MercyCare Health Plans Provider Directory State of Wisconsin - 2015
Beloit, WI Pediatrics Practice Status: Beloit Health & Rehabilitation Center (608) 365-2554 Peete, Emarcia, MD Open 1905 West Hart Road Beloit, WI 53511 Board Certified: Not Board Certified Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Morehouse School of Medicine, Atlanta, GA Skilled Nursing Facility Practice Status: Werner, Stephen, MD Open Open Beloit Health & Rehabilitation Center, , Board Certified: American Board of Pediatrics Board Certified: Not Accredited Medical School: Medical College of Wisconsin, Milwaukee, WI Medical School: Not Applicable, Residency: Childrens Hospital of Wisconsin, Milwaukee, WI Residency: Not Applicable, Podiatry Practice Status: First Choice Women's Health Center (608) 313-1305 Open 20 Eclipse Center Beloit, WI 53511 Pfeifer, Mark, DPM Board Certified: American Board of Podiatric Orthopedics and Primary Podiatric Medicine Medical School: Illinois (Dr Wm Scholl) College of Podiatric Medicine, Chicago, IL Advanced Practice Nurse Prescriber Practice Status: Residency: VAMC/US Naval Hospital, N Chicago, IL/Great Lakes, IL Hays, Donna, APNP, RN Open Urgent Care Center Practice Status: Board Certified: National Certification Corporation Women's Health Care Nurse Medical School: ConcordiaPractitioner University, Mequon, WI Mercy Beloit Medical Center Urgent Care, , Board Certified: Not Applicable Residency: Not Applicable, Medical School: Not Applicable, Mercy Beloit Medical Center (608) 363-5500 Residency: Not Applicable, 2825 Prairie Ave Beloit, WI 53511 Mercy Options Behavioral Health (608) 756-5555 Clinic - Beloit Advanced Practice Nurse Prescriber Practice Status: 2825 Prairie Ave Beloit, WI 53511 Wade, Judith, APNP OB/GYN Only Board Certified: National Certification Corporation (Women's Health Care Nurse Behavioral Health Clinic Practice Status: Medical School: UnivPractitioner) of WI-Milwaukee School of Nursing, Milwaukee, WI Mercy Options Behavioral Health Clinic - Beloit, , Residency: Not Applicable, Board Certified: Not Applicable Medical School: , Allergy & Immunology Practice Status: Residency: , Open Ragotzy, Ronald, MD Clinical Substance Abuse Counselor Practice Status: Board Certified: American Board of Allergy & Immunology Medical School: Wayne State Univ School of Medicine, Detroit, MI Hebert, Jaclyn, CSAC; LPC Open Residency: Southwest MI Area Health Education Center, Kalamazoo, MI Board Certified: Not Applicable Medical School: , Internal Medicine Practice Status: Residency: , Open Juan, Henry, MD Licensed Clinical Social Worker Practice Status: Board Certified: American Board of Internal Medicine Medical School: St. Louis University, Baguio Phillipines Haakenson, Karla, LCSW Open Residency: Lutheran General Hospital, Park Ridge, IL Board Certified: Not Applicable Medical School: Univ of Wisconsin, Whitewater, WI Obstetrics and Gynecology Practice Status: Residency: , Open Kaldor, Katheryn, DO Licensed Professional Counselor Practice Status: Board Certified: American Osteopathic Board of Obstetrics and Gynecology Medical School: Kansas City Univ of Medicine, Kansas City, MO Hebert, Jaclyn, LPC; CSAC Open Residency: Philadelphia College of Osteopathic Medicine, Philadelphia, PA Board Certified: Not Applicable Medical School: , Wistrom, Elana, DO Open Residency: , Board Certified: Not Board Certified Medical School: A.T. Still Univ, Kirksvill, MO Brodhead, WI Residency: Henry Ford Macomb Hospital, Clinton Twp, MI Mercy Brodhead Medical Center (608) 897-8664 Orthopaedic Surgery Practice Status: 2310 First Center Ave Brodhead, WI 53520 Schulman, Sidney, MD Open Board Certified: American Board of Orthopaedic Surgery Family Medicine Practice Status: Medical School: University of Toronto Faculty of Medicine, Toronto, ON Closed Residency: University of Ottawa, Faculty of Medicine, Ottawa, ON Bluemel, Kevin, MD Board Certified: American Board of Family Medicine Medical School: Indiana University School of Medicine, Indianapolis, IN Residency: Mercy Health System Family Practice Residency Program, Janesville, WI
