/30/2020 7/30/2021 Kathleen Elizabeth Sharp MD 2943 Bandera Grand Prairie TX 75054

85 3/30/2020 7/30/2021 Anne-Marie Lewis Singleton APRN 1401 Centerville Road Tallahassee FL 32308

86 3/30/2020 7/30/2021 Kelley Lynn Stem PA 1401 Centerville Road Tallahassee FL 32308

87 3/30/2020 7/30/2021 Christopher Charles Sundstrom MD 1401 Centerville Road Tallahassee FL 32308

88 3/30/2020 7/30/2021 Briana Nicole Thompson MD 1401 Centerville Road Tallahassee FL 32308

89 3/30/2020 7/30/2021 Erin Roberts Thames APRN 1401 Centerville Road Tallahassee FL 32308

90 3/30/2020 7/30/2021 Courtney Blair Fahnhorst Vidrine MD 841 Prudential Drive Jacksonville FL 32207

91 3/30/2020 7/30/2021 Frank J. Welch MD 117 David Road Bala Cynwyd PA 19004

92 3/30/2020 7/30/2021 Elisa Alter Zenni MD 109 Lantern Wick Place Ponte Vedra Beach FL 32082

93 3/30/2020 7/30/2021 Asha Davis MD 888 Biscayne Blvd Miami FL 33132

01-Jul-21 Page 5 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

94 3/30/2020 7/30/2021 Moises Roberto Carpio MD 8555 Station Village Ln San Diego CA 92108

95 3/30/2020 7/30/2021 Laura Michele Crawford RCP 159 Cavan Way Mableton GA 30126

96 3/31/2020 7/30/2021 Mark Ivo Kaminski MD 345 E 54th Street New York NY 10022

97 3/31/2020 7/30/2021 Jesse Concepcion Salas RCP 2587 Dunmoore Drive Snellville GA 30078

98 3/31/2020 7/30/2021 Richard Michael Weathersby RCP 1101 Hardigree Bell Road Bishop GA 30621

99 3/31/2020 7/30/2021 Mary Jo Gochett RCP 2950 Ivey Ridge Lane Roswell GA 30076

100 3/31/2020 7/30/2021 William Michael Wrigley APRN 3949 Old Atlanta Station Ct. Atlanta GA 30339

101 3/31/2020 7/30/2021 David Shields Lesser MD 841 Prudential Drive Jacksonville FL 32207

102 3/31/2020 7/30/2021 Paul Aron Diaz-Granados MD 841 Prudential Drive Jacksonville FL 32207

103 3/31/2020 7/30/2021 Gretta Langley APRN 35153 Quail Road Callahan FL 32011

105 4/1/2020 7/30/2021 Rawan Osama Kablawi MD 841 Prudential Drive Jacksonville FL 32207

106 4/1/2020 7/30/2021 Andrea Marie Fritschle MD 4929 Skyway Drive Jacksonville FL 32246

107 4/1/2020 7/30/2021 Angela Antonacci-Gimbel MD 55 Mahi Drive Ponte Vedra FL 32081

108 4/1/2020 7/30/2021 Christopher Jolley MD 4310 NE 255 Dr. Melrose FL 32666

109 4/1/2020 7/30/2021 Samuel Quaynor MD 8677 Wheatfield Way Ellicott City MD 21043

110 4/1/2020 7/30/2021 Charles Alan McCaslin MD 807 Children's Way Jacksonville FL 32207

111 4/1/2020 7/30/2021 Christina Stockwell Wieczorek MD 841 Prudential Drive Jacksonville FL 32207

112 4/1/2020 7/30/2021 Jeffrey Stephen Smowton MD 841 Prudential Drive Jacksonville FL 32207

113 4/1/2020 7/30/2021 Ryan Budwany MD 2000 Whitetail Ct. Morgantown WV 26508

01-Jul-21 Page 6 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

114 4/1/2020 7/30/2021 Mary Carolyn Watson MD 3361 Shadowmoss Drive Tallahassee FL 32308

115 4/1/2020 7/30/2021 Christina Gindele Caro MD 841 Prudential Drive Jacksonville FL 32207

116 4/1/2020 7/30/2021 Gretta Langley APRN 35153 Quail Road Callahan FL 32011

117 4/1/2020 7/30/2021 Courtney Lynn Taylor RCP 929 Pallet Avenue Harvey LA 70058

118 4/1/2020 7/30/2021 Sarah Isabel Fernandez MD 1431 Riverplace Blvd Jacksonville FL 32207

119 4/2/2020 7/30/2021 William V. Bobo MD Mayo Clinic Jacksonville FL 32224

120 4/2/2020 7/30/2021 Bryce Rushton Tiller MD 841 Prudential Drive Jacksonville FL 32207

121 4/2/2020 7/30/2021 Samantha Marie Maplethorpe MD 701 5th Ave Seattle WA 98104

122 4/2/2020 7/30/2021 Risheet Rajendra Patel MD 701 5th Avenue Seattle WA 98104

123 4/1/2020 7/30/2021 Kelly James Tenbrink MD 701 5th Avenue Seattle WA 98104

124 4/2/2020 7/30/2021 Mubina Nasri MD 701 5th Ave Seattle WA 98104

125 4/2/2020 7/30/2021 Jill Anne Griffin MD 701 5th Ave Seattle WA 98104

126 4/2/2020 7/30/2021 Kylene Nicole Haskins DO 701 5th Ave Seattle WA 98104

127 4/2/2020 7/30/2021 Rebecca Jean Payne APRN 281 N. Lyerly Street Chattanooga TN 37404

128 4/1/2002 7/30/2021 Shyam Yallapragada MD 68 Ocean Point Drive Isle of Palms SC 29451

129 5/22/2020 7/30/2021 Jeffrey Marchant MD 12029 Willingdon Road Huntersville NC 28078

130 6/4/2020 7/30/2021 Melissa Anne Steele Oh MD 8710 Cameron Street Silver Spring MD 20910

131 4/3/2020 7/30/2021 Elizabeth Marini Simpson DO 1035 Executive Drive Hixson TN 37343

132 4/2/2020 7/30/2021 Issa Yusuf MD 12150 Annapolis Road Glenn Dale MD 20769

01-Jul-21 Page 7 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

133 4/3/2020 7/30/2021 Antonio Rodriguez MD 1801 Wingfield Drive Longwood FL 32779

134 4/3/2020 7/30/2021 Christopher Lesean Ifill MD 9554 Yellow Finch Ct. Brentwood TN 37027

135 4/3/2020 7/30/2021 Marjorie Dolezel Timmer RCP 1729 Coventry Road Decatur GA 30030

136 4/3/2020 7/30/2021 LaTosha Y. Flowers MD P O Box 182363 Arlington TX 76096

137 4/3/2020 7/30/2021 Andrea Marie Fritschie MD 4929 Skyway Drive Jacksonville FL 32246

138 4/3/2020 7/30/2021 Johnny Dias DO 5 Hidden Oak Ter Simpsonville SC 29681

139 4/3/2020 7/30/2021 Gayla Jean Singleton RCP 310 Chandler Court Sugar Hill GA 30518

140 4/3/2020 7/30/2021 Smruti J. Kinariwala MD 95002 Buckeye Court Fernandina Beach FL 32034

141 4/3/2020 7/30/2021 Parks Winfield Pratt MD 4300 West Main Street Dothan AL 36305

142 4/3/2020 7/30/2021 Faye Elaine Rao MD 4300 West Main Street Dothan AL 36305

143 4/3/2020 7/30/2021 Bethany Grace Shovlin APRN 140 Traveler Palm Court Ponte Vedra Beach FL 32082

144 4/3/2020 7/30/2021 Louis Todd House MD 315 S. Bayly Avenue Louisville KY 40206

145 4/3/2020 7/30/2021 Rosa E. Turcios MD 1126 W. State Street Marshfield WI 54449

146 4/3/2020 7/30/2021 Angela Antonacci-Gimbel MD 55 Mahl Drive Ponte Vedra FL 32081

147 4/3/2020 7/30/2021 Tonia Lee Ruddock MD 4300 West Main Street Dothan AL 36305

148 4/3/2020 7/30/2021 Simon Roland Brooks MD 4300 West Main Street Dothan AL 36305

149 4/3/2020 7/30/2021 Robert Benjamin Ash MD 4300 West Main Street Dothan AL 36305

150 4/3/2020 7/30/2021 Magan Bond Parker APRN 4300 West Main Street Dothan AL 36305

151 4/3/2020 7/30/2021 Laura McNeely Tamburin MD 4300 West Main Street Dothan AL 36305

01-Jul-21 Page 8 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

152 4/3/2020 7/30/2021 Kelli Nicole Heer PA 4300 West Main Street Dothan AL 36305

153 4/3/2020 7/30/2021 Craig Dean Omohundro MD 1433 West Main Street Dothan AL 36305

154 4/3/2020 7/30/2021 Brooke Barnes Sellers APRN 4300 West Main Street Dothan AL 36305

155 4/3/2020 7/30/2021 Brittney Hatcher Edge APRN 4300 West Main Street Dothan AL 36305

156 4/3/2020 7/30/2021 Tony Samir Faris DO 1370 Talon Way Melbourne FL 32934

157 4/3/2020 7/30/2021 Juan Carlos Cucalon MD 4219 Anne Ct Miami FL 33133

158 4/3/2020 7/30/2021 Thomas Edward Knuth MD 212 Stephens Road Grosse Pointe Farms MI 48236

159 4/3/2020 7/30/2021 Tiffany Michelle Ingrham MD 100 Shady Run LN Rochester NY 14625

160 4/3/2020 7/30/2021 Michelle Jonelle Urban RCP 7621 Charm CT. Las Vegas NV 89129

161 4/3/2020 7/30/2021 Melanie Denise Jones PA 250 North State Hwy 360 Mansfield TX 76063

162 4/3/2020 7/30/2021 Patricia M. Pavlak RCP 30 Morrison Street NW Marietta GA 30064

163 4/3/2020 7/30/2021 David Alan Wiles MD 281 N Lyerly Street Chattanooga TN 37404

164 4/3/2020 7/30/2021 Daun Johnson Lai MD 2530 Winding View San Antonio TX 78260

165 4/3/2020 7/30/2021 Glenn Harnett MD 4425 Sicard Hollow Road Birmingham AL 35242

166 4/3/2020 7/30/2021 Scott Martin Andes DO 1685 Fenimore Road Hewlett NY 11557

167 4/3/2020 7/30/2021 Brian D Smith MD 101 Via Salamanca San Clemente CA 92672

168 4/3/2020 7/30/2021 Robert Howard Lingerfelt RCP 7843 Lanerose Place San Antonio TX 78251

169 4/3/2020 7/30/2021 D'Mya Genise Clark RCP 270 Honeysuckley Dr. Macon GA 31217

170 4/3/2020 7/30/2021 Paul Anthony Bryant MD 2009 Castleman Drive Nashville TN 37215

01-Jul-21 Page 9 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

171 4/3/2020 7/30/2021 Nicole R Davidson PA 7314 E Madero Ave Mesa AZ 85209

172 4/3/2020 7/30/2021 Jeffrey S Ward RCP 1090 CO RD 864 Wadley AL 36276

173 4/6/2020 7/30/2021 Olajide Ayool MD 5422 Bright Run San Antonio TX 78240

174 4/6/2020 7/30/2021 Rochelle Jettahn Skitt MD 866 Ulster Way Denver CO 80230

175 4/6/2020 7/30/2021 Jamie Ayers APRN 8680 Baymeadows Road East Jacksonville FL 32256

176 4/6/2020 7/30/2021 Angela Antonacci-Gimbel MD 55 Mahi Drive Ponte Vedra FL 32081

177 4/6/2020 7/30/2021 Donald Bennett MD 5000 Cedar Croft Drive Bethesda MD 20814-392

178 4/6/2020 7/30/2021 UWE Blecker MD 1431 Riverplace Boulevard Jacksonville FL 32207

179 4/6/2020 7/30/2021 Michael Joseph Bradburn DO 2168 Ketch Court Fernandina Beach FL 32034

180 4/6/2020 7/30/2021 Scott Mark Bradfield MD 67 Nantucket Island Ct. Ponte Vedra FL 32081

181 4/6/2020 7/30/2021 William S. Campbell., Jr. MD 609 North Bay Drive Lynn Haven FL 32444

182 4/6/2020 7/30/2021 Jill Dorsey MD 807 Children's Way Jacksonville FL 32207

183 4/6/2020 7/30/2021 Kristi Dvorak APRN 101 Greenbriar Estates Drive Jacksonville FL 32259

184 4/6/2020 7/30/2021 Alexander Sinclair Franz MD 1401 Centerville Road Tallahassee FL 32308

185 4/6/2020 7/30/2021 Jacob Marshall Gillikin MD 3926 Danforth Drive W Jacksonville FL 32224

186 4/6/2020 7/30/2021 Margaret Ashley Houston APRN 244 Odomr Mill Blvd. Ponte Vedra Beach FL 32082

187 4/6/2020 7/30/2021 James Edward Jolley, II MD 281 N. Lyerly Street Chattanooga TN 37404

188 4/6/2020 7/30/2021 Harry S. Abram MD 3672 Cathedral Oaks Place N. Jacksonville FL 32217

189 4/6/2020 7/30/2021 Christy Michelle Cockern RCP 3637 Trinity Mills Road Dallas TX 75287

01-Jul-21 Page 10 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

190 4/6/2020 7/30/2021 Darcy Andrew Krueger MD 6236 Socialville Foster Road Mason OH 45040

191 4/6/2020 7/30/2021 Daniel Joseph Lattin MD 712 Montego Road W. Jacksonville FL 32216

192 4/6/2020 7/30/2021 Linda Russell Maywood APRN 6 Cove Road Ponte Vedra Beach FL 32082

193 4/6/2020 7/30/2021 Katherine Eileen McGoogan MD Nemours Children's Specialty CareJacksonville FL 32207

194 4/6/2020 7/30/2021 Norma Faye McKnight APRN 1004 Skipper Road Dothan AL 36301

195 4/6/2020 7/30/2021 Karen McNeely APRN 2637 Scott Mill Lane Jacksonville FL 32223

196 4/6/2020 7/30/2021 David A Schaeffer MD Nemours Children's Specialty CareJacksonville FL 32207

197 4/6/2020 7/30/2021 Jessica Leighanne Scott PA 281 N Lyerly Street Chattanooga TN 37404

198 4/6/2020 7/30/2021 Kathy Dunaj Sella MD 4438 Tradewinds Drive Jacksonville Beach FL 32250

199 4/6/2020 7/30/2021 Mark Macgillivray Shoemaker MD 635 Fifth Avenue Albany GA 31701

200 4/6/2020 7/30/2021 Mary Patricia Sullivan DO 17920 Palm Circle Ft. Myers Bch FL 33931

201 4/6/2020 7/30/2021 Kelly Summers APRN 1238 Ingleside Ave Jacksonville FL 32205

202 4/6/2020 7/30/2021 Teresa Cleotilde Stewart MD 226 Osprey Hammock Trail Sanford FL 32771

203 4/6/2020 7/30/2021 Wayne Thomas Stewart MD 226 Osprey Hammock Trail Sanford FL 32771

204 4/6/2020 7/30/2021 Alpha J Watson MD 110 Easy Street Dublin GA 31021

205 4/20/2020 7/30/2021 Arkady Vaknansky MD 1800 S Ocean Dr. Hallandale Beach FL 33009

206 4/6/2020 7/30/2021 Adriana R. Vasquez MD Mayo Clinic Jacksonville FL 32224

207 4/6/2020 7/30/2021 Paul C. Wilson RCP 1817 Andrew Jackson Court Jefferson GA 30549

208 4/6/2020 7/30/2021 Meredith Ann McKean MD 250 25th Ave. N Nashville TN 37203

01-Jul-21 Page 11 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

209 4/7/2020 7/30/2021 Guillermo Vincent Sanchez PA 1301 South Perry St. Montgomery AL 36104

210 4/7/2020 7/30/2021 Mark McCommons MD 200 W Maple Street Johnson City TN 37604

211 4/7/2020 7/30/2021 Dwarka Rathi MD 4 Sunrise Ln. Scarsdale NY 10583

212 4/7/2020 7/30/2021 Duaine Duchamp Murphree MD 841 Prudential Drive Jacksonville FL 32207

213 4/7/2020 7/30/2021 Kylie Wainer DO 841 Prudential Drive Jacksonville FL 32207

214 4/7/2020 7/30/2021 Kara Palmer Bender APRN 2001 W. Howore St. Chicago IL 60614

215 4/8/2020 7/30/2021 Stacie Brewer Griffis MD 90 Alton Road Miami Beach FL 33139

216 4/8/2020 7/30/2021 Simon Jesus Kassis Hadid MD 540 West Avenue Miami Beach FL 33139

217 4/8/2020 7/30/2021 Robert Garver, Jr. MD 1250 Youpon Drive Andalusia AL 36420

218 4/8/2020 7/30/2021 Louis Vincent LaVopa MD 841 Prudential Drive Jacksonville FL 32207

219 4/8/2020 7/30/2021 Mi Yu MD 113 30th Ave. N. Nashville TN 37203

220 4/8/2020 7/30/2021 Archaiela Romane Murfree RCP 1625 Santa Venetia Street Chula Vista CA 91913

221 4/8/2020 7/30/2021 Osereimen Ehimare Omoike MD 3115 W. Villa Rosa Street Tampa FL 33611

222 4/8/2020 7/30/2021 Todd Everett Fowler MD 3 Rock Crest Lane Signal Mountain TN 37377

223 4/8/2020 7/30/2021 Paul Sabini MD 402 Woodale Drive Kennett Square PA 19348

224 4/8/2020 7/30/2021 Gregory Devon Miller DO 1306 Autumn Trace Fernandina Beach FL 32034

225 4/8/2020 7/30/2021 Martha M. Hicks APRN 96470 Chester Road Yulee FL 32097

226 4/8/2020 7/30/2021 Frank Bivins Calhoun MD 841 Prudential Drive Jacksonville FL 32207

227 4/8/2020 7/30/2021 Sina Ogholikhan MD 13019 Aegean Dr. Jacksonville FL 32246-555

01-Jul-21 Page 12 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

228 4/8/2020 7/30/2021 Kelly Hodson Unkrich MD 3447 Heron Dr., N. Jax Beach FL 32250

229 4/8/2020 7/30/2021 Nazir Adam MD 5823 Labs Run Lane Penn Laird VA 22846

230 4/9/2020 7/30/2021 Roy L. Hall MD 2884 Lengel Road Cincinnati OH 45244

231 4/9/2020 7/30/2021 Akinbola Adewole Ajayi-Obe MD 4440 Crisp Springs Road McMinnville TN 37110-634

232 4/9/2020 7/30/2021 Andrew Alexander Stec MD 807 Children's Way Jacksonville FL 32207

233 4/9/2020 7/30/2021 Cynthia Kaye Hancock RCP 3607 Lakewood Avenue Tifton GA 31794

234 4/9/2020 7/30/2021 Joe B. Putnam, Jr. MD Baptist MD Anderson Cancer CenterJacksonville FL 32207

235 4/9/2020 7/30/2021 Glinda Worthom APRN 83381 Purple Martin Drive Yulee FL 32097

236 4/9/2020 7/30/2021 Bedford Hudson Berrey MD Baptist MD anderson Cancer CenterJacksonville FL 32207

237 4/9/2020 7/30/2021 Molly Allison Gayden PA 3675 J. Dewey Gray Circle Augusta GA 30909

238 4/9/2020 7/30/2021 Amy Nicole Maier PA 16300 Ledgemont Lane Addison TX 75001

239 4/9/2020 7/30/2021 Lynn Alison Paxton MD 305 Glendale Avenue Decatur GA 30030

241 4/9/2020 7/30/2021 Beth Ann Lesnikoski MD 825 LaSalle Street Jacksonville FL 32207

242 4/9/2020 7/30/2021 Thomas Patrick Doolittle MD 10003 E Milliron Road Cheyenne WY 82009

243 4/10/2020 7/30/2021 Stuart Howard Levine MD 540 South Helberta Avenue Redondo Beach CA 90277

244 4/13/2020 7/30/2021 Vladymir Gratia APRN 7481 W Oakland Park Blvd. Lauderhill FL 33319

245 4/13/2020 7/30/2021 Rachel Sammartano PA 7481 W Oakland Park Boulevard Lauderhill FL 33319

246 4/13/2020 7/30/2021 Edgar Alfonso Torres Villamil MD 1601 N Palm Avenue Pembroke Pines FL 33026

247 4/13/2020 7/30/2021 Yakov Greenstein MD 7481 W Oakland Park Tamarac FL 3319

01-Jul-21 Page 13 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

248 4/13/2020 7/30/2021 Argentino Antonio DiLuigi MD 10301 Hagen Ranch Road Boynton Beach FL 33437

249 3/25/2020 7/30/2021 Robert Lee Kushner, Jr. MD 511 Valley Road NW Atlanta GA 30305

250 4/14/2020 7/30/2021 Jeffrey Lang Moulton PA 228 Palm IS NW Clearwater FL 33767

251 4/14/2020 7/30/2021 Nicole Blount Austin RCP P O Box 5416 Macon GA 31208

252 4/14/2020 7/30/2021 Ankush Kumar Bansal MD 8762 Marlamoor Lane Palm Beach Gardens FL 33412

253 4/14/2020 7/30/2021 Nelhs Betancourt MD 447 East Yale Loop Irvine CA 92614

254 4/14/2020 7/30/2021 Christa Brockway APRN 14039 Leafmore Drive SE Huntsville AL 35803

255 4/14/2020 7/30/2021 Thanhmy Bui MD 17870 Newhope St. Fountain Valley CA 92708

256 4/14/2020 7/30/2021 Tra P Bui MD 11603 Forest Hill Court Fairfax VA 22030

257 4/14/2020 7/30/2021 Paul Capobianco DO 71 Walnut Road Glen Cove NY 11542

258 4/14/2020 7/30/2021 Marianne Carim MD 8003 Vanderhorn Lane Charlotte NC 28226

259 4/14/2020 7/30/2021 Allen Robbins Craig MD 1007 West Lincoln Street Tullahoma TN 37388

260 4/14/2020 7/30/2021 Victor Damaso Cruz MD 1190 E Washington Street Tampa FL 33602

261 4/14/2020 7/30/2021 Afrika Davis RCP 104S Shadowlawn Drive Albany GA 31707

262 4/14/2020 7/30/2021 Megan Day PA 76011 William Burgess Road Yulee FL 32097

263 4/14/2020 7/30/2021 Subrato Jesse Deb MD Baptist MD Anderson Cancer CenterJacksonville FL 32207

264 4/14/2020 7/30/2021 Johnny Dias DO 5 Hidden Oak Ter Simpsonville SC 29681

265 4/14/2020 7/30/2021 Alexandra Lee Edenfield PA 32 St. James Circle Beaufort SC 29907

266 4/14/2020 7/30/2021 Bassem Elmankabadi MD 1308 Amalfi Court San Ramon CA 94583

01-Jul-21 Page 14 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

267 4/14/2020 7/30/2021 Tony Samir Faris DO 1370 Talon Way Melbourne FL 32934

268 4/14/2020 7/30/2021 Consuelo Fernandez MD 13956 King George Way Upper Marlboro MD 20772

269 4/14/2020 7/30/2021 Katherine J. Flaugh APRN 9825 Vale Road Vienna VA 22181

270 4/14/2020 7/30/2021 Taloria France RCP 132 Heatherfield Drive W. Columbia SC 29170

271 4/14/2020 7/30/2021 Yajun Ren, (Perfusionist) 9626 Eden Ridge LN Pearland TX 77584

272 4/14/2020 7/30/2021 Elizabeth Gallo PA 1258 Luffness Drive Jacksonville FL 32221

273 4/14/2020 7/30/2021 Brian P. Gilligan MD 841 Prudential Drive Jacksonville FL 32207

274 4/14/2020 7/30/2021 Ji Na Giusto MD 12004 Wayland Street Oakton VA 22124

275 4/14/2020 7/30/2021 Jennifer Ann Hadley MD 2740 Village Professional Drive Opelika AL 36801

276 4/14/2020 7/30/2021 Pavanne Marie Halpin RCP 4416 Trailwood Drive Cohutta GA 30710

277 4/14/2020 7/30/2021 Cynthia Kaye Hancock RCP 3607 Lakewood Ave Tifton GA 31794

278 4/14/2020 7/30/2021 Chad W. Harston MD 2236 Chamblee Lane Lexington KY 40513

279 4/14/2020 7/30/2021 Eric D'Wayne Hayward Sr. RCP 4190 Louden Drive Horn Lake MS 38637

280 4/14/2020 7/30/2021 Gloria N. Hicks RCP 213 Knightsbridge Drive North Charleston SC 29418

281 4/14/2020 7/30/2021 Carl Ansel Hughes MD 9205 Hanover South Trail Charlotte NC 28210

282 4/17/2020 7/30/2021 Kaylesh K Pandya DO 400 NW 107th Ave. Plantation FL 33324

283 4/14/2020 7/30/2021 Marie Judith Jean-Paul MD P O Box 73200 Newnan GA 30271

284 4/14/2020 7/30/2021 Nicole Jenkins RCP 905 Kenilworth Avenue Charlotte NC 28204

285 4/14/2020 7/30/2021 Genine Johnson RCP 8011 S. Marshfield Ave Chicago IL 60620

01-Jul-21 Page 15 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

286 4/14/2020 7/30/2021 Beenu Joy APRN 5283 Rishley Run Way Mt. Dora FL 32757

287 4/14/2020 7/30/2021 Nicholas Kanaan MD 585 N. Columbus St. Salt Lake UT 84103

288 4/14/2020 7/30/2021 Samantha Louis Zak RCP 7302 Kestrel Trail Hanahan SC 29410

289 4/14/2020 7/30/2021 Yosef Seewald PA 5920 SW 37 Avenue Ft. Lauderdale FL 33312

290 4/15/2020 7/30/2021 Marcus Antonio Walton MD 227 Hayes Lane Rex GA 30273

291 4/15/2020 7/30/2021 Rebecca Spofford Ogden APRN 4951 N. 34th Street Arlington VA 22207

292 4/15/2020 7/30/2021 Keith Terrance Murphy RCP 7825 Richwood Dr. Orlando FL 32825

293 4/15/2020 7/30/2021 Curtis Lawrence Storm MD 1747 Baptist Clay Dr. Fleming Island FL 32003

294 4/15/2020 7/30/2021 Dana Lane Culpepper PA 4300 W. Main Street Dothan AL 36305

295 4/15/2020 7/30/2021 Maryena L. Gross 2525 Hanover Street Hephzibah GA 30815

296 4/15/2020 7/30/2021 Kathy Christman MD 3 Magnolia Blossom Drive Bluffton SC 29910

297 4/15/2020 7/30/2021 Eva Marie Lackritz MD 1440 Rock Springs Circle, NE Atlanta GA 30306

298 4/15/2020 7/30/2021 Beth Ann Lesnikoski MD 825 LaSalle Street Jacksonville FL 32207

299 4/15/2020 7/30/2021 Bethany Marie Lipa MD 3551 N. Broad Street Philadelphia PA 19001

300 4/15/2020 7/30/2021 Carl Loveridge PA 4817 Shell Stream Blvd. New Port Richey FL 34652

301 4/15/2020 7/30/2021 Ashleigh Owen Maiers MD 1016 Windsong Bay Lane Tega Cay SC 29708

302 4/15/2020 7/30/2021 Christopher Edward Menster PA 588 W 8th Street Tower 1 Jacksonville FL 32209

303 4/15/2020 7/30/2021 Jennifer S. Moore APRN 4881 Highway 1760 Louisa KY 41230

304 4/15/2020 7/30/2021 James Anthony Sheerin Muldowney I MD 6218 Brownlee Drive Nashville TN 37205

01-Jul-21 Page 16 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

305 4/15/2020 7/30/2021 Robert G. Mynatt MD 132 Eastview Drive Lookout Mountain TN 37350

306 4/15/2020 7/30/2021 Kevin M. Neal MD 284 Saint Johns Forest Blvd. Saint Johns FL 32259

307 4/15/2020 7/30/2021 William EsDorn O'Quinn, Jr. MD 906 Forrest Lane Beaufort SC 29902

308 4/15/2020 7/30/2021 Jimmy Pierre MD 2074 Midyette Road Tallahassee FL 32301

309 4/15/2020 7/30/2021 Kevin Alexander Porter RCP 935 Chesapeake Way Columbus GA 31907

310 4/15/2020 7/30/2021 Stacey Poznanski DO 9387 Paragon Mills Ln Dayton OH 45458

311 4/15/2020 7/30/2021 Kiersten Prince DO 841 Prudential Drive Jacksonville FL 32207

312 4/15/2020 7/30/2021 Ebony Raymond DO 8568 Warren Pkwy Frisco TX 75034

313 4/15/2020 7/30/2021 Dustin Alan Reed DO 615 East College St. Griffin GA 30224

314 4/15/2020 7/30/2021 Mari Ellen Resler RCP 10200 Springmere Drive Louisville KY 40241

315 4/15/2020 7/30/2021 Gail Roberts PA 1210 Ave. N Brooklyn NY 11230

316 4/15/2020 7/30/2021 Richard Bernard Rothenberg MD 876 Castle Falls Drive Atlanta GA 30329

317 4/15/2020 7/30/2021 Airelle P. Rucker APRN 12150 Annapolis Road Glendale MD 20769

318 4/15/2020 7/30/2021 Debbie Kelley RCP 9001 Eagles Ridge Tallahassee FL 32312

319 4/15/2020 7/30/2021 Jeremy K. Rush MD 222 Old Bluff Dr. Ponte Vedra FL 32081

320 4/15/2020 7/30/2021 Drayton M. Sanders MD 102 Ella Lane Dalton GA 30720

321 4/15/2020 7/30/2021 Christina Schrack APRN 12180 Hidden Brook Terr North Potomac MD 20878

322 4/16/2020 7/30/2021 Jennifer Sierra Smith MD 315 Windy Hill Road Auburn AL 36830

323 4/16/2020 7/30/2021 Elvin Molina-Arroyo PA P O Box 510841 Punta Gorda FL 33951

01-Jul-21 Page 17 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

324 4/16/2020 7/30/2021 Sanjeev Pravin Shah MD 9606 Devonshire Drive Huntersville NC 28078

325 4/16/2020 7/30/2021 Denis Aviva Sherman MD 807 Childres's Way Jacksonville FL 32207

326 4/16/2020 7/30/2021 Bryan Chung-Yun Wong MD 48 Yosemite Court Ventura CA 93003

327 4/16/2020 7/30/2021 Louis Ruth Zador Spierre MD 436 Chattan Way Saint Johns FL 32259

328 4/16/2020 7/30/2021 Jamison Eugene Strahan MD 421 Cynthia Lane NE Vienna VA 22180

329 4/16/2020 7/30/2021 Salik Taufiq MD 807 Childrens Way Jacksonville FL 32207

330 4/16/2020 7/30/2021 Millie Ann Tremlett APRN 1923 Cedar Hill Road White Bluff TN 37187

331 4/16/2020 7/30/2021 Suzane Simpson Wilkins APRN 9 William Street Beaufort SC 29907

332 4/16/2020 7/30/2021 Tyrone Jamar Williams MD 16 Heath Street Somerville MA 02145

333 4/16/2020 7/30/2021 George Robert Woodward DO 841 Prudential Drive Jacksonville FL 32207

334 4/14/2020 7/30/2021 Alla Ziberman MD 4525 Cinnamon Drive Sarasota FL 34238

335 4/17/2020 7/30/2021 Brian Keith Meister RCP 1591 Powell Church Road Harlem GA 30814

336 4/17/2020 7/30/2021 James Edwin Boyd MD P O Box 35 Titusville FL 32781

337 4/17/2020 7/30/2021 Anitha Bhuvaneswaran PA 3375 Kensington Place Winston-Salem NC 27103

338 4/17/2020 7/30/2021 Matthew Atkins MD 1136 Banbury Road Raleigh NC 27607

339 4/17/2020 7/30/2021 Michael John Given MD 759 Blvd of Champions Shalimar FL 32579

340 4/17/2020 7/30/2021 Tammy Michelle Freeman RCP 815 Willow Wood Ln Rock Hill SC 29730

341 4/17/2020 7/30/2021 Margaret Anne Warren DO 5144 Del Roy Dr. Dallas TX 75229

342 4/17/2020 7/30/2021 Gustavo Villalona MD 1266 Belmont Terrace Jacksonville FL 32207

01-Jul-21 Page 18 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

343 4/17/2020 7/30/2021 Keith Terrance Murphy RCP 7825 Richwood Drive Orlando FL 32825

344 4/17/2020 7/30/2021 Hunter Samuel Arnold RCP 1500 Parklawn Dr. Charleston SC 29414

345 4/17/2020 7/30/2021 Stone Aaron Singleton RCP 2063 Dogwood Road Charleston SC 29414

346 4/17/2020 7/30/2021 Airean Tashyia Lowry RCP 1187 West Carthage Road Lumberton NC 28372

347 4/17/2020 7/30/2021 Gary Ryan Shelton MD 308 McDonald Ave Charlotte NC 28203

348 4/17/2020 7/30/2021 Hena Bukhari MD 11115 Crofton Overlook Court Duluth GA 30097

349 4/17/2020 7/30/2021 Sharon H. Galvin MD 107 Chester Drive Pine Grove Mills PA 16868

350 4/17/2020 7/30/2021 Syed Shoeb Qadri MD 9110 College Pointe Ct. Fort Myers FL 33919

351 4/17/2020 7/30/2021 Simpson Bobo Tanner MD 2611 West End Ave Nashville TN 37203

352 4/17/2020 7/30/2021 Arit E. Edwin-Enyenihi MD 1617 Crescent Knolls Glen Escondido CA 92029

353 4/17/2020 7/30/2021 Shantel LaShun Brooks RCP 539 Wall Road Statham GA 30666

354 4/17/2020 7/30/2021 Courtney Jenkins APRN 473 Palisade Drive St. Augustine FL 32092

355 4/17/2020 7/30/2021 Katherine J. Flaugh APRN 9825 Vale Road Vienna VA 22181

356 4/17/2020 7/30/2021 Mona Kameth Bakshi MD 820 Oakdale Drive Auburn AL 36830

357 4/17/2020 7/30/2021 Mary Holden Jones MD 528 Durham Dr. Birmingham AL 35209

358 4/17/2020 7/30/2021 Georgia Andrea Strong APRN 655 W 8th Street Jacksonville FL 32209

359 4/17/2020 7/30/2021 Jennifer Auerbach Hipp DO 15255 Max Leggett Parkway Jacksonville FL 32218

360 4/17/2020 7/30/2021 Amir Zadaka APRN 531 W. Melrose Street Chicago IL 60657

361 4/17/2020 7/30/2021 Tina Marie Catanzaro DO 3954 Cordova Avenue Jacksonville FL 32207

01-Jul-21 Page 19 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

362 4/17/2020 7/30/2021 Niraj Mahendra Mehta DO 3009 Ponder Path Keller TX 76248

363 4/17/2020 7/30/2021 Jay Paul Nagel PA 655 W. 8th Street Jacksonville FL 32209

364 4/17/2020 7/30/2021 Asha Davis RCP 888 Biscayne Blvd Miami FL 33132

365 4/17/2020 7/30/2021 Thomas Nolan Odom RCP 117 Marina Dr., NW Charleston TN 37310

366 4/17/2020 7/30/2021 Charlotte Siau RCP 210 East Main Street Harleyville SC 29448

367 4/17/2020 7/30/2021 Jacquelyn Hastings PA 1700 San Pablo, Dr., S Jacksonville FL 32224

368 4/17/2020 7/30/2021 Mary Mona Aspin MD 7065 Shakerag Road Ellijay GA 30540

369 4/17/2020 7/30/2021 Stephanie Sims MD UF Health Psychiatry-San Jose Jacksonville FL 32217

370 4/20/2020 7/30/2021 Randall Krawcheck DO 15 Madelyn Lane Fairview NC 28730

371 4/20/2020 7/30/2021 Ahmed Magdy Hassan DO 12840 Platt Dr. Frico TX 75035

372 4/20/2020 7/30/2021 Charlotte Siau RCP 210 East Main Street Harleyville SC 29448