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 1 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Wilke Chiropractic Office, SC (608) 897-3010 Clinton, WI Brodhead, WI 53520 802 B 23rd Street Alden Meadow Park Health Care (608) 676-2202 Center, Inc. Chiropractic Practice Status: 709 Meadow Park Drive Clinton, WI 53525 Wilke, Peter, DC Open Board Certified: Not Applicable Skilled Nursing Facility Practice Status: Medical School: Palmer College of Chiropractic, Davenport, IA Residency: Not Applicable, Alden Meadow Park Health Care Center, Inc., , Open Board Certified: Not Accredited Brown Deer, WI Medical School: , Residency: , Rogers Memorial Hospital - Brown (800) 767-4411 Deer Delavan, WI Brown Deer, WI 53223 4600 Schroeder Dr Mercy Delavan Medical Center (262) 740-0681 1038 E Geneva St Delavan, WI 53115 Child & Adolescent Mental Health Day Practice Status: Treatment (Transitional) Advanced Practice Nurse Prescriber Practice Status: Rogers Memorial Hospital - Brown Deer, ,Child & Adolescent Open Board Certified: The Joint Commission Wang, Lisa, APNP Medical School: Not Applicable, Board Certified: American Academy of Nurse Practitioners (Family Nurse Practitioner) Residency: Not Applicable, Medical School: Univ of Massachusetts, Boston, MA Residency: , Cambridge, WI Family Medicine Practice Status: Fort HealthCare Cambridge Clinic (608) 423-1100 Carlson, Edward, MD Closed 704 Katie Ct Cambridge, WI 53523 Board Certified: American Board of Family Medicine Medical School: Univ of Illinois, Chicago, IL Advanced Practice Nurse Prescriber Practice Status: Residency: Not Applicable,
Runte, Laurel, APNP Open Gronau, Rachel, MD Open Board Certified: Pediatric Nursing Certification Board (Pediatric Nurse Practitioner) Board Certified: American Board of Family Medicine Medical School: Not Applicable, Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Not Applicable, Residency: St. Luke's Family Medicine Residency, Milwaukee, WI Tueting, Joshua, APNP Open Walworth County Chiropractic (262) 728-8208 Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) 1221 E Phoenix St Delavan, WI 53115 Medical School: Marquette Univ, Milwaukee, WI Residency: , Chiropractic Practice Status: Family Medicine including Obstetrics Practice Status: Heller, Clark, DC Open Open Nottestad, Stephanie, MD Board Certified: Not Applicable Board Certified: American Board of Family Medicine Medical School: Palmer College of Chiropractic, Davenport, IA Medical School: Univ of Wisconsin School of Medicine, Madison, WI Residency: , Residency: University of Wisconsin-Madison Family Medicine Residency Program, Madison, WI Willowfield Nursing & Rehabilitation (262) 728-6319 Fort HealthCare Orthopaedic (920) 563-7888 Center Associates 905 E Geneva St Delavan, WI 53115 704 Katie Ct Cambridge, WI 53523 Skilled Nursing Facility Practice Status: Orthopaedic Surgery Practice Status: Willowfield Nursing & Rehabilitation Center, , Open Nordland, Thomas, MD Open Board Certified: Not Accredited Medical School: Not Applicable, Board Certified: American Board of Orthopaedic Surgery Residency: Not Applicable, Medical School: Northwestern Univ Medical School, Chicago, IL Residency: Northwestern University, Chicago, IL
Physician Assistant Practice Status: Sund, Joni, PA-C Open Board Certified: National Commission on Certification of Physician Assistants Medical School: Univ of Wisconsin, Madison, WI Residency: Not Applicable,
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 2 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015
Edgerton, WI Substance Abuse Counselor Practice Status: Edgerton Care Center (608) 884-1330 Mallon, Jocelyn, SAC; LPC Open 313 Stoughton Road Edgerton, WI 53534 Board Certified: Not Applicable Medical School: Univ of Wisconsin-Whitewater, Whitewater, WI Residency: , Skilled Nursing Facility Practice Status: Petry Chiropractic & Wellness, LLC (608) 884-3100 Edgerton Care Center, , Open 75 West Fulton St Edgerton, WI 53534 Board Certified: Not Accredited Medical School: , Residency: , Chiropractic Practice Status: Fort HealthCare Orthopaedic (608) 884-3481 Houfe, Matthew, DC Open Associates Board Certified: Not Applicable Medical School: Palmer College of Chiropractic, Davenport, IA 528 Stoughton Rd Edgerton, WI 53534 Residency: ,
Open Physician Assistant Practice Status: Petry, John, DC Board Certified: Not Applicable Ott, Eugene, PA-C Open Medical School: Palmer College of Chiropractic, Davenport, IA Board Certified: National Commission on Certification of Physician Assistants Residency: Not Applicable, Medical School: University of Wisconsin, Madison, WI Residency: , Elkhorn, WI Mercy Edgerton Medical Center (608) 884-9431 Holton Manor (262) 723-4963 217 N Main St Edgerton, WI 53534 638 North Broad Street Elkhorn, WI 53121
Family Medicine Practice Status: Skilled Nursing Facility Practice Status: Rejon, Veronica, MD Open Holton Manor, , Open Board Certified: American Board of Family Medicine Board Certified: Not Accredited Medical School: Univ of Wisconsin School of Medicine & Public Health, Madison, WI Medical School: , Residency: Mercy Health System, Janesville, WI Residency: ,
Internal Medicine Practice Status: Mercy Elkhorn Medical Center (262) 741-1400 Akbar, Muhammad, MD Open 839 N Wisconsin Street Elkhorn, WI 53121 Board Certified: American Board of Internal Medicine Medical School: Univ of the Punjab - Allama Iqbal Medical College, Lahore, Pakistan Family Medicine Practice Status: Residency: Monmouth Medical Center, Long Branch, NJ Allison, Daniel, MD Open Orthopaedic Surgery Practice Status: Board Certified: American Board of Family Medicine Medical School: Ross Univ School of Medicine, North Brunswick, NJ Palmer, Douglas, MD Open Residency: Medical College of WI - St. Joseph Hospital, Milwaukee, WI Board Certified: American Board of Orthopaedic Surgery Medical School: Medical College of Wisconsin, Milwaukee, WI Kowalski, Jeffrey, MD Open Residency: Univ of Illinois, Chicago, IL Board Certified: American Board of Family Medicine Medical School: Ross Univ School of Medicine, North Brunswick, NJ Mercy Options Behavioral Health (608) 884-9431 Residency: Medical College of Wisconsin, St. Joseph's, Milwaukee, WI Clinic - Edgerton Oulashian, Mike, MD Open 217 N Main St Edgerton, WI 53534 Board Certified: American Board of Family Medicine Medical School: American Univ of the Caribbean, Netherland Antille, St. Martin Behavioral Health Clinic Practice Status: Residency: Medical College of Wisconsin, Milwaukee, WI
Mercy Options Behavioral Health Clinic - Edgerton, , Nurse-Midwife Practice Status: Board Certified: Not Applicable Open Medical School: , Edwards, Jill, APNP; CNM Residency: , Board Certified: American Midwifery Certification Board Medical School: Philadelphia Univ, Philadelphia, PA Licensed Professional Counselor Practice Status: Residency: , Open Mallon, Jocelyn, LPC; SAC Orthopaedic Surgery Practice Status: Board Certified: Not Applicable Open Medical School: Univ of Wisconsin-Whitewater, Whitewater, WI Fideler, Bradley, MD Residency: , Board Certified: American Board of Orthopaedic Surgery Medical School: Univ of Iowa College of Medicine, Iowa City, IA Residency: Univ of Southern California, Los Angeles, CA
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 3 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015