373 4/20/2020 7/30/2021 Mark Antony LaPorta MD P O Box 456 Roseland FL 32957

374 4/20/2020 7/30/2021 Michal Szczodry MD Shriners Hospital for Children-ChicaChicago IL 60707

375 4/20/2020 7/30/2021 Rebekah Rae Chapman RCP 408 Deepwood Drive Hopkinsville KY 42240

376 4/20/2020 7/30/2021 Peter A. Smith MD Shriners Hospital for Children-ChicaChicago IL 60707

377 4/20/2020 7/30/2021 Jeffrey Ackman MD Shriners Hospital for Children-ChicaChicago IL 60707

378 4/20/2020 7/30/2021 Jodi E Bracy RCP 10624 N. 8th Street Phoenix AZ 85020

379 4/20/2020 7/30/2021 Brian Gunter MD P O Box 51541 Greenwood SC 29649

380 4/20/2020 7/30/2021 Safiyya Shabazz MD 22 E. Mount Airy Ave. Philadelphia PA 19119

01-Jul-21 Page 20 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

381 4/20/2020 7/30/2021 Roberto Enrique Ochoa Planchart MD 2561 SW 145th Avenue Miami FL 33175

382 4/21/2020 7/30/2021 Sherlonda Talat Adkins PA 4909 W. Liberty Park Circle N. Charleston SC 29405

383 4/21/2020 7/30/2021 Martha Cecilia Ballesteros MD 7303 SW 60th Street Miami FL 33143

384 4/21/2020 7/30/2021 Martha Brown APRN 841 Prudential Drive Jacksonville FL 32207

385 4/21/2020 7/30/2021 Amy Buzek PA 380 Heron Landing Road St. John's FL 32259

386 4/21/2020 7/30/2021 Michael James Ceranowski PA 1544 Glenlake Circle Niceville FL 32578

387 4/21/2020 7/30/2021 Sandro James Corti MD 9110 College Pointe Ct. Fort Myers FL 33919

388 4/21/2020 7/30/2021 Aniruddha Madhu Deshpande MD 200 Orcutt Dr. Fuilford CT 06437

389 4/21/2020 7/30/2021 Alan Lee Elliott MD 818 Deer Valley Drive Hixson TN 37343

390 4/21/2020 7/30/2021 Cathy Eng MD 777 Presgon Research Building Nashville TN 37232

391 4/21/2020 7/30/2021 Andrea Evola APRN 25 Monterey Avenue Staten Island NY 10312

392 4/17/2020 7/30/2021 Karen A. Fleck MD 841 Prudential Drive Jacksonville FL 32207

393 4/21/2020 7/30/2021 Catherine Gaelyn Garrett MD 8447 Heirloom Blvd. College Grove TN 37046

394 4/21/2020 7/30/2021 Sheree Kathleen Hall RCP 4610 Jarvis Corpus Christi TX 78412

395 4/21/2020 7/30/2021 Jennifer Clair Hughes RCP 935 Sudlow Lake Road North Augusta SC 29841

396 4/21/2020 7/30/2021 Grzegorz Brzezicki MD 1841 Atlantic Beach Dr. Atlantic Beach FL 32233

397 4/21/2020 7/30/2021 Admerle Hall Hoskins DO P O Box 768 Coppell TX 75019

398 4/21/2020 7/30/2021 Margaret Lamkin DO 1735 Vaughn Lane Montgomery AL 36106

399 4/21/2020 7/30/2021 Tanya Ernestine Hunter MD 841 Prudential Drive Jacksonville FL 32207

01-Jul-21 Page 21 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

400 4/21/2020 7/30/2021 Brocha Kagan PA 545 West Broadway Cedarhurst NY 11516

401 4/21/2020 7/30/2021 Imran Yaseen Kayani MD 9110 College Pointe Ct. Fort Myers FL 33919

402 4/21/2020 7/30/2021 Eli Kolp MD 1604 3rd Street Circle East Palmetto FL 34221

403 4/21/2020 7/30/2021 Lindsey Renee McCoy RCP 1123 Bull Run Road Luttrell TN 37779

404 4/21/2020 7/30/2021 Taylor Marie Krupp RCP 2176 Glenbury Avenue Lakewood OH 44107

405 4/21/220 7/30/2021 Josuha John Lennon MD 2424 Linkenholt Dr. Collierville TN 38017

407 4/22/2020 7/30/2021 Alexander Nguyen PA 2091 Pinellas Point Drive S St. Petersburg FL 33712

408 4/22/2020 7/30/2021 Shishir K. Khetan MD 950 N. Glebe Road Arlington VA 22203

409 4/22/2020 7/30/2021 Jennifer Ann Crozier MD Baptist MD Anderson Cancer CenterJacksonville FL 32207

410 4/22/2020 7/30/2021 Praful Balkrishna Patel MD 8326 Amherst Hills Ln. Jacksonville FL 32256

411 4/22/2020 7/30/2021 Christian Bachman MD 7600 Mayo Street Century FL 32535

412 4/22/2020 7/30/2021 Jennifer Kay Lin DO 701 5th Ave Seattle WA 98104

413 4/22/2020 7/30/2021 Sui Li MD 9110 College Pointe Ct. Fort Myers GA 33919

414 4/22/2020 7/30/2021 Anthony Brehm MD 10299 Southern Blvd Royal Palm Beach FL 33421

415 4/22/2020 7/30/2021 Wayne Louis Kolberg RCP 17711 SR 23 South Bend IN 46635

416 4/22/2020 7/30/2021 James Patrick Johnston DO 7275 Flowes Store Road Concord NC 28025

417 4/22/2020 7/30/2021 Subhan Mohammed MD 3611 SW 34th Street Gainesville FL 32608

418 4/22/2020 7/30/2021 Hariharan Palayapalayam Ganapathi MD 653-1 West 8th Street UF College Jacksonvilleof FL 32209

419 4/22/2020 7/30/2021 Jeffrey David Ricketts PA 15403 Hidden Foal Dr. Jacksonville FL 32234

01-Jul-21 Page 22 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

420 4/22/2020 7/30/2021 Jennifer Womack MD 1102 Smoke House Drive Charlotte NC 28270

421 4/22/2020 7/30/2021 William Hammond MD 1301 Palm Avenue Jacksonville FL 32207

422 4/22/2020 7/30/2021 Akram Mouied Alashari MD 2555 S. Atlantic Ave Daytona Beach Fl 32118

423 4/22/2020 7/30/2021 Lauren Renee Moore RCP 270 Comanche Street Montevallo AL 35115

424 4/22/2020 7/30/2021 Amanda Lundberg APRN 37 Spice Mill Halfmoon NY 12065

425 4/22/2020 7/30/2021 Daniel Amoh PA 2531 Haulover Blvd. Deltona FL 32738

426 4/22/2020 7/30/2021 Allison Bechtel DO 807 Children's Way Jacksonville FL 32207

427 4/22/2020 7/30/2021 Ricky J. Simpson MD 2308 Lone Tree Tr. Edmond OK 73034

428 4/22/2020 7/30/2021 Elise Joyce Barney MD 2817 E. Elm Street Phoenix AZ 85016

429 4/22/2020 7/30/2021 Adedute A. Gbadehan MD 12411 Shelter Lane Bowie MD 20715

430 4/22/2020 7/30/2021 Christopher Robert Schneider MD 3673 Wood Hollow Road Kettering OH 45429

431 4/22/2020 7/30/2021 James Brett Chafin MD 3420 St. Johns Avenue Jacksonville FL 32205

432 4/22/2020 7/30/2021 Whitley D'nai Booth RCP 1725 Glenn Abbe Ct. St. Charles MO 63303

433 4/22/2020 7/30/2021 Vipul Mangal MD 4856 Muddler Way Fairfax VA 22030

434 4/22/2020 7/30/2021 Zaw Maung MD 701 Rollins Road Burlingame CA 94010

435 4/22/2020 7/30/2021 Jordan Danielle Bender RCP 1355 Crystal Lane Hiawassee GA 30546

436 4/22/2020 7/30/2021 Michael Daniel McCann, Jr. DO 841 Prudential Drive Jacksonville FL 32207

437 4/22/2020 7/30/2021 Tigist Girmy Mehari MD 9110 College Ponte Ct Ft. Myers FL 33919

438 4/22/2020 7/30/2021 Lynnette Anne Morrison MD P O Box 364 Cave Springs AR 72718

01-Jul-21 Page 23 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

439 4/22/2020 7/30/2021 Elena Parhomchuk APRN 841 Prudential Drive Jacksonville FL 32207

440 4/22/2020 7/30/2021 Muhammad Samir Qamar MD 851 S. Rampart Blvd. Las Vegas NV 89145

441 4/22/2020 7/30/2021 Shanna S. Garza MD 6901 Shoreview Drive McKinney TX 75072

442 4/22/2020 7/30/2021 Stephanie Agely MD 841 Prudential Drive Jacksonville FL 32207

443 4/22/2020 7/30/2021 Frank C. Vandy MD 4912 Abbott Avenue S. Minneapolis MN 55410

444 4/22/2020 7/30/2021 Atif Zafar MD 7408 Coachman Street NE Albuquerque NM 87109

445 4/22/2020 7/30/2021 Michel Herns Gratia MD 6301 South 6 Street Road Springfield IL 62712

446 4/22/2020 7/30/2021 Brandace Kristine Reed RCP 325 Midland Pkwy Summerville SC 29485

447 4/22/2020 7/30/2021 Kenneth Gross MD 777 South Broad Street Philadelphia PA 19147

448 4/22/2020 7/30/2021 Manjit Gill APRN 395 Lake Avenue Staten Island NY 10303

449 4/22/2020 7/30/2021 Diva Arnold RCP 3635 Lansdowne Drive Belden MS 38826

450 4/22/2020 7/30/2021 William Edward Downey MD 1825 Beverly Drive Charlotte NC 28207

451 4/22/2020 7/30/2021 Jennifer Leigh Rammel MD 841 Prudential Drive Jacksonville FL 32207

452 4/22/2020 7/30/2021 Harinder Rai MD 326 East Washsington Street Ann Arbor MI 48104

453 4/22/2020 7/30/2021 Miles Sameer Raizada MD 603 Wyndham Hill Parkway Temple TX 76502

454 4/22/2020 7/30/2021 Kristin Clague Reihman MD 321 E Emmaus Avenue Allentown PA 18103

455 4/22/2020 7/30/2021 Marie Ellen Resler RCP 10200 Springmer Drive Louisville KY 40241

456 4/22/2020 7/30/2021 Enrique Amador Cortes Riera MD 9110 College Pointe Ct. Ft. Myers FL 33919

457 4/22/2020 7/30/2021 Eric Thomas Rush MD 2401 Gillham Road Kansas City MO 64108

01-Jul-21 Page 24 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

458 4/22/2020 7/30/2021 Abdo Saad MD 119 California Pine Road NE Rio Rancho NM 87124

459 4/22/2020 7/30/2021 Angelina Johnson Szuch APRN 7060 Nolen Park Circle Nolensville TN 37135

460 4/23/2020 7/30/2021 Vanessa Yap MD 10299 Southern Blvd. Royal Palm Beach FL 33411

461 4/23/2020 7/30/2021 Everald Uriah Walker MD 1010 Peck Place Hendersonville TN 37075

462 4/23/2020 7/30/2021 Frederick William Adler MD 2743 Harrison Street San Francisco CA 94110

463 4/22/2020 7/30/2021 Michael Craig Tiller DO 2152 Tremmel Avenue Ann Arbor MI 48104

464 4/23/2020 7/30/2021 Pamela Lyn Smith Trapane MD 841 Prudential Drive Jacksonville FL 32207

465 4/22/2020 7/30/2021 Lourdes Travieso MD 14351 SW 22 Street Miami FL 33175

466 4/23/2020 7/30/2021 Robert Michael Turner PA 1162 Carmel Circle #310 Casselberry FL 32707

467 4/23/2020 7/30/2021 Shelly Rhodes Weisenfeld MD 2101 Royal Fern Lane Hoover AL 35244

468 4/23/2020 7/30/2021 Suzanne Simpson Wilkins APRN 9 William Street Beaufort SC 29907

469 4/23/2020 7/30/2021 John Cromwell Wood MD 1021 Jays Way Ringgold GA 30736

470 4/23/2020 7/30/2021 Nathan Scott Woody APRN 281 N Lyerly Street Chattanooga TN 37404

471 4/23/2020 7/30/2021 Cortelius Charles Wright RCP 715 Ponderosa Ct. Fayetteville GA 30214

472 4/23/2020 7/30/2021 Taylor Marie Krupp RCP 2176 Glenbury Avenue Lakewood OH 44107

473 4/23/2020 7/30/2021 Tommelsha Fonzie RCP 310 Country Club Pkwy Maumelle AR 72113

474 4/23/2020 7/30/2021 Tequlia Re-Vell Everett RCP 400 Parkway Dr. White Hall AR 71602

475 4/23/2020 7/30/2021 Richard Ziewai Wu DO 14540 Old St. Augustine Road Jacksonville FL 32258

476 4/23/2020 7/30/2021 Jason Puthottile Williams MD 918 Halcyon Ave Nashville TN 37204

01-Jul-21 Page 25 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

477 4/23/2020 7/30/2021 Katie Barrier MD 841 Prudential Drive Jacksonville FL 32207

478 4/23/2020 7/30/2021 Kelli McAllister APRN 1169 Coach Road Slocomb AL 36375

479 4/23/2020 7/30/2021 Warren Sterling Groff MD 1903 Lakeside Dr. N. Fernandina Beach FL 32034

480 4/23/2020 7/30/2021 Angela Marie Massey APRN 4630 Ortega Blvd Jacksonville FL 32210

481 4/23/2020 7/30/2021 Mehulkumar Joshi DO 1220 Patriot Way Eastampton NJ 08060

482 4/23/2020 7/30/2021 Priya Arcot-Joshi DO 1220 Patriot Way Eastampton NJ 08060

483 4/23/2020 7/30/2021 Sandeep Grover MD University of florida - OphthalmologJacksonville FL 32209

484 4/23/2020 7/30/2021 Robert Martin Marble MD 325 Claremont Avenue Rockingham VA 22801

485 4/23/2020 7/30/2021 Joshua A. Goodstein PA 3827 18th Avenue Brooklyn NY 11218

486 4/23/2020 7/30/2021 Edgar Lee Wollam MD 12242 Big Canoe Jasper GA 30143

487 4/24/2020 7/30/2021 Federico Mariano Canavosio MD 7245 6th Street SW Vero Beach FL 32968

488 4/24/2020 7/30/2021 Heidi Yumi Lee MD 11622 Cedar Way Loma Linda CA 92354

489 4/24/2020 7/30/2021 Kevin M. Luftman MD 3443 Dickerson Pike Nashville TN 37207

490 4/24/2020 7/30/2021 Herbert Hopper MD 3443 Dickerson Pike Nashville TN 37207

491 4/24/2020 7/30/2021 Shajitha Melethil MD 2831 Preveza Ct. Jacksonville FL 32246

492 4/24/2020 7/30/2021 Robert Warren Letton Jr. MD 807 Children's Way Jacksonville FL 32207

493 4/25/2020 7/30/2021 Suleiman Issam Suleiman Al Ashi MD 4950 Iris Avenue ort Wayne IN 46825

494 4/24/2020 7/30/2021 Taran L Engelbart APRN 20905 33rd Drive SE Bothell WA 98021

495 4/24/2020 7/30/2021 Gabrielle Carmen Johnson RCP 2844 Hosta Drive Charlotte NC 28269

01-Jul-21 Page 26 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

496 4/24/2020 7/30/2021 Rita Margaret Mary Gillespie DO 1346 Brighton Way Lakeland FL 33813

497 4/24/2020 7/30/2021 Jason DeLeon MD 1346 Brighton Way Lakeland FL 33813

498 4/24/2020 7/30/2021 Anne Marie Eckhardt RCP 4523 Cloverdale Loop Hixson TN 37343

499 4/24/2020 7/30/2021 Sara Rose Eiseler MD 9110 College Pointe Ct. Fort Myers FL 33919

500 4/24/2020 7/30/2021 David Joseph Ebler MD 655 W. 8th Street Jacksonville FL 32209

501 4/24/2020 7/30/2021 Jose Emmanuel Palo MD 10299 Southern Blvd. Royal Palm Beach FL 33411

502 4/24/2020 7/30/2021 Peter Nicolai Fish MD 5 River Way Seabright NJ 07760

503 4/27/2020 7/30/2021 Johnathan Elbert Haywood RCP 5 Topridge Drive Cartersville GA 30120

504 4/27/2020 7/30/2021 Tania Nicolas RCP 1112 S Magnolia Dr. Tallahassee FL 23201

505 4/27/2020 7/30/2021 David Williamson MD 5665 New Northside Drive Atlanta GA 30328

506 4/27/2020 7/30/2021 Adnan Naeem Habib MD 10299 Southern Blvd Royal Palm Beach FL 33411

507 4/27/2020 7/30/2021 Arianna B. Smith RCP 235 West 10th Street Apopka FL 32703

508 4/27/2020 7/30/2021 Jerome Jeremy Cordova MD 6875 E Camelback Road Scottsdale AZ 87251

509 4/27/2020 7/30/2021 Carla Danielle Zingariello DO 11951 SW 32nd Ln Gainesville FL 32609

510 4/27/2020 7/30/2021 Glenlloyd Fitzgerald Fraser RCP 4519 Klondike Road lithonia GA 30038

511 4/27/2020 7/30/2021 David Gerard Rupar MD 1917 Cumberland Avenue Charlotte NC 28201

513 4/27/2020 7/30/2021 Shamsher Bakth MD 18002 Alison Park Place Tampa FL 33647

514 4/27/2020 7/30/2021 Latasha Dawn Armstrong RCP 109 Kennedy Street Red Bay AL 35582

515 4/27/2020 7/30/2021 Melissa Auffenberg RCP 1 City Place Drive St. Louis MO 63141

01-Jul-21 Page 27 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

516 4/27/2020 7/30/2021 Eddie Brown Jr. RCP 34 G and S LN Clinton SC 29325

517 4/27/2020 7/30/2021 Curtis M. Bryant MD 2015 North Jefferson Street Jacksonville FL 32206

518 4/27/2020 7/30/2021 Pamela Capik MD 5400 Hidden Trails Arlington TX 76017

519 4/27/2020 7/30/2021 Edward S. Chen MD 3759 Chateau Ridge Dr. Ellicott City MD 21042

520 4/27/2020 7/30/2021 Tiziano Colibazzi MD 51 East 25th Street New York NY 10010

521 4/27/2020 7/30/2021 Derek John William Parker PA 5049 Keowee School Road Seneca SC 29672

522 4/27/2020 7/30/2021 Charles Philip McKay MD 4735 Parview Road Charlotte NC 28226

523 4/27/2020 7/30/2021 Daniel Joseph Bonthius MD 345 Sharon Township Lane Charlotte NC 28211

524 4/27/2020 7/30/2021 Ashley Dinesh Chadha MD 3500 Broadfield Road Charlotte NC 28226

525 4/27/2020 7/30/2021 Eric Wren Cook RCP 797 Catlin Spur Road East Dublin GA 31027

526 4/27/2020 7/30/2021 Laurarose Dunn-O'Farrell PA 921 Breczewick Circle Towson MD 21286

527 4/27/2020 7/30/2021 Jim Patrick Ellison MD 302 Vicksburg Drive Tuscaloosa AL 35406

528 4/27/2020 7/30/2021 Elizabeth Nicole Fisher (Vichery) RCP 701 Industrial Park Road Goodhope AL 35055

529 4/27/2020 7/30/2021 Adam Lewis Holtzman MD 2015 North Jefferson Street Jacksonville FL 32206

530 4/27/2020 7/30/2021 Eric Michael Jackson MD 801 Hillstead Drive Lutherville MD 21093

531 4/27/2020 7/30/2021 James Phillip Jackson MD 1555 S. Havana Street Aurora CO 80012

532 4/27/2020 7/30/2021 Cristal Johnson RCP 508 4th Plaza Pleasant Grove AL 35127

533 4/27/2020 7/30/2021 Murtaza Kazmi MD 10299 Southern Blvd Royal Palm Beach FL 33411

534 4/27/2020 7/30/2021 Brett Kodish MD 29-2279 Hanamalo Loop Hakalau HI 96710

01-Jul-21 Page 28 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

535 4/27/2020 7/30/2021 Sarah Alma Logan MD 807 Children's Way Jacksonville FL 32207

536 4/27/2020 7/30/2021 William M. Mendenhall MD 2015 North Jefferson Street Jacksonville FL 32206

537 4/27/2020 7/30/2021 Yvonne Annette Patterson MD 358 Student Heath Center University Park PA 16802

538 4/27/2020 7/30/2021 Jaimie Roxas RCP 3900 5th Avenue South Birmingham AL 35222

539 4/27/2020 7/30/2021 Hortense Patricia Russell DO 127 Oakland Circle Lynchburg VA 24502

540 4/27/2020 7/30/2021 Nawal Salahuddi MD 10299 Southern Blvd. Royal Palm Beach FL 33411

541 4/27/2020 7/30/2021 Scott Masson DO 3239 E. Scarborough Road Cleveland Heights OH 44118

542 4/27/2020 7/30/2021 Renato Blanco Jr. MD 132 Sailfish Dr. Ponte Vedro Beach FL 32082

543 4/27/2020 7/30/2021 Eadula Ujwala Sekhar MD 2423 Stearman Lane San Jose CA 95116

544 4/27/2020 7/30/2021 David Joseph Skarupa MD 655 W. 8th Street Jacksonville FL 32209

545 4/27/2020 7/30/2021 Karl Michael Duerr Spect MD 5665 New Northside Drive Atlanta GA 30328

546 4/27/2020 7/30/2021 Alejandra Maria Stewart MD 8814 Clavemorr Glenn Court Charlotte NC 28226

547 4/27/2020 7/30/2021 Michael Dodds Upton MD 237 West Shore Road South Hero VT 05486

548 4/30/2020 7/30/2021 Shelly Weisenfeld MD 5665 New Northside Drive Atlanta GA 30328

549 4/27/2020 7/30/2021 Steven Parrish Wineset MD 10025 SW 48th Place Gainesville FL 32608

550 4/27/2020 7/30/2021 Adeel Yousaf MD 7056 Founders Way Harrisburg NC 28075

551 4/28/2020 7/30/2021 Christopher Scuderi DO 96011 Park Place Fernandina FL 32034

552 4/28/2020 7/30/2021 Kevin G. Work MD 517 Soraparu St. New Orleans LA 70130

553 4/29/2020 7/30/2021 Jasmin Moore RCP 9610 Wind Ridge Court Mobile AL 36695

01-Jul-21 Page 29 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

554 4/29/2020 7/30/2021 Manisha Makker Bansal MD 10782 Waverly Bluff Way Jacksonville FL 32223

555 4/29/2020 7/30/2021 Michael John Joyce MD 807 Childrens Way Jacksonville FL 32207

556 4/29/2020 7/30/2021 Kathia Ortiz-Cantillo MD 2333 Yard Arm Way Fernandina Beach FL 32034

557 4/29/2020 7/30/2021 Zheng Zhu Topp MD 184 Cattail Circle Saint Johns FL 32259

558 4/29/2020 7/30/2021 Rafael L. Villela RCP 4928 Tonya Lee Circle Davie FL 33228

559 4/29/2020 7/30/2021 Jean-David Louis-Charles RCP 831 SW 49th Ter Margate FL 33068

560 4/29/2020 7/30/2021 Jeremy Robert Graham DO 657 Highway 348 Guntown MS 38849

561 4/30/2020 7/30/2021 Julie Ellyn Mervak MD 410 Market Street Chapel Hill NC 27516

562 4/30/2020 7/30/2021 Howard Scott Tackett PA 3179 Morgan Mill Road Brantley AL 36009

563 4/30/2020 7/30/2021 Kitty Leung MD 1401 Riverplace Blvd Jacksonville FL 32207

564 4/30/2020 7/30/2021 Scott Lee McPhee RCP 1673 Lavilla Dr. S. Jacksonville FL 32221

565 4/30/2020 7/30/2021 Deborah R. Simkin MD 4641 Gulfstarr Drive Destin FL 32541

566 4/30/2020 7/30/2021 Joshua Allen Menefee RCP 4083 Groveland Ave Sarasota FL 34231

567 4/30/2020 7/30/2021 Ryan Nicholas Pafford PA 580 West 8th Street Jacksonville FL 32209

568 4/30/2020 7/30/2021 Aaron Moore MD 2020 Orchard Road Ottawa Hills OH 43606

569 4/30/2020 7/30/2021 Stephen Ho RCP 11015 Royale Ridge Ln Houston TX 77089

570 4/30/2020 7/30/2021 Hamid Rabb MD 3571 Centennial Lane Ellicott City MD 21042

571 8/17/2020 7/30/2021 Elijah DeJuan Price RCP 22 Campbell Scenic Dr. Hattisburg MS 39401

573 4/30/2020 7/30/2021 Theresa Domagola APRN 2881 Turtle Shores Drive Fernandina Beach FL 32034

01-Jul-21 Page 30 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

574 4/30/2020 7/30/2021 Valori Hope Slane MD 3233 SW 138th Way Davis FL 33330

575 4/30/2020 7/30/2021 Richard Scott Bowies MD 120 St. Johns Forest Blvd. Jacksonville FL 32259

576 4/30/2020 7/30/2021 Roi Dagan MD 2015 North Jefferson Street Jacksonville FL 32206

577 4/30/2020 7/30/2021 Randal H. Henderson MD 2015 North Jefferson Street Jacksonville FL 32206

578 4/30/2020 7/30/2021 Gregory W. Chapman DO 13725 Bemuda Cay Ct. Jacksonville FL 32225

579 4/30/2020 7/30/2021 Alejandro Jose Luis MD 145 Belleford Ridge Road Columbia SC 29223

580 4/30/2020 7/30/2021 Thomas James Doohan MD 5665 New Northside Dr. Atlanta GA 30328

581 4/30/2020 7/30/2021 Carlos Guevarra MD 841 Prudential Drive Jacksonville FL 32207

582 4/30/2020 7/30/2021 Dahir Hassan RCP 288 Grants Lake Blvd. Sugar Land TX 77479

583 4/29/2020 7/30/2021 Silke Natasha Hunter MD 841 Prudential Drive Jacksonville FL 32207

584 4/30/2020 7/30/2021 Juli G. Horton MD 330 23rd Avenue North Nashville TN 37203

585 4/30/2020 7/30/2021 Mike M. Supplice APRN 2528 Golden Park Lane Tallahassee FL 32303

586 4/30/2020 7/30/2021 William Stewart RCP 224 N Mary Ella Panama City FL 32404

587 4/30/2020 7/30/2021 Marina Amber-Candis Sandoval RCP 5115 N Socrum 1000 Rd. Lakeland FL 33809

588 4/30/2020 7/30/2021 Gregoire Francois Jocelyn Jr. PA 183 Brower Ave Rockille Centre NY 11570

589 4/30/2020 7/30/2021 Stephanie Paulos APRN 11652 Kennedy Lane Jacksonville FL 32223

590 4/30/2020 7/30/2021 Ashley Whipple Tischler APRN 1401 Riverplace Blvd. Jacksonville FL 32207

591 4/30/2020 7/30/2021 Deborah R. Simkin MD 4641 Gulfstarr Drive Destin FL 32541

592 4/30/2020 7/30/2021 Tangela Harris-Wells RCP 2400 Deerfield Drive Northport AL 35473

01-Jul-21 Page 31 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

593 4/30/2020 7/30/2021 Mary Wagner MD 4740 NW 39th Place Gainesville FL 32606

594 4/30/2020 7/30/2021 Shannon Marie Laboy MD 580 W. 8th Street Jacksonville FL 32209

595 4/30/2020 7/30/2021 Daniel Frick DO 2331 Village Drive Louisville KY 40205

596 4/30/2020 7/30/2021 Andrea Diane Burns MD 1885 Ficus Point Drive Melbourne FL 32940

597 4/30/2020 7/30/2021 Lori Leigh Magyar APRN 2834 Estates Lane Jacksonville FL 32257

598 4/30/2020 7/30/2021 Jose Ramon Torradas MD 1435 Holicong Road New Hope PA 18938

599 4/30/2020 7/30/2021 Amy Wellman Smith RCP 24 West Broad Street Fox Worth MS 39483

600 4/30/2020 7/30/2021 Richard Casseus PA 2659 Tempest Trail Lithonia GA 30058

601 4/30/2020 7/30/2021 Charles Michael Smith, Jr. MD 1639 Peabody Avenue Memphis TN 38104

602 4/30/2020 7/30/2021 Erica Ebanks RCP 2010 Hatteras Point Lakeland FL 32304

603 4/30/2020 7/30/2021 Colleen Louis-Charles RCP 831 SW 49 Terrace Margate FL 33068

604 4/30/2020 7/30/2021 Hindi T. Mermelstein MD 1010 Northern Blvd Great Neck NY 11021

605 4/30/2020 7/30/2021 Larisa De Lima RCP 725 N Arboleda Street Clewiston FL 33440

606 4/30/2020 7/30/2021 John N. Moustoukas MD 898 Ash Street Winnetka IL 60093

607 4/30/2020 7/30/2021 Amos Pierre PA 6941 NW 46th Ct. Lauderhill FL 33319

608 5/1/2020 7/30/2021 Kristie R Mintze RCP 7825 Migration Drive Richmond VA 23231

609 5/1/2020 7/30/2021 John Andrew Ebanks RCP 2010 Hatteras Pointe Lakeland FL 33813

610 5/1/2020 7/30/2021 Hardik Patel DO 132 Brownlee Circle Tifton GA 31794

611 5/1/2020 7/30/2021 Mitchell F. Grasseschi MD Shriners Hospital for Children- ChicaChicago IL 60707

01-Jul-21 Page 32 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

612 5/1/2020 7/30/2021 Gerard Edward Farris MD 10107 Ridgecliff Road Huntersville NC 28078

613 5/1/2020 7/30/2021 Bernard Paul White MD 10299 Southern Blvd Royal Palm Beach FL 33411

614 5/1/2020 7/30/2021 Margurite Isaac APRN 1001 E Lakeview Avenue Olathe KS 66061

615 5/1/2020 7/30/2021 Tina Marie Solari APRN 60 Bridge Oak Lane St. Augustine FL 32095

616 5/4/2020 7/30/2021 Stephen Ho RCP 11015 Royale Ridge Lane Houston TX 77089

617 5/4/2020 7/30/2021 Murray Arons MD 3443 Dickerson Pike Nashville TN 7207

618 5/4/2020 7/30/2021 Ahmet Resai Bengur MD 100 Medical Park Drive NE Concord NC 28025

619 5/4/2020 7/30/2021 Heather Harper Augustyniak APRN 2268 Lake Shore Blvd. Jacksonville FL 32210

620 5/4/2020 7/30/2021 Joseph Costa DO Urology, 2nd Floor Faculty Clinic Jacksonville FL 32209

621 5/4/2020 7/30/2021 Ashley Merrick RCP 228 Edwin Gremillion Road Hessmer LA 71341

622 5/4/2020 7/30/2021 Joseph Anthony Paolillo Jr. MD 1001 Blythe Blvd. Charlotte NC 28203

623 5/4/2020 7/30/2021 Troy Leo MD 2309 E. 5th Street Charlotte NC 28204

624 5/4/2020 7/30/2021 Geoffrey Rose MD 315 Hempstead Place Charlotte NC 28207

625 5/4/2020 7/30/2021 George Craig Clinard MD 7266 Three Sisters Lane Concord NC 28027

626 5/4/2020 7/30/2021 Nathaniel Carter Edwards MD 1996 Farrow Drive Rock Holl SC 29732

627 5/4/2020 7/30/2021 Gonzalo Alberto Wallis MD 1001 Blythe Blvd. Charlotte NC 28203

628 5/4/2020 7/30/2021 Holly Capitano DeSena MD 1781 Tate Blvd. SE Hickory NC 28602

629 5/4/2020 7/30/2021 Dunbar Alcindor MD 12847 Brodick Ct. Jacksonville FL 32224

630 5/4/2020 7/30/2021 McKenna Healy MD 337 Whitworth Way Nashville TN 37205

01-Jul-21 Page 33 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

631 5/4/2020 7/30/2021 Bilal Mustafa MD 4809 Mulholland Drive Piano TX 75074

632 5/5/2020 7/30/2021 Marie Lynn Crandall MD 655 W. 8th Street Jacksonville FL 32209

633 5/5/2020 7/30/2021 Tara Kantharaj MD 3030 Octavia Street San Francisco CA 94123

634 5/5/2020 7/30/2021 Katherine Marie Singh APRN 13102 Tall Tree Dr S Jacksonville FL 32246

635 5/5/2020 7/30/2021 David Glenn Turner Jr. RCP 201 Lakeshore Drive Gadsden AL 35901

636 5/5/2020 7/30/2021 Brian Daniel Knox MD 4928 W. Melrose Ave N Tampa FL 33629

637 5/5/2020 7/30/2021 Sobner Aubourg PA 2149 Autumn Chase Drive Stockbridge GA 30281

638 4/28/2020 7/30/2021 Wendy Lewis RCP 1700 Demere Road Saint Simons Island GA 31522

639 5/5/2020 7/30/2021 Natalya Valeriyevna Shneyder MD 580 W 8th Str Tower 1 Jacksonville FL 32209

640 5/6/2020 7/30/2021 Marcos Valerio MD 6425 SW 102nd Ave Miami FL 33173

641 5/6/2020 7/30/2021 Kyle Alexander Wuthrich DO 2054 Riverside Avenue Jacksonville FL 32204

642 5/7/2020 7/30/2021 Amanda Joan Kocoloski DO 4525 Cameron Valley Parkway Charlotte NC 28211

643 5/6/2020 7/30/2021 Suresh Ramasubban MD 10299 Southern Blvd. Royal Palm Beach FL 33411

644 5/6/2020 7/30/2021 Rahul Bhatia MD 10406 North 58th Street Paradise Valley AZ 85253

645 5/6/2020 7/30/2021 Amy Hacker-Prietz PA 401 N. Broadway Baltimor MD 21231

646 5/6/2020 7/30/2021 Amol Kumar Narang MD John Hopkins University Baltimore MD 21287

647 5/6/2020 7/30/2021 Ayaz Pathan MD 5665 New Northside Drive Atlanta GA 30328

648 5/6/2020 7/30/2021 Susan George MD 8704 Sicklebar Way Ellicott City MD 21043

649 5/6/2020 7/30/2021 David Culpepper MD 2324 Armature Ct Lexington KY 40513

01-Jul-21 Page 34 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

650 5/6/2020 7/30/2021 Jonathan Jassey DO 2 Harvest Court Dix Hills NY 11746

651 5/6/2020 7/30/2021 David K. Close MD 961 Spring Creek Road Chattanooga TN 37412

652 5/6/2020 7/30/2021 Yasmine M. Swistek APRN 8356 Deer Run Circle OOLTEWAH TN 37363

653 5/6/2020 7/30/2021 Siobhan A. Duff MD 961 Spring Creek Road Chattanooga TN 37412

654 5/6/2020 7/30/2021 Robert A. Drake MD 961 Spring Creek Roa Chattanooga TN 37412

655 5/6/2020 7/30/2021 Monique H. Golding MD 961 Spring Creek Road Chattanooga TN 37412

656 5/6/2020 7/30/2021 Alexander E. Marsh MD 5920 E Prairiewood Dr. Grand Forks ND 58201

657 5/6/2020 7/30/2021 Makisha A. Gamble RCP 215 Hood Street St. Stephen SC 29479

658 5/6/2020 7/30/2021 Charlotte O'Neil Bedsole APRN 3477 Pinetree Road Jacksonville FL 32250

659 5/8/2020 7/30/2021 Charles William Lester MD 9875 SW 159 Path Miami FL 33196

660 5/7/2020 7/30/2021 Dimitrios Tsirigotis MD 633 East Main Street Louisville KY 40202

661 5/7/2020 7/30/2021 Beverly J. McPherson RCP 1 CityPlace Drive St. Louis MO 63141

662 5/7/2020 7/30/2021 Joshua M. Pahys MD 3551 N Broad Street Philadelphia PA 19140

663 5/7/2020 7/30/2021 Bijoy Easso John MD 5259 McGavock Road Brentwood TN 37027

664 5/7/2020 7/30/2021 Scott L. Silliman MD 580 West 8th Street Jacksonville FL 32209

665 5/7/2020 7/30/2021 Ryan Crooks MD 1544 Talbot Ave Jacksonville FL 32205

666 5/7/2020 7/30/2021 Suparna R. Krishnaiengar MD 4340 Chelsea Harbor Dr W Jacksonville FL 32224

667 5/7/2020 7/30/2021 Noel Espinosa-Sanchez MD 26030 Meadow Breeze Lane Leesburg FL 34748

668 5/7/2020 7/30/2021 Patricia Joachim-Georges RCP 229 Bella Vista McDonough GA 30253

01-Jul-21 Page 35 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

669 5/8/2020 7/30/2021 Briana Kali Lester MD 700 Terrace Heights Winona MN 55986

670 5/8/2020 7/30/2021 Anthony Ray Perkins MD 635 W. 424 St. New York NY 10036

671 5/8/2020 7/30/2021 Paul Edward Kobza DO 4 Chelsea Blvd. Houston TX 77006

672 5/7/2020 7/30/2021 Timothy Mark Jenkins PA 4725 Wilson Ave. Signel Mtn TN 37377

673 5/7/2020 7/30/2021 Natalie K. McQueen PA 40 Keystone Drive NE Cleveland TN 37312

674 5/7/2020 7/30/2021 Katelyn W. Bales APRN 1417 Market Street Chatt TN 37402

675 5/7/2020 7/30/2021 Sarah E. Snyder APRN 12207 Posey Hollow Road Soddy Daisy TN 37379

676 5/8/2020 7/30/2021 Jennifer Brooke Hale MD 9204 Heydon Hall Circle Charlotte NC 28210

677 5/8/2020 7/30/2021 Benjamin Keveson 10650 Park Road Charlotte NC 28210

678 5/8/2020 7/30/2021 Grigor Badalyan MD 3017 Highbury Place Weddington NC 28104

679 5/8/2020 7/30/2021 Gregory Scott Pape MD 3068 Hwy 130 East Shelbyville TN 37160

680 5/8/2020 7/30/2021 Kinnarsh Sureshbhai Patel MD 210 Kindling Wood Lane Waxhaw NC 28173

681 5/8/2020 7/30/2021 Chau Chu Taylor MD 3990 Brunswick Dr. Harrisburg NC 28075

682 5/8/2020 7/30/2021 John Albert Mitchell MD 914 Blue Crab Way Mt. Pleasant SC 29464

683 5/8/2020 7/30/2021 Jason Saint Zolak MD 2200 Charlotte Drive Charlotte NC 28203

684 5/8/2020 7/30/2021 Farshad Farnejad MD 2015 Weddingto Lake Dr. Weddington NC 28104

685 5/8/2020 7/30/2021 Yaakov Friedman MD 3116 W. Fargo Avenue Chicago IL 60645

686 5/8/2020 7/30/2021 Sai Praveen Haranath MD 10299 Southern Blvd Royal Palm Beach FL 33411

687 5/8/2020 7/30/2021 Benjamin D. Bringardner MD 1503 Mt. Isle Harbor Dr. Charlotte NC 28214

01-Jul-21 Page 36 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

688 5/8/2020 7/30/2021 Jonathan Jassey DO 2 Harvest Court Dix Hills NY 11746

689 5/8/2020 7/30/2021 Anthony Dallas MD 108 Franklin Circle Portland TN 37148

690 5/8/2020 7/30/2021 Michael Steven Reif MD 1621 Biltmore Drive Charlotte NC 28207

691 5/8/2020 7/30/2021 Pierre Margjoni RCP 2911 NW 57th Place Gainesville FL 32653

692 5/8/2020 7/30/2021 Carlos Roig MD 3545 NE 167th Street Miami Beach FL 33160

693 5/8/2020 7/30/2021 Michel Wagner MD 19489 Raven Drive Louisville NE 68937

694 5/11/2020 7/30/2021 Anna H. Matusiewicz MD Cornell Health Ithaca NY 14853

695 5/11/2020 7/30/2021 Rachel Lauren Clark APRN Cornell Health Ithaca NY 14853

696 5/11/2020 7/30/2021 Martin Musumbi MD 10299 Southern Blvd. Royal Palm Beach FL 33411

697 5/11/2020 7/30/2021 Waqar Kashif MD 10299 Southern Blvd. Royal Palm Beach FL 33411

698 5/11/2020 7/30/2021 Nancy Price Mendenhall MD 2015 North Jefferson Street Jacksonville FL 32206

699 5/11/2020 7/30/2021 Michael S. Rutenberg MD 2015 North Jefferson Street Jacksonville FL 32206

700 5/11/2020 7/30/2021 Elron J. Wallace MD 96 Tarragon Lane Edgewater MD 21037

701 5/11/2020 7/30/2021 Jeffrey Paul Borkoski MD 8522 NW 190 Terrace Alachua FL 32615

702 5/11/2020 7/30/2021 Cara Kistler MD 5643 Merry Moont Drive Charlotte NC 28226

703 5/11/2020 7/30/2021 Brett Stuart Malone MD 3111 S. Lochlomond Drive Springfield MO 65804

704 5/11/2020 7/30/2021 Chuka Godwin Enebeli MD 6906 Dimarco Road Tampa FL 33634

705 5/11/2020 7/30/2021 Richard D. Moody MD 961 Spring Creek Road Chattanooga TN 37412

706 5/12/2020 7/30/2021 Brittany C. Turner RCP 201 Lakeshore Drive Gadsden AL 35901

01-Jul-21 Page 37 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

707 5/12/2020 7/30/2021 Cale D. Baskin PA 3726 Manson Pike Murfreesboro TN 27129

708 5/12/2020 7/30/2021 Daniel Paul Maman PA 1048 Steppe Eagle Avenue Henderson NV 89015

709 5/12/2020 7/30/2021 Ashley Nicole Nations RCP 109 Old Mill Lane Ringgold GA 3036

710 5/12/2020 7/30/2021 Matthew Paul Kochuba MD 655 W. 8th Street Jacksonville FL 32209

711 5/12/2020 7/30/2021 Marswaintra Zanshawn Moore RCP 287 Dunbar Cave Road Clarksville TN 37043

712 5/12/2020 7/30/2021 Albert T. Hsu MD 655 W. 8th Street Jacksonville FL 32209

713 5/12/2020 7/30/2021 Julie Ann Bradley MD 2015 North Jefferson Street Jacksonville FL 32206

714 5/12/2020 7/30/2021 Scott Shannon Lindblom MD 2720 Moss Spring Road Charlotte NC 28270

715 5/12/2020 7/30/2021 Taylor Shea Fleury RCP 10 Stacey Drive Hopkinton NH 03229

716 5/12/2020 7/30/2021 Gregory Wallace Stewart MD 1415 Tulane Avenue New Orleans LA 70112

717 5/12/2020 7/30/2021 Elmer Luis Quintero MD 137 Midle Street Niskayuna NY 12309

718 5/13/2020 7/30/2021 Joi Levett Grigsby RCP 3682 Graham's Port Lane Snellville GA 30039

719 5/14/2020 7/30/2021 Josette St Hilaire RCP 4099 Arthurium Avenue Lake Worth FL 33462

720 5/14/2020 7/30/2021 Peter Smith MD 6405 Dalston Street Baltimore MD 21220

721 5/14/2020 7/30/2021 Gene E. Walker Jr. MD 113 Hypoint Street Gadsden AL 35901

722 5/14/2020 7/30/2021 Donald No MD 9901 Washington Blvd. Culver City CA 90232

723 5/14/2020 7/30/2021 Denis Thomas RCP 3405 North Shepherd Houston TX 77018

724 5/14/2020 7/30/2021 Denny Hong MD 63 Wessix Court Daly City CA 94015

725 5/14/2020 7/30/2021 Karen S. Shimshak MD Nemours Children's Specialty CareJacksonville FL 32207

01-Jul-21 Page 38 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

726 5/14/2020 7/30/2021 Elizabeth Moran MD 4339 Fairway Drive Jacksonville FL 32210

727 5/14/2020 7/30/2021 Shirley Alleyne MD 13410 English Peak Court Jacksonville FL 32258

728 5/14/2020 7/30/2021 Richard Daniel Sue MD 119 Santa Ynez Dr. Arcadia CA 91007

729 5/14/2020 7/30/2021 Adarsh Kumar Srivastava MD 1325 Grace Ave Cincinnati OH 45208

730 5/14/2020 7/30/2021 Kokeisha D. Johnson RCP 619 Walnut Grove Dr. Pearl MS 39208

731 5/14/2020 7/30/2021 Khai-EL Johnson MD 2501 K St. NW #1A Washington DC 20037

732 5/14/2020 7/30/2021 Scott H. Kozin MD 3551 N Broad Street Philadelphia PA 19140

733 5/14/2020 7/30/2021 Bonnie Riportella DO 1260 Piney Woods Path The Villages FL 32163

734 5/14/2020 7/30/2021 Kanishka Wijegunaratne MD 340 Hauser Blvd. Los Angeles CA 90036

735 5/14/2020 7/30/2021 Edward S Kraus MD 6115 Benhurst Road Baltimore MD 21209

736 5/15/2020 7/30/2021 Sarah Nicole Bitzas RCP 438 Bottesford Drive NW Kennesaw GA 30144

737 5/15/2020 7/30/2021 Clifford Sussman MD 5410 Connecticut Ave NS Washington DC 20015

738 5/15/2020 7/30/2021 Jennifer Miller MD 2001 SW 102nd Terr Gainesville FL 32607

739 5/15/2020 7/30/2021 Darrius Landy RCP 1413 Broughton Street Bainbridge GA 39817

740 5/15/2020 7/30/2021 Amiee Dickerson RCP 1529 Sunset Drive Jacksonville FL 32250

741 5/15/2020 7/30/2021 Francis Wang MD 75 Mt Auburn Street Cambridge MA 02138

742 5/15/2020 7/30/2021 Julio Rodriguez RCP 5196 SW 90 Terrance Ft Lauderdale FL 33328

743 5/15/2020 7/30/2021 Cathy Ann Stevens MD 910 Blackford Street Chattanooga TN 37403

744 5/15/2020 7/30/2021 Eftim Adhami MD 1117 NW 98th Street Gainesville FL 32606

01-Jul-21 Page 39 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

745 5/15/2020 7/30/2021 Elizabeth Toby Chorney MD 9429 S Star Hill Cir Lonetree CO 80124

746 5/15/2020 7/30/2021 Erika Hamilton MD 250 25th Avenue N. Nashville TN 37203

747 5/15/2020 7/30/2021 Michelle McClain Calabro MD 709 N Dekalb Street Shelby NC 28152

748 5/15/2020 7/30/2021 Rebecca Fuqua APRN 4035 Skyland Drive Kingsport TN 37664

749 5/15/2020 7/30/2021 Chad H. Peterson PA 2675 Big Sewickley Creek Road Sewikley PA 15143

750 5/15/2020 7/30/2021 Howard Katzenstein MD 1720 Atlantic Beach Drive Atlantic Beach FL 32233

751 5/15/2020 7/30/2021 Jeanine C. Shah MD 1214 N. Marion Court Chicago IL 60622

752 5/15/2020 7/30/2021 Emily Johnson MD Johns Hopkins Baltimore MD 21287

753 5/22/2020 7/30/2021 William Norman Lane, Jr. MD 259 High Circle Mooresville NC 28117

754 5/15/2020 7/30/2021 Anup Vora MD 17908 Toboggan Lane Rockville MD 20855

755 5/15/2020 7/30/2021 Kathryn Elaine Rivers RCP 1602 Magwilliams Road Chickamauga GA 30707

756 5/15/2020 7/30/2021 Katherine Byra MD 13770 Beach Blvd. Jacksonville FL 32224

757 5/15/2020 7/30/2021 Maria Teresa Valdes MD 13241 Bartram Park Blvd. Jacksonville FL 32258

758 5/15/2020 7/30/2021 Paul J. Leadem Jr. MD 13241 Bartram Park Blvd. Jacksonville FL 32258

759 5/15/2020 7/30/2021 Ashraf Abu Affan MD 13241 Bartram Prk Blvd. Jacksonville FL 32258

760 5/15/2020 7/30/2021 Barbara O'Reilly MD 13770 Beach Blvd. Jacksonville FL 32224

761 5/15/2020 7/30/2021 Jeremy Screws MD 4016 Breakwater Drive Hixson TN 37343

762 5/15/2020 7/30/2021 Robert Martin Marble MD 325 Claremont Avenue Rockingham VA 22801

763 5/15/2020 7/30/2021 David Robert Kang MD 849 N. Franklin Street Chicago IL 60610

01-Jul-21 Page 40 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

764 5/15/2020 7/30/2021 Xiulian Chen MD 851 SW Normandy Terrace Normandy Pakr WA 98166

765 5/15/2020 7/30/2021 Mohammad Qasim Baig MD 2814 44th Street Ct NE Tacoma WA 98422

766 5/18/2020 7/30/2021 Melissa A. Moser APRN 8391 Lexie Lane Ooltewah TN 37363

767 5/18/2020 7/30/2021 Sunil Paul Keshwah MD 1333 S. Wabash Ave Chicago IL 60605

768 5/18/2020 7/30/2021 Raymond Bernard Mailhot MD 2015 North Jefferson Street Jacksonville FL 32206

769 5/18/2020 7/30/2021 Romaine Charles Nichols MD 2015 North Jefferson Street Jacksonville FL 32206

770 5/18/2020 7/30/2021 Abhishake Raina MD P O Box 388 Hartsdale NY 10530

771 5/18/2020 7/30/2021 Cheryl Grace Baxter APRN 3586 Skipstone Place Columbus OH 43221

772 5/18/2020 7/30/2021 Kenneth D. Mullins RCP 1508 Ebenezer Church Road Memphis IN 47143

773 5/18/2020 7/30/2021 Katherine Ann Zarroli MD UF Health Neurology - JacksonvilleJacksonville FL 32209

774 5/19/2020 7/30/2021 Anne Marie Eckhardt RCP 4523 Cloverdale Loop Hixson TN 37343

775 5/19/2020 7/30/2021 Rosa M. Huguet MD 13713 SW 38 Street Miami FL 33175

776 5/19/2020 7/30/2021 Joel C. Ledbetter MD 2157 Shirewood Lane Signal Mtn TN 37377

777 5/19/2020 7/30/2021 Ankur Gupta MD 1247 Woodward Ave Detroit MI 48226

778 5/19/2020 7/30/2021 Ruchira Singh MD 653-1 W. 8th Street Jacksonville FL 32246

779 5/19/2020 7/30/2021 Douglas Gladstone MD 1909 Pot Spring Road Lutherville MD 21093

780 5/19/2020 7/30/2021 Melody B. Msiska MD 8901 River Crossing Blvd. Indianapolis IN 46240

781 5/19/2020 7/30/2021 Chelsea Caroline Capone, Perfusioni 112 Golden Eagle Lane Brisbane CA 94005

782 5/20/2020 7/30/2021 Sean Matthew Jones DO 105 W College Street Black Mountain NC 28711

01-Jul-21 Page 41 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

783 5/20/2020 7/30/2021 Lynsey Keach Schlotzer MD 841 Prudential Drive Jacksonville FL 32207

784 5/20/2020 7/30/2021 Matthew James Thompson MD 841 Prudential Drive Jacksonville FL 32207

785 5/20/2020 7/30/2021 Vani Shree Vallabhaneni MD 10601 Pecan Park Blvd; Austin TX 78750

786 5/20/2020 7/30/2021 Luis Gaspar Maduro Padilla MD 500 Condominio Paseo del Rio Humacao PR 00791

787 5/20/2020 7/30/2021 Lucy Mange Chartier APRN 8233 Hillside Drive Raleigh NC 27612

788 5/21/2020 7/30/2021 Leslie Harris Jr. MD 8192 Longneedle Place Montgomery AL 26117

789 5/21/2020 7/30/2021 James Marshall Groneck Perfusionist 2065 La Chandelle Ct. Brookfield WI 53045

790 5/21/2020 7/30/2021 George K. Cleland PA 27 Pinetree Circle Valdosta GA 31601

791 5/21/2020 7/30/2021 Joshua Flatow MD 320 Pine Avenue Long Beach CA 90802

792 5/22/2020 7/30/2021 Melissa Tsuboyama MD 114 Riverway Boston MA 02215

793 5/22/2020 7/30/2021 Cara Kistler MD 5643 Merry Moont Dr. Charlotte NC 28226

794 5/22/2020 7/30/2021 Dileep Raman MD 10299 Southern Blvd. Royal Palm Beach FL 33411

795 5/22/2020 7/30/2021 Ritu Dave' MD 1321 Upland Drive Houston TX 77043

796 5/22/2020 7/30/2021 Cheryl M. Weyers MD 1025 Brafford Dr. Concord NC 28025

797 5/22/2020 7/30/2021 Neveen Habashi MD 501 N. Aspen Street Lincolnton NC 28092

798 5/20/2020 7/30/2021 Jawad Iqbal MD 518 33rd Ave Ct NW Gig Harbor WA 98335

799 5/22/2020 7/30/2021 Hashir Majid MD 10299 Southern Blvd. Royal Palm Beach FL 33411

800 5/22/2020 7/30/2021 Kinila T. Mohan MD E1-802, Waters Edge, Vishal NagarPune MH 411027

801 5/22/2020 7/30/2021 Dela Cruz Anton Micael Katigbak MD 10299 Southern Blvd Royal Palm Beach FL 33421

01-Jul-21 Page 42 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

802 5/22/2020 7/30/2021 Matthew Abraham MD 29 Miller Avenue SW Concord NC 28025

803 5/22/2020 7/30/2021 Kamal Chater MD 920 Church Street Concord NC 28025

804 5/22/2020 7/30/2021 James Kenneth Roberts MD 4401 Forest Hills Drive Charlotte NC 28226

805 5/1/2020 7/30/2021 Rebecca Elizabeth Burkhart MD 8611 Concord Mills Blvd. Concord NC 28078

806 5/1/2020 7/30/2021 Steve Everett Herndon MD 125 Doughty Street Charleston SC 29403

807 5/7/2020 7/30/2021 Scott Anthony Crane MD 1235 Delaney Drive Weddington NC 28204

809 5/1/2020 7/30/2021 Amy Watson MD 13528 Evening Primrose Drive Davidson NC 28036

810 5/1/2020 7/30/2021 Steven Kadiev MD 3421 Walston Lane Charlotte NC 28211

811 5/1/2020 7/30/2021 Sunil Kmat MD 10299 Southern Blvd. Royal Palm Beach FL 33411

812 5/1/2020 7/30/2021 Azeem Elahi MD 2442 Christenbury Hall Dr. NW Concord NC 28027

813 5/2/2020 7/30/2021 Susan Lynn Evans MD 2224 Club Road Charlotte NC 28205

814 5/4/2020 7/30/2021 Toan Thiet Huynh MD 15831 Strickland Ct. Charlotte NC 28277

815 5/2/2020 7/30/2021 Aishwarya Palwai MD 12414 Old Timber Road Charlotte NC 28269

816 5/4/2020 7/30/2021 Reddy Sreenivas Singasani MD 10299 Southern Blvd. Royal Palm Beach FL 33411

817 5/4/2020 7/30/2021 Lakshmiprya Kasirajan MD 11304 Hawthorne Drive Mint Hill NC 28227

818 5/4/2020 7/30/2021 Soumya Parimi MD 10299 Southern Blvd. Royal Palm Beach FL 33411

819 5/5/2020 7/30/2021 Jason Earl Gunn MD 125 Doughty Street Charleston SC 29403

820 5/6/2020 7/30/2021 Anil Prem Jotwani MD 2501 Chelsea Place Court Charlotte NC 28211

821 5/7/2020 7/30/2021 Jaspal Singh MD 2923 Providence Trail Lane Charlotte NC 28270

01-Jul-21 Page 43 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

822 5/12/2020 7/30/2021 Alan C. Heffner MD 2146 Roswell Avenue Charlotte NC 28207

823 5/22/2020 7/30/2021 Michael Brian Green MD 2905 Windsor Avenue Charlotte NC 28209

824 5/22/2020 7/30/2021 Michael Andrew Zgoda MD 7919 Deerbridge Street Mint Hill NC 28227

825 5/22/2020 7/30/2021 Christopher David Russell MD 4731 Binfords Ridge Road Charlotte NC 28226

826 5/22/2020 7/30/2021 Krista D. Pellicore MD 5313 N Oro Vista Ct. Litchfield Park AZ 85340

827 5/22/2020 7/30/2021 Michael Hoonbae Chung MD 96 Selman Street SE Atlanta GA 30316

828 5/22/2020 7/30/2021 Anne Gurlan Dangerfield (Anne Gurl MD 5 Johnson Avenue Medlord Ma 02155

829 5/22/2020 7/30/2021 David Franz MD 545 Evergreen Dr. Springboro OH 45066

830 5/22/2020 7/30/2021 Katherine E. Rowan MD 71 Washington Street Babylon NY 11702

831 5/21/2020 7/30/2021 Gina Glass MD 137 Europa Blvd Cherry Hill NJ 08003

832 5/21/2020 7/30/2021 Sheeva Rajaei MD 721 Presidential Drive Horsham PA 19044

833 5/21/2020 7/30/2021 Daniel M. Goldman MD 111 Lucerne Blvd. Cherry Hill NJ 08003

834 5/21/2020 7/30/2021 Nitin D. Desai MD 1139 Offshore Drive Fayetteville NC 28305

835 5/26/2020 7/30/2021 Anitricia Denise Harris DO 8192 Longneedle Place Montgomery AL 36117

836 5/26/2020 7/30/2021 Emily Aventura MD 10299 Southern Blvd. Royal Palm Beach FL 33411

837 5/26/2020 7/30/2021 Ann Marie Baker MD 8759 New Holland Lane Mechanicsville VA 23116

838 5/26/2020 7/30/2021 Candance Renay Smalls RCP 308 Oak Street E. Hampton SC 29924

839 5/26/2020 7/30/2021 Muhammad Atif Rashad MD 1392 Founders Way Mount Pleasant SC 29464

840 5/26/2020 7/30/2021 Diane Sophia Ford RCP 6574 East Brainerd Road Chattanooga TN 37421

01-Jul-21 Page 44 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

841 5/26/2020 7/30/2021 Aviral Roy MD 10299 Southern Blvd Royal Palm Beach FL 33411

842 5/26/2020 7/30/2021 Jennifer LeAnn Welch RCP 3023 Spring Street Catoosa OK 74015

843 5/26/2020 7/30/2021 Russell Wesley Homan MD 908 Shadowlawn Drive Tallahassee FL 32312

844 5/27/2020 7/30/2021 Ian W Flinn MD 250 25th Ave. N Nashville TN 37203

845 5/27/2020 7/30/2021 Thomas Kuciejczyk-Kernan MD 627 Sunnyside Avenue Webster Groves MO 63119

846 5/27/2020 7/30/2021 Kristin L Strawhun MD 4000Sherbrooke Drive Charlotte NC 28210

847 5/27/2020 7/30/2021 Carla Rae Nordstrom MD 4 Chambers Circle West Lebanon NH 03784

848 5/27/2020 7/30/2021 Susan Lynn Evans MD 2224 Club Road Charlotte NC 28205

849 5/27/2020 7/30/2021 James Joseph Carswell IV MD 125 Doughty Street Charleston SC 29403

850 5/27/2020 7/30/2021 Arash Ansari MD 161 Beech Street Belmont MA 02478

851 10/23/2020 7/30/2021 Katherine Ann Glass MD 3333 Burnet Avenue Cincinnati OH 45219

852 5/28/2020 7/30/2021 Ranjini Murali Krishnan MD 1701, 94th Avenue NE Clyde Hill WA 98004

853 5/28/2020 7/30/2021 Janice Elaine Brunstrom-Hernandez MD 7709 San Jacinto Place Plano TX 75024

854 5/28/2020 7/30/2021 Doris C. Cifuentes MD 15240 NW 89th Avenue Hialeah FL 33018

855 5/28/2020 7/30/2021 Michael F Oakes MD 6565 Olde Stage Road Boulder CO 80302

856 5/28/2020 7/30/2021 Joni Collins Ricketts PA 1819 Hawkcrest Drive Jacksonville FL 32259

857 5/28/2020 7/30/2021 Bonnie Riportella DO 1260 Piney Woods Path The Villages FL 32163

858 5/29/2020 7/30/2021 Jacqueline Helene Slakoper Delessio DO 626 Highponte Circle Langhorne PA 19047

859 5/29/2020 7/30/2021 Frank Diether Aprile (Perfusionist) 10380 Hemlock Avenue Paris MI 49338

01-Jul-21 Page 45 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

860 5/29/2020 7/30/2021 Julie Copeland RCP 133 Lake Front Drive Daphne AL 36526

861 5/29/2020 7/30/2021 Wachovia Chanta Banks DO 1175 Grey Pine Drive Blythewood SC 29016

862 5/29/2020 7/30/2021 David Scott Ross MD 841 Prudential Drive Jacksonville FL 32207

863 5/29/2020 7/30/2021 Jaishri Blakeley MD 603 West Joppa Road Towson MD 21204

864 5/29/2020 7/30/2021 Steve Plouffe RCP 1105 East Francis Drive Palm Springs CA 92262

865 5/29/2020 7/30/2021 Mark Brodeur MD 841 Prudential Drive Jacksonville FL 32207

866 6/2/2020 7/30/2021 Abhinav Agarwal MD 6010 63rd Ave Ct. NW Gia Harbor WA 98335

867 6/2/2020 7/30/2021 Fernando Woll Plenge MD 10299 Southern Blvd. Royal Palm Beach FL 33411

868 6/2/2020 7/30/2021 Melanie Winegar APRN 323 Old Persia Road Rogersville TN 37857

869 6/2/2020 7/30/2021 Samir Patel MD 3060 Pharr Court North NW Atlanta GA 30305

870 6/2/2020 7/30/2021 Mark C Wilson MD 221 Merion Drive Pittsburgh PA 15228

871 6/4/2020 7/30/2021 Ivorique' Orenna Turner DO 102 Queensland Florida Ponte Vedra FL 32081

872 6/4/2020 7/30/2021 Shanee Owens APRN 9029 Chaffin Lane Chattanooga TN 37421

873 6/4/2020 7/30/2021 Amanda Tedstrom MD 979 E 3rd St. Chattanooga TN 37403

874 6/4/2020 7/30/2021 Steven Gary Fein MD 5825 SW 117th Street Coral Gables FL 33156

875 6/5/2020 7/30/2021 Sushil Rao Puskur MD 1740 SE 18th Street Ocala FL 34471

876 6/5/2020 7/30/2021 Linda Bluestein MD 225 S Executive Drive Brookfield WI 53005

877 6/5/2020 7/30/2021 Donna M Baldwin DO 3513 Brighton Blvd. Denver CO 80216

878 6/5/2020 7/30/2021 Tracy M. Dozier MD 166 N. Crest Road Chattanooga TN 37404

01-Jul-21 Page 46 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

879 6/5/2020 7/30/2021 Jaishri Blakeley MD 603 West Joppa Road Towson MD 21204

880 6/8/2020 7/30/2021 Boby Ukken APRN 1250 SW 27th Avenue Coral Gables FL 33135

881 6/8/2020 7/30/2021 Bijoy Easso John MD 5259 McGavock Road Brentwood TN 37027

882 6/8/2020 7/30/2021 Mark Christopher Wilson MD 1400 Crane Road Waxhaw NC 28173

883 6/10/2020 7/30/2021 Fernando Windemuller MD 1501 Chamberlain Avenue Chattanooga TN 37404

884 6/11/2020 7/30/2021 Linda Suzanne Gifford DO 141 Wiley Road Naples ME 04055

885 6/12/2020 7/30/2021 Allan Joel Belzberg MD 8419 Greenspring Avenue Pikesville MD 21208

886 6/12/2020 7/30/2021 Jean Corioland RCP 620 SW 28 St. Miramar FL 33023

887 6/12/2020 7/30/2021 Arom Evans MD 200 2nd Avenue S. Saint Pete FL 33701

888 6/12/2020 7/30/2021 Alan C. Heffner MD 2146 Roswell Avenue Charlotte NC 28207

889 6/12/2020 7/30/2021 Lorynn Ashley Hunter DO 4500 140th Ave. Clearwater FL 33762

890 6/12/2020 7/30/2021 ChaRandle Jordan MD 4315 Hwy 39 N Meridian MS 39301

891 6/12/2020 7/30/2021 Rebecca Twersky-Kengmana MD 5209 Fieldston Road Bronx NY 10471

892 6/12/2020 7/30/2021 Sook Kyung Yoon MD 6401 Offshore Drive Madison WI 53705

893 6/16/2020 7/30/2021 Maria Cristina LaJonchere-Ruenger MD Harvard University Health ServicesCambridge MA 02138

894 6/16/2020 7/30/2021 Sara C Herstad DO 3513 Brighton Blvd. Denver CO 80216

895 6/16/2020 7/30/2021 Marcia Wendy Suval MD 22 Gilderview Drive Simpsonville SC 29681

896 6/17/2020 7/30/2021 Mansoor Sheikh MD 1763 S Citus Cove Mesa AZ 85204

897 6/17/2020 7/30/2021 Leslie Armstrong Turner APRN 1162 Hidden Creek Drive Chattanooga TN 37405

01-Jul-21 Page 47 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

898 6/17/2020 7/30/2021 Steven Andrew Wasson RCP 158 Dixboro Drive Jonesboro GA 30238

899 6/18/2020 7/30/2021 Jennifer Rose Walton MD 700 Children's Drive, LA-3D Columbus OH 43205

900 6/18/2020 7/30/2021 Bret Robert Scher MD 5275 Raven Hill PT. San Diego CA 92130

901 6/18/2020 7/30/2021 Aditi S. Hendi MD 525 S. Church Street Charlotte NC 28202

902 6/19/2020 7/30/2021 Rami Abboud MD 1654 Village Center Dr. Lakeland FL 33803

903 6/19/2020 7/30/2021 Justin C. Chang MD 3513 Brighton Blvd. Denver CO 80216

904 6/19/2020 7/30/2021 Raymond Christopher Howard APRN 5541 Abby Grace Loop Chattanooga TN 37415

905 6/19/2020 7/30/2021 Daniel Guerra MD 10720 SW 73rd Avenue Pinecrest FL 33156

906 6/19/2020 7/30/2021 Jonathan Thomas Mills MD 8665 Summit Peak Way Oolewah TN 37363

907 6/19/2020 7/30/2021 Steven Robert Phillips DO 325 Four Leaf Lane Charlottesville VA 22903

908 6/22/2020 7/30/2021 Hubertus Franz Kiefl MD 15 Atherton Avenue Roslindale MA 02131

909 6/22/2020 7/30/2021 Delanya Allen MD 67 Madison Avenue Memphis TN 38103

910 6/23/2020 7/30/2021 Danial Arshad Soleja MD 7223 Switchgrass Road Frisco TX 75033

911 6/23/2020 7/30/2021 Darren Doyle Phelan MD 60 Winchester Dr. Atherton CA 94027

912 6/23/2020 7/30/2021 Nathan David Lewandwski MD 1558 Shasta Avenue San Jose CA 95126

913 6/23/2020 7/30/2021 Patricia Roukee Sitnitsky MD 3719 Heron Way Palo Alto CA 94303

914 6/23/2020 7/30/2021 Guha Krishnaswamy MD 1176 Oakencroft Court Lewisville NC 27023

915 6/23/2020 7/30/2021 Jeremy Rackley MD 105 Ainslie Street Brooklyn NY 11211

916 6/23/2020 7/30/2021 Karisten R Djernes MD 2530 Wessex Lane Chattanooga TN 37421

01-Jul-21 Page 48 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

917 6/25/2020 7/30/2021 Paul Arthur Lawrence MD 7468 Good Earth Circle Ooltewah TN 37363

918 6/25/2020 7/30/2021 Zachary Jones PA 113 Marlee Court Leesburg GA 31763

919 6/25/2020 7/30/2021 Lorrin David Martin MD 7835 Early Morning Street Fulton MD 20759

920 6/25/2020 7/30/2021 Cara Freeland Hennings MD 7 Rock Crest Lane Signal Mnt TN 37377

921 7/1/2020 7/30/2021 Douglas W. Ball MD 1 Glen Ellen Court Towson MD 21286

922 7/1/2020 7/30/2021 Gray Clark Stahlman MD 401 Bowling Avenue Nashville TN 37205

923 7/1/2020 7/30/2021 Michael Britt MD 979 E 3rd Street Chattanooga TN 37403

924 7/1/2020 7/30/2021 Elizabeth L. S. Turner MD 979 East 3rd Chattanooga TN 37403

925 7/1/2020 7/30/2021 Brandon Brown MD 1635 Gunbarrel Chattanooga TN 37421

926 7/1/2020 7/30/2021 Stephanie L. Sutton APRN 8499 Lexie Lane Ooltewah TN 37363

927 7/1/2020 7/30/2021 Naina Sharma MD 1200 Dodson Avenue Chattanooga TN 37406

928 7/1/2020 7/30/2021 Sonya LaShawn Johnson-Crum MD 1634 Brandi Lane Hixson TN 37343

929 7/1/2020 7/30/2021 Talundria NeShae Hinton APRN 1400 Chestnut Street Chattanooga TN 37402

930 7/1/2020 7/30/2021 Steven Wright Cooper MD 1200 Dodson Avenue Chattanooga TN 37406

931 7/1/2020 7/30/2021 Emily Cleveland Ager MD 3800 Tennessee Avenue Chattanooga TN 37409

932 7/1/2020 7/30/2021 YingWei Lum MD 600 N Wolfe Street Baltimore MD 21287

933 7/1/2020 7/30/2021 Lorrin David Martin MD 7835 Early Morning Street Fulton MD 20759

934 7/1/2020 7/30/2021 Zarazuela Zolkipli Cunningham MD 3797 Rotherfield Lane Chadds Ford PA 19317

935 7/1/2020 7/30/2021 Amy Miller Anderson APRN 7490 Ziegler Road Chattanooga TN 37421

01-Jul-21 Page 49 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

936 7/1/2020 7/30/2021 Kathleen Garrett APRN 7490 Ziegler Road Chattanooga TN 37421

937 7/1/2020 7/30/2021 Laura Cleary MD 1635 Gunbarrel Road Chattanooga TN 37421

938 7/1/2020 7/30/2021 Linda Anegawa MD 2041 Kakela Drive Honolulu HI 96822

939 7/1/2020 7/30/2021 George Zbigniew Retsch-Bogart MD 100 Cardiff Place Chapel Hill NC 27514

940 7/2/2020 7/30/2021 Tomeka G. Day MD 922 Hwy 81 East McDonough GA 30252

941 7/2/2020 7/30/2021 Joseph Donovan Fishel MD 840 Southwest 89th Terrace Ocala FL 34481

942 7/2/2020 7/30/2021 Anand Niranjan Shridharani MD 7864 Lexsaturno Lane Ooltewah TN 37363

943 7/2/2020 7/30/2021 Michael Keith Herrin MD 5461 Huntington Marsh Road Murrells Inlet SC 29576

944 7/6/2020 7/30/2021 Michelle Gillette RCP 1600 Pine Street St. Louis MO 63103

945 7/6/2020 7/30/2021 Lashunda Blackshear APRN 538 Cypress Drive Lake Park FL 33403

946 7/6/2020 7/30/2021 Ahmad Abadullah MD 4817 70th Avenue West University Place WA 98467

947 7/6/2020 7/30/2021 Laura Michelle Kaplan-Weisman MD 263 Congressional Lane Rockville MD 20852

948 7/7/2020 7/30/2021 Gray Clark Stahlman MD 401 Bowling Avenue Nashville TN 37205

949 7/7/2020 7/30/2021 Neri Benjamin Barnea MD 10265 Vestal Manor Coral Spring FL 33071

950 7/7/2020 7/30/2021 Jeffrey A. Berman MD 1296 Pennington Road Teaneck NJ 07666

951 7/8/2020 7/30/2021 Linda Joy Bakker APRN 6620 Hunt Drive Chattanooga TN 37421