Orthopaedic Surgery Practice Status: Wilke Chiropractic Office, SC (608) 882-4146 Knavel, James, MD Open 503 E Main St Evansville, WI 53536 Board Certified: American Board of Orthopaedic Surgery Medical School: Univ of Iowa College of Medicine, Iowa City, IA Chiropractic Practice Status: Residency: Medical College of Wisconsin, Milwaukee, WI Wilke, Peter, DC Open Lyon, Craig, MD Open Board Certified: Not Applicable Board Certified: American Board of Orthopaedic Surgery Medical School: Palmer College of Chiropractic, Davenport, IA Medical School: Rush Medical College, Chicago, Il Residency: Not Applicable, Residency: Univ of Iowa Hospitals & Clinics, Iowa City, IA Fort Atkinson, WI Evansville, WI Fort HealthCare Behavioral Health - (920) 563-9542 Evansville Manor (608) 882-5700 Fort Atkinson 470 Garfield Avenue Evansville, WI 53536 500 McMillen St Fort Atkinson, WI 53538
Skilled Nursing Facility Practice Status: Behavioral Health Clinic Practice Status: Evansville Manor, , Open Fort HealthCare Behavioral Health, Ft, , Board Certified: Not Accredited Board Certified: Not Applicable Medical School: Not Applicable, Medical School: , Residency: Not Applicable, Residency: ,
Mercy Evansville Medical Center (608) 882-5613 Licensed Clinical Social Worker Practice Status: 300 Union St Evansville, WI 53536 Norris, Michele, LCSW Open Board Certified: Not Applicable Family Medicine Practice Status: Medical School: Not Applicable, Residency: Not Applicable, White, Samuel, MD Open Board Certified: American Board of Family Medicine Psychiatry Practice Status: Medical School: Medical Univ of South Carolina, Charleston, SC Residency: Spartanburg Regional Family Medicine Residency Program, Spartanburg, Fudala, Stanley, MD Open SC Board Certified: American Board of Psyhiatry and Neurology Internal Medicine Medical School: Medical Academy of Lubin, Poland Practice Status: Residency: University of Cincinnati, Cincinnati, OH Akbar, Muhammad, MD Open Fort HealthCare Behavioral Health - (920) 563-9542 Board Certified: American Board of Internal Medicine Medical School: Univ of the Punjab - Allama Iqbal Medical College, Lahore, Pakistan Fort Atkinson (Madison Ave) Residency: Monmouth Medical Center, Long Branch, NJ 1520 Madison Avenue Fort Atkinson, WI 53538 Mercy Options Behavioral Health (608) 756-5555 Behavioral Health Clinic Clinic - Evansville Practice Status: 300 Union St Evansville, WI 53536 Fort HealthCare Behavioral Health, Madison Ave, , Board Certified: Not Applicable Behavioral Health Clinic Medical School: , Practice Status: Residency: , Mercy Options Behavioral Health Clinic - Evansville, , Psychiatry Practice Status: Board Certified: Not Applicable Medical School: , Weisensel, Nicolette, MD Open Residency: , Board Certified: American Board of Psychiatry and Neurology Licensed Clinical Social Worker Medical School: Univ of Wisconsin Medical School, Madison, WI Practice Status: Residency: UW Hospital & Clinics, Madison, WI Otto, Kimberlyn, LCSW Open Psychology Practice Status: Board Certified: Not Applicable Medical School: Univ of Wisconsin, Madison, WI Seaman, Stephen, PhD Open Residency: Not Applicable, Board Certified: Not Applicable Medical School: Not Applicable, Residency: Not Applicable,
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 4 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Fort HealthCare Center for (920) 568-1000 Fort HealthCare Fort Memorial (920) 568-5000 Dermatology Hospital 611 Sherman Ave East Fort Atkinson, WI 53538 611 Sherman Ave East Fort Atkinson, WI 53538
Dermatology Practice Status: Hospitals Practice Status: Glinert, Robert, MD Open Fort HealthCare Fort Memorial Hospital, , Open Board Certified: American Board of /Dermatology AND American Board of Internal Board Certified: The Joint Commission Medical School: RushMedicine Medical AND College, American Chicago, Board of IL Immunology Medical School: Not Applicable, Residency: Not Applicable, Residency: Univ of Rochester Associated Hospitals, Rochester, NY Internal Medicine Fort HealthCare Center for Womens (920) 563-8900 Practice Status: Health Wishau, James, MD Open 650 McMillen St Fort Atkinson, WI 53538 Board Certified: American