952 7/8/2020 7/30/2021 James Terrel Nunally MD 3120 Reflecting Drive Chattanooga TN 37415

953 7/8/2020 7/30/2021 Kristen Harris APRN 9008 Silver Maple Drive Ooltewah TN 37363

954 7/8/2020 7/30/2021 Meghan Lee Villegas RCP 4724 Oxbow Circle Taylorsville UT 84123

01-Jul-21 Page 50 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

955 7/8/2020 7/30/2021 Leslie Armstrong Turner APRN 1162 Hidde Cruk Drive Chattanooga TN 37405

956 7/8/2020 7/30/2021 Helen Furr MD 1704 North Avenue Chattanooga TN 37405

957 7/9/2020 7/30/2021 Monica Gefter MD 3102 Olde Towne Lane Chattanooga TN 37415

958 7/9/2020 7/30/2021 Kara Ditto MD 4219 Seminary Ave Richmond VA 23227-500

959 7/9/2020 7/30/2021 Neeraj Gupta MD 2829 Oak Point Drive Los Angeles CA 90068

960 7/9/2020 7/30/2021 Oliver Marko Bujak MD 7380 Volkswagen Dr. Chattonooga TN 37416

961 7/9/2020 7/30/2021 Rebecca Carter APRN 4616 McDonald Road Apisin TN 37302

962 7/9/2020 7/30/2021 Hannah Bujak MD 7380 VW Dr. Chattanooga TN 37416

963 7/10/2020 7/30/2021 Muhammad Adeel Ashraf Rana MD 337 Rezzo Street Las Vegas NV 89138

964 7/10/2020 7/30/2021 Cammy Renae Benton MD 16415 Northcross Drive Huntersville NC 28078-500

965 7/13/2020 7/30/2021 Marc Edward Marchioli PA 2617 Grandview Avenue Pittsburgh PA 15235

966 7/13/2020 7/30/2021 Vonetta Russell Cartwright RCP 6051 Williamsburg Court Indianapolis IN 46226

967 7/13/2020 7/30/2021 Jessica Lynn Smith PA 321 E Main Street Norfolk VA 23510

968 7/14/2020 7/30/2021 Waseem Hassan Ahangar MD 909 Montgomergy Avenue Bryn Mawr PA 19010

969 7/14/2020 7/30/2021 Bernard Kim MD 3636 Executive Ctr. Dr. Austin TX 78727

971 7/14/2020 7/30/2021 John Louis Hawk RCP 1015 W 13th Street Roswell NM 88201

972 7/14/2020 7/30/2021 Mark Manabu Goto MD 632 Bay Cliffs Road Gulf Breeze FL 32561

973 7/14/2020 7/30/2021 Victor Tarsia MD P O Box 397 Miller Place NY 11764

974 7/14/2020 7/30/2021 Anurag Gupta MD 565 Plandome Road Manhasset NY 11030

01-Jul-21 Page 51 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

975 7/14/2020 7/30/2021 Christopher Ray Hope MD EAMC Sleep Center Opelika AL 36801

976 7/15/2020 7/30/2021 Kelly Lafaro MD 5435 Whitley Park Terrace Bethesda MD 20814

977 7/15/2020 7/30/2021 Cary Irwin Fechter MD 7786 Discovery Road Charleston SC 29420

978 7/16/2020 7/30/2021 Whitney Elizabeth Hardy MD 4225 Lapalco Blvd. Marrero LA 70072

979 7/16/2020 7/30/2021 Norma Faye McKnight APRN 1004 Skipper Road Dothan AL 36301

980 7/16/2020 7/30/2021 Caroline Walker APRN 205 Demonbreun Street Nashville TN 37201

981 7/16/2020 7/30/2021 Andrew Gerard Van Vugt MD 83 Nelson Lane Marstons Mills MA 02648

982 7/16/2020 7/30/2021 Rebecca Rose Parry APRN Mayo Clinic Florida Jacksonville FL 32224

983 7/16/2020 7/30/2021 Glenn Harnett MD 4425 Sicard Hollow Road Birmingham AL 35242

984 7/16/2020 7/30/2021 Amanda Tedstrom MD 979 E 3rd Street Chattanooga TN 37403

985 7/16/2020 7/30/2021 Evan Winograd MD 1101 E Bayaud Ave. Denver CO 80209

986 7/16/2020 7/30/2021 Gilles Chemtob MD 28 Porto Mar Palm Coast FL 32137

987 7/16/2020 7/30/2021 Mark Anthony Quintero MD 951 Brickell Ave. Miami FL 33131

988 7/16/2020 7/30/2021 Christopher Carleo MD 14 Sycamore Street Miller Place NY 11764

989 7/16/2020 7/30/2021 Lei Zheng MD 3701 Jacks Way Ellicott City MD 21042

990 7/16/2020 7/30/2021 Ying Wei Lum MD 600 N Wolfe Street Baltimore MD 21287

991 7/16/2020 7/30/2021 Richard Burkhart MD 7101 Bristol Road Baltimore MD 21212

992 7/16/2020 7/30/2021 Suzan House MD 6145 Shallowford Road Chattanooga TN 37421

993 7/16/2020 7/30/2021 Richard Brackett MD 6145 Shallowford Road Chattanooga TN 37421

01-Jul-21 Page 52 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

994 7/16/2020 7/30/2021 William David Craig DO 6145 Shallowford Road Chattanooga TN 37421

995 7/16/2020 7/30/2021 Luis Gaspar Maduro Padilla MD 500 Condominio Paseo del Rio Humacao PR 00791

996 7/17/2020 7/30/2021 Tracy Bowman PA 77 Griffith Place Clayton NC 27520

997 7/17/2020 7/30/2021 Jason A. Elliott PA 541 Buckaroo Ct. Oakdale CA 95361

998 7/17/2020 7/30/2021 Andrea Michelle Gillespie RCP 2758 Dusk Dr. San Diego CA 92139

999 7/17/2020 7/30/2021 Linda Yu DO 7490 Ziegler Road Chattanooga TN 37421

1000 7/17/2020 7/30/2021 Gary Allen Brunvoll DO 7490 Biegler Road Chattanooga TN 37421

1001 7/17/2020 7/30/2021 Gourg Atteya MD 23 Coddington Terrace Livingston NJ 07039

1002 7/17/2020 7/30/2021 Brett Kodish MD 29-2279 Hanamala Loop Hakalau HI 96710

1003 7/17/2020 7/30/2021 Cheryl S. Al-Mateen MD 5306 Clipper Cove Road Midlothian VA 23112

1004 7/17/2020 7/30/2021 Ameet Sharad Parikh DO 12313 Daniel Circle Lane Clarksville MD 21029

1005 7/17/2020 7/30/2021 Grant Tyler Whittaker MD 1348 South 18th Street Fernandina Beach FL 32034

1006 7/17/2020 7/30/2021 Harvey Gene Phillips MD 1348 South 18th Street Fernandina Beach FL 32034

1007 7/17/2020 7/30/2021 Catherine Shanahan Manolakis MD 1348 South 18th Street Fernandina Beach FL 32034

1008 7/21/2020 7/30/2021 Young-Gwang Jeong MD 60 Broadway Brooklyn NY 11249

1009 7/21/2020 7/30/2021 Vivek Prasad MD 207 5th Avenue SW Rochester MN 55902

1010 7/21/2020 7/30/2021 Anthony Shane McRaven DO 6707 Holt Road Nashville TN 37211

1011 7/21/2020 7/30/2021 Justin Brock Cole PA 4808 Tracy Road Atoka TN 38004

1012 7/22/2020 7/30/2021 Joshua Peter Alpers MD 975 E. Third Street Chattanooga TN 37403

01-Jul-21 Page 53 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1013 7/23/2020 7/30/2021 Justin Daniel Cook RCP 30 Infantry Drive Rossville GA 30741

1014 7/22/2020 7/30/2021 Elizabeth Dianne Ferluga MD 975 E. Third Street Chattanooga TN 37403

1015 7/22/2020 7/30/2021 Susan Bryan Gain APRN 12942 Chelle Drive Soddy Daisy TN 37379

1016 7/22/2020 7/30/2021 Caleb Morgan Heath APRN 975 E. Third Street Chattanooga TN 37363

1017 7/22/2020 7/30/2021 Sally Elizabeth Horne MD 975 E. Third Street Chattanooga TN 37403

1018 7/22/2020 7/30/2021 Arslan Kahloon MD 7301 Huntley Lane Chattanooga TN 37421

1019 7/22/2020 7/30/2021 Nicholas Bremer MD 728 Glenridge Road Charleston WV 25304

1020 7/22/2020 7/30/2021 Berneet Kaur MD 975 E. Third Street Chattanooga TN 37403

1021 7/22/2020 7/30/2021 Jake Hays McKay MD 975 E. Third Street Chattanooga TN 37403

1022 7/22/2020 7/30/2021 Jennifer Leigh Nichols APRN 945 E. Third Street Chattanooga TN 37403

1023 7/22/2020 7/30/2021 Nicholas J. Nicolai RCP 328 E. Vine Street Sullivan MO 63080

1024 7/23/2020 7/30/2021 Amy Wright Rains APRN 975 E. Third Street Chattanooga TN 37403

1025 7/22/2020 7/30/2021 Mega E. Skorupa Stevens MD 975 East Third Street Chattanooga TN 37403

1026 7/22/2020 7/30/2021 Dana Sherman Thompson PA 121 Springdale Street Decatur GA 30030

1027 7/22/2020 7/30/2021 Ellen Hosemann Valadez MD 975 E. Third Street Chattanooga TN 37403

1028 7/22/2020 7/30/2021 Jonathan Pierce Walker MD 878 Danbury Cove Place Signal Mountain TN 37377

1029 7/22/2020 7/30/2021 Patrick Stevens MD 979 East 3rd Street Chattanooga TN 37403

1030 7/22/2020 7/30/2021 Guillermo Emilio Noguera MD 4230 NW 107th Ave Doral FL 33178

1031 7/22/2020 7/30/2021 Gregory R. Sutton MD 2200 E. Third Street Chattanooga TN 37404

01-Jul-21 Page 54 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1032 7/22/2020 7/30/2021 Mary C. Kemen MD 1916 Oak Knolls Court SE Cedar Rapids IA 52403

1033 7/22/2020 7/30/2021 Gena Thompson PA 7840 Rocky Ledge Dr. Hixson TN 37343

1034 7/22/2020 7/30/2021 Louis Lambiase MD 1520 Riverview Road Chattanooga TN 37405

1035 7/22/2020 7/30/2021 George Philips MD 9332 Shadow Point Cr. Chattanooga TN 37421

1036 7/22/2020 7/30/2021 Steven Kessler DO 949 Whippoorwill Dr. Signal Mtn. TN 37377

1037 7/22/2020 7/30/2021 Sharlotte Manley APRN 3586 Red Barn Lane Apsion TN 37302

1038 7/22/2020 7/30/2021 Laurie-Anne Swaby MD 6274 Fairview Road Hixson TN 37343

1039 7/22/2020 7/30/2021 Mary Pereira Wood MD 3884 E State Highway KK Fair Grove MO 65648

1040 7/22/2020 7/30/2021 Amanda Tedstrom MD 979 E. 3rd Street Chattanooga TN 37403

1041 7/22/2020 7/30/2021 Collin Maurice McLaughlin DO 16309 Lake Forest Blvd. Lake Oswego OR 97035

1042 7/22/2020 7/30/2021 Chad Rodney Reid MD 791 Colonial Court Birmingham MI 48009

1043 7/22/2020 7/30/2021 Saema Tahir MD 776 6th Avenue New York NY 10001

1044 7/22/2020 7/30/2021 Christopher Karl Sanborn MD 975 E. 3rd Street Chattanooga TN 37403

1045 7/22/2020 7/30/2021 Mandrell Lamonte Little RCP 1323 Reid Street Albemarle NC 28001-969

1046 7/22/2020 7/30/2021 Daniel R. Cronk Jr. MD 979 E 3rd Street Chattanooga TN 37403

1047 7/22/2020 7/30/2021 Tamara Bennett PA 979 E 3rd Street Chattanooga TN 37403

1048 7/22/2020 7/30/2021 Richard G. Barton MD 25 Targhee Trail Victor ID 83455

1049 7/22/2020 7/30/2021 Travis E. Schamber DO 6416 N. Fieldtree Court Peoria IL 61615

1050 7/22/2020 7/30/2021 Anuradha Satyavolu MD 22329 Pasture Rose Place Broadlands VA 20148

01-Jul-21 Page 55 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1051 7/22/2020 7/30/2021 Terri Rae Brunvoll DO 543 Hidden Shadows Chattanooga TN 37421

1052 7/22/2020 7/30/2021 Tiffany P. Few MD 604 Grand Mountain Drive Chattanooga TN 37421

1053 7/22/2020 7/30/2021 Donna K. Hobgood MD 1 Minnekahda Place Chattanooga TN 37405

1054 7/22/2020 7/30/2021 Candice Machelle Hite PA 9177 W Desert Inn Road Las Vegas NV 89117

1055 7/23/2020 7/30/2021 Jayson Robinson RCP 2370 Carol Drive NE Bemidji MN 56601

1056 7/23/2020 7/30/2021 Ali Seyed Nabavi DO 2411 E Somerset Street Philadelphia PA 19134

1057 7/23/2020 7/30/2021 Christopher Michael Mallow MD 7641 NE Morningside Terrace Boca Raton FL 33487

1058 7/24/2020 7/30/2021 David Ogola Nyanjom MD 6918 Raven Lane Columbia MD 21044

1059 7/24/2020 7/30/2021 Omolara Olamiyi Adelbola RCP 18 Morarty Street Dover DE 19904

1060 7/24/2020 7/30/2021 Sanjay Mughal MD 14450 Cherry Lake Dr E Jacksonville FL 32258

1061 7/24/2020 7/30/2021 Deondra Holston APRN 8730 Gable Crossing Chattanooga TN 37421

1062 7/24/2020 7/30/2021 Frank O. Evans, Jr. MD 220 E Montgomery Street Milledgeville GA 31061

1063 7/24/2020 7/30/2021 Daniel Camichael Miller MD 2380 Baja Trail Ormond Beach FL 32174

1064 7/30/2020 7/30/2021 Chad Pusey RCP 132 Vista Place Mount Vernon NY 10550

1065 7/24/2020 7/30/2021 Carlton Isaiah Glover MD 859 Long Iron Drive Fayetteville NC 28312

1066 7/24/2020 7/30/2021 Samantha Juarez RCP 6220 Lemona Ave Van Nuys CA 91411

1067 7/24/2020 7/30/2021 Kenneth Stahl MD 8000 SE Asaro Street Hobe Sound FL 33455

1068 7/24/2020 7/30/2021 Allyn Leigh Resch MD 1000 Steed Road Ridgeland MS 39157

1069 7/24/2020 7/30/2021 Senator Kwamme Hazelwood MD 404 Bergen Ave Jersey City NJ 07304

01-Jul-21 Page 56 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1070 7/24/2020 7/30/2021 Jessica McLenson PA 7520 Boriss Dr. Chattanooga TN 37416

1071 7/24/2020 7/30/2021 Mark Gregory Freeman MD 3376 Enclave Bay Drive Chattanooga TN 37415

1072 7/24/2020 7/30/2021 Kristopher Case Sanders MD 6531 Deep Canyon Road Houston TN 37415

1073 7/24/2020 7/30/2021 Sunday Agboola MD 1316 Town Center Dr. Pfluerville TX 78660

1074 7/24/2020 7/30/2021 Victoria Brumlow APRN 102 Central Ave Chatanooga TN 37403

1075 7/24/2020 7/30/2021 Jesse Forbes Doty MD 4886 Hamilville Court Hixson TN 37343

1076 7/24/2020 7/30/2021 Joseph Christopher Portera MD 4711 Chestnut Avenue Signal Mtn TN 37377

1077 7/24/2020 7/30/2021 James E. Stone MD 15276 Leipzi Circle Port Charlotte FL 33981

1078 7/24/2020 7/30/2021 Ryan Scott Gilliand PA 7958 Maranatha Way Georgetown TN 37336-440

1079 7/24/2020 7/30/2021 Justin Aaron Ossman MD 1844 N. Concord Road Chattanooga TN 37421

1080 7/24/2020 7/30/2021 Lydia Speer DO 9473 Peppy Branch Trail Apison TN 37302

1081 7/24/2020 7/30/2021 Paul Arthur Lawrence MD 7468 Good Earth Circle Ooltewah TN 37363

1082 7/24/2020 7/30/2021 Amy Miller Anderson APRN 7490 Ziegler Road Chattanooga TN 37421

1083 7/24/2020 7/30/2021 Kathleen Garrett APRN 7490 Ziegler Road Chattanooga TN 37421

1084 7/24/2020 7/30/2021 Upasana Bardhan-Chakvaborty MD 508 Grand Mountain Drive Chattanooga TN 37421

1085 7/24/2020 7/30/2021 John Wesley Bount Jr. MD 1581 Chattanooga Valley Road Flintstone GA 30725

1086 7/24/2020 7/30/2021 Alicia Andrews DO 2150 Bay Pointe Drive Hixson TN 37343

1087 7/24/2020 7/30/2021 Douglas L. Laman MD 4926 Shackleford Ridge Road Signal Mountain TN 37377

1088 7/24/2020 7/30/2021 Linda North APRN 2435 Haven Cove Lane Chattanooga TN 37421

01-Jul-21 Page 57 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1089 7/24/2020 7/30/2021 Brandon Morrical MD 1320 Tuckahoe Pass Signal Mountain TN 37377

1090 7/24/2020 7/30/2021 Angela Mejias APRN P. O. Box 2203 Collegedale TN 37315

1091 7/24/2020 7/30/2021 Emily Cleveland Ager MD 3800 Tennessee Avenue Chattanooga TN 37409

1092 7/24/2020 7/30/2021 Naina Sharma MD 1200 Dodson Avenue Chattanooga TN 37406-321

1093 7/24/2020 7/30/2021 Steven Wright Cooper MD 1200 Dodson Avenue Chattanooga TN 37406

1094 7/24/2020 7/30/2021 Stephanie LeAnn Sutton APRN 8499 Lexie Lane Ooltewah TN 37363

1095 7/24/2020 7/30/2021 Talundria NeShae Hinton APRN 1400 Chestnut Street Chattanooga TN 37402

1096 7/24/2020 7/30/2021 Michael Douglas MD 633 Brock Road McDonald TN 37353

1097 7/24/2020 7/30/2021 Paula Morica Pook MD 1030Edinboro Drive Boulder CO 80305

1098 7/24/2020 7/30/2021 Geoffrey Barrett Trenkle DO 1700 E. Cesar E Chavez Avenue Los Angeles CA 90266

1099 7/24/2020 7/30/2021 Leigh B. Faerber APRN 11867 Lanern Trail Birchwood TN 37343

1100 7/24/2020 7/30/2021 Bethany Allen Rockwood PA 1851 Chadwick Court Hixson TN 37343

1101 7/24/2020 7/30/2021 Heather H. Urrego MD 1003 Mount Vernon Avenue Chattanooga TN 3

1102 7/24/2020 7/30/2021 Stephen Scorey DO 212 West Brow Road Lookout Mtn TN 37350

1103 7/24/2020 7/30/2021 Herminio Diaz Jr. MD 22 Beechwood Park Poughkeepsie NY 12601

1104 7/24/2020 7/30/2021 Victoria Brumlow APRN 102 Central Avenue Chattanooga TN 37403

1105 7/27/2020 7/30/2021 Sara E. Benjamin MD 6662 Mohawk Ct. Columbia MD 21046

1106 7/27/2020 7/30/2021 Abiodun Laoye MD 1 Brown Street Philadelphia PA 19123

1107 7/27/2020 7/30/2021 Elizabeth LaSalvia MD Beth Israel Deacoross Medical CenteBoston MA 02215

01-Jul-21 Page 58 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1108 7/27/2020 7/30/2021 Kristi L. Maso MD 1801 N. Commerce Street Milwaukee WI 53212

1109 7/27/2020 7/30/2021 Jonathan Caleb King MD 1013 Southside Court Nashville TN 37203

1110 7/27/2020 7/30/2021 Susan Bryan Gain APRN 12942 Chelle Drive Soddy Daisy TN 37379

1111 7/27/2020 7/30/2021 Veronique Haymon Robbins-Brown MD 626 Dauphine Street New Orleans LA 70112

1112 7/27/2020 7/30/2021 Tara Wiggins Jones PA 9540 NW 23rd Street Coral Spring FL 33065

1113 7/27/2020 7/30/2021 Brenda Gay Wargo RCP 4037 Chamberlain Avenue SE Grand Rapids MI 49508

1114 7/27/2020 7/30/2021 Tye Blake Young DO 1409 W 43rd Street Chattanooga TN 37409

1115 7/24/2020 7/30/2021 Maria Stockman MD 1234 E Monte Cristo Avenue Phoenix AZ 85022

1116 7/27/2020 7/30/2021 Manuel Licitra Fajardo, Jr. MD 87 Ohio Avenue Long Beach NY 11561

1117 7/27/2020 7/30/2021 Jennifer Berkovich DO 2733 W Jarvis Chicago IL 60645

1118 7/27/2020 7/30/2021 Zain Anwar Hakeem DO 711 W. 38th Street Austin TX 78705

1119 7/27/2020 7/30/2021 Jamie Suzanne Scott MD 324 Stringer Street Chattanooga TN 37405

1120 7/27/2020 7/30/2021 Ahmad Mustapha Abou Leila MD 5500 North Locust Grove Church RoColumbia MO 65202

1121 7/27/2020 7/30/2021 Bethany Allen Rockwood PA 1851 Chadwick Court Hixson TN 37343

1122 7/27/2020 7/30/2021 Walter Few MD 979 East 3rd Street Chattanooga TN 37403

1123 7/27/2020 7/30/2021 Sellie Billy Shines Jr RCP 2917 Levi Drive Phoenix AZ 85040

1124 7/27/2020 7/30/2021 Diane Elaine Sitnik RCP 484 Forest Hills Road Springfield MA 01128

1125 7/28/2020 7/30/2021 Charles Coleman Della Santina, PHD MD 9346 Ravenridge Road Parkville MD 21234

1126 7/28/2020 7/30/2021 Rashad A Muhammad RCP 4436 Madison Woods Dr. NW Marietta GA 30064-159

01-Jul-21 Page 59 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1127 7/28/2020 7/30/2021 Nicolette Dominique Samuels RCP 9030 Sedgewich Lane Charlotte NC 28277

1128 7/28/2020 7/30/2021 Benjamin Eugene Baker MD 386 South Crest Road Chattanooga TN 37404

1129 7/28/2020 7/30/2021 David Martin Lowry DO 1809 Gunbarrel Road Chattanooga TN 37421

1130 7/28/2020 7/30/2021 Justin Hauxwell MD 955 Lawrence Way Denber CO 80204

1131 7/28/2020 7/30/2021 Piergiorgio Allegra MD Lexington Plastic Surgeons Atlanta GA 30308

1132 7/30/2020 7/30/2021 Rafael Vidal Mora MD 7691 SW Harbor Cove Drive Stuart FL 34997

1133 7/30/2020 7/30/2021 Rita Reshamwala Shridharani MD 7864 Lexsaturno Lane Ooltewah TN 37363

1134 7/30/2020 7/30/2021 Pamela Ann Clark MD 8285 Georgetown Bay Drive Ooltewah TN 37363

1135 7/30/2020 7/30/2021 Heather H. Urrego DO 1003 Mount Vernon Avenue Chattanooga TN 37405

1136 7/30/2020 7/30/2021 Sergio Gonzalez RCP 422 Fulton Street Elizabeth NJ 07206

1137 7/30/2020 7/30/2021 Bryan A. Vance MD 5525 Old Dayton Pike Chatanooga TN 37415

1138 7/30/2020 7/30/2021 Shirley C. Lizano-Gomez DO 1205 W. Nancy Creek Drive Atlanta GA 30319

1139 7/31/2020 7/30/2021 Alex Sarmen Mirakian MD 10 E Archer Street Tulsa OK 74103

1140 7/31/2020 7/30/2021 Justin Simpson RCP 1864 39th St. South Fargo ND 58103

1141 7/31/2020 7/30/2021 Sreedhar Chintala MD 9594 Campi Drive Lake Worth FL 33467

1142 7/31/2020 7/30/2021 Phuoc Tran MD 2818 Foxhound Road Ellicott City MD 21042

1143 7/31/2020 7/30/2021 Katherine Moeller DO 13 Cambridge Road Downingtown PA 19335

1144 7/31/2020 7/30/2021 Taylor Morgan Miles MD P O Box 804 Dublin GA 31040

1145 7/31/2020 7/30/2021 Heather Ludwig APRN 979 East 3rd Street Chattanooga TN 37403

01-Jul-21 Page 60 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1146 7/31/2020 7/30/2021 William E. Wallace DO 6007 Hillbrook Drive Colleyville TN 76034

1147 7/31/2020 7/30/2021 William Alan Erwin MD 1060 25th Avenue Dr., NW Hickory NC 28601

1148 7/31/2020 7/30/2021 Kathleen Elizabeth Jacobs APRN 2524 A Gunbarrell Road Chattanooga TN 37421

1149 7/31/2020 7/30/2021 Sarah E. Hensen APRN 6183 Veronica Drive Ooltewah TN 37363

1150 7/31/2020 7/30/2021 Radhika Shah MD 122 Parapet Trail Chattanooga TN 37405

1151 7/31/2020 7/30/2021 Autumn Deise Barterfield APRN 979 E. Third Street Chatanooga TN 37403

1152 7/31/2020 7/30/2021 Diane Elaine Sitnik RCP 484 Forest Hills Road Springfield MA 01128

1153 7/31/2020 7/30/2021 Danielle Ciabattone PA 979 East 3rd Street Chattanooga TN 37403

1154 7/31/2020 7/30/2021 Destiny Barreal RCP 2306 Silver Plam Drive Kissimmee FL 34747

1155 7/31/2020 7/30/2021 Harish Manyam MD 979 East 3rd Street Chattanooga TN 37403

1156 7/31/2020 7/30/2021 Steven Anliker APRN 979 East 3rd Street Chattanooga TN 37403

1157 7/31/2020 7/30/2021 Eduardo Smith Singares MD 809 W College Pkwy Chicago IL 60608

1158 8/3/2020 7/30/2021 Rebecca Sue Bailey MD 301 E. 6th Street Lansdale PA 19446

1159 8/3/2020 7/30/2021 Gary Malakoff MD 1200 Dodson Avenue Chattanooga TN 37406

1160 8/3/2020 7/30/2021 Robert Stewart Shofner MD 566 Grand Oaks Blvd. Brentwood TN 37027

1161 8/3/2020 7/30/2021 Tammy Elizabeth Cofield RCP 2262 Veranda Trace Hokes Bluff AL 35903

1162 8/3/2020 7/30/2021 Milagros Pichardo MD 5579 43rd Ct. Vero Beach FL 32967

1163 8/3/2020 7/30/2021 Daveena Lockhart-Boyette RCP 212 Carver Street Chesapeake VA 23320

1164 8/3/2020 7/30/2021 Avneesh Gupta MD 37 Nelson Place Tenafly NJ 07670

01-Jul-21 Page 61 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1165 8/3/2020 7/30/2021 Christopher Vivas MD 5579 43rd Ct. Vero Beach FL 32967

1166 8/3/2020 7/30/2021 Kevin Andrew Woodson MD 1002 Bushwick Avenue Brooklyn NJ 11221

1167 8/3/2020 7/30/2021 Kevin Joseph Edwards MD 676 Liberty Avenue Jersey City NJ 07307

1168 8/3/2020 7/30/2021 Malissa Gobbell Talbert MD 2520 Fox Run Dr. Signal Mountain TN 37377

1169 8/4/2020 7/30/2021 Brittney Skylar Tages DO 6750 E Chenango Ave Denver CO 80237

1170 8/4/2020 7/30/2021 Laura Jeanne Chauncey RCP 7814 Arms Drive Zeptyrhills FL 33540

1171 8/4/2020 7/30/2021 Klaus Appel DO 306 S. Vista Del Rio Green Valley AZ 85614

1172 8/4/2020 7/30/2021 Flora Ziliak APRN 330A Thompson Street Chattanooga TN 37405

1173 8/4/2020 7/30/2021 Shane Cole MD 1709 Ashland Avenue Fort Worth TX 76107

1174 8/4/2020 7/30/2021 Laura Elizabeth Ransom RCP 317 S 8th Street Gadsden AL 35903

1175 8/4/2020 7/30/2021 Marcella Freeman RCP 531 W 2nd Street Maysville KY 41056

1176 8/4/2020 7/30/2021 Tanesha Lawrence MD 147-27 Charter Road Jamaica NY 11435

1177 8/4/2020 7/30/2021 Samuel Debela RCP 8415 Lustre Road Charlotte NC 28215

1178 8/4/2020 7/30/2021 Jamie Lynn Page RCP 1506 NE 12 Terrace Gainesville FL 32601

1179 8/4/2020 7/30/2021 Jagjit Tandon MD 2413 Lake Erma Drive Hampton GA 30228

1180 8/5/2020 7/30/2021 Juan Asensio-Gonzalez MD 7500 Mercy Road Omaha NE 68124

1181 8/5/2020 7/30/2021 Jarrett Woock MD 1602 Morris Hill Road Chattanooga TN 37421

1182 8/5/2020 7/30/2021 Stanley P. Kokocki MD 2485 Dothan Avenue Springhill FL 34609

1183 8/5/2020 7/30/2021 Felicia Ann Pace RCP 209 Co. Rd. 1250 Vinemont AL 35179

01-Jul-21 Page 62 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1184 8/5/2020 7/30/2021 Kristen Bracklein DO 900 Blood Road Tecumseh MI 49286

1185 8/5/2020 7/30/2021 Kaleigh Bixler RCP 3220 Barksdale Drive Bellevue NE 68123

1186 8/5/2020 7/30/2021 Jessica Rose Alexyn RCP 30 Oak Street Oakfield NY 14125

1187 8/5/2020 7/30/2021 Paul Evan Damski MD 7643 SW 71st Avenue Miami FL 33143

1188 8/5/2020 7/30/2021 Georges Elias Mora Rasquin MD 2122 N. Street NW Washington DC 20037

1189 8/5/2020 7/30/2021 Shealy Marina Weeks PA 13490 Gran Bay Pkwy Jacksonville FL 32258

1190 8/5/2020 7/30/2021 Amber Klingbeil Brown RCP 110 Fuller Drive Gadsden AL 35905

1191 8/5/2020 7/30/2021 Naga Chigurupati MD 302 Paw Paw Place Yorktown VA 23693

1192 8/5/2020 7/30/2021 Alan Schaffer MD 84 Hill Road Goshen NY 10924

1193 8/5/2020 7/30/2021 Amy Ann Mayhew RCP 94 Honey Maple Lane Franklin NC 28734

1194 8/5/2020 7/30/2021 Luckner Eliacin, Jr. RCP 1000 NW 117 Street Miami FL 33168

1195 8/5/2020 7/30/2021 Steven Nicholas Fox MD 1401 Union Avenue Chattanooga TN 37404

1196 8/5/2020 7/30/2021 Rachel Gabriela Sparks RCP 210 Greenleaf Street SW Jacksonville AL 36265

1197 8/5/2020 7/30/2021 Arlene Joan Donowitz MD 605 Glenwood Drive Chattanooga TN 37404

1198 8/5/2020 7/30/2021 Mark Edward Heinsohn MD 605 Glenwood Drive Chattanooga TN 37404

1199 8/5/2020 7/30/2021 Owen Francis Speer DO 2051 Hamill Road Hixson TN 37343

1200 8/5/2020 7/30/2021 Troy Donald Kramer MD 5937 Windtrace Lane Knoxville TN 37914

1201 8/5/2020 7/30/2021 Jamie Brooke Flynn RCP 2436 Water Haven Drive Chattanooga TN 37406

1202 8/7/2020 7/30/2021 Kathy Elaine Bowling RCP 15 Mitchell Road Greenville SC 29616

01-Jul-21 Page 63 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1203 8/7/2020 7/30/2021 Robert Weiss MD 9391 Black Rock Road Gladwyne PA 19035

1204 8/7/2020 7/30/2021 Shannen Michelle Kracht RCP 3330 Midland Dr. West Haven UT 844401

1205 8/7/2020 7/30/2021 Pure Joy Gold RCP 8665 W. County Road 425 N. West Baden Spr IN 47469

1206 8/7/2020 7/30/2021 Parke Marie Hahesy RCP 1825 Trailway Dr. Eagan MN 55122

1207 8/7/2020 7/30/2021 Mandrell Lamonte Little RCP 1323 Reid Street Albemarle NC 28001

1208 8/7/2020 7/30/2021 Linda Sue Kochanevich Leach APRN 2772 Amsterdam Lane Chattanooga TN 37421

1209 8/7/2020 7/30/2021 Jonathan Henry Schafer MD 104 S. Palisades Dr. Signal Mountain TN 37377

1210 8/7/2020 7/30/2021 Kathleen Hammonds MD 328 Brentmeade Dr. Yorktown VA 23693

1211 8/7/2020 7/30/2021 Rana Sami Balboul MD 1618 Kinmore Street Dearborn Heights MI 48127

1212 8/7/2020 7/30/2021 Ronald J. Bice RCP 2018 Felicity Lane Auburn AL 36830

1213 8/7/2020 7/30/2021 Laketha James RCP 408 Creekside CV Bryant AR 72022

1214 8/7/2020 7/30/2021 Stephan Max Becker MD Erlanger Medical Mall Chattanooga TN 37403

1215 8/7/2020 7/30/2021 Ilyssa Greenberg DO 3536 Highgove Way NE Atlanta GA 30319

1216 8/7/2020 7/30/2021 Nicholas K. Ladd DO 61 Westwood Place Asheville NC 28806

1217 8/7/2020 7/30/2021 Shanique Ampiah MD 13241 Bartram Park Blvd. Jacksonville FL 32258

1218 8/7/2020 7/30/2021 Tiffany Evans RCP 1313 Grandview Street Gautier MS 39553

1219 8/7/2020 7/30/2021 Misty Dawn Hoffman RCP 6938 Alto Rey Avenue El Paso TX 79912

1220 8/7/2020 7/30/2021 Veronica Rene Clarke RCP 2505 Yuma Drive Bowling Green KY 42104

1221 8/7/2020 7/30/2021 Kimberly Wahler PA 183 3d Aveneu SE Atlanta GA 30317

01-Jul-21 Page 64 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1222 8/7/2020 7/30/2021 Kelly Elizabeth Urani RCP 354 Creston Road York PA 17403

1223 8/7/2020 7/30/2021 Anthony Szema MD 73 Thomas Lane East Setauket NY 11733

1224 8/10/2020 7/30/2021 Oana Ligia Andreescu MD 2051 Hamill Road Hixson TN 37343

1225 8/10/2020 7/30/2021 Shelby Kent (Blanchard) RCP 325 N. Church Street Carlock IL 61725

1226 8/10/2020 7/30/2021 Day Burruss Breen MD 2453 Walking Stick Road Signal Mountain TN 37377

1227 8/10/2020 7/30/2021 Sara Bowling MD 2761 Lake Whatcom Blvd. Bellingham WA 98229

1228 8/10/2020 7/30/2021 Linda Cher Buchanan RCP 2219 Crestwood Drive Tyler TX 75701

1229 8/10/2020 7/30/2021 Alexia Flangini MD 600 Georgia Ave Chattanooga TN 37402

1230 8/10/2020 7/30/2021 Karla L. Garcia MD 900 East 3rd Street Chattanooga TN 37403

1231 8/10/2020 7/30/2021 Sharon Giles RCP 210 Pine Rock Ct. Alexander AR 72002

1232 8/10/2020 7/30/2021 Deondra Holston APRN 8730 Gable Crossing Chattanooga TN 37421

1233 8/10/2020 7/30/2021 Jennifer Lazaros APRN 580 Green Place Woodmere NY 11598

1234 8/10/2020 7/30/2021 John Matthew Hale PA 541 Barara Lane Jacksonville FL 32250

1235 8/10/2020 7/30/2021 Nathan David Lewandowski MD 1558 Shasta Avenue San Jose CA 95126

1236 8/10/2020 7/30/2021 Kevin B. Miller MD 664 Office Parkway Creve Coeur MO 63141

1237 8/10/2020 7/30/2021 Dharmendra Patel MD 979 East 3rd Street Chattanooga TN 37403

1238 8/10/2020 7/30/2021 Richard William Pigg 2051 Hamill Road Hixson TN 37343

1239 8/10/2020 7/30/2021 Jacqueline K Peterson RCP 212 Clark Street Madrid IA 50156

1240 8/10/2020 7/30/2021 Ann Harris Rybolt MD 605 Glenwood Drive Chattanooga TN 37404

01-Jul-21 Page 65 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1241 8/10/2020 7/30/2021 Valorie R. Simmons RCP 429 County Road Orrville AL 36767

1242 8/10/2020 7/30/2021 David Michael Suhrbier DO 6162 Deep Canyon Road Hixson TN 37343

1243 8/10/2020 7/30/2021 Elizabeth Marie Tutko RCP 10619 FM 787 Rd. W Cleveland TX 77327

1244 8/10/2020 7/30/2021 Julie Laverne Vails MD 6206 76th Avenue W University Place WA 98467

1245 8/10/2020 7/30/2021 Jesus Rozel Oreta Villanueva MD 3239 Iroquois Avenue Long Beach CA 90808

1246 8/10/2020 7/30/2021 Julian Mack Worthington MD 807 Candlewood Trail Chattanooga TN 37421

1247 8/10/2020 7/30/2021 Richard Ziewai Wu DO 14540 Old St. Augustine Road Jacksonville FL 32258

1248 8/11/2020 7/30/2021 Adilene Reynoso Barrera RCP 148 Neptune Road Slidell LA 70461

1249 8/11/2020 7/30/2021 Rodney Jarrett Beasley MD 114 02 S. Harvard Avenue Tulsa OK 74137

1250 8/11/2020 7/30/2021 Kirk Earnhart RCP 10307 Ross Lake Drive Peyton CO 80831

1251 8/11/2020 7/30/2021 Harold Mason MD 3675 Warrensville Ctr Road Shaker Heights OH 44120

1252 8/11/2020 7/30/2021 Jason Cook RCP 2149 W. Medlock Dr. Phoenix AZ 85015

1253 8/11/2020 7/30/2021 Dana Thayer Lerman MD 704 Humphrey Drive Evergreen CO 80439

1254 8/12/2020 7/30/2021 Suzanne Chapman RCP 1059 E Nickleback Street San Tan Valley AZ 85143

1255 8/12/2020 7/30/2021 Joseph Benedict MD 565 Pladome Road Manhasset NY 11030

1256 8/12/2020 7/30/2021 Katan Patel DO 565 Pladome Road Manhassett NY 11030

1257 8/12/2020 7/30/2021 Mohammed Ali Alawadhi MD 6940 35th Street W University Place WA 98466

1258 8/12/2020 7/30/2021 Joel Edward Segar RCP 8575 Daju Court Ooltewah TN 37363

1259 8/12/2020 7/30/2021 Christina Marie Alexander RCP 1201 E. Virginia Avenue Peoria IL 61603

01-Jul-21 Page 66 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1260 8/12/2020 7/30/2021 Terry Eugene Brand RCP 907 Bluff Street Marion SC 29571

1261 8/12/2020 7/30/2021 Janette Marie Robinson APRN 5510 Bent Oak Drive Titusville FL 32780

1262 8/12/2020 7/30/2021 Ivan Soto-Arape MD 101 California Avenue Santa Monica CA 90403

1264 8/12/2020 7/30/2021 Paul Bauer MD 82 Green Meadow Road Florida NY 10921

1265 8/13/2020 7/30/2021 Carlos A Alvarez PA 1801 16th Street Bakersfield CA 93301

1266 8/13/2020 7/30/2021 Brenda Borkgren APRN 1791 Ritz Way Soddy Daisy TN 37379

1267 8/13/2020 7/30/2021 Arlisha Lenore Baldwin RCP 317 Center Street Efland NC 27243

1268 8/13/2020 7/30/2021 Melanie Black Blake MD 532 Fern Trail Signal Mountain TN 37377

1269 8/13/2020 7/30/2021 Janine M. Bourelle APRN 1801 16th Street Bakersfield CA 93301

1271 8/13/2020 7/30/2021 Amber D. Brill RCP 220 N 7th Street Humboldt KS 66748

1272 8/13/2020 7/30/2021 Suneer Chander MD 180 Fairway Road Chestnut Hill MA 02467

1273 8/13/2020 7/30/2021 Mallory Eaves APRN 979 East 3rd Street Chattanooga TN 37403

1274 8/13/2020 7/30/2021 Elise Michelle Fallucco MD 3970 Alhambra Drive West Jacksonville FL 32207

1275 8/13/2020 7/30/2021 Adeeti Gupta MD 515 East 72nd Street New York NY 10019

1276 8/13/2020 7/30/2021 Jasmine Latrease Harris RCP 5140 Gate Parkway Jacksonville FL 32256

1277 8/13/2020 7/30/2021 Debora Ann Karstens PA 5229 Tacoa Circle Chattanooga TN 37411

1278 8/13/2020 7/30/2021 Sahar Mansoor MD 2111 Parson Street Charlotte NC 28205

1279 8/13/2020 7/30/2021 Kulin N. Oza MD 1, Shannon Way Princeton Junction NJ 08550

1280 8/13/2020 7/30/2021 Shariq Refai MD 1660 Prudential Drive Jacksonville FL 32207

01-Jul-21 Page 67 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1281 8/13/2020 7/30/2021 Sherri June Rollins RCP 779 Iroquois Circle Auburn AL 36830

1282 8/13/2020 7/30/2021 Kamoru Saka RCP 1645 17th Ave N. St. Petersburg FL 33713

1283 8/13/2020 7/30/2021 Elizabeth Marie Tutko RCP 10619 FM 787 Rd. W. Cleveland TX 77327

1284 8/13/2020 7/30/2021 Julie Jane Urrunaga MD 1741 Wellesly Avenue West Los Angeles CA 90025

1285 8/13/2020 7/30/2021 Chukwuma Umunakwe MD 15807 Laughlin Lane Silver Spring MD 20906

1286 8/13/2020 7/30/2021 Rachel Christine VerHagen RCP 512 Old Hickory Blvd. Nashville TN 37209

1287 8/13/2020 7/30/2021 Jami Michael Vigil RCP 1465 Saltbush Ridge Road Highlands Ranch CO 80126

1288 8/13/2020 7/30/2021 Matthew Wiisanen MD 979 East 3rd Street Chattanooga TN 37403

1289 8/13/2020 7/30/2021 Jasman Wynn RCP 12112 Blue Pacific Drive Riverview FL 33579

1290 8/20/2020 7/30/2021 Ericka Wright RCP 116 Red Cedar Court Lwxington SC 29073

1291 8/13/2020 7/30/2021 Tresa Dianne Taunton RCP 1104 1st Street SW Cullman AL 35055-331

1292 8/13/2020 7/30/2021 Shawn Anthony Wooten RCP 1809 W. Galveston Street Broken Arrow OK 74012

1293 8/17/2020 7/30/2021 Patrick Harris RCP 2011 River Reach Drive Naples FL 34104

1294 8/17/2020 7/30/2021 Biram C. Hicks MD 2938 Enclave Bay Drive Chattanooga TN 37415

1295 8/17/2020 7/30/2021 Pamala DeShann Lambert RCP 5203 Waltz Court Killeen TX 76542

1296 8/17/2020 7/30/2021 Bryan Gaston RCP 8769 Creekside Way Highlands Ranch CO 80129

1297 8/17/2020 7/30/2021 Don Edward Adams III MD 208 Sunset Drive Johnson City TN 37604

1298 8/17/2020 7/30/2021 Macy Brantley RCP 160 Pleasant Valley Drive Pell City AL 35215

1299 8/17/2020 7/30/2021 Jason Allan Burns RCP 66 Williams Court Saint Marys GA 31558

01-Jul-21 Page 68 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1300 8/17/2020 7/30/2021 Sally M. Cass RCP 16809 160th Avenue Little Falls MN 56345

1301 8/17/2020 7/30/2021 Joshua Collins RCP 3849 Klahanie Drive SE Issaquah WA 98029

1302 8/17/2020 7/30/2021 Pamela Ann Clark MD 8285 Georgetown Bay Drive Ooltewah TN 37363

1303 8/17/2020 7/30/2021 Christina Ennabi DO 19106 W. Josey Overlook Dr. Cypress TX 77433

1304 8/17/2020 7/30/2021 Jeffrey Thurmon Head RCP 313 South Main Street Piedmont AL 36272

1305 8/17/2020 7/30/2021 Justin Andre LeBlanc RCP 7809 Sailor Place Swissvale PA 15218

1306 8/17/2020 7/30/2021 Roy Evan Neal RCP 2828 Sandsfone Drive Norman OK 73071

1307 8/17/2020 7/30/2021 Kristie Lynn Newman RCP 1408 Snook Ct. Fort Collins CO 80526

1308 8/17/2020 7/30/2021 Rebecca Jean Payne APRN 281 N Lyerly Street Chattanooga TN 37404

1309 8/17/2020 7/30/2021 Jessica Leighanne Scott PA 281 N. Lyerly Street Chattanooga TN 37404

1310 8/17/2020 7/30/2021 Rita Reshamwala Shridharani MD 7864 Lexsaturno Lane Ooltewah TN 37363

1311 8/17/2020 7/30/2021 Hosana Caroline Souza RCP 3103 Cocoplum Circle Coconut Creek FL 33063

1312 8/17/2020 7/30/2021 Lakonja Marie Stinson RCP 5639 21st Avenue E. Tuscaloosa AL 35405

1313 8/17/2020 7/30/2021 Brittany Jennifer Swayze RCP 16217 Stoneview Drive Oklahoma City OK 73170

1314 8/18/2020 7/30/2021 Matthew Smith MD 565 Plandome Road Manhassett NY 11030

1315 8/18/2020 7/30/2021 Deborah Johnson RCP 301 Twin Hill Road Austell GA 30168

1316 8/19/2020 7/30/2021 James Michael Vodvarka DO 2032 Promise Road Rapid City SD 57701

1317 8/19/2020 7/30/2021 Ana Zamora Martinez MD 23 York Village Way Gilford NH 03249

1318 8/19/2020 7/30/2021 Zeynep Eroglu MD 205 W Hyde Park Place Tampa FL 33606

01-Jul-21 Page 69 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1319 8/19/2020 7/30/2021 Jason Dwyane Kennedy MD 9224 Royal Mountain Drive Chattanooga TN 37421

1320 8/20/2020 7/30/2021 Harry Kwang-Woo Kim MD Scottish Rite for Children Dallas TX 75219

1321 8/20/2020 7/30/2021 Wytoshery Monea Williams APRN 413 Wintergree Place San Morcos CA 92069

1322 8/20/2020 7/30/2021 William J. Walker MD 1306 W. 13th Street Wilmington DE 19806

1323 8/21/2020 7/30/2021 Ayodeji Aiyejorun MD 565 Plandome Road Manhasset NY 11030

1324 8/21/2020 7/30/2021 Erik Deede MD 565 Plandome Road Manhasset NY 11030

1325 8/21/2020 7/30/2021 Osama Abdul-Rahim MD 6100 Venetian Way N Mobile AL 36608

1326 8/21/2020 7/30/2021 Anisha Tom RCP 7100 Almeda Road Houston TX 77054

1327 8/21/2020 7/30/2021 Shaun Mehdi DO 537 N. Hartland Ct. Chicago IL 60622

1328 8/21/2020 7/30/2021 Vanessa Vasconcelos Pigg MD 6 Rock Crest Drive Signal Mountain TN 37377

1329 8/21/2020 7/30/2021 Erin R. Martin APRN 2051 Hamill Road Hixson TN 37343

1330 8/21/2020 7/30/2021 Amber D. Brill RCP 220 N 7th Street Humboldt KS 66748

1331 8/21/2020 7/30/2021 Megan Shannon Carnley RCP 2941 Clydeback Circle Birmingham AL 35242

1332 8/21/2020 7/30/2021 Keerti Laxmi Dantuluri MD 1106 Euclid Ave Charlotte NC 28203

1333 8/21/2020 7/30/2021 William Garcia MD 565 Plandome Road Manhasset NY 11030

1334 8/21/2020 7/30/2021 Leslie Colleen Griffin MD 209 Hooker Street Lookout Mountain TN 37350

1335 8/21/2020 7/30/2021 Jeffrey Thurmon Head RCP 313 South Main Street Piedmont AL 36372

1336 8/21/2020 7/30/2021 Joani L. Jack MD 900 3rd Street Chattanooga TN 37403

1337 8/21/2020 7/30/2021 Amaka Jane Oguchi RCP 655 Promenade Pkwy 2046 Irving TX 75039

01-Jul-21 Page 70 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1338 8/21/2020 7/30/2021 Ngozi Okezie MD 127 Prospect Drive Chappaqua NY 10514

1339 8/21/2020 7/30/2021 April Olivia Gunn DO 405 Ivory Ave. Sgnal Mountain TN 37377

1340 8/21/2020 7/30/2021 James William Haynes MD 2068 Horizons Dr. Ooltewah TN 37363

1341 8/21/2020 7/30/2021 Brandi Humphries RCP 4599 Woodford Circle Bessemer AL 35405

1342 8/21/2020 7/30/2021 Patrick Koo MD 979 E 3rd Street Chattanooga TN 37403

1343 8/21/2020 7/30/2021 Darren Cohen DO 1103 Buchanan Street Hollywood FL 33019

1344 8/24/2020 7/30/2021 Margaret Greene APRN 1521 East Brow Road Signal Mountain TN 37377

1345 8/24/2020 7/30/2021 Jorge Andres Diaz MD 84 Prospect Lane Ponte Vedra FL 32081

1346 8/24/2020 7/30/2021 Gary Wilson RCP 3741 West Baneberry Way Taylorsville UT 84129

1347 8/24/2020 7/30/2021 Venkat Sanjay Reddy Manubolu MD 12665 Village Lane Playa Vista CA 90094

1348 8/24/2020 7/30/2021 Katherine LeeAnn Hale RCP 501 Magnolia Ave NW Hanceville AL 35077-545

1349 8/24/2020 7/30/2021 Michael O'Brien Weeks MD 17811 80th Avenue NE Kenmore WA 98028

1350 8/24/2020 7/30/2021 Abayomi Ogunderu MD 20 Willow Grove Drive Springboro OH 45066

1351 8/24/2020 7/30/2021 Judith Anne Tessema MD 2782 Glenlocke Grove Ct. NW Atlanta GA 30318

1352 8/24/2020 7/30/2021 Kimberly Gandy MD 11316 Grant Street Overland Park KS 66210

1353 8/24/2020 7/30/2021 Shona M. Hillman MD 33,000 Portofino Circle Palm Beach Gardens FL 33418

1354 8/24/2020 7/30/2021 Anh Le MD 3848 Veterans Memorial Blvd. Metairie LA 70002

1355 8/25/2020 7/30/2021 Igor Jose Alvarez-Forte PA 3901 23rd Avenue North Saint Petersburg FL 33713

1356 8/18/2020 7/30/2021 Bishop Xavier Powell RCP 1500 Crossing Place Austin TX 78748

01-Jul-21 Page 71 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1357 8/25/2020 7/30/2021 Michael D. Shepherd MD 7829 Stonehenge Dr. Chattanooga TN 37421

1358 8/25/2020 7/30/2021 Christopher Matthew Wood DO 332 Atlantic Grove Way Delray Beach FL 33444

1359 8/25/2020 7/30/2021 Anita Donovan RCP 421 E. Berrien St. Pow Pow MI 49079

1360 8/25/2020 7/30/2021 Marney Gruber MD 565 Plandome Road Manhassett NY 11030

1361 8/25/2020 7/30/2021 Jordna Hollen MD 5664Bee Ridge Road Sarasota FL 34233

1362 8/25/2020 7/30/2021 Doreen D. Han-Faver MD 1150 Fifth Avenue New York NY 10128

1363 8/25/2020 7/30/2021 Joseph Wallins MD 565 Plandome Road Manhaset NY 11030

1364 8/25/2020 7/30/2021 Leigh Halpern MD 565 Plandom Road Manhasset NY 11030

1365 8/25/2020 7/30/2021 Kevin Kuo MD 565 Plandome Road Manhasset NY 11030

1366 8/25/2020 7/30/2021 Jon Derek Kennedy RCP 178 Cabot Lane Rockwood TN 37854

1367 8/25/2020 7/30/2021 Kwame Adusel-Mensah RCP 931 Wicawa Road Fort Mill SC 29708

1368 8/25/2020 7/30/2021 Gary Makas RCP Old Combee Road Lakeland FL 33808

1369 8/26/2020 7/30/2021 Nadeem Kasho RCP 1500 NE 127th Street North Miami FL 33161

1370 8/26/2020 7/30/2021 Jeffry Paul Doucet RCP 13010 W Evans Drive El Mirage AZ 85335

1371 8/26/2020 7/30/2021 Gregory Brandt Barrios RCP 7449 Magic Hills Circle Cottonwood UT 84121

1372 8/26/2020 7/30/2021 Valerie Patric Grignol MD 410 West 10th Ave Columbus OH 43210

1373 8/26/2020 7/30/2021 Jasmine Lee McCollum RCP 3398 Raintree Woods Drive Memphis TN 38119

1374 8/26/2020 7/30/2021 Sarah McCary Baker MD 3106 Roundabout Lane Ooltewah TN 37363

1375 8/26/2020 7/30/2021 Jacqueline Carol Gentry MD 6446 Laramie Circle Chattanooga TN 37421

01-Jul-21 Page 72 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1376 8/26/2020 7/30/2021 David Castrilli MD 3572 Setting Sun Dr. Signal Mountain TN 37377

1377 8/26/2020 7/30/2021 Andres Caja Jr. RCP 832 Lightgleam Ct. Las Vegas NV 89123

1378 8/26/2020 7/30/2021 David Andrew Mitchell RCP 130 Hunter Trail Florence MS 39073

1379 8/26/2020 7/30/2021 William Birdsall Slayton MD 17024 NE 120th Avenue Waldo FL 32694

1380 8/26/2020 7/30/2021 Daniel W. Burke MD 70 Washington Street Brooklyn NY 11201

1381 8/26/2020 7/30/2021 Ligia Vidal MD 863 Woodware Ave Ridgewood NY 11385

1382 8/27/2020 7/30/2021 Martha Jane Stewart MD 4800 La Jolla Pensacola FL 32504

1383 8/28/2020 7/30/2021 Retricia Richardson RCP 22 St. Kitts Circle SE Winter Haven FL 33884

1384 8/28/2020 7/30/2021 Charles Smith RCP 8315 116th Street Richmond Hill NY 11418

1385 8/28/2020 7/30/2021 Brittany Danielle Gilley RCP 229 Beonia Drive Taylor AL 36301

1386 8/28/2020 7/30/2021 Robert Eugene Reidy Jr. RCP P o Box 665 Tarpon Springs FL 34688

1387 8/28/2020 7/30/2021 Nijal Terrez Pope RCP 79 Trafalgar Square Birmingham AL 35215

1388 8/28/2020 7/30/2021 Chynna P. Campbell RCP 7323 Fox Clearing Trail Humble TX 77338

1389 8/28/2020 7/30/2021 Jemima Felicity Languido Albayda MD 104 Mosher Street Baltimore MD 21217

1390 8/28/2020 7/30/2021 Amber D. Jones RCP 2065 Chickadee St. Bartow FL 33830

1391 8/28/2020 7/30/2021 Rachael Anne Myers RCP 462 San Carlos Dr. Grech Wood IN 46142

1392 8/28/2020 7/30/2021 Brandee Michelle Brouillette RCP 129 Glen Eagles Dr. Cibolo TX 78108

1393 8/28/2020 7/30/2021 Ashley Elizabeth Hall DO 14467 S. River Chase Road Herriman UT 84096

1394 8/31/2020 7/30/2021 Bert Jackson Smith MD 208 Sunset Drive Johnson City TN 37604

01-Jul-21 Page 73 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1395 8/31/2020 7/30/2021 Karen Hanson RCP P O Box 13035 Jekyll Island GA 31527

1396 8/31/2020 7/30/2021 Christopher Lee Wolfgang MD 1246 Dockside Circle Baltimore MD 21224

1397 8/31/2020 7/30/2021 Cynthia Fernandez-Shaffer APRN 405 Red Clay Park Road., SW Cleveland TN 37311

1398 8/31/2020 7/30/2021 Hillary Hightshoe RCP 789 Hammond Dr. Sandy Springs GA 30328

1399 8/31/2020 7/30/2021 Jeffery Trent Clemons Jr. RCP 7523 S. Glen Willow Lane Missouri City TX 77489

1400 8/31/2020 7/30/2021 Catherine Ann Reed MD 932 Santa Cruz Avenue Menlo Park CA 94025

1401 9/1/2020 7/30/2021 Tynesha Nicole Guillory RCP 5714 Cheshire Cove Circle McCalla AL 35111

1402 8/31/2020 7/30/2021 Miren A. Schinco Schaffer MD 2301 Oak Street Jacksonville FL 32204

1403 9/1/2020 7/30/2021 Christopher John Jankosky MD 10421 Carmel Mountain Avenue Las Vegas NV 89144

1404 9/1/2020 7/30/2021 Jasmine Lee McCollum RCP 3398 Raintree Woods Drive Memphis TN 38119

1405 9/1/2020 7/30/2021 Kin Yee DO 3866 Tucks Point Winter Park FL 32792

1406 9/1/2020 7/30/2021 Sharon Naomi Dabby MD 202 N Maple Drive Beverly Hills CA 90210

1407 9/1/2020 7/30/2021 Atemnkeng Atabong RCP 730 Savory Place Lake Mary FL 32746

1408 9/1/2020 7/30/2021 Christopher Demetris Carr Jr. RCP 1008 Roberson Street SW Jacksonville AL 36265

1409 9/1/2020 7/30/2021 Hugh Grosvenor Calkins MD 1856 Circle Road Ruxton MD 21204

1410 9/1/2020 7/30/2021 Chequita T. McClain RCP 10114 Turkey Point Dr. Charlotte NC 28214

1411 9/1/2020 7/30/2021 Julie J. Paik MD 5705 Saint Albans Way Baltimore MD 21212

1412 9/2/2020 7/30/2021 Vivek Vijay Tirmal MD 7777 NW 55th Place Coral Springs FL 33067

1413 9/2/2020 7/30/2021 Yashar Anthony Zadeh RCP 19588 S. 191 Drive Queen Creek AZ 85142

01-Jul-21 Page 74 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1414 9/2/2020 7/30/2021 Kristin Ann Kelsoe RCP 3864 County Road 1742 Holly Pond AL 35083

1415 9/2/2020 7/30/2021 Lisa K. Koers MD 650 5th Street San Francisco CA 94107

1416 9/2/2020 7/30/2021 Kimberly Sanders MD 1720 Franklin Dr. Charlottesville VA 22911

1417 9/2/2020 7/30/2021 Andre Coombs MD 1861 NW South River Drive Miami FL 33125

1418 9/2/2020 7/30/2021 Michael D. Shepherd MD 7829 Stonehenge Dr. Chattanooga TN 37421

1419 9/2/2020 7/30/2021 Monica Campbell RCP 2367 Lakes of Melbourne Dr. Melbourne FL 32904

1420 9/3/2020 7/30/2021 James Nathan McGee RCP 3670Quail Point Way Southside AL 35907

1421 9/3/2020 7/30/2021 Thomas Shannon MD 15 Netherfield Way Woodlands TX 77382

1422 9/3/2020 7/30/2021 Brian Hassani MD 1845 Piedmont Ave NE Atlanta GA 30324

1423 9/3/2020 7/30/2021 Najah White-Royster RCP 3857 Pechin Street Philadelphia PA 19128

1424 9/3/2020 7/30/2021 Peter Michael Salko RCP 1227 College Avenue Blackshear GA 31516

1425 9/4/2020 7/30/2021 Magaret E. Gatti-Mays MD 1145 Olentangy River Road Columbus OH 43212

1426 9/4/2020 7/30/2021 Valerie Patrice Grignol MD 410 West 10th Avenue Columbus OH 43210

1427 9/4/2020 7/30/2021 Jamie Wright RCP 4190 Tup. Road 241 Toronto OH 43964

1428 9/4/2020 7/30/2021 Rachel Tamaroff MD 157 East 86th Street New York NY 10028

1429 9/7/2020 7/30/2021 Jon Derek Kennedy RCP 178 Cabot Lane Rockwood TN 37854

1430 9/7/2020 7/30/2021 Tracy Elizabeth Bambenek RCP S3585 County Road P Fountain City WI 54629

1431 9/8/2020 7/30/2021 Erica Penix RCP 2616 Glenwood Avenue Rockford IL 61101

1432 9/8/2020 7/30/2021 Debjeet Sarkar MD 7707 Wisconsin Avenue Bethesda MD 20814

01-Jul-21 Page 75 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1433 9/10/2020 7/30/2021 Juanita Cates Gaines RCP 1106 E Rio Grande Street Colorado Springs CO 80910

1434 9/10/2020 7/30/2021 Eauthann H. Wright RCP 1155 Orange Arbour Trail Ocoee FL 34761

1435 9/10/2020 7/30/2021 Madhuri Tirumandas MD 21 Mt. Kemble Avenue Morristown NJ 07960

1436 9/10/2020 7/30/2021 Scott H. Coppel MD 1407 S. Michigan Avenue Chicago IL 60605

1437 9/10/2020 7/30/2021 Dwight A Scott RCP 26850 US 380 E Aubrey TX 76627

1438 9/10/2020 7/30/2021 Jazzmin Roberge RCP 492 Poor Farm Road Colchester VT 05446

1439 9/10/2020 7/30/2021 Cynthia Goldstein Cohen MD 9028 Denise Lane Fairfax VA 22031

1440 9/10/2020 7/30/2021 Khac Le MD 15850 NE 40th Street Redmond WA 98052

1441 9/10/2020 7/30/2021 Megan Castignoli RCP 626 Highland Street N St. Petersburg FL 33701

1442 9/10/2020 7/30/2021 Dabney Cutcher Padgett RCP 4925 Shoreline Drive Chattanooga TN 37416

1443 9/10/2020 7/30/2021 Mandrell Little RCP 1323 Reid Street Albemarle NC 28001

1444 9/10/2020 7/30/2021 Nikolaos Myriounis MD 11452 Freshwater Ridge Dr. Riverview FL 33569

1445 9/10/2020 7/30/2021 Jeanette Marie Scott RCP 208 E Ellington Drive Peoria IL 61604

1446 9/10/2020 7/30/2021 Gena Kaye Bryant RCP 4805 Anne Payne Lane Powell TN 37849

1447 9/10/2020 7/30/2021 Jennifer Nell Vickery RCP 431 Fairbiew Street Faintain Inn SC 29644

1448 9/10/2020 7/30/2021 Jerry Eddie Griffin II RCP 708 Evergreen Court Clarksville TN 37040

1449 9/10/2020 7/30/2021 Jedd D. Wolchok MD 1275 York Avenue New York NY 10065

1450 9/10/2020 7/30/2021 LaQuata Marsh Kooi RCP 24 Etowah Ridge Ringgold GA 30736

1451 9/14/2020 7/30/2021 William S. Cantwell MD 1699 County Road 3905 Jacksonville TX 75766

01-Jul-21 Page 76 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1452 9/14/2020 7/30/2021 Wesley D. Swart RCP 10540 N 151st StW Sedgwick KS 67135

1453 9/15/2020 7/30/2021 Anneline Kingsley MD 295 Palm Breeeze Dr. Ponte Veda FL 32081

1454 9/15/2020 7/30/2021 Tara Strickland APRN 13536 Sol Court Jacksonville FL 32224

1455 9/15/2020 7/30/2021 Tara Marie Walburger RCP 325 South Edwards Ave Syracuse NY 13206

1456 9/15/2020 7/30/2021 Herbert Duvivier MD 3840 East Robinson Road Amherst NY 14228

1457 9/15/2020 7/30/2021 Marena Monae Taylor RCP 2415 Old St. Augustine Road Tallahasee FL 32301

1458 9/15/2020 7/30/2021 Carlos E. Picone MD 5325 Wapakoneta Road Bethesda MD 20816

1459 9/15/2020 7/30/2021 Glenda Tutt Martin RCP 980 Acorn Trail Hallsville TX 75650

1460 9/15/2020 7/30/2021 Kenan Katranji DO 580 W. Frank Birmingham MI 48009

1461 9/15/2020 7/30/2021 Brittany Renee Millington RCP 14 Leafmore Ct. Simpsonville SC 29680

1462 9/16/2020 7/30/2021 Robert Stetson MD 1723 Mount Vernon Drive Cleveland TN 37312

1463 9/16/2020 7/30/2021 Jennifer Anne Davis DO 14540 Old St Augustine Road Jacksonville FL 32258

1464 9/16/2020 7/30/2021 Shyamala Madhavi Arani Purushotha MD 3335 Balcones Dr. Irving TX 75063

1465 9/16/2020 7/30/2021 Jusleen Kendhari MD 13241 Bartram Park Blvd. Jacksonville, FL 32258

1466 9/16/2020 7/30/2021 Nicholas Alexander Hamilton RCP 609 Harvest Dr. Ridgeland MS 39157

1467 9/16/2020 7/30/2021 Jedd D. Wolchok MD 1275 York Ave New York NY 10065

1468 9/16/2020 7/30/2021 Lisa Christopher MD 109 Hawthorn Road Baltimore MD 21210

1469 9/16/2020 7/30/2021 Michael Todd MD 1560 Radford Loop El Dorado Hills CA 95762

1470 9/16/2020 7/30/2021 Cynthia Adela Webb RCP 1922 Briarturn Dr. Houston TX 77077

01-Jul-21 Page 77 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1471 9/17/2020 7/30/2021 Daryl Callahan DO 2311 SE Leo Avenue Topeka KS 66605

1472 9/17/2020 7/30/2021 Zohra Salehi MD 192 Waterville Road Farmington CT 06032

1473 9/17/2020 7/30/2021 Valerie Nordquist MD 7129 Boyer Street Philadelphia PA 19119

1474 9/17/2020 7/30/2021 Arno Rene Schleich MD 207 Fairway Lane Madison MS 39110

1475 9/18/2020 7/30/2021 Jean Robert Francois RCP 13821 NW 22 Street Sunrise FL 33323

1476 9/18/2020 7/30/2021 John Alanson Fudickar PA 19402 River Breeze Drive Baton Rouge LA 70816

1477 9/18/2020 7/30/2021 James Cullen Darbonne RCP 3759 County Road 126 Bedias TX 77831

1478 9/18/2020 7/30/2021 Kamal Zakka MD 20 Tenth St., NW Atlanta GA 30309

1479 9/18/2020 7/30/2021 Kristyn Lee Padgett RCP 110 Crossroads Dr. Graniteville SC 29829

1480 9/18/2020 7/30/2021 Amanda Michelle Nicholson RCP 2112 E wyndham Hill Dr., NE Grand Rapids MI 49505

1481 9/22/2020 7/30/2021 Lisa Schmidt APRN 700 Blue Seas Court Ponte Vedra Beach FL 32082

1482 9/23/2020 7/30/2021 Terry McKinney MD 4162 Lamontville Road Decatur TN 37322

1483 9/23/2020 7/30/2021 Alann Weissman-Ward MD 126 Victoria Place Syracuse NY 13210

1484 9/23/2020 7/30/2021 Letty Pineda Wylie RCP 19051 Sundancer Lane Bushland TXAmarillo TX 79159

1485 9/23/2020 7/30/2021 Tiziano Scarabelli MD 6028 Chestnut Hill Drive Glen Allen VA 23059

1486 9/23/2020 7/30/2021 Trevor E. Angell MD 1520 San Pablo Street Los Angeles CA 90033

1487 9/24/2020 7/30/2021 Adrienne Harper Jones RCP 12605 Warwick Avenue Baton Rouge LA 70815

1488 9/24/2020 7/30/2021 Rori Taylor RCP 1663 Greensprings Dr. Klamath Falls OR 97601

1489 9/24/2020 7/30/2021 Oluwaseun Davies MD 4511 Hickory Branch Lane Sugar Land TX 77479

01-Jul-21 Page 78 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1490 9/24/2020 7/30/2021 Cynthia Boykin RCP 7518 Aspen Ridge Dr. Pinson AL 35126

1491 9/24/2020 7/30/2021 Joanna Maria Olewicz MD 1314 Grayton Street Grosse Pointe MI 48230

1492 9/24/2020 7/30/2021 D'Nay Calli RCP 179 Kenwood Drive Sicklerville NJ 08081

1493 9/24/2020 7/30/2021 Rylea Wallace RCP 9614 Tara Cay Court Seminole FL 33776

1494 9/24/2020 7/30/2021 Cameron J. Gibson MD 6280 SE Eola Hills Road Amity OR 97101

1495 9/24/2020 7/30/2021 Faiza Barakat RCP 929 Sheridan Ave Elizabeth NJ 07208

1496 9/28/2020 7/30/2021 Damon Christopher Dixon MD 14538 Grant Land Overland Park KS 66221

1497 9/28/2020 7/30/2021 Michelle Harrison Schell RCP 465 Mockingbird Lane Spartanburg SC 29367

1498 9/28/2020 7/30/2021 Crystal Buck RCP 3268 Barbourville Roac London KY 40744

1499 9/28/2020 7/30/2021 Maria Del Carmen Rivera RCP 513 Pine Top Place Kissimmee FL 34758

1500 9/29/2020 7/30/2021 Patricia Louise McBride PA 185 Turquoise Way Livermore CA 94550

1501 9/29/2020 7/30/2021 Candyce Guy-Johnson RCP 4107 Sunset Avenue Louisville KY 40211

1502 9/29/2020 7/30/2021 Holly Anne Douglas RCP 5591 Beech Hill Road Pegram TN 37143

1503 9/29/2020 7/30/2021 Jennifer L. Shoenfelt MD 5658 Marmion Drive Dublin OH 43016

1504 9/29/2020 7/30/2021 Lottie Beatrice Jones RCP 3023 Sun Dance Dr. Harker Heights TX 76548

1505 9/29/2020 7/30/2021 James Matthew York RCP 7810 Fort Myers Court Parma OH 44134

1506 9/29/2020 7/30/2021 Denise M. Heebink MD 25 Central Park West New York NY 10023

1507 9/29/2020 7/30/2021 Rollie Demetrius Steele MD 6627 Lubarrett Way Mobile AL 36695

1508 9/30/2020 7/30/2021 Wilson Flemens Jr. RCP 19249 NW 13 Street Pembroke Pines FL 33029

01-Jul-21 Page 79 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1509 9/30/2020 7/30/2021 Vicky Cooke APRN CHI Memorial Family Practice NorthHixson TN 34343

1510 9/30/2020 7/30/2021 Adeline Vanderver MD 209 Wakefield Road Bryn Mawr PA 19010

1511 9/30/2020 7/30/2021 Sarah Ann Lowe RCP 2462 S. Nielson Street Gilbert AZ 85295

1512 9/30/2020 7/30/2021 Rosemary Giuliano APRN 384 Buckingham Place Palm Harbor FL 34684

1513 9/30/2020 7/30/2021 Ali Akbar Zaidi MD 839 Pinon Ave Millbrae CA 94030

1514 9/30/2020 7/30/2021 Catherine Courtney Smith RCP 8351 Rose Valley Road Kelso WA 98626

1515 9/30/2020 7/30/2021 Dion Waller RCP 3751 W. State Road 84 Davie FL 33312

1516 9/30/2020 7/30/2021 Jo Ann Yrlas RCP 12107 Creek Spur San Antonio TX 78253

1517 9/30/2020 7/30/2021 Michael Francis Wisiorek DO 192 Rivermist Drive Buffalo NY 14202

1518 9/30/2020 7/30/2021 Brandon Lloyd Daniels MD 16639 Turle Point Dr. Charlotte NC 28278

1519 10/1/2020 7/30/2021 Damika Rayson RCP 2019 Una Rd. Lamar SC 29069

1520 10/1/2020 7/30/2021 Natalie B. Collins MD 450 Brookline Avenue Boston MA 02215