Board of Internal Medicine Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Kettering Med Cntr, Wright ST Univ., Dayton, OH Advanced Practice Nurse Prescriber Practice Status: Urgent Care Center Practice Status: Dedrick, Joyce, APNP Open Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Fort HealthCare Fort Memorial Hospital-Urgent Care, , Medical School: Univ of Wisconsin, Madison, WI Board Certified: Not Applicable Residency: Not Applicable, Medical School: Not Applicable, Residency: Not Applicable, Obstetrics and Gynecology Practice Status: Fort HealthCare Home Health (920) 568-6500 Aguirre de Baker, Nancy, MD Open Fort Atkinson, WI 53538 Board Certified: American Board of Obstetrics and Gynecology 611 Sherman Ave East Medical School: University of WI Madison, Madison, WI Residency: University of WI Madison, Madison, WI Home Health Provider Practice Status: Chuppa, Christine, MD Open Fort HealthCare Home Health, , Open Board Certified: American Board of Obstetrics and Gynecology Board Certified: The Joint Commission Medical School: Univ of WI Medical School, Madison, WI Medical School: Not Applicable, Residency: Univ of MO, Kansas City, MO Residency: Not Applicable,
Dhillon, Satwant, MD Open Fort HealthCare Integrated Family (920) 563-5500 Board Certified: American Board of Obstetrics and Gynecology Care Clinic Medical School: Wayne State Univ School of Medicine, Detroit, MI 1520 Madison Avenue Fort Atkinson, WI 53538 Residency: Univ of Wisconsin, Madison, WI
Mokhtar, Julie, DO Open Advanced Practice Nurse Prescriber Practice Status: Board Certified: American Board of Obstetrics and Gynecology Open Medical School: Univ of Osteopathic Medicine & Health Sciences, Des Moines, IA Runte, Laurel, APNP Residency: Brooklyn Hospital Center, New York Board Certified: Pediatric Nursing Certification Board (Pediatric Nurse Practitioner) Medical School: Not Applicable, Fort HealthCare Ear, Nose and (920) 563-6667 Residency: Not Applicable, Throat Specialists Family Medicine Practice Status: 512 Wilcox St Fort Atkinson, WI 53538 Beck, Aaron, MD Open Otolaryngology Practice Status: Board Certified: American Board of Family Medicine Medical School: Medical College of Wisconsin, Milwaukee, WI Anderson, Michael, MD Open Residency: Univ of North Carolina at Chapel Hill School of Medicine, Hendersonville, NC Board Certified: American Board of Otolaryngology Medical School: Univ of Wisconsin, Madison, WI Fischer, Edwin, MD Open Residency: Indiana University, Indianapolis, IN Board Certified: American Board of Family Medicine Hofmann, William, MD Open Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Univ of Wisconsin, Madison, WI Board Certified: American Board of Otolaryngology Medical School: Univ of Cincinnati College of Medicine, Cincinnati, OH Residency: Indiana Univ Medical Center, Indianapolis, IN
Rowe, David, MD Open Board Certified: American Board of Otolaryngology Medical School: Temple Univ School of Medicine, Philadalphia, PA Residency: Northwestern Univ, Chicago, IL
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 5 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Fort HealthCare Internal Medicine & (920) 563-5571 Fort HealthCare Orthopaedic (920) 563-7888 Pediatrics Associates 500 McMillen St Fort Atkinson, WI 53538 1504 Madison Ave Fort Atkinson, WI 53538