1521 10/1/2020 7/30/2021 Jamie Lawrence RCP 6730 E Hermosa Vista Dr. Mesa AZ 85215

1522 10/1/2020 7/30/2021 Elizabeth Molina RCP 1819 182nd Place Homewood IL 60430

1523 10/2/2020 7/30/2021 Mitul Patel MD 1401 Hampton St Columbia SC 29201

1524 10/2/2020 7/30/2021 Obinwanne Emejulu MD 2182 Broadfield Run Duluth GA 30097

1525 10/2/2020 7/30/2021 Brian Matthew Buck RCP 3268 Barbourville Rd. London KY 40744

1526 10/2/2020 7/30/2021 Jennifer Janke PA 9848 West Arizona Avenue Lakewood CO 80232

1527 10/2/2020 7/30/2021 Richard Harry Ruben MD 7712 S. Galveston Avenue Tulsa OK 74132

01-Jul-21 Page 80 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1528 10/2/2020 7/30/2021 Adrian Rawlinson MD 11 Piedmont Road Larkspur CA 94939

1529 10/2/2020 7/30/2021 Justin Theodore Gerstle MD 1275 York Avenue New York NY 10065

1530 10/2/2020 7/30/2021 Connie Lynn Ponton RCP 1611 E 3000 North Road Clifton IL 60927

1531 10/6/2020 7/30/2021 Elizabeth Mellory Nneka Cooper RCP 1221 Northhill Street Selma CA 93662

1532 10/6/2020 7/30/2021 Deanna Tichy-Garcia RCP 304 Joseph Street Lafayette LA 70506

1533 10/6/2020 7/30/2021 Laura McClung APRN 2265 The Woods Drive Jacksonville FL 32246

1534 10/6/2020 7/30/2021 Gina Malejko APRN Nemours Children's Clinic Jacksonville FL 32207

1535 10/6/2020 7/30/2021 Baeanne Ebinger RCP 370 W. Railroad Avenue Green River WY 82935

1536 10/6/2020 7/30/2021 Holly Collen Dubois MD P O Box 6512 San Antonie TX 78209

1537 10/6/2020 7/30/2021 John Michael Martinez MD 2140 Redwood Hwy #H9 Greenbrae CA 94904

1538 10/6/2020 7/30/2021 Ramon Gregorio Arauz Jr. MD 5166 FM 1017 San Isidro TX 78588

1539 10/6/2020 7/30/2021 Nadege Baines RCP 632 Hania Drive SW Concord NY 28027

1540 10/6/2020 7/30/2021 Andrea Viviana Bretal MD 1605 Town Center Cir. Weston FL 33326

1541 10/6/2020 7/30/2021 Jean Simon Joel Edouard PA 22 Parsonage Street Providence RI 01903

1542 10/7/2020 7/30/2021 Emma Didonato RCP 1339 Camelia Street Atlantic Beach FL 32233

1543 10/7/2020 7/30/2021 Kayla Mardaga RCP 1938 Sue Creek Drive Baltimore MD 21221

1544 10/7/2020 7/30/2021 LaTasha Barr RCP 3321 NW 65th Street Gainesville FL 32606

1545 10/7/2020 7/30/2021 Dottie Lynnette Steinhoff PA 17100 Pale Anemone Street Parker CO 80134

1546 10/7/2020 7/30/2021 Samuel A. Funt MD 300 E 66th Street New York NY 10065

01-Jul-21 Page 81 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1547 10/21/2020 7/30/2021 Gina R. Codispoti RCP 10700 NW 27th Street Yukon OK 73099

1548 10/14/2020 7/30/2021 Toni Nikole McFall RCP 4464 Norfleet Street Concord NC 28025

1549 10/14/2020 7/30/2021 Neide Fehrenbacher MD 5016 E. Cherry Creek South DriveDenver CO 80246

1550 10/14/2020 7/30/2021 Stephen N. Dunay MD 402 S 16th Street Nashville TN 37206

1551 10/14/2020 7/30/2021 Julie Lyon MD 3752 High Grove Lane Nampa ID 83687

1552 10/14/2020 7/30/2021 Samuel Ritter MD 9447 Hilldale Drive Dallas TX 75231

1553 10/14/2020 7/30/2021 Donna Moritz MD 7810 Lago Del Mar Drive Boca Raton FL 33433

1554 10/14/2020 7/30/2021 Katherine McMullan MD 687 Outlook Drive Ponte Vedra FL 32081

1555 10/14/2020 7/30/2021 Carlos Suarez MD 6520 Tall Oaks Loop South Springdale AR 72762

1556 10/14/2020 7/30/2021 Moe Zafarani MD 4005 E Benvalley Drive Appleton WI 54913

1557 10/14/2020 7/30/2021 Gem Jagmohan DO 86 Bahia Trace Circle Ocala FL 34472

1558 10/14/2020 7/30/2021 Nancy Youssef MD 9164 Del Prado Drive Palos Hills IL 60465

1559 10/14/2020 7/30/2021 TianChu Shih DO 3516 S Holly Street Denver CO 80237

1560 10/14/2020 7/30/2021 Chintan Harish Kumar MD 298-5th Avenue New York NY 10001

1561 10/14/2020 7/30/2021 Ada Cuellar MD 16156 Weston Way Dr. Harlingen TX 78552

1562 10/14/2020 7/30/2021 Scott Fleming van Poppel MD 15630 Stonebridge Drive Frisco TX 75055

1563 10/15/2020 7/30/2021 Srikant Nannapaneni, MBBS MD 127 W. Braewood Drive Coppell TX 75019

1564 10/15/2020 7/30/2021 Oluwaseyi David Adejorin MD 13422 Orb Drive Frisco TX 75035

1565 10/15/2020 7/30/2021 Harshit Shailendra Rao MD 917 LaSalle Lane Southlake TX 76092

01-Jul-21 Page 82 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1566 10/15/2020 7/30/2021 Malathi Shanmugam MD 9369 Sierra Creek Drive Elk Grove CA 95624

1567 10/15/2020 7/30/2021 Kailash Bajaj MD 11788 Winding Trails Dr. Willow Springs IL 60480

1568 10/15/2020 7/30/2021 Jasmine Thomas RCP 115 Golden Meadows Lane Sicklerville NJ 08081

1569 10/15/2020 7/30/2021 Peggy White RCP 20606 Anza Ave 12 Torrance CA 90503

1570 10/15/2020 7/30/2021 Jacqueline Montoya MD 9054 Moriset Court Delray Beach FL 33446

1571 10/15/2020 7/30/2021 Michael Phillip Gross MD 5181 161 Street West Lakeville MN 55044

1572 10/15/2020 7/30/2021 Mishal Abdullah MD 12951 Siena Lane Knoxville TN 37934

1573 10/15/2020 7/30/2021 Carla Ann Brantley RCP 259 Wellington Loop Ridgeland SC 29936

1574 10/16/2020 7/30/2021 Natalie S. Godbee DO 4934 W. Lariat Lane Phoenix AZ 85083

1575 10/16/2020 7/30/2021 Danielle Davenport RCP 1031 Anna Lane Anderson SC 29625

1576 10/16/2020 7/30/2021 Steven Horwitz MD 1275 York Avenue New York NY 10065

1577 10/16/2020 7/30/2021 Jan Voda MD 7627 Desert Inn Way Lakewood Ranch FL 34202

1578 10/16/2020 7/30/2021 Zhian Khonsary MD 129 S. Highland Street West Hartford CT 06119

1579 10/19/2020 7/30/2021 Stevens Jimmy Fils RCP 211 Harbour Pointe Way Green Acres FL 33413

1580 10/20/2020 7/30/2021 Jennifer Anne Davis DO 14540 Old St. Augustine Road MedicJacksonville FL 32258

1581 10/20/2020 7/30/2021 Anneline Kingsley MD 295 Palm Breeze Dr. Ponte Vedra FL 32081

1582 10/23/2020 7/30/2021 Alexei Silchenko RCP 3431 Back Creek Church Road Charlotte NC 28213

1583 10/23/2020 7/30/2021 David Shafran MD 24610 Greenwich Lane Bechwood OH 44122

1584 10/23/2020 7/30/2021 Brian Thomas Lamb RCP 2112 E Wyndham Hill Dr Grand Rapids MI 49505

01-Jul-21 Page 83 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1585 10/23/2020 7/30/2021 Matthew Horn MD 2606 Fairlawn Drive Winston-Saem NC 27106

1586 10/23/2020 7/30/2021 Frank Sutman Orth DO 2700 Canyon Road Granville OH 43023

1587 10/23/2020 7/30/2021 Tiyashi Choudhury MD 17602 Galloway Forest Drive Richmond TX 77407

1588 10/23/2020 7/30/2021 Jolaine Pomposa Beal MD 10 Mt. Tenaya Dr. San Rafael CA 94903

1589 10/23/2020 7/30/2021 Kevin Duane Collins RCP 1933 Tidewater Ct. Wesley Chapel FL 33543

1590 10/23/2020 7/30/2021 Steven Gerald Lopez MD 277 Speissegar Dr. North Charleston SC 29405

1591 10/23/2020 7/30/2021 Taryn Leigh Bates RCP 1745 Dykstra Road Muskegon MI 49445

1592 10/26/2020 7/30/2021 Loyd Z. Manlutac RCP 6578 Via Arryo Drive Buena Park CA 90620

1593 10/26/2020 7/30/2021 Franz Leo Aragon RCP Extended Stay America - Biltmore PhoenixPh AZ 85016

1594 10/26/2020 7/30/2021 Matthew Abinante DO 18800 Delaware Street Huntington Beach CA 92648

1595 10/26/2020 7/30/2021 Michael Thomas Healy MD Gillette Children's Specialty HealthcaSt. Paul MN 55101

1596 10/26/2020 7/30/2021 Alan Frederick Rope MD 16940 SE Berghammer Street Milwaukie OR 97267

1597 10/26/2020 7/30/2021 Salman Waheed MD 1752 Kansas Court Allen TX 75013

1598 10/27/2020 7/30/2021 Nelson Moss MD 1365 York Avenue New York NY 10021

1599 10/27/2020 7/30/2021 David G. Maloney MD 24216 SE 47th Street Issaquah WA 98029

1600 10/27/2020 7/30/2021 Melanie Lieblang APRN 4205 Field Oak Drive Wake Forest NC 27587

1601 10/27/2020 7/30/2021 Jonathan Fulton Swanson MD 319 Atlanta Street SE Marietta GA 30060

1602 10/27/2020 7/30/2021 Daniel Lee Henson RCP 144 Locust Court Arden NC 28704

1603 10/27/2020 7/30/2021 Haylen Montero-Gonzalez RCP 10725 Pueblo Pl NW Albuquerque NM 87114

01-Jul-21 Page 84 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1604 10/28/2020 7/30/2021 Mark Gorman MD 300 Longwood Avenue Boston MA 02115

1605 10/28/2020 7/30/2021 Kataneh Salari MD 24650 Voorhees Dr. Los Aetos Hills CA 94022

1606 10/28/2020 7/30/2021 Kate Hilary Grossman MD 2817 11th Avenue Seattle WA 98102

1607 10/29/2020 7/30/2021 Courtenay Leahman MD 3508 Hanover Avenue Richmond VA 23221

1608 10/29/2020 7/30/2021 Naomi Simins PA 20 Vincent Street Nanuet NY 10954

1609 10/29/2020 7/30/2021 Daniel S. Beman MD 25 Carlisle Road New Rochelle NY 10804

1610 10/30/2020 7/30/2021 Crystal Jade Encalade RCP 232 Kettle Drive Thibodaux LA 70301

1611 10/30/2020 7/30/2021 Jean Ernst Noel PA 22 Parsonage Street Providence RI 02903

1612 10/30/2020 7/30/2021 Jennifer M. Kalish MD 519 S. 45th Street Philadelphia PA 19104

1613 11/2/2020 7/30/2021 Martin Thimba RCP 24 Bardwin Street Malden MA 02148

1614 11/4/2020 7/30/2021 Nicketa C. McCants RCP 6803 Kosuta Court MEQUON WI 53092

1615 11/5/2020 7/30/2021 Chris Kempf APRN 33140 Little Hampton Court Longwood FL 33726

1616 11/5/2020 7/30/2021 Raymond Hwang MD 830 Boylston Street Chestnut Hill MA 02467

1617 11/5/2020 7/30/2021 Amynah Kara MD 4601 Sebago Trail Plano TX 75093

1618 11/6/2020 7/30/2021 Berlyne Gervias APRN 6749 Camelia Dr. Marimar FL 33023

1619 11/6/2020 7/30/2021 Marqualett Shamea Johnson RCP 4129 N. 70th Street Milwaukee WI 53216

1620 11/6/2020 7/30/2021 Cortney Smith RCP 1919 Sheila Avenue Southside AL 35907

1621 11/6/2020 7/30/2021 Kirk Andrew Roberts MD 12728 Carter Street Overland Park KS 66213

1622 11/6/2020 7/30/2021 Christina Denise Landowski APRN 3610 Stone Drive SE Cleveland TN 37323

01-Jul-21 Page 85 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1623 11/6/2020 7/30/2021 Esha Lestrade APRN 5714 Greene Street Hollywood FL 66254

1624 11/6/2020 7/30/2021 Katiya Rochelle Robinson RCP 987 BlueRoad Parkton NC 28371

1625 11/6/2020 7/30/2021 Erika Villanueva MD 2 Capiral Way Pennington NJ 08534

1626 11/9/2020 7/30/2021 Shayna Thompson RCP 327 Alegriano Court Poinciana FL 34758

1627 11/9/2020 7/30/2021 Juan Daniel Perez RCP 7742 Watersedge Cove San Antonio TX 78254

1628 11/9/2020 7/30/2021 Shanelle Binger RCP 400 Don Cir Ozark AL 36360

1630 11/9/2020 7/30/2021 Douglas W. Byrd MD 2689 Lake Circle Jackson MS 39211

1631 11/10/2020 7/30/2021 Timothy Kevin McNelly RCP 669 Tree Top Trail Evans GA 30809

1632 11/10/2020 7/30/2021 Carol A Mathews MD 100 S Newell Dr. Gainesville FL 32610

1633 11/10/2020 7/30/2021 Ricki Carroll MD 2537 Graduate Square Philadelphia PA 19146

1634 11/12/2020 7/30/2021 Julie Kitzke RCP 997 Young Way Richmond Hill GA 31324

1635 11/12/2020 7/30/2021 Mary Louise Keohan MD 300 East 66th Street New York NY 10065

1636 11/12/2020 7/30/2021 Luke Grimes Mentzer PA 2811 Lightfoot Mill Road Chattanooga TN 37406

1637 11/12/2020 7/30/2021 Natalie Hollis APRN 1205 Pembrooke Road St. Johns NY 11780

1638 11/13/2020 7/30/2021 Ye Beverly Du MD 2434 S. Mystic Meadow Houston TX 77021

1639 11/13/2020 7/30/2021 Robert Chandler DO 618 Cranberry Street Erie PA 16502

1640 11/13/2020 7/30/2021 Kai Phillipp Olshausen MD 644 Holton Road Talent OR 97540

1641 11/13/2020 7/30/2021 Linda Peitzman MD 6641 Promontory Drive Eden Prairie MN 55346

1642 11/13/2020 7/30/2021 Heather Maddox MD 1212 Landons Way Missoula MT 59803

01-Jul-21 Page 86 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1643 11/13/2020 7/30/2021 Jane Jenab MD 3740 E Iowa Avenue Denver CO 80210

1644 11/13/2020 7/30/2021 Chelsea Johnson MD 9116 N Oxford Avenue Kasas City MO 64157

1645 11/13/2020 7/30/2021 Tangela Harris-Wells RCP 13712 Tab Drive Northport AL 35475

1646 11/13/2020 7/30/2021 Christy Anna Beyer MD 14 Champion Trail San Antonio TX 78258

1647 11/13/2020 7/30/2021 Kendra Dionne Sheppard MD 8885 Burnt Pines Drive Memphis TN 38125

1648 11/13/2020 7/30/2021 Tanveer Mia RCP 8731 Birch Springs Dr. Houston TX 77095

1649 11/16/2020 7/30/2021 Patrick Jospeh Tangney Sr. MD 54 River Ridge Drive Dayton ME 04005

1650 11/16/2020 7/30/2021 Timothy Michael Burg DO 1937 Outlook Dr. Verona PA 15147

1651 11/16/2020 7/30/2021 Thomas O. Carpenter MD Yale School of Medicine Dept of PedNew Haven CT 06520

1652 11/17/2020 7/30/2021 Jared Brazg MD 715 28th Ave E Seattle WA 98112

1653 11/17/2020 7/30/2021 Eboni Ellis Farabee MD 4428 Greystone Place Ct. Winston Salem NC 27106

1654 11/17/2020 7/30/2021 Srinivas Boppana DO 871 Ibis Walk PI N St. Petersburg FL 33716

1655 11/17/2020 7/30/2021 Patricia Van Leer MD 6168 Devon Drive Columbia MD 21044

1656 11/17/2020 7/30/2021 Edward Chamberlain MD 6820 Canaletto Ave Bakersfield CA 93306

1657 11/17/2020 7/30/2021 Jason Stokes MD 800 Wolf Ranch Pkwy Georgetown TX 78628

1658 11/17/2020 7/30/2021 Marjorie Glass Zauderer MD 530 East 74th Street New York NY 10021

1659 11/17/2020 7/30/2021 Douglas Michael Coldwell MD 4554 Caruth Haven Lane Dallas TX 75225

1660 11/17/2020 7/30/2021 Aamina Shahid MD 9222 Randle Valley Drive Cordova TN 38018

1661 11/17/2020 7/30/2021 William G. Mackenzie MD 1600 Rockland Road Wilmington DE 19803

01-Jul-21 Page 87 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1662 11/17/2020 7/30/2021 Augustus Mealor MD 979 East 3rd Street Chattanooga TN 37403

1663 11/17/2020 7/30/2021 Makda Isabella Majette MD 315 NE 3rd Avenue Fort Lauderdale FL 33301

1664 11/19/2020 7/30/2021 Charlotte Lin MD 4376 Maryland Avenue St. Louis MO 63108

1665 11/19/2020 7/30/2021 Albert A. Lopez Jr. Perfusionist 924 W. 75th/57, 120-123 Naperville FL 60565

1666 11/19/2020 7/30/2021 Pedro Macedo Lima Neto RCP 3085 Riverside Drive Coral Springs FL 33065

1667 11/19/2020 7/30/2021 Hermena Cerphy Firmin MD 2724 N. Hiawassee Road Orlando FL 32818

1668 11/19/2020 7/30/2021 Noureen Akbar MD 690 South Goldenrod Road Orlando FL 32822

1669 11/19/2020 7/30/2021 Amit Johnny Grover MD 7794 Kings College Ave. Germantown TN 38138

1670 11/19/2020 7/30/2021 Debra Lea England Stevens APRN 72 Alpine Road Bristol NH 03222

1671 11/19/2020 7/30/2021 Mackenzie C Cervenka MD 1015 Fallscroft Way Lutherville-TimoniumMD 21093

1672 11/23/2020 7/30/2021 Frederick Watson Matin MD 602 Oak Mountain Road Carrollton GA 30116

1673 11/23/2020 7/30/2021 Tarek Anderson MD 740 Overbrook Road Charleston WV 25314

1674 11/23/2020 7/30/2021 Nnamani Onyebuchi Raphael RCP 3150 Sparrow Creek Drive Loganville GA 30052

1675 11/23/2020 7/30/2021 Yusuf M. Ali MD 618 Jefferson Street NW Washington DC 20011

1676 11/23/2020 7/30/2021 Andrea Caraccioli MD 3721 S. Grand Blvd. St. Louis MO 63118

1677 11/23/2020 7/30/2021 Richard A. Goldberg DO 3551 N Broad Street Philadelphia PA 19140

1678 11/23/2020 7/30/2021 Cecile Sweeney Muehrcke MD 133 Bimini Drive Duck Key FL 33050

1679 11/23/2020 7/30/2021 Shivali Dave PA 1824 E. Aztec Lane Mount Prospect IL 60056

1680 11/23/2020 7/30/2021 Kate Graen PA 4895 Shalimar Lane Davie FL 33328

01-Jul-21 Page 88 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1681 11/24/2020 7/30/2021 Natalie Strelnikova Braggs MD 450 N. Crest Road Chattanooga TN 37404

1682 11/24/2020 7/30/2021 Khalid Mohamad Sabha MD 3944 W Riverside Dr. Fort Myers FL 33901

1683 11/24/2020 7/30/2021 Derek Anthony Shively RCP 3700 Qst Bakersfield CA 93301

1684 11/24/2020 7/30/2021 Brennan Daniel Massie RCP 4876 Junction Drive Middleburg FL 32068

1685 11/24/2020 7/30/2021 Melinda Jane Garcia-Rosell MD 49 Mountain cove Road Signal Mtn TN 37377

1686 11/24/2020 7/30/2021 Michael A. Carducci MD 1219 Hull Street Baltimore MD 21230

1687 11/25/2020 7/30/2021 Steven Benjamin Bleyl MD 1772 Harvard Avenue Salt Lake City UT 84108

1688 11/25/2020 7/30/2021 Michael Labanowski MD 1893 Green Road Dothan AL 36303

1689 11/25/2020 7/30/2021 Antonio Reed RCP 1318 Durst Avenue East Greenwood SC 29649

1690 11/25/2020 7/30/2021 Fahad Mohiuddin Khan PA 711 FM 1959 Road Houston TX 77034

1691 11/25/2020 7/30/2021 Stephanie Ann Michels RCP 27 Waterside Way Covington KY 41017

1692 11/25/2020 7/30/2021 Lakkaraj Rajasekhar MD 7218 Stone Harbour Lane West Chester OH 45069

1693 11/25/2020 7/30/2021 Dasha Blaiv Humphries RCP 1130 Summit Place Birmingham AL 35243

1694 11/25/2020 7/30/2021 Mimmo Giambanco, Perfusionist 500 SW Nagle Place Port St. Lucie FL 34953

1695 11/30/2020 7/30/2021 Barney Beaver DO 576 Masters Drive Pawleys Island SC 29585

1696 11/30/2020 7/30/2021 Meredith Rissler Stroud DO 1039 Executive Dr. Hixson TN 37343

1697 11/30/2020 7/30/2021 Nita Wall Shumaker MD 1039 Executive Drive Hixson TN 37343

1698 11/30/2020 7/30/2021 Maria Zieba RCP 7730 S. New Castle Ave Burbank IL 60459

1699 11/30/2020 7/30/2021 Ana Laura Varela Windemuller MD 1651 Gunbarrel Road Chattanooga TN 37421

01-Jul-21 Page 89 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1700 11/30/2020 7/30/2021 Christian Reid Shorner RCP 1038 S. Villa Ave Villa Park IL 60181

1701 11/30/2020 7/30/2021 Janae Wallace RCP 7740 S. Evans Chicago IL 60619

1702 11/30/2020 7/30/2021 Sarah Ashour PA 360 Pharr Road Northeast Atlanta GA 30305

1703 11/30/2020 7/30/2021 DeVane Daley RCP 10444 NW 3rd Street Pembroke Pines FL 33026

1704 12/1/2020 7/30/2021 David Michelson MD 1030 Fuller Drive Claremont CA 91711

1705 12/1/2020 7/30/2021 Nara Lygia de Macena Sobreira MD 807 Miner Road Crownsville MD 21032

1706 12/1/2020 7/30/2021 Nnana Mang MD 2152 Ralph Avenue Brooklyn NY 11234

1707 12/1/2020 7/30/2021 Susen Carter-Nealy APRN 200 Congress Park Drive Delray Bch FL 33445

1708 12/1/2020 7/30/2021 Jennifer Catherine Peterson APRN 6784 NW 62 Ter Parkland FL 33067

1709 12/2/2020 7/30/2021 Esgar Guarin-Nieto MD 1901 W 21st N Newton IA 50208

1710 12/2/2020 7/30/2021 William G. Hutchison MD 1404 Foothills Mills Street Hendersen NV 89012

1711 12/2/2020 7/30/2021 Katie Rogers Shields PA 701 Dorothy Ford Lane SW Huntsville AL 35801

1712 12/2/2020 7/30/2021 Peter G Matos DO 3493 Adele Lane Bettendorf IA 52722

1713 12/2/2020 7/30/2021 Tanvir Salam MD 11 Mattben Drive Warren NJ 07059

1714 12/2/2020 7/30/2021 Michael Scott Jaffe MD 125 Sayles Town Place Fairview NC 28730

1715 12/2/2020 7/30/2021 LaQuandra Ann Levevett RCP 1117 Everett Drive Chattanooga TN 37421

1716 12/2/2020 7/30/2021 Rick Chamberlain MD 3809 Waycross Dr. Columbus IN 47203

1717 12/7/2020 7/30/2021 Morris F. Segall MD 465 Allewdale Road Key Biscayne FL 33149

1718 12/7/2020 7/30/2021 Jennifer Lynn White APRN 207 Holly Forest Drive St. Augustine FL 320902

01-Jul-21 Page 90 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1719 12/7/2020 7/30/2021 Anna Snell PA 6967 Hanging Vine Way Tallahassee FL 32317

1720 12/8/2020 7/30/2021 Andrzej S. Boguszewski MD 2660 W. Sugnet Road Midland MI 48670

1721 12/8/2020 7/30/2021 Destinee Rachelle Garrett RCP 1695 Kings Chapel Road Alpine AL 35014

1722 12/8/2020 7/30/2021 Sara Ann Borrmann RCP 119 Player Road Gaston SC 29053

1723 12/9/2020 7/30/2021 Frances Nicole McCarron MD 1941 Sharpshooters Court Marietta GA 30064

1724 12/9/2020 7/30/2021 Victoria Rose Fasick DO 5213 Glenbrook Dr. Vienna WV 26105

1725 12/9/2020 7/30/2021 Nathan Eric Smith MD 5305 Foxfire Place Kingsport TN 37664

1726 12/9/2020 7/30/2021 Jonathan Clay Cassidy RCP 5500 6th Street Hokes Bluff AL 35903

1727 12/9/2020 7/30/2021 Christine Ward APRN 8009 262nd Street East Myakka City FL 34251

1728 12/9/2020 7/30/2021 Nirmala Kishun - Jit MD 6454 Tideline Dr. Apollo Beach FL 33572

1729 12/9/2020 7/30/2021 Julie Sabin APRN 5135 Brooksbend Circle Sarasota FL 34238

1730 12/9/2020 7/30/2021 Marilyn Waters APRN 4321 Shark Drive Bradenton FL 34208

1731 12/9/2020 7/30/2021 Lisa Babb APRN 12603 Salomon Cove Drive Windermere FL 34786

1732 12/9/2020 7/30/2021 Mark Jeffrey Slepin MD 626 Masters Way Palm Beach Gardens FL 33418

1733 12/9/2020 7/30/2021 Carol Anne Lindsey PA 635 Somerset Terrace NE Atlanta GA 30306

1734 12/9/2020 7/30/2021 Americal Saulsberry RCP 6931 Stone Ridge Drive Memphis TN 38115

1735 12/9/2020 7/30/2021 Mark Andrew Gamber DO 5983 Chatham Drive Frisco TX 75036

1736 12/9/2020 7/30/2021 Michael James Baker MD 3680 Creekside Court Ann Arbor MI 48105

1737 12/9/2020 7/30/2021 Lee Morgan Johnson MD 3101 Ashebury Point Greenwood AR 72936

01-Jul-21 Page 91 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1738 12/9/2020 7/30/2021 Janet H. Coombs MD 5057 South Lee Highway McDonald TN 37353

1739 12/9/2020 7/30/2021 Eric Thomas MD 601 Mountain Springs Road Helena MT 59602

1740 12/10/2020 7/30/2021 Christopher John Scianna RCP 301 Amaryllis Ave Summerville SC 29483

1741 12/10/2020 7/30/2021 Brian Wesley Shippert DO 366 Hylbert Road Boalsburg PA 16827

1742 12/10/2020 7/30/2021 Daniel Mihai Rusu MD 2200 Tracery Oaks Drive Lexington KY 40514

1743 12/10/2020 7/30/2021 Badih Antonio Kabchi Jitani MD 605 Rupert Dr. Greenville NC 27858

1744 12/11/2020 7/30/2021 Joseph M. Gray MD 127 Meadow Wood Court Tallahassee FL 32312

1745 12/11/2020 7/30/2021 John Randolph Sharp II DO 226 Raintree Lane Chattanooga TN 37421

1746 12/11/2020 7/30/2021 Mohammad Sarraf MD 1718 Somerset Circle Mountain Brook AL 35213

1747 12/11/2020 7/30/2021 Christopher John Sperati MD Johns Hopkins Unversity School ofBaltimore MD 21287

1748 12/11/2020 7/30/2021 Hany Latif Moufid Farag MD 9200 Woodhall Lake Drive Waxhaw NC 28173

1749 12/11/2020 7/30/2021 Hansel Matthias Greiner MD 218 Glenmary Ave Cincinnati OH 45220

1750 12/14/2020 7/30/2021 Marvin Mohan Singh MD 700 Garden View Court Encinitas CA 92024

1751 12/14/2020 7/30/2021 Mohammad Yassin M Rida Hmadeh MD 2281 Foliage Oak Terrace Oviedo FL 32766

1752 12/14/2020 7/30/2021 Dashardra Woodard APRN 5164 Durant Street Memphis TN 38116

1753 12/14/2020 7/30/2021 Leonna Harris RCP 1290 Hart Road Fortson GA 31808

1754 12/14/2020 7/30/2021 Tiona Praylow MD 205 Brookspring Road Columbia SC 29223

1755 12/14/2020 7/30/2021 Ajsa Dedic RCP 9306 Forman Road St. Louis MO 63123

1756 12/14/2020 7/30/2021 Mrinal Gounder MD 300 East 66th Street New York NY 10065

01-Jul-21 Page 92 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1757 12/14/2020 7/30/2021 Faiyaz Mohammad Ahmed MD 4 Cheshire Road Bethpage NY 11714

1758 12/15/2020 7/30/2021 George Jackson van Buren II MD 13425 2nd Avenue NE Bradenton FL 34212

1759 12/15/2020 7/30/2021 Jacob Richard Adams DO 32 Highland Avenue San Rafael CA 94901

1760 12/15/2020 7/30/2021 Christopher S. Aloezos MD 541 Croton Heights Road Yorktown Heights NY 10598

1761 12/15/2020 7/30/2021 Zainab Syed MD 7804 SW 193rd Street Cutler Bay FL 33157

1762 12/15/2020 7/30/2021 Charles P. Steinbruegge MD 2840 N Lincoln Ave Chicago IL 60657

1763 12/16/2020 7/30/2021 Paul Anthony Conti MD 5721 Colts Gate Drive New Albany OH 43054

1764 12/16/2020 7/30/2021 Arturo Ronulfo Vega MD 100 North Thurston Avenue Los Angeles CA 90049

1765 12/16/2020 7/30/2021 Eli Louis Diamond MD 1275 York Avenue New York NY 10065

1766 12/16/2020 7/30/2021 Yolanda Richelle Spraggins MD 1651 Gunbarrel Road Chattanooga TN 37421

1767 12/16/2020 7/30/2021 Benjamin Wayne Wiley MD 1039 Executive Dr. Hixson TN 37343

1768 12/16/2020 7/30/2021 Carolyn Cowan Brannon MD 1039 Executive Drive Hixson TN 37343

1769 12/16/2020 7/30/2021 Jon Brooks Boroughs MD 1039 Executive Dr. Hixson TN 37343

1770 12/16/2020 7/30/2021 Cindy Tang Harris MD 1651 Gunbarrel Road Chattanooga TN 37421

1771 12/17/2020 7/30/2021 Robert Madlinger DO 11 Katharina Place Washington TownshipNJ 07676

1772 12/17/2020 7/30/2021 Bonnie Theresa Gleason MD 103 Tartan Lane Amherst NY 14221

1773 12/17/2020 7/30/2021 Giang Thanh Quach DO 7777 Greenbriar Road Houston TX 77030

1774 12/17/2020 7/30/2021 Marc Irwin Sharfman MD 2137 West State Road 434 Longwood FL 32779

1775 12/21/2020 7/30/2021 Srinivas Bhadriraju MD 5111 Olive Hill Blvd. Sugar Land TX 77479

01-Jul-21 Page 93 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1776 12/21/2020 7/30/2021 Michael Jonathan Lieber MD 205 W. Kelly Road Newbury Park CA 91320

1777 12/21/2020 7/30/2021 Shawna Taylor RCP 3422 E. Princess Amy Ct. Nampa ID 83687

1778 12/21/2020 7/30/2021 Francis Joseph Amede MD 7707 Fannin Street Houston TX 77054

1779 12/21/2020 7/30/2021 Lisa Joyce Reeves MD 264 East Broadway New York NY 10002

1780 12/21/2020 7/30/2021 Andrew Edward Kott MD 1724 The Plaza Charlotte NC 28205

1781 12/21/2020 7/30/2021 Noreen P. Kelly MD 2013 Victorian Place Charlotte NC 28203

1782 12/21/2020 7/30/2021 Nicki Lynn Sturchio RCP 522 Crooked Stick Drive Maryville TN 37801

1783 12/21/2020 7/30/2021 James Thompson RCP 306 S. 17th Avenue Lanett AL 36863

1784 12/21/2020 7/30/2021 Steven M. Flores RCP 238 Merlin Street Haines City FL 33844

1785 12/21/2020 7/30/2021 Dermot Michael Phelan MD 3825 Stoney Ridge Trail Charlotte NC 28210

1786 12/22/2020 7/30/2021 Sirak Kassaye Aragaw RCP 410 11th Street Davis CA 95616

1787 12/22/2020 7/30/2021 Aakash Mukesh Modi MD 2358 Riverside Avenue Jacksonville FL 32204

1788 12/22/2020 7/30/2021 Cody Tyler Casalegno DO 3635 Myrtle Avenue Long Beach CA 90807

1789 12/23/2020 7/30/2021 David S. Berger MD 4305 Middle Lake Drive Tampa FL 33624

1790 12/23/2020 7/30/2021 Ashesh Hemant Patel MD 20607 Bethel Church Road Cornelius NC 28269

1791 12/23/2020 7/30/2021 Samuel Douglass DO 1434 Andover Court Evans GA 30809

1792 12/23/2020 7/30/2021 Jerrica Cohen RCP 15750 SW 27th Ave Road Ocala FL 34473

1793 12/23/2020 7/30/2021 Laetitia Jones Harris RCP 1260 Longview Dr. Greenville MS 38703

1794 12/23/2020 7/30/2021 Binh-Minh (Jade) Nguyen Le MD 1717 Main Street Dallas TX 75201

01-Jul-21 Page 94 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1795 12/28/2020 7/30/2021 David Allen Friedel RCP 6700 Wall Street Mobile AL 36695

1796 12/28/2020 7/30/2021 Philip Allen Head, Jr. MD 507 Narcissus Road Clear Lake Shore TX 77565

1797 12/28/2020 7/30/2021 Mala Bernadette Subran MD 2404 Nostrand Ave. Brooklyn NY 11210

1798 12/28/2020 7/30/2021 Aaron J. Hyles RCP 1616 N. Church Street Rockford IL 61103

1799 12/28/2020 7/30/2021 Soroosh Hashemi MD 11 Hickory Tree Road Dallas PA 18612

1800 12/28/2020 7/30/2021 Markus David Scherer MD 525 South Church Street Charlotte NC 28202

1801 12/28/2020 7/30/2021 Susan Marie Quirk PA 1590 Bainbridge Lane Roswell GA 30076

1802 12/28/2020 7/30/2021 Reuben Wensis Tovar MD 13236 Country Trails Lane Austin TX 78732

1803 12/28/2020 7/30/2021 Scott W. Smith MD 1851 Delacourt Avenue Mount Pleasant SC 29466

1804 12/28/2020 7/30/2021 Carlos Ramos MD 820 NW 12th Ave Portland OR 97209

1805 12/28/2020 7/30/2021 Julia Hoffman MD 8 Brook Street Morris MN 56267

1806 12/28/2020 7/30/2021 Caryn B. Schorr MD 2699 Stirling Road Ft. Lauderdale FL 33312

1807 12/28/2020 7/30/2021 Thomas Walter Donner MD John Hopkins Medicine Baltimore MD 21287

1808 12/28/2020 7/30/2021 Raul Vargas Rivera MD 1126 Alexander Way Lake Alfred FL 33850

1809 12/28/2020 7/30/2021 Emmanuel Stylianos Antonarakis MD 2125 Clark Place Silver Spring MD 20910

1810 12/28/2020 7/30/2021 Annie Casta MD 7460 SW 179th Street Palmetto Bay FL 33157

1811 12/28/2020 7/30/2021 Mohammad Anwar MD 713 W. Birdie Lane Magnolia DE 19962

1812 12/29/2020 7/30/2021 Tiffani Cherhys Stewart PA 8751 S. Justin Street Chicago IL 60620

1813 12/29/2020 7/30/2021 Lisa Connery MD 1003 Isla Verde Square Vero Beach FL 32963

01-Jul-21 Page 95 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1814 12/29/2020 7/30/2021 Darren Trofibio APRN 815 W Willapa Ave Spokane WA 99224

1815 12/29/2020 7/30/2021 Larry Keith Hirsch MD 9201 N. Drake Avenue Evanston IL 60203

1816 12/29/2020 7/30/2021 Stacy Lane DO 936 Beech Avenue Pittsburgh PA 15233

1817 12/29/2020 7/30/2021 Gregg Adam Soifer MD 501 Royal Parkway Dothan AL 36305

1818 12/29/2020 7/30/2021 Randall Paul Wagner MD 9607 Brunett Avenue Silver Spring MD 20901

1819 12/30/2020 7/30/2021 Deborah E. Degnan PA N20 W26797 Sawgrass Lane Pewaukee WI 53072

1820 12/30/2020 7/30/2021 Gregorio V. Hernandez MD 102 Acadia Terrace Celebration FL 34747

1821 12/30/2020 7/30/2021 Franceso Mangano DO 6 Bradfort Lane Cincinnati OH 45242

1822 12/30/2020 7/30/2021 Kevin Ball PA 16 State Road Rockaway Point NY 11697

1823 12/30/2020 7/30/2021 Jessica Marie Miller MD 4789 Trial Drive Addis LA 70710

1824 12/30/2020 7/30/2021 Mary Anne Farris MD 14653 Tropical Drive Naples FL 34114

1825 12/30/2020 7/30/2021 Gilbert Larry Holmes MD 408 Chestnut Street Camden SC 29020

1826 12/30/2020 7/30/2021 Ramon Antnio Jimenez MD 534 Grasslands Village Cir Lakeland FL 33803

1827 12/31/2020 7/30/2021 Warlyn E. Sosa Popoteur MD 9584 Alberto Court Ft. Meyers FL 33908

1828 12/31/2020 7/30/2021 Eric Osgood MD 11 Dogwood Drive Burlington NJ 08016

1829 12/31/2020 7/30/2021 Matthew James Day DO 108 Drake Hill Drive Lexington SC 29072

1830 12/31/2020 7/30/2021 Stephanie Leigh Jenks RCP 2524 Overhill Road Sylacauga AL 35150

1831 12/31/2020 7/30/2021 Nili Major MD 1983 Marcus Avenue Lake Success NY 11042

1832 12/31/2020 7/30/2021 Christopher Neil Wiley MD 751 Jenkins Bridge Road Simpsonville SC 29680

01-Jul-21 Page 96 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1833 12/31/2020 7/30/2021 Joshua Aaron Muitack DO 616 Clearwater Park Road West Palm Beach FL 33401

1834 12/31/2020 7/30/2021 Priya Dilip Patel PA 7130SW 88th Street Gainesville FL 32608

1835 12/31/2020 7/30/2021 Eldis Rivera, Perfusionist 297 Muscogee Lane Orlando FL 32828

1836 12/31/2020 7/30/2021 Charise Paulette Hasdorff PA 5901 Montrose Road Rockville MD 20852

1837 12/31/2020 7/30/2021 Bryn Mayberry Southards PA 5880 Ashland City Hwy Nashville TN 37218

1838 12/31/2020 7/30/2021 Jacqueline Joan Brown RCP 1620 Haydel Drive Marrero LA 70072

1839 1/4/2021 7/30/2021 Jonathan Shoopman MD 5249 Neville Terrace Port Charlotte FL 33981

1840 1/4/2021 7/30/2021 Guy Anthony Williams MD 5037 Westwind Way Anderson SC 29626

1841 1/5/2021 7/30/2021 Travis C. Russell MD 4779 Amelia Circle Hahira GA 31632

1842 1/5/2021 7/30/2021 Amy Marie Yancheski RCP 3780 82nd Avenue Cir. East Sarasota FL 34243

1843 1/6/2021 7/30/2021 Charles Robert Tessier DO 191 Manchester Dr. Maryville TN 37803

1844 1/6/2021 7/30/2021 Jedd D. Wolchok MD 1275 York Avenue New York NY 10065

1845 1/6/2021 7/30/2021 Laurie Ann Solomon MD 3939 SW 13th Street Gainesville FL 32608

1846 1/7/2021 7/30/2021 Matthew James Day DO 108 Drake Hill Drive Lexington SC 29072

1847 1/7/2021 7/30/2021 Irene Epshteyn MD 30 Clifton Place Brooklyn NY 11238

1848 1/7/2021 7/30/2021 Riva A. Raiker MD 125 E. Pine Street Orlando FL 32801

1849 1/7/2021 7/30/2021 Karen Louise Herbst MD 240 South LaCienega Boulevard Beverly Hills CA 90211

1850 1/7/2021 7/30/2021 Catherine Dawn Boulware RCP 2225 Bide-A-Wee Drive Huntsville AL 35801

1851 1/7/2021 7/30/2021 India Bryant RCP 11106 North 22nd Street Tampa FL 33612

01-Jul-21 Page 97 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1852 1/8/2021 7/30/2021 Mukti Jayant Patel MD 34 Franklin Street Nashua NH 03064

1853 1/8/2021 7/30/2021 Miguel Alistair Jennings MD 12613 NW 74th Place Parkland FL 33076

1854 1/11/2021 7/30/2021 Michael David Elliott MD 1219 Sumner Hall Lane Charlotte NC 28226

1855 1/11/2021 7/30/2021 Martin James Berger MD 4332 Rugby Road Durham NC 27707

1856 1/11/2021 7/30/2021 Mark Louis Shapiro MD 9 Strawberry Lane Stratham NH 03885

1857 1/11/2021 7/30/2021 Patricia Dominique Lane RCP 4613 Paula Drive Memphis TN 38116

1858 1/11/2021 7/30/2021 Yves Michel Laventure DO 3083 Boubloon Dr. Margate FL 33063

1859 1/11/2021 7/30/2021 Katherine Mary White PA 256 W 73rd Street Apt 9 New York NY 10023

1860 1/11/2021 7/30/2021 Andres Montanez-Flores MD 1765 N Loop Pkwy St. Augustine FL 32095

1861 1/12/2021 7/30/2021 Stephen M. DeSouza MD 3063 Cypress Lake Dr. Memphis TN 38119

1862 1/12/2021 7/30/2021 Sharon Williams MD P. O. Box 14107 Irvine CA 92623

1863 1/12/2021 7/30/2021 Keith Douglas Bentley PA 227 Park Street Attleboro MA 02703

1864 1/12/2021 7/30/2021 Shanterrian Angelique Green RCP 2209 Chandlers Walk Ln. Jacksonville FL 32246

1865 1/12/2021 7/30/2021 Edward Manuel Pabon RCP 105 Oakmount Ct. King NC 27021

1866 1/12/2021 7/30/2021 Elie Checo Heinsen MD 8520 Belle Meade Dr. Ft. Muers FL 33908

1867 1/12/2021 7/30/2021 Stacey M. Sims RCP 411 Stonetree Dr. Smyrna TN 37167

1868 1/13/2021 7/30/2021 Laura Claire Seeff MD 926 Highland Terrace NE Atlanta GA 30306

1869 1/13/2021 7/30/2021 Alice Lois Eichelberger RCP 7215 Hubbardwoods Road Charlotte NC 28269

1870 1/13/2021 7/30/2021 Jarah Anderson RCP 5150 Jack Byrnes Dr. Murfreesboro TN 37128

01-Jul-21 Page 98 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1871 1/13/2021 7/30/2021 Gurmander Kohli MD 2174 Palmetto Terrace Follertown CA 92831

1872 1/13/2021 7/30/2021 Kaitlin Jenkins RCP 111 Township Court Hendersonville TN 37075

1873 1/13/2021 7/30/2021 Molly Kristin Leonard RCP 2506 E Main Street Mboro TN 37127

1874 1/13/2021 7/30/2021 Marissa Danielle Sims RCP 300 N Water Street Mohile AL 36602

1875 1/14/2021 7/30/2021 Talia Poy APRN 349 Kensington Road S Garden City NY 11530

1876 1/14/2021 7/30/2021 Jeffrey Todd Necessary PA 3230 Midvale Drive Wilmington NC 28412

1877 1/14/2021 7/30/2021 Ashley Nicole Moran RCP 410 Parkland Place Road Greenwood SC 29646

1878 1/15/2021 7/30/2021 Kanesha Monet Fields RCP 6664 Eddins Road D Dothan AL 36301

1879 1/15/2021 7/30/2021 Detaurius Tawtila McCallum RCP 436 Hunters Creek Dr. Raeford NC 28376

1880 1/18/2021 7/30/2021 Wycliffe Okatch Okumu MD 2031 Craigmore Drive Charlotte NC 28226

1881 1/18/2021 7/30/2021 Helen R. Perry APRN 30372 Forest Parke Dr. Fernandina FL 32034

1882 1/18/2021 7/30/2021 Nicole Lourine Baldwin APRN 15921 Shady Hills Road Spring Hill FL 34610

1883 1/18/2021 7/30/2021 Abralena De Jesus Wilson DO 132 Myrtle Ave. Fort Lee NJ 07024

1884 1/18/2021 7/30/2021 Ashley Bell PA 148 Strozier Lane Barling AR 72923

1885 1/18/2021 7/30/2021 Erick Jameson Wolak RCP 143 Fulcher Creek Drive Franklin NC 28734

1886 1/18/2021 7/30/2021 Joseph Wilson PA 4111 NW 78th Avenue Sunrise FL 33351

1887 1/18/2021 7/30/2021 Ikram Mohamed RCP 4737 Shira Drive Arlington TN 38002

1888 1/18/2021 7/30/2021 Kimberly Riley Washington DO 2313 Fairway Drive Baton Rouge LA 70809

1889 1/18/2021 7/30/2021 James Alden Armontrout MD 1914 Newman Place Mountain View CA 94043

01-Jul-21 Page 99 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1890 1/19/2021 7/30/2021 Natalie Roncallo MD 608 Noble Grove Lane Fort Worth TX 76140

1891 1/19/2021 7/30/2021 LaTisha Shannel Leaks RCP 380 Durham Parkway Pooler GA 31322

1892 1/19/2021 7/30/2021 Rebecca R. Schlachet DO 2414 Brian Drive Beachwood OH 44122

1893 1/19/2021 7/30/2021 Kenneth J. Dobuler MD 42 Islanders Retreat Savannah GA 31411

1894 1/19/2021 7/30/2021 Summer Pizzuti, - Perfusionist 26275 Drake Road Farmington Hills MI 48331

1895 1/19/2021 7/30/2021 Blala Nawurah MD 686 Majestic Drive Rochester Hills MI 48306

1896 1/19/2021 7/30/2021 David Cooper Elliott MD 2855 Oak Point Lane Henrico VA 23233

1897 1/19/2021 7/30/2021 Barbara Strait RCP 760 Cammie Jordan Lane Rock Hill SC 29730

1898 1/19/2021 7/30/2021 Carrie Strickland-Ford RCP 100 Creekside Drive Locust Grove VA 22508

1899 1/19/2021 7/30/2021 Reginald Lawrence Alston RCP 100 Creekside Drive Locuse Grove VA 22508

1900 1/19/2021 7/30/2021 Jerrold Andrew Adkins DO 3407 Country Club Drive S Salem OR 97302

1901 1/19/2021 7/30/2021 Chelsie Marie Frazho RCP 53700 Romeo Plank Road Macomb MI 40042

1902 1/19/2021 7/30/2021 Catherine Klein RCP 400 S. Rose Street Kalamazoo MI 49007

1903 1/19/2021 7/30/2021 Tiffany Comerie PA 5932 NW 47th Terr Coconut Creek FL 33073

1904 1/19/2021 7/30/2021 Manish Harivadan Acharya MD 5430 Fairmont Road Libertyville IL 60048

1905 1/19/2021 7/30/2021 Angela Dion Brown RCP 262 Owen Road Cullmon AL 35055

1906 1/20/2021 7/30/2021 Christina McGee Blume RCP 3564 SC Highway 19 Trenton SC 29847

1907 1/20/2021 7/30/2021 Fanta Frazier Gee RCP 1131 Triplecrown Ct. Elgin SC 29045

1908 1/20/2021 7/30/2021 Lisa Carter RCP 7688 Blue Diamond Road Las Vegas NV 89178

01-Jul-21 Page 100 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1909 1/20/2021 7/30/2021 Andrea Marie Johnson PA 2057 King Court Asheboro NC 27203

1910 1/20/2021 7/30/2021 Lori B. Yarbour RCP 108 Castle Court Danville VA 24541

1911 1/20/2021 7/30/2021 Ariel Tamalee (Rollins) Troiani RCP 119 McAurley Road Altoona AL 35952

1912 1/20/2021 7/30/2021 Kaj Allan Neve MD 552 Riverside Drive New York NY 10027

1913 1/20/2021 7/30/2021 Pamela Ann Perrin RCP 267 Village Drive Ellwood City PA 16117

1914 1/20/2021 7/30/2021 Brandy Alex Miller RCP 343 E Morrell Street Otsego MI 49078

1915 1/21/2021 7/30/2021 Juanita Regina Kcomt MD 3440 Brae Bourn Dr. Huntingdon Valley PA 19006

1916 1/20/2021 7/30/2021 Christopher Estes RCP 6045 Port Anaderko Trail Heritage TN 37076

1917 1/20/2021 7/30/2021 Dariel Stockman RCP 322 Wildberry Ct. Orange Park FL 32073

1918 1/20/2021 7/30/2021 Rachel Nozieka RCP 2160 Austin Shores Ave Portage MI 49002

1919 1/20/2021 7/30/2021 Tiffany Colleen Harris RCP 709 Burlington Dr. Montgomery AL 36117

1920 1/20/2021 7/30/2021 Carlos Midence MD 2836 Coastal Hwy St. Augustine FL 32084

1921 1/21/2021 7/30/2021 Aisha Marie Peets RCP 3700 Windmeadows Blvd Gainesville FL 32608

1922 1/21/2021 7/30/2021 Daniel Adam Bainbridge DO 2005 Curry Road Lutz FL 33549

1923 1/21/2021 7/30/2021 Roni Tamari MD 530 East 74th Street New York NY 10021

1924 1/21/2021 7/30/2021 Joshua Aaron Copeland MD 865Bryn Mawr Ave Penn Valley PA 19072

1925 1/21/2021 7/30/2021 Ophira Elyahiv - Serrano, Perfusionis 8742 NW 41 Street Cooper City FL 33024

1926 1/21/2021 7/30/2021 Jennifer L. Warren MD 75 Spinnaker Way Portsmouth NH 03801

1927 1/21/2021 7/30/2021 Evaleen Taylor RCP 1829 River Poppy Road Mascot IA 37806

01-Jul-21 Page 101 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1928 1/21/2021 7/30/2021 John Alanson Fudickar PA 19402 river Breeze Drive Baton Rouge LA 70816

1929 1/21/2021 7/30/2021 Kevin Pearce DiBenedetto MD 6465 Overton Street Baton Rouge LA 70808

1930 1/22/2021 7/30/2021 Wesley Blake Vanderlan MD 400 South Chenier Drive Madisonville LA 70447

1931 1/22/2021 7/30/2021 Patrice Anne Shelton RCP 21149 American Yellowood Porter TX 77365

1932 1/22/2021 7/30/2021 Erica Agee RCP 29428 58th Ave S. Auburn WA 98001

1933 1/22/2021 7/30/2021 Darlene N. Betsch RCP 1721 SE 178th Summerfield FL 34491

1934 1/22/2021 7/30/2021 Theodore Willis Laetsch MD Children's Hospital of PhiladelphiaPhiladelphia PA 19104

1935 1/22/2021 7/30/2021 Racheal Leigh Walker RCP 450 Ruby Street Darlington SC 29532

1936 1/22/2021 7/30/2021 Royale Hampton RCP 1824 2nd Street Bay City MI 48708

1937 1/22/2021 7/30/2021 Andrew S. Hsu MD 669 Pomano Avenue Coronado CA 92118

1938 1/25/2021 7/30/2021 Kevin Richard Clarke MD 1109 Monroe Drive NE Atlanta GA 30306

1939 1/25/2021 7/30/2021 Cori Derringer RCP 1009 Oak Arbor Circle Saint Augustine FL 32084

1940 1/24/2021 7/30/2021 Melissa Powell MD 1341 Benjamin Blvd. Sevierville TN 37876

1941 1/25/2021 7/30/2021 Victor Ighodaro Obisesan RCP 4430 W 140th St. Apt 2 Hawthorne CA 90250

1942 1/25/2021 7/30/2021 Imelda De Villa MD 8307 63rd St. Ct. W University Place WA 98467

1943 1/25/2021 7/30/2021 Gavind Niamatali MD 8307 63rd St. Ct. W University Place WA 98467

1944 1/25/2021 7/30/2021 Stephanie Jamie Pham PA 170 Amsterdam Ave New York NY 10023

1945 1/27/2021 7/30/2021 Sheri Crandall RCP 415 W. Washington Street Lebanon IN 46052

1946 1/27/2021 7/30/2021 Ashley Elizabeth Higgins RCP 189 Chickadee Trail Hendersonville NC 28792

01-Jul-21 Page 102 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1947 1/27/2021 7/30/2021 Frederick Mandel Page RCP 1000 Revere Place Spring Hill TN 37174

1948 1/27/2021 7/30/2021 Michael Lim MD 300 Pasteur Drive Stanford CA 94305

1949 1/27/2021 7/30/2021 Mark Grenkoski MD 215 Johnston Farm Lane Woodstock GA 30188

1950 1/27/2021 7/30/2021 John C Smith RCP 3591 Quail Lakes Drive Stockton CA 95207

1951 1/27/2021 7/30/2021 Nora Alnoury RCP 9211 SW 49th Place Ft. Lauderdale FL 33328

1952 1/27/2021 7/30/2021 Firas George Madbak MD 370 Deer Valley Drive Ponte Vedra FL 32081

1953 1/27/2021 7/30/2021 Anna Rosemarie Yousaf MD 250 10th St NE Atlanta GA 30309

1954 1/27/2021 7/30/2021 Barbara K. Grimes RCP 14110 Darby Springs Way Cypress TX 77429

1955 1/27/2021 7/30/2021 Preston J. Hunt RCP 1818 Mill Creek Road Madison AL 35757

1956 1/27/2021 7/30/2021 Nicole Deanne Roy RCP 705 Rachels Trail Hermitage TN 37076

1957 1/27/2021 7/30/2021 Maureen Ann Weed RCP 6038 Bilberry Street Brooksville FL 34601

1958 1/27/2021 7/30/2021 Shih-Wen Chang (AKA: Seibun Tak MD 520 Katherine Circle Dekalb IL 60115

1959 1/27/2021 7/30/2021 Anna Maria Garbarini RCP 186 Jalquelyn Drive Drummonds TN 38023

1960 1/27/2021 7/30/2021 Jocelyn Banaticla Wood MD 11121 N. Oak Hills Pkwy Baton Rouge LA 70810

1961 1/27/2021 7/30/2021 Christopher Crane MD 84 Bedford Street New York NY 10014

1962 1/27/2021 7/30/2021 Jerika Kenyatta Jones RCP 5431 Connie Circle Montgomery AL 36108

1963 1/27/2021 7/30/2021 Ali Abdullahi RCP 5464 S Miami Blvd. Durham NC 27703

1964 1/27/2021 7/30/2021 Valerie Cristina Henry Sarni PA 5974 Central Park Blvd. Denver CO 80238

1965 1/27/2021 7/30/2021 Jennifer Erin Rogers RCP 128 Vines Ave Hueytown AL 35023

01-Jul-21 Page 103 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1966 1/28/2021 7/30/2021 Ophira Elyashiv-Serrano Perfusionist 8742 NW 41 Street Cooper City FL 33024

1967 1/28/2021 7/30/2021 Shannon Marie Gunn RCP 1502 Bonnie Road Plant City FL 33565

1968 1/28/2021 7/30/2021 Dwan Clements RCP 4664 Pine Ridge Drive Columbus IN 47201

1969 1/28/2021 7/30/2021 Daniel D. Silverstein MD 185 Washington Street Morristown NJ 07960

1970 1/28/2021 7/30/2021 Joslyn Berry RCP 2796 Ridgepole Drive Clarksville TN 37040

1971 1/28/2021 7/30/2021 Farrukh S. Chaudhry MD 113 W. Leslie Lane Villa Park IL 60181

1972 1/28/2021 7/30/2021 Jordan Kendal Henzman RCP 6 Brothers Lane Dalton GA 30720

1973 1/28/2021 7/30/2021 Gregory Allen Albert RCP 909 N. Liberty Street Jacksonville FL 32206

1974 1/28/2021 7/30/2021 Justin Varghese Chacko DO 4300 Horizon North Pkwy Dallas TX 75287

1975 1/28/2021 7/30/2021 Kivit Lima MD 8951 timber Run Ct. Ft. Myers FL 33908

1977 2/1/2021 7/30/2021 Dong Dang MD 1017 Hawick Drive High Point NC 27262

1978 2/1/2021 7/30/2021 Sara Ellen Forhan MD 1520 N. Highland Ave NE Atlanta GA 30306

1979 2/2/2021 7/30/2021 Garnette R. Jackson RCP 242 Laird Circle Panama City Beach FL 32408

1980 2/2/2021 7/30/2021 Scitesha Knighton RCP 5080 Cypress Creek Ave Tusealoosa AL 35405

1981 2/2/2021 7/30/2021 Noel Curcio DO 155 Grand Park Blvd. Charleston SC 29492

1982 2/2/2021 7/30/2021 Dana Nicole Owens MD 2118 royal Fern Court Longwood FL 32779

1983 2/2/2021 7/30/2021 Haik Yanashyan MD 21082 Box Springs Road Moreno Valley CA 92557

1984 2/2/2021 7/30/2021 Jacqueline J. Williams RCP 1520 Glen Oaks Dr. E. Sarasota FL 34232

1985 2/2/2021 7/30/2021 Michael G. Whitfield RCP 600 Seasons Pl. Concord NC 28027

01-Jul-21 Page 104 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

1986 2/2/2021 7/30/2021 Amy Poeng RCP 213 Chadwick Dr. Kings Mountain NC 28086

1987 2/2/2021 7/30/2021 Ashish R. Takkar MD 333 W Depot Avenue Knoxville TN 37917

1988 2/2/2021 7/30/2021 Amanda Harding MD 6227 Fishhawk Ct. Fort Collins CO 80528

1989 2/2/2021 7/30/2021 Samantha Ford Hansen MD 60 Poplar Street Charleston SC 29403

1990 2/2/2021 7/30/2021 Bryan Mitton MD 36289 Thousand Oaks Place Murrieta CA 92562

1991 2/2/2021 7/30/2021 Hannah Rosenblum MD 597 Pickett Street SE Atlanta GA 30316

1992 2/2/2021 7/30/2021 Darrell Kevin Dorsey RCP 357 Yonah Meadow Dr. Cleveland GA 30528

1993 2/2/2021 7/30/2021 Ira Dunkel MD 1275 York Avenue New York NY 10065

1994 2/2/2021 7/30/2021 Lakeesha Bolus Whitaker RCP 4209 Derry Ct. Raleigh NC 27616

1995 2/3/2021 7/30/2021 Satya Vikram Jayanty MD 10837 Katy Freeway Houston TX 77079

1996 2/3/2021 7/30/2021 Judith Elane North RCP 614 N 47th Street Ft. Smith AR 72903

1997 2/3/2021 7/30/2021 Debbi L. Waldroop RCP 1261 Allison Watts Road Franklin NC 28734

1998 2/3/2021 7/30/2021 Shena Susan Leftwich RCP 4779 US Hwy 601 N Mocksville NC 27028

1999 2/3/2021 7/30/2021 Erwin Douyon MD 59 Sandra Lane Wayne NJ 07470

2000 2/3/2021 7/30/2021 Evan An Huynh RCP 2912 Mojave Oak Dr. Valrico FL 33594

2001 2/3/2021 7/30/2021 Alexander Cvetkovic Flower MD 2315 167th Place Ames IA 50014

2002 2/3/2021 7/30/2021 Tonya D. Craft RCP 707 Sawgrass Lakes Drive Brandon MS 39042

2003 2/3/2021 7/30/2021 Donald H. Fowler RCP 3343 Shoal Creek Cove Crestview FL 32539

2004 2/3/2021 7/30/2021 Leslie Randall Laxson RCP 15230 W. Crocus Drive Surprise AZ 85379

01-Jul-21 Page 105 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2005 2/3/2021 7/30/2021 Jacob Matthew Scott RCP 27 Oak Place Pleasand Grove AI 35127

2006 2/3/2021 7/30/2021 Amy L. Kisner MD 9375 Blueridge Avenue Baton Rouge LA 70809

2007 2/3/2021 7/30/2021 Melanie Bridgette Russell RCP 4211 San Marino Blvd. West Palm Beach FL 33409

2008 2/3/2021 7/30/2021 Cynthia Marie Brehm RCP 12 South Forest Beach Drive Hilton Head SC 29928

2009 2/3/2021 7/30/2021 Jennifer Smith RCP 1922 East Juniper Circle Mesa AZ 85203

2010 2/3/2021 7/30/2021 Tyla Ann Neibert RCP 1310 Murphys Landing Dr. Indianapolis IN 46217

2011 2/3/2021 7/30/2021 Chiara Elaine Stetson APRN 217 Eucalyptus Avenue Santa Cruz CA 95060

2012 2/3/2021 7/30/2021 Mary Margaret Holloman Jordan MD 625 Hermitage Ct. Charlotte NC 28207

2013 2/3/2021 7/30/2021 Barbara Lenise Johnson RCP 521 Genoa Drive Kissimmee FL 34759

2014 2/3/2021 7/30/2021 Kimberly Michelle Stracke RCP 619 S 23rd Ave Yakima WA 98902

2015 2/3/2021 7/30/2021 Barbara Nichole Baynard PA 9522 Lyndon Circle Mechanksville VA 23116

2016 2/3/2021 7/30/2021 Robert Anthony Bonacci MD 655 Mead Street SE Atlanta GA 30312

2017 2/3/2021 7/30/2021 Sideeka Ajulo RCP P o Box 2243 Suisun City CA 94585

2018 2/3/2021 7/30/2021 Andrew J Bauer MD 54 Linden Ave. Haddonfiled NJ 08033

2019 2/3/2021 7/30/2021 Justin Varghese Chacko DO 4300 Horizon North Pkwy Dallas TX 75287

2020 2/3/2021 7/30/2021 Paul Michael Angleton MD 1403 Grizzly Hollow Wentzville MO 63385

2021 2/3/2021 7/30/2021 Shahrukh Hussain Khan MD 3112 Quail Crest Avenue Henderson NV 89052

2022 2/3/2021 7/30/2021 Nancy Susan Koughan DO 211 Willow Lane Decatur GA 30030

2023 2/3/2021 7/30/2021 Caroline Frances Howell PA 1620 21st Ave S Nashville TN 37212

01-Jul-21 Page 106 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2024 2/3/2021 7/30/2021 Robert Francis Marcum MD 3751 Willow Oak Circle NW Cleveland TN 37312

2025 2/4/2021 7/30/2021 Carlos Guillermo Romo MD 201 N Broadway Baltimore MD 21287

2026 2/4/2021 7/30/2021 Jasmine Venable RCP 3512 Shirley Rd. Youngstown OH 44502

2027 2/5/2021 7/30/2021 Jack Bradley Kilpatrick RCP 1419 Inland Creek Way Mt. Pleasant SC 29464

2028 2/5/2021 7/30/2021 Melissa Woodard Taylor RCP 164 Hollysprings Church Road Franklin NC 28734

2029 2/5/2021 7/30/2021 Taneisha Malonda Phillips RCP 727 Harmon Avenue Panama City FL 32401

2030 2/5/2021 7/30/2021 Carrie Edwards RCP 1531 Ledean Drive Morristown TN 37814

2031 2/5/2021 7/30/2021 Pablo Figueroa RCP 5464 S Miami Blvd Dortham NC 27703

2032 2/5/2021 7/30/2021 Gautam Jayaswal MD 8315 West 119th Terrace Overland Park KS 66213

2033 2/5/2021 7/30/2021 Jose Rodngo Bandek Nunez RCP 4152 Herman Sipe Road Conover NC 28613

2034 2/5/2021 7/30/2021 Gerald Arthur Grant MD 300 Pasteur Dr., Stanford CA 94305

2035 2/5/2021 7/30/2021 Lara Margaret Hall RCP 1654 Musket Trail Sumter SC 29150

2036 2/5/2021 7/30/2021 Gerardo Francisco Olivera MD 2247 SW Manele Place Palm City FL 34990

2037 2/5/2021 7/30/2021 Ayub Musa RCP 155 Donald Lamb Road Moreland GA 30259

2038 2/5/2021 7/30/2021 Janet Aileen Reeves APRN 660 Emerald Bay Drive Destin FL 32541

2039 2/5/2021 7/30/2021 Gretchen Knabel RCP 3800 Rope Trail Jacksonville AR 72076

2040 2/5/2021 7/30/2021 Cherylln Dawson RCP 239 Emerald Isle Dr. Moncks Corner SC 29461

2041 2/8/2021 7/30/2021 Jessica Nicole Gallahan RCP 24 Cattail Loop Zion Crossroads VA 22942

2042 2/8/2021 7/30/2021 Janice La Tarcia Morton MD 6005 Beaver Creek Road Alpharetta GA 30022

01-Jul-21 Page 107 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2043 2/9/2021 7/30/2021 Allison Barger Weekley RCP 15224 Landmark Cir S Jacksonville FL 32226

2044 2/8/2021 7/30/2021 Janie Benavides RCP 9859 E Camelot Ln S. Cromwell IN 46732

2045 2/8/2021 7/30/2021 Samantha Ford Hansen MD 60 Poplar Street Charleston SC 29403

2046 2/8/2021 7/30/2021 Jeffrey Roger Infante MD 495 Londonberry Road Atlanta GA 30327

2047 2/8/2021 7/30/2021 Mohamed S. Elfar MD 5815 Parapet Drive Jamesville NY 13078

2048 2/8/2021 7/30/2021 Ehizode Udevbulu MD 106 Tracy Place Hewlett NY 11557

2049 2/9/2021 7/30/2021 Jessie L. Evans, Jr. RCP 1021 Aenon Cir. Spring Hill TN 37174

2050 2/9/2021 7/30/2021 Sergey Kozyr MD P O Box 2156 Bonita Springs FL 34133

2051 2/9/2021 7/30/2021 Valencia Shaunta Chess Coleman RCP 2517 Wright Circle Birmingham AL 35235

2052 2/9/2021 7/30/2021 Clinton Baird MD 6130 E 81st Street Tulsa OK 74137

2053 2/9/2021 7/30/2021 Scott Mark Harrington DO 308 Ridge Road Palm Harbor FL 34683

2054 2/9/2021 7/30/2021 Melissa C. Wiethorn RCP 7444 Bernard Avenue Cincinnati OH 45231

2055 2/10/2021 7/30/2021 Ronald Lee Romanik MD 7520 Montgomery Blvd. NE Albuquerque NM 87109

2056 2/10/2021 7/30/2021 Mary V. Gonyon RCP 1083 Stone Spring Way Lousiville KY 40223

2057 2/10/2021 7/30/2021 Tonja Lester RCP 115 Walnut Heights Road Dorchester SC 29437

2058 2/10/2021 7/30/2021 April LaQuanda Payton RCP 100 Jody Drive Canton MS 39046

2059 2/10/2021 7/30/2021 Benjamin S. Zusman MD 3480 N 31 Ave Hollywood FL 33021

2060 2/10/2021 7/30/2021 Yoosif Mohamed Ali Abdalla MD 19732 e Country Club Dr. Aventura FL 33180

2061 2/10/2021 7/30/2021 Pandora Tuesday Reed RCP 470 Bailey Road Double Springs AL 35553

01-Jul-21 Page 108 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2062 2/10/2021 7/30/2021 Kime' Beasley RCP 217 Simmons Road Prattville AL 36067

2063 2/10/2021 7/30/2021 Anna Marie Snyder RCP 1451 Indian Hills Rd. Prattville AL 36067

2064 2/11/2021 7/30/2021 Latanza Brooks RCP 6401 Hampton Park Court Mobile AL 36608

2065 2/11/2021 7/30/2021 Theresa Hadlock MD 243 Chanes Street Boston MA 02114

2066 2/11/2021 7/30/2021 Tyler M. Heard RCP 183 Long Street Harrogate TN 37752

2067 2/11/2021 7/30/2021 Geoffrey Coar RCP 92 Oak Street Bangor ME 04401

2068 2/11/2021 7/30/2021 Blaise Peter Latriano MD 111 Hoffman Lane Glen Gardner NJ 08826

2069 2/11/2021 7/30/2021 Billie Jo Krecskay RCP 12791 Oak Street Largo FL 33774

2070 2/11/2021 7/30/2021 Sudhir Kapoor MD 33901 Nauticus Isle Dana Point CA 92629

2071 2/11/2021 7/30/2021 Vipul Bodar MD 5144 Saddle Circle Evans GA 30809

2072 2/11/2021 7/30/2021 Ann Louis Hasse RCP 50737 44th Avenue Lawrence MI 49064

2073 2/11/2021 7/30/2021 Jessica Elsie Longmire RCP 93 Hardtimes Road Fayette MS 39069

2074 2/11/2021 7/30/2021 Janet Cook RCP 691 W. Mission Drive Chandler AZ 85225

2075 2/11/2021 7/30/2021 Kevin Richardson RCP 605 North 5th Street Reading PA 19601

2076 2/11/2021 7/30/2021 Richard Daniel Yeager PA 10232 Abano Ct. Las Vegas NV 89134

2077 2/11/2021 7/30/2021 Diana Marie McLaughlin RCP 328 Cherokee Blvd. Chattanooga TN 37405

2078 2/11/2021 7/30/2021 Betsy Gerardot RCP 2037 Edgewater Drive Clearwater FL 33755

2079 2/12/2021 7/30/2021 Victoria Amber Solderitch MD 3525 Waerton Drive Midlothian VA 23112

2080 2/15/2021 7/30/2021 Jeri Felecia Johnson RCP 907 Cedartree Lane Claymont DE 19703

01-Jul-21 Page 109 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2081 2/15/2021 7/30/2021 Ernst Bruderek RCP 7335 Wash Island Drive Sun City Center FL 33573

2082 2/15/2021 7/30/2021 Allison Aderhold Dickinson RCP 550 Hale Creek Road Altoona AL 35952

2083 2/15/2021 7/30/2021 Anne Conquest MD 3 Fairmont Road Asheville NC 28804

2084 2/15/2021 7/30/2021 Jeannifer I Solorzano RCP 1320 E Highland Avenue Phoenix AZ 85014

2085 2/15/2021 7/30/2021 Joseph Yogerst, Perfusionist 5216 Sassafras Dr. Fitchburg WI 53711

2086 2/16/2021 7/30/2021 Fitzhugh Lee Hamilton MD 7835 Lexsaturno Lane Ooltewah TN 37363

2087 2/16/2021 7/30/2021 Todd Michael Arthur MD 7301 Nodding Way Cincinnati OH 45243

2088 2/16/2021 7/30/2021 Kamlesh Pandya MD 2100 Nebraska Avenue Fort Pierce FL 34950

2089 2/16/2021 7/30/2021 Nirali Thumar RCP 87 Stockton Court Morris Plains NJ 07950