Advanced Practice Nurse Prescriber Practice Status: Orthopaedic Surgery Practice Status: Jennrich, Heidi, APNP Open Bruno, James, MD Open Board Certified: Not Board Certified Board Certified: American Board of Orthopaedic Surgery Medical School: Univ of Virginia School of Nursing, Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: , Residency: State Univ of New York Upstate Medical University SUNY Health Science Center, Syracuse, NY Runte, Laurel, APNP Open Nordland, Thomas, MD Open Board Certified: Pediatric Nursing Certification Board (Pediatric Nurse Practitioner) Medical School: Not Applicable, Board Certified: American Board of Orthopaedic Surgery Residency: Not Applicable, Medical School: Northwestern Univ Medical School, Chicago, IL Residency: Northwestern University, Chicago, IL Family Medicine Practice Status: Schuppner, Paul, DO Open Smith, Geoffrey, DO Open Board Certified: Not Board Certified Board Certified: American Osteopathic Association (Geriatric Medicine) Medical School: Midwestern Univ Chicago College of Osteopathic Medicine, Downers Grove, IL Medical School: Univ of Osteopathic Medicine & Health Sciences, Des Moines, IA Residency: Michigan State Univ College of Osteopathic Medicine, Lansing, MI Residency: Des Moines General Hospital, Des Moines, IA Zambrano, Isidoro, MD Open Internal Medicine Practice Status: Board Certified: American Board of Orthopaedic Surgery Koenig, Laura, MD Open Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: State Univ of New York College of Medicine Stony Brook Univ Hospital, Board Certified: American Board of Internal Medicine Medical School: Univ of Wisconsin, Madison, WI Physician Assistant Residency: Univ of Wisconsin Hospital & Clinics, Madison, WI Practice Status: Ott, Eugene, PA-C Open Tackman, Thomas, MD Open Board Certified: National Commission on Certification of Physician Assistants Board Certified: American Board of Internal Medicine Medical School: University of Wisconsin, Madison, WI Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: , Residency: Medical College of Wisconsin Affiliated Hospitals, Sund, Joni, PA-C Open Williams, Donald, MD Closed Board Certified: National Commission on Certification of Physician Assistants Board Certified: American Board of Internal Medicine AND American Board of Pediatrics Medical School: Univ of Wisconsin, Madison, WI Medical School: Univ of Illinois, Peoria, IL Residency: Not Applicable, Residency: Akron General Medical Center, Akron, OH Fort HealthCare Surgical Associates (920) 563-7900 Pediatrics Practice Status: 212 Milwaukee Avenue West Fort Atkinson, WI 53538 Dewey, Julia, MD Open Board Certified: American Board of Pediatrics Surgery Practice Status: Medical School: Pennsylvania State University College of Medicine, Hershey, PA Residency: University of Wisconsin Medical School, Madison, WI Erickson, Marc, MD Open Lemon, Katherine, MD Open Board Certified: American Board of Surgery Medical School: Medical College of Wisconsin, Milwaukee, WI Board Certified: American Board of Pediatrics Residency: Michigan State Univ, Butterworth Hosp, Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Univ of Wisconsin Medicl School, Madison, WI Kontny, Billie Gerard, MD Open Sinha, Prerna, MD Open Board Certified: American Board of Surgery Medical School: Medical College of Wisconsin, Milwaukee, WI Board Certified: American Board of Pediatrics Residency: Loyola Medical Center,, Maywood, IL Medical School: G.S.V.M. Medical College; Kanpur University, Kanpur, India Residency: Drexel Univ; Monmouth Medical Center, Long Branch, NJ McLaughlin, Jonathan, MD Open Williams, Donald, MD Open Board Certified: American Board of Surgery Medical School: Univ of Minnesota, Minneapolis, MN Board Certified: American Board of Pediatrics AND American Board of Internal Medicine Residency: Butterworth Hospital Michigan State Univ, Grand Rapids, MI Medical School: Univ of Illinois, Peoria, IL Residency: Akron Children's Hospital, Akron, OH
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 6 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Fort HealthCare Urology Associates (920) 563-7744 Shopko Optical #4051 (920) 563-2171 520 Handeyside Ln, Suite 2 Fort Atkinson, WI 53538 1425 Janesville Ave Fort Atkinson, WI 53538
Urology Practice Status: Optometry Practice Status: Kozler, Craig, MD Open Adler, Brian, OD Open Board Certified: American Board of Urology Board Certified: Not Applicable Medical School: Michigan State University, East Lansing, MI Medical School: Illinois College of Optometry, Chicago, IL Residency: University of Michigan, Ann Arbor, MI Residency: None listed,