2090 2/16/2021 7/30/2021 Eva Marie Alvarado RCP 1010 N. Sheridan Ave Tacoma WA 98403

2091 2/16/2021 7/30/2021 Carolyn Denise Cesar RCP 10541 Townline Road Lakeview MI 48850

2092 2/16/2021 7/30/2021 Virmarie Diaz Fernandez MD 2499 NW 97th Drive Gainesville FL 32606

2093 2/16/2021 7/30/2021 Aliveza Khazaeizadeh MD 2507 Eastbluff Drive Newport Beach CA 92660

2094 2/16/2021 7/30/2021 James Williams MD 5155 Keele Street Jackson MS 39206

2095 2/16/2021 7/30/2021 Robert Brown MD Weill Cornell Medicine Center forNew Li York NY 10021

2096 2/16/2021 7/30/2021 Alexander N. Evans MD 1200 Sweetwater Club Blvd. Longwood FL 32779

2097 2/16/2021 7/30/2021 Lenitza T. Pereira Medina RCP 317 Azincourt LN Kissimmee FL 34759

2098 2/16/2021 7/30/2021 Tyler Waters RCP 89 River Road Concord NH 03303

2099 2/16/2021 7/30/2021 Cynthia L. Meuche RCP 14113 Stowbridge Ave Tampa FL 33626

01-Jul-21 Page 110 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2100 2/16/2021 7/30/2021 Lucian Daniel Pacurar RCP 41325 Southwind Dr. Canton MI 48188

2101 2/16/2021 7/30/2021 Peter Andrew Brokish MD 12618 Riverhill Road Frisco TX 75033

2102 2/16/2021 7/30/2021 Stephanie Denise Williams RCP 20007 48th Avenue CourtEast Sparaway WA 98387

2103 2/17/2021 7/30/2021 Robert B. Love MD 4405 Weaver Pkwy Warrenville IL 60555

2104 2/18/2021 7/30/2021 Teresa Skoe RCP 16330 6400 Road Montrose CO 81403

2105 2/18/2021 7/30/2021 Whitney Renee White RCP 742 Bellemeade Blvd. Gretna LA 70056

2106 2/18/2021 7/30/2021 Ashley Dionee Placide RCP 2022 Oakcreek Road River Ridge LA 70123

2107 2/18/2021 7/30/2021 Nicholas L. Ibarra RCP 4042 Wonder Dr. Chattanooga TN 37412

2108 2/18/2021 7/30/2021 Morgan Tyler Hall RCP 1211 S. 52nd Street Tacoma WA 98408

2109 2/18/2021 7/30/2021 Laura Michelle Kacher Hart RCP 1206 Leitha Terrace Waverly LA 50677

2110 2/18/2021 7/30/2021 Harlissa Hannah RCP 805 Stratton Drive Florence SC 29501

2111 2/18/2021 7/30/2021 Briana David Dalm MD 2477 Lytham Road Columbus OH 43220

2112 2/18/2021 7/30/2021 Adam S. Frink RCP 12632 Longcrest Drive Riverview FL 33579

2113 2/18/2021 7/30/2021 Rachael Kallie Delon RCP 225 Forter Driver White House TN 37188

2114 2/18/2021 7/30/2021 Dean M. Watzman MD 505 Walnut Grove Cranberry Township PA 16066

2115 2/19/2021 7/30/2021 Wendy Doyle RCP 4644 Pimlico Drive Tallahassee FL 32309

2116 2/19/2021 7/30/2021 Najib Kirmani MD 1250 SW 27th Avenue Coral Gables FL 33135

2117 2/19/2021 7/30/2021 David Kramer MD 1250 SW 27th Avenue Coral Gables FL 33135

2118 2/19/2021 7/30/2021 Rodney Jay Hoxsey MD 10168 Windalier Way Roswell GA 30076

01-Jul-21 Page 111 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2119 2/19/2021 7/30/2021 Amy Leigh Pitts RCP 3765 County Road 1141 Cullman AL 35057

2120 2/19/2021 7/30/2021 Linda Faith Lewis RCP 280 Saber Lane Stephenson VA 22656

2121 2/19/2021 7/30/2021 Bill T. Bautsch, Jr. MD 2205 Country Club Drive Lynn Haven FL 32444

2122 2/19/2021 7/30/2021 Arthur Brunson, Jr. RCP 3869 Riverside Drive Macon GA 31210

2123 2/19/2021 7/30/2021 Kelvin Deon Newton RCP 5605 Avenue H 1 Fairfield AL 35064

2124 2/19/2021 7/30/2021 Richard Anthony Triolo RCP 1933 Eclipse Drive Middleburg FL 32068

2125 2/19/2021 7/30/2021 Christopher Green RCP 689 Bright Orchid Avenue Concord NC 28025

2126 2/19/2021 7/30/2021 Malory Barker RCP 1320 Williams Avenue Clarksburg WVA 26301

2127 2/19/2021 7/30/2021 Laura Jean Gardner (McDonald) RCP 7881 Stonebrook Drive Pensacola FL 32514

2128 2/19/2021 7/30/2021 Nicole Rene Harding RCP 113 Chesterfield Road Lynchburg VA 24502

2129 2/19/2021 7/30/2021 Niraj J. Gusani MD 1301 Palm Avenue Jacksonville FL 32207

2130 2/19/2021 7/30/2021 David Alan Durkee RCP 13 Lewis Street #1 Westfield MA 01085

2131 2/19/2021 7/30/2021 Amanda Jean Salyer RCP 2249 Hiwassee Dr. Kingsport TN 37664

2132 2/22/2021 7/30/2021 Yosef Yisrael RCP 3008 Fallstaff Monor Ct. Baltimore MD 21209

2133 2/22/2021 7/30/2021 Miranda Mixson Nance RCP 387 Oak Haven Dr. Lexington SC 29072

2134 2/22/2021 7/30/2021 Kenneth Fredrick Bass RCP 361 Point of Pines Guntersville AL 35976

2135 2/22/2021 7/30/2021 Daniel Oswaldo Manrique MD 325 Saddle Ridge Dr. Davenport FL 33896

2136 2/22/2021 7/30/2021 Alemtsehay Bayyan PA 4312 Larkel Street Plano TX 75093

2137 2/22/2021 7/30/2021 Vincent Anthony Lombardi MD 5885 William Conner Way Carmel IN 46033

01-Jul-21 Page 112 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2138 2/23/2021 7/30/2021 Beata L. Malinowski MD 16441 Belle Isle Drive Cornelius NC 28031

2139 2/23/2021 7/30/2021 Cameron S. Huxford MD 116 Belmont Drive Starkville MS 39759

2140 2/24/2021 7/30/2021 Leigh Connelly RCP 715 Gold Leaf Court Streetsboro OH 44241

2141 2/24/2021 7/30/2021 Ann M. Buff MD 3865 Chamblee Dunwoody Road Atlanta GA 30341

2142 2/24/2021 7/30/2021 Vanita Gupta MD 157 East 32 st. 16 D New York NY 10016

2143 2/25/2021 7/30/2021 Cynthia Marie Casher PA 2417 Belvedere Drive NE Townsend GA 31331

2144 2/26/2021 7/30/2021 April Nicole Jones RCP 5020 N. 34th Street Tampa FL 33610

2145 2/26/2021 7/30/2021 Rey Luciano Rodriguez MD 6363 Indian Creek Driver Miami Beach FL 33141

2146 2/26/2021 7/30/2021 Nathan Oliver Bammes DO 11720 S Pine Street Olathe KS 66061

2147 2/26/2021 7/30/2021 Lauren Diane Olson RCP 1096 Bridgeport Way Leland NC 28451

2148 2/26/2021 7/30/2021 Robert Brown MD 1305 York Avenue New York NY 10021

2149 2/26/2021 7/30/2021 Kayla James RCP 6120 Glendale Glendale AZ 85305

2150 2/26/2021 7/30/2021 Kimberly Stone Haltiwanger MD 1113 Oak Ridge Court Bishop GA 30621

2151 2/26/2021 7/30/2021 Kimberly Zielke MD 1014 Buckingham Road Gross Pointe Park MI 48230

2152 2/26/2021 7/30/2021 Amy E. Dubois RCP 812 Park View Circle Vestavia AL 35242

2153 2/26/2021 7/30/2021 Craig Novack DO 2855 Gulf Bay Blvd. Clearwater FL 33759

2154 2/26/2021 7/30/2021 Amy Iwona McGrady RCP 127 Circle Dr. W. Pell City AL 35128

2155 2/26/2021 7/30/2021 Amy Lee Jarvis MD 501 NE 94th Arcot Miami Shores FL 33138

2156 3/1/2021 7/30/2021 Emily Gastelum MD 301 West 115th Street New York NY 10026

01-Jul-21 Page 113 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2157 3/2/2021 7/30/2021 Robert C. Wallace RCP 1076 Crawford Drive Lancaster SC 29720

2158 3/2/2021 7/30/2021 Frances Lomas Gomez RCP 1504 Pinedale Street Athens AL 35611

2159 3/2/2021 7/30/2021 Kenneth D. Mullins RCP 1508 Ebenezer Church Road Memphis IN 47143

2160 3/2/2021 7/30/2021 Rodney Jackson RCP 2228 SE 30th Street Gainesville FL 32641

2161 3/2/2021 7/30/2021 Allison Weekley RCP 15224 Landmark Cir S Jacksonville FL 32226

2162 3/2/2021 7/30/2021 Amina Ann White MD 60 11th Street NE Atlanta GA 30309

2163 3/2/2021 7/30/2021 Kevin Kargman DO 438 Ganttown Road Sewell NJ 08080

2164 3/2/2021 7/30/2021 Kellie Ann Bough RCP 620 Morgan Drive Stockton MO 65785

2165 3/2/2021 7/30/2021 Jamila Randolph Battle MD 8300 Health Park Raleigh NC 27615

2166 3/2/2021 7/30/2021 Crystal Corine Newland RCP 106 S Orchard Lane New London IA 52645

2167 3/3/2021 7/30/2021 Ariel Samach APRN 632 Ormewood Avenue Atlanta GA 30312

2168 3/3/2021 7/30/2021 Sheryl Denise Bowen RCP 69 Substation Road Union Grove AL 35175

2169 3/3/2021 7/30/2021 Charles Olisa MD 158 Hunter Drive Cedar Hill TX 75104

2170 3/3/2021 7/30/2021 Rhonda D. Ferrell RCP 1936 S. Lake Reedy Blvd. Frostproof FL 33843

2171 3/3/2021 7/30/2021 Brandi Pawlik Thoma RCP 102 Martin Street Enterprise AL 36330

2172 3/3/2021 7/30/2021 Harikrishna Soundarrajan Tandri MD 10310 New Gate Court Ellicott City MD 21042

2173 3/3/2021 7/30/2021 Bhavika D Bhakta RCP 8213 Renner Road Lenexa KS 66219

2174 3/3/2021 7/30/2021 Charles Israel Glaser MD 12711 NW 19th Manor Coral Springs FL 33071

2175 3/4/2021 7/30/2021 Raju D. Patel RCP 934 Sunburst Lane Gilberts IL 60136

01-Jul-21 Page 114 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2176 3/4/2021 7/30/2021 Bridget Godwin MD 1200 Andover Road Wynnewood PA 19096

2177 3/4/2021 7/30/2021 Jonathan Michael Spergel MD 3401 Civic Center Blvd. Philadelphia PA 19104

2178 3/4/2021 7/30/2021 Scott Eric Cherry DO 8401 New Trails Drive The Woodlands TX 77381

2179 3/4/2021 7/30/2021 Padma Natarajan MD 235 East 95th Street New York NY 10128

2180 3/4/2021 7/30/2021 Christinia Elaine Phillips RCP 1812 Shasta View Drive Justin TX 76247

2181 3/5/2021 7/30/2021 Karrie J. Pedigo RCP 5100 Fawn Trail Cookeville TN 38506

2182 3/5/2021 7/30/2021 Willie Hoskins RCP 1800 N Hall Street Dallas TX 75204

2183 3/5/2021 7/30/2021 Patricia Gilbert RCP 2159 Sunrise Drive SW Vero Beach FL 32962

2184 3/5/2021 7/30/2021 Brandy Melissa Hostetler RCP 4875 66th Avenue Vero Beach FL 32967

2185 3/5/2021 7/30/2021 Kimberly Risma MD 9639 Ash Court Cincinnati OH 45242

2186 3/5/2021 7/30/2021 Patrick Wayne Chavis RCP 3359 Pleasant Hopt Road Fairmont NC 28340

2187 3/8/2021 7/30/2021 Marsha Dean Ford MD 135 Pachtree Way NE Atlanta GA 30305

2188 3/8/2021 7/30/2021 Goksin Ozkarahan MD 300 East 85th Street New York NY 10028

2189 3/8/2021 7/30/2021 Brittany Cohen PA 304 Main Street Roslyn NY 11576

2190 3/8/2021 7/30/2021 Sarah Kimberly Gaines-Hintz RCP 18545 NW 45th Avenue Road Citra FL 32113

2191 3/8/2021 7/30/2021 Alla Zemlyak MD 9200 Belmont Ln Marvin NC 28173

2192 3/8/2021 7/30/2021 Lielanie Mae Aguilar-Pascasio MD 333 Myrtle Brook Bnd Ponte Vedra FL 32081

2193 3/9/2021 7/30/2021 Harry Neil Dorsey MD 2512 Wesgate Dr. Albany GA 31707

2194 3/9/2021 7/30/2021 Andrew S. Brohl MD 12902 Magnolia Drive Tampa FL 33619

01-Jul-21 Page 115 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2195 3/9/2021 7/30/2021 Syed Hussain Haider MD 17 Bearden Avenue Asheville NC 28801

2196 3/9/2021 7/30/2021 Brian G. Till MD 8317 27th Avenue NW Seattle WA 98117

2197 3/9/2021 7/30/2021 Soohyun Kim MD 2074 E. Exleson Dr. Fresno CA 93730

2198 3/10/2021 7/30/2021 Harsha Gadadhar Vardhana MD 2793 Enclave Bay Drive Chahnooga TN 37415

2199 3/10/2021 7/30/2021 William Reece Burns MD 5 Upland Road Baltimore MD 21210

2200 3/10/2021 7/30/2021 Suparna Basu MD 150 Saxon Woods Road Scarsdale NY 10583

2201 3/10/2021 7/30/2021 Jennifer Renee Zamora RCP 10318 Fox Run Munster IN 46321

2202 3/10/2021 7/30/2021 Randy Ray Salyers RCP 1042 Cameilla Blvd. Lafayette LA 70508

2203 3/10/2021 7/30/2021 Majid Maybody MD 1275 York Avenue New York NY 10065

2204 3/10/2021 7/30/2021 Anne M. Covey MD 1275 York Avenue New York NY 10065

2205 3/10/2021 7/30/2021 Jennifer Giordano DO 5815 Winkler Mill Road Rochester Hills MI 48306

2206 3/11/2021 7/30/2021 Kimberly Risma MD 9639 Ash Court Cincinnati OH 45242

2207 3/11/2021 7/30/2021 Ruth Pierre-Louis PA 221 Munro Boulevard Valley Stream NY 11581

2208 3/11/2021 7/30/2021 John Matthew Pitman III MD 125 Macavlay Drive Williamsburg VA 23185

2209 3/11/2021 7/30/2021 Caitlin Wheeler Suilmann MD 1394 Coventry Lane Chippewa Falls WI 54729

2210 3/11/2021 7/30/2021 Rodney Amon Pilkington RCP 405 Briarwood Avenue Albertville AL 35950

2211 3/11/2021 7/30/2021 Jeremy Durack MD 1275 York Avenue New York NY 10065

2212 3/11/2021 7/30/2021 Joseph P. Erinjeri, PhD MD 1275 York Avenue New York NY 10065

2213 3/11/2021 7/30/2021 Franz Edward Boas, PhD MD 1275 York Avenue New York NY 10065

01-Jul-21 Page 116 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2214 3/11/2021 7/30/2021 Maureen Lawlor MD 5 Winterberry Lane Sewickley PA 15143

2215 3/11/2021 7/30/2021 Curtis Rush RCP 1442 S Hwy 41 Mullins SC 29574

2216 3/15/2021 7/30/2021 Heeyoung Paul Wang MD Avel eCARE Sioux Falls SD 57104

2217 3/15/2021 7/30/2021 Collin Wayne Vaughn MD Avel eCARE Sioux Falls SD 57104

2218 3/15/2021 7/30/2021 Lucas Scott Van Oeveren MD Avel eCARE Sioux Falls SD 57104

2219 3/15/2021 7/30/2021 John Michael Travnicek MD Avel eCARE Sioux Falls SD 57104

2220 3/15/2021 7/30/2021 Garrett Ross Taylor MD Avel eCARE Sioux Falls SD 57104

2221 3/15/2021 7/30/2021 Gerald Leo Buttelwerth APRN 1270 Beech Valley Road NE Atlanta GA 30306

2222 3/15/2021 7/30/2021 Tyler Cole Price MD Avel eCARE Sioux Falls SD 57104

2223 3/15/2021 7/30/2021 Andrea Jo Pham DO Avel eCARE Sioux Falls SD 57104

2224 3/15/2021 7/30/2021 Matthew Robert Nipe MD Avel eCARE Sioux Falls SD 57104

2225 3/15/2021 7/30/2021 Donald John Kosiak MD AVEL eCARE Sioux Falls SD 57104

2226 3/15/2021 7/30/2021 Nathaniel Talbot Johnson MD Avel eCARE Sioux Falls SD 571204

2227 3/15/2021 7/30/2021 Katie Alissa DeJong DO Avel eCARE Sioux Falls SD 57104

2228 3/15/2021 7/30/2021 Jaret Michael Copeman DO Avel eCARE Sioux Falls SD 57104

2229 3/15/2021 7/30/2021 Kathryn Lee Moore APRN Avel eCARE Sioux Falls SD 57104

2230 3/15/2021 7/30/2021 Brian Steven Skow MD Avel eCARE Sioux Falls SD 57104

2231 3/15/2021 7/30/2021 Benjamin Joseph Shives MD Avel eCARE Sioux Falls SD 57104

2232 3/15/2021 7/30/2021 Alan James Sazama MD Avel eCARE Sioux Falls SD 57104

01-Jul-21 Page 117 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2233 3/15/2021 7/30/2021 Kelly Ann Rhone MD Avel eCARE Sioux Falls SD 57104

2234 3/16/2021 7/30/2021 Lindsay Lambrose RCP 1274 Parkwood Chase NW Acworth GA 30102

2235 3/16/2021 7/30/2021 Barbara Greene RCP 9406 Gisborne Drive Jacksonville FL 32208

2236 3/16/2021 7/30/2021 Nicole Lynn Stethem MD Avel eCare Sioux Falls SD 57104

2237 3/16/2021 7/30/2021 Krystal Ashley Basey RCP 506 Mount Zion Road Bonaire GA 31005

2238 3/16/2021 7/30/2021 Bria Harris RCP 5702 Esk River Trail Katy TX 77449

2239 3/17/2021 7/30/2021 Jessica Fields RCP 9404 S. Vernon Avenue Chicago IL 60619

2240 3/17/2021 7/30/2021 Sherlonne M. Daniels RCP 437 Doughton LN Charlotte NC 28217

2241 3/17/2021 7/30/2021 Kwaku Bonsu RCP 13021 Wirevine Houston TX 77072

2242 3/18/2021 7/30/2021 Tania Guadalupe Austin RCP 10610 Waterford Creek Lane Charlotte NC 28212

2243 3/18/2021 7/30/2021 Kelli N. Evans RCP 5123 Kilkenny Dr. Houston TX 77048

2244 3/18/2021 7/30/2021 Amy E. Dezern MD 118 Midhurst Road Baltimore MD 21212

2245 3/19/2021 6/19/2021 Abdallah Ibrahim Kafrouni MD 476 Blagdon Court Jacksonville FL 32225

2246 3/19/2021 7/30/2021 Robert John Berry MD 1376 N Decatur Road NE Atlanta GA 30306

2247 3/19/2021 7/30/2021 Mara Kathleen Linscott MD 650 5th Street San Francisco CA 94107

2248 3/19/2021 7/30/2021 Erik Rehm RCP 1116 Horn Street Billings MT 59101

2249 3/19/2021 7/30/2021 Felisha N. Meadows RCP 2526 SE Ohio Avenue Topeka KS 66605

2250 3/19/2021 7/30/2021 Coral Marie Stredny MD 300 Longwood Avenue Boston MS 02115

2251 3/19/2021 7/30/2021 Eileen O'Reilly MD 300 East 66th Street New York NY 10065

01-Jul-21 Page 118 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2252 3/19/2021 7/30/2021 Robert Shablom RCP 3076 Alta Mesa Dr. Redding CA 96002

2253 3/19/2021 7/30/2021 Katy M. Deljoui MD 1022 W. 22nd Street Houston TX 77008

2254 3/22/2021 7/30/2021 Jorge Alfonso-Cepeda MD 18768 SW 100th Avenue Cutler Bay FL 33157

2255 3/22/2021 7/30/2021 Constance Jean McKee MD 4231 Gladney Drive Doraville GA 30340

2256 3/22/2021 7/30/2021 Caroline Margaret Sehon MD 6917 Arlington Road Bethesda MD 20814

2257 3/22/2021 7/30/2021 Catherine Ann Belitsky MD 211 Providence Road Chapel Hill NC 27514

2258 3/23/2021 7/30/2021 Jenise Damita Clarks RCP 2708 Dove Avenue Marrero LA 70072

2259 3/23/2021 7/30/2021 Stephen Solomon MD 1275 York Avenue New York NY 10065

2260 3/23/2021 7/30/2021 Jacqueline Marie Hillriegel PA 1507 West Street Honesdale PA 18431

2261 3/24/2021 7/30/2021 Rafael Cruz MD 1010 West harrison Avenue Clarksville IN 47130

2262 3/24/2021 7/30/2021 Loreen Doyle MD 2871 Bluestone Drive SW Atlanta GA 30331

2263 3/24/2021 7/30/2021 Lisa Bonnetta Griffin RCP 10227 South Yates Blvd. Chicago IL 60617

2264 3/25/2021 7/30/2021 Luckey C. Reed MD 301 Ridgewood Drive Georgetown TX 78628

2265 3/26/2021 7/30/2021 Christian Robert Hauber RCP 10227 Sperry Road Kirtland OH 44094

2266 3/26/2021 7/30/2021 Yaminah Aisha Muhammad RCP 2899 Dodge Drive Memphis TN 38128

2267 3/26/2021 7/30/2021 Marlene Damus RCP 375 Henderson Lake Dr. Logansville GA 30052

2268 3/26/2021 7/30/2021 Yuman Fong MD 5219 La Canada Blvd. La Canada CA 91011

2269 3/26/2021 7/30/2021 Robert William Harrington Jr. MD 8544 Pope Landing Road Edisto Island SC 29438

2270 3/26/2021 7/30/2021 Jerry Griffin II RCP 708 Evergreen Court Clarksville TN 37040

01-Jul-21 Page 119 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2271 3/29/2021 7/30/2021 Adam Scott Rappoport MD 807 Childrens Way Jacksonville FL 32207

2272 3/30/2021 7/30/2021 Diane Guy RCP 7574 Bevy Ridge Cove Memphis TN 38125

2273 3/30/2021 7/30/2021 Ermias Bitew Alemu RCP 1865 Hutson Crossing Tucker GA 30084

2274 3/30/2021 7/30/2021 Alexandra Jean Baptiste PA 4445 Northside Parkway, NW Atlanta GA 30327

2275 3/31/2021 7/30/2021 Nicketa C. McCants RCP 6803 Kasota Court Mequon WI 53092

2276 3/31/2021 7/30/2021 Dalton Pindell RCP 24 Owens Drive Wheatland WY 82201

2277 4/1/2021 7/30/2021 William R. Heilbron RCP 1200 Queen Emma Street Honolulu HI 96813

2278 4/1/2021 7/30/2021 Christopher Herrmann PA 231 Wynshore Cart Colmas PA 18915

2279 4/1/2021 7/30/2021 Christian Dietrich Gunter Schunn MD 13611 Elmstead Road Midlothian VA 23113

2280 4/1/2021 7/30/2021 Richard S. Finkel MD St. Jude Children's Research HospitalMemphis TN 38105

2281 4/1/2021 7/30/2021 Lauren Nicole Evans RCP 4032 Knob Drive Memphis TN 38127

2282 4/1/2021 7/30/2021 Devon Harris RCP 405 Cumberland Ridge Road Madison MS 39110

2283 4/2/2021 7/30/2021 Katherine Habermann RCP 98 Pennsylvania Avenue Ocean Grove NJ 07756-113

2284 4/6/2021 7/30/2021 Robyn Dale Polk RCP 910 West 66th Avenue Merrillville IN 46410

2285 4/6/2021 7/30/2021 Perry D. Lyons RCP 2617 Lewie Road Leesville SC 29070

2286 4/6/2021 7/30/2021 Linda S. Lee APRN 246 Meadow Wood Road Glenwood Springs CO 81601

2287 4/6/2021 7/30/2021 Clistha Tucker RCP 102 Washer Drive Lavergne TN 37086

2288 4/7/2021 7/30/2021 Sandaireca Moss RCP 815 Garden Parkway Tuscaloosa AL 35405

2289 4/7/2021 7/30/2021 Seth Rosenblatt MD 1613 S Street NW Washington DC 20009

01-Jul-21 Page 120 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2290 4/7/2021 7/30/2021 Mara Kathleen Linscott MD 650 5th Street San Francisco CA 94107

2291 4/7/2021 7/30/2021 Safa Magid MD 650 5th Street San Francisco CA 94107

2292 4/8/2021 7/30/2021 Jessica Bowman RCP 120 Chimney Lane Houghton LA 71037

2293 4/8/2021 7/30/2021 Amber Ann Fluker-Holloway RCP 278 Helen Street Sedro-Wooley WA 98284

2294 4/8/2021 7/30/2021 Jason R. Rosen DO 4675 Linton Blvd Delray Beach FL 33445

2295 4/14/2021 7/30/2021 Edward Medellin Flores MD 6601 Mount Zion Road New Waverly TX 77358

2296 4/14/2021 7/30/2021 Felecia Harris Turner RCP 1208 Wentworth Road Midfield AL 35228

2297 4/15/2021 7/30/2021 Erin Tori Hawkins RCP 228 Russell Street Clarksdale MS 38614

2298 4/15/2021 7/30/2021 Angie Marie Allinder RCP 323 River Road Mexico ME 04257

2299 4/15/2021 7/30/2021 Alexander Slotwiner MD 450 North End Avenue New York NY 10282

2300 4/19/2021 7/30/2021 Rachel Chresfield RCP 1714 E Genesee Street Tampa FL 33610

2301 4/19/2021 7/30/2021 Neil H Hyman MD 5841 S. Maryland Avenue Chicago IL 60637

2302 4/19/2021 7/30/2021 James Roderick Hundley MD 1177 Louisiana Ave Winter Park FL 32789

2303 4/19/2021 7/30/2021 Maranda Jane Woosley Nelson RCP 410 RA Griffith Highway Jasper TN 37347

2304 4/20/2021 7/30/2021 Charles Commodore RCP 804 Green Meadow Lane Smyrna TN 37167

2305 4/20/2021 7/30/2021 Lavellie Thomas RCP 3534 SW Vincennes Street Port St. Lucie FL 34953

2306 4/22/2021 7/30/2021 Matthew Douglas McLaren MD 2743 Ryland Avenue Helena MT 59601

2307 4/22/2021 7/30/2021 Sandaireca Moss RCP 815 Garden Parkway Tuscaloosa AL 35405

2308 4/22/2021 7/30/2021 Helen Lorena Aranguren RCP 603 E. Brown Avenue Galloway NJ 08205

01-Jul-21 Page 121 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2309 4/26/2021 7/30/2021 Windil Toyer-Braxton RCP 6296 Walnut Drive Pinson AL 35126

2310 4/27/2021 7/30/2021 Matthew Sheehan MD 345 Blackstone Blvd Providence RI 02906

2311 4/28/2021 7/30/2021 Amy Marcelle Moore MD 915 Olentangy River Road Columbus OH 43212

2312 4/28/2021 7/30/2021 Lavellie Thomas RCP 3534 SW Vincennes Street Port St. Lucie FL 34953

2313 4/28/2021 7/30/2021 Merlissa Biglin RCP 360 Waverly Ln. Richmond Hill GA 31324

2314 4/29/2021 7/30/2021 Philip Langdon Thurman RCP 2230 Hartsville Pike Castalian Springs TN 37031

2315 4/29/2021 7/30/2021 Camellia J. Frazier RCP 26 Pointer Place Lebanon TN 37087

2316 4/29/2021 7/30/2021 Teresa Tay-Juin Lee MD 418 E 88th Street New York NY 10128

2317 4/29/2021 7/30/2021 Audrey Vickers RCP 23708 Cork Oak Circle Murrieta CA 92562

2318 4/29/2021 7/30/2021 Stuart H. Ditchek MD 1762 East 23 Street Brooklyn NY 11229

2319 4/29/2021 7/30/2021 Paige Marie Cummings-Johnson DO 509 N Yakima Avenue Tacoma WA 98403

2321 5/3/2021 7/30/2021 William Hicks MD 33 Preston Road Columbus OH 43209

2322 5/6/2021 7/30/2021 Erica Kristen Blanks RCP 11 Yates Mill Lane Bluffton SC 29909

2323 5/6/2021 7/30/2021 Jennifer Linehan RCP 5323 Carnegie Street Pittsburgh PA 15201

2324 5/6/2021 7/30/2021 Dawna Lurea Freeland RCP 573 Rolling Marsh Hardeeville SC 29927

2325 5/10/2021 7/30/2021 Joseph M. Rios MD 2916 Clarabelle Ct. Kissimmee FL 34743

2326 5/11/2021 7/30/2021 Camellia J. Frazier RCP 26 Pointer Place Lebanon TN 37087

2327 5/11/2021 7/30/2021 Philemon Parker Bailey DO 32857 Ocean Reach Drive Lewes DE 19958

2328 5/13/2021 7/30/2021 Shamoya Laing RCP 216-18 99th Avenue Queens NY 11429

01-Jul-21 Page 122 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2329 5/14/2021 7/30/2021 Thierry Jacquemin DO 3850 Bird Road Miami FL 33146

2330 5/14/2021 7/30/2021 Kimberly McKinley RCP 4817 Angelton Street Houston TX 77033

2331 5/14/2021 7/30/2021 Ahmed Awais MD 5402 Lulu City Drive Timnath CO 80547

2332 5/18/2021 7/30/2021 Dorothea Baumgard DO 1330 West Avenue Miami Beach FL 33139

2333 5/18/2021 7/30/2021 Toni Lynn Robbins RCP 11514 Wing Song Way Ft. Smith AR 72916

2334 5/20/2021 7/30/2021 Ermenegildo Eldo Frezza MD 918 30 Avenue North Nashville TN 37209

2335 5/25/2021 7/30/2021 LaChell Vanette Ellerbe RCP 1779 Carnoustie Drive Sumter SC 29154

2336 5/26/2021 7/30/2021 Erin Drake PA 4113 Ripken Cir E Jacksonville FL 32224

2337 5/26/2021 7/30/2021 Carolyn Frances Daniel RCP 340 Dawson's Park Drive Lexington SC 29072

2338 5/28/2021 7/30/2021 Katie Lindenbaum APRN 143 6th Avenue Nyack NY 10960

2339 6/1/2021 7/30/2021 Justina Pepple Taube MD 1227 Jackson Blvd. Houston TX 77006

2340 6/1/2021 7/30/2021 Paul Tuan-Xuan Nghiem MD 16520 NE 50th Way Redmond WA 98052

2341 6/1/2021 7/30/2021 Shmoua Laing RCP 216 - 18 99th Avenue Queens NY 11429

2342 6/1/2021 7/30/2021 James Jeffrey Whyburn MD 6007 Marquesa Dr. Austin TX 78731

2343 6/3/2021 9/3/2021 Jamie Trenette Tart RCP 6905 Cleaton Road Columbia SC 29206

2344 6/3/2021 7/30/2021 Matthew Aaron Williams RCP 1462 Piney Ridge Road Pamplin VA 33958

2345 6/3/2021 7/30/2021 Elizabeth Gwinn MD 3746 Foothill Blvd. Glendale CA 91214

2346 6/7/2021 7/30/2021 Lindley Bevelle Wall MD 17 Willow Hill Road St. Louis MO 63124

2347 6/7/2021 7/30/2021 Charles Alan Goldfarb MD 7200 Wydown Bldv. St. Louis MO 63105

01-Jul-21 Page 123 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2348 6/9/2021 7/30/2021 Jacquelynn Ann Hart RCP 2328 Webster Ave Joliet IL 60436

2349 6/9/2021 7/30/2021 Dane Richard Fliedner MD P O Box 2230 Laguna Hills CA 92654

2350 6/9/2021 7/30/2021 Stephen F. Lynch MD 16674 W. Santa Maria Drive Goodyear AZ 85338

2351 6/9/2021 7/30/2021 Justin Aaron Young RCP 12240 Harpers Ferry Lane Knoxville TN 37922

2352 6/9/2021 7/30/2021 Adelajda Kore PA 2118 Willesdon Dr. East Jacksonville FL 32246

2353 6/10/2021 7/30/2021 Anthony Perre MD 120 New Jersey Avenue Chalfont PA 18914

2354 6/10/2021 7/30/2021 Arturo Loaiza-Bonilla MD 226 W. Rittenhouse Square Philadelphia PA 19103

2355 6/11/2021 7/30/2021 Goeffrey A. Mire MD 202 Westgate Road Lafayette LA 70506

2356 6/11/2021 7/30/2021 Courtney Monique Brown RCP 208 Sunflower Street Merigold MS 38759

2357 6/14/2021 7/30/2021 Monique H. Scott RCP 228 Secretariat Dr. Elgin SC 29045

2358 6/14/2021 7/30/2021 Maheen Patel MD 1629 K Street, NW Washington DC 20006

2359 6/15/2021 7/30/2021 Siddharth Srivastava MD 300 Longwood Avenue Boston MA 02115

2360 6/15/2021 7/30/2021 Elleree Dee Guy PA 575 10th Avenue S. Jacksonville Beach FL 32250

2361 6/15/2021 7/30/2021 Whitney Drummond RCP 5700 Altama Avenue Brunswick GA 31525

2362 6/15/2021 7/30/2021 Ahmad N. Hammad MD 20296 Millbrook Drive Abingdon VA 24211

2363 6/15/2021 7/30/2021 Jacqueline Wilson RCP 5919 Teleford Drive Southern MS 38671

2364 6/16/2021 7/30/2021 Lydia Myra Yakubu RCP 28642 Pleasant Forest Dr. Katy TX 77694

2365 6/21/2021 7/30/2021 Emily Anne Garr RCP 4306 31st Street Lubbock TX 79410

2366 6/21/2021 7/30/2021 Sonia Kulchycky MD 2 Carolyn Lane Chappaqua NY 10514

01-Jul-21 Page 124 of 125 EPP ID# Approved Expires O Full_Name Profession Address_line 1 City State Zip Code

2367 6/21/2021 7/30/2021 Monique H. Scott RCP 2288 Secretariat Dr. Elgin SC 29045

2368 6/22/2021 7/30/2021 William Lea MD 1925 Fairhaven Lane Murfreesboro TN 37128

2369 6/23/2021 7/30/2021 Yaneke Giles RCP 375 Coolidge Drive Portsmouth NH 03801

2370 6/23/2021 7/30/2021 Cory Hilliard RCP 6850 Mission Gorge Road San Diego CA 92120

2371 6/23/2021 7/30/2021 Patty Ruffin RCP 12550 SW 283rd Terr Homestead FL 33033

2372 6/24/2021 7/30/2021 James McDowell Durant III MD 2525 Hampton Avenue Charlotte NC 28207

2373 6/28/2021 9/28/2021 Nirupa Jaya Raghunathan MD 181 Court St. Brooklyn NY 11201

2374 6/28/2021 7/30/2021 Matthew Mac RCP 1006 Lexington Circle Edinburg TX 78539

2375 7/1/2021 7/30/2021 Linda Sue Graf RCP 1295 Western Avenue Marengo IA 52301

01-Jul-21 Page 125 of 125