Manakas, Christopher, MD Open Moseman, Kristin, OD Open Board Certified: American Board of Urology Board Certified: Not Applicable Medical School: Indiana Univ School of Medicine, Indianapolis, IN Medical School: Illinois College of Optometry, Chicago, IL Residency: Univ of WI Hospital & Clinics, Madison, WI Residency: , Luedtke-Storm-Mackey Chiropractic (920) 563-4970 UW Health Ft Atkinson (920) 563-5544 Clinic 601 Handeyside Ln Fort Atkinson, WI 53538 825 Lexington Blvd, Suite 4 Fort Atkinson, WI 53538 Advanced Practice Nurse Prescriber Practice Status: Chiropractic Practice Status: Nottelson, Jolie, APNP Open DeWitt, Stephen, DC Open Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Board Certified: Not Applicable Medical School: Concordia Univ, Mequon, WI Medical School: Palmer College of Chiropractic, Davenport, IA Residency: , Residency: , Weber, Tania, APNP Open Smith, Luke, DC Open Board Certified: American Nurses Credentialing Center (FNP) Board Certified: Not Applicable Medical School: Univ of Illinois at Chicago, Chicago, IL Medical School: National Univ of Health Science, Lombard, IL Residency: , Residency: , Family Medicine Practice Status: Tesch, Todd, DC Open Brantmeier, Scott, DO Open Board Certified: Not Applicable Board Certified: American Board of Family Medicine Medical School: Palmer College of Chiropractic, Davenport, IA Medical School: Chicago College of Osteopathic Medicine, Downers Grove, IL Residency: Not Applicable, Residency: Medical College of Wisconsin, Milwaukee, WI PMRis, SC - Fort Atkinson (877) 337-6747 McGuire, Jeffrey, MD Open Fort Atkinson, WI 53538 611 Sherman Avenue East Board Certified: American Board of Family Medicine Medical School: Univ of Wisconsin Medical School, Madison, WI Physical Medicine & Rehabilitation Practice Status: Residency: Univ of Wisconsin, Appleton-Fox Valley Family Practice Residency, Appleton, WI Fowler, William, MD Open Quinn, Rachel, MD Open Board Certified: American Board of Physicial Medicine & Rehabilitation Board Certified: American Board of Family Medicine Medical School: Univ of North Dakota School of Medicine, Grand Forks, ND Medical School: Univ of Wisconsin, Madison, WI Residency: Univ of Minnesota Hospital & Clinics, Minneapolis, MN Residency: UW Family Medicine Residency Program, Madison, WI Rock River Foot & Ankle Clinic (920) 261-0226 Family Medicine including Obstetrics Practice Status: 303 Hake Street Fort Atkinson, WI 53538 Meyer, Shauna, MD Closed Podiatry Practice Status: Board Certified: Not Board Certified Medical School: Univ of South Dakota School of Medicine, Sioux Falls, SD Graglia, Greg, DPM Open Residency: UW Family Medicine Residency, St. Mary's Hospital, Madison, WI Board Certified: American Board of Podiatric Surgery Ixonia, WI Medical School: Scholl College of Podiatric Medicine, North Chicago, IL Residency: VA Salt Lake City Health Care Systems, Salt Lake City, UT UWHP WRMC Ixonia (920) 206-6310 Soderstrom, Victor, DPM Open W1046 Marietta Avenue, Suite Ixonia, WI 53036 Board Certified: American Board of Podiatric Surgery (Foot and Ankle Surgery) 230 Medical School: Illinois College of Podiatric Medicine, Chicago, IL Residency: Northwest General Hospital, Milwaukee, WI Family Medicine Practice Status: Douglas, Linda, MD Open Board Certified: American Board of Family Medicine Medical School: Washington Univ in St. Louis School of Medicine, St. Louis, MO Residency: Carolinas Medical Center, Charlotte, NC
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 7 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015
Obstetrics and Gynecology Practice Status: First Choice Women's Health Center (608) 755-2438 DeJong, Julie, MD Open 1015 W Burbank Ave Janesville, WI 53546 Board Certified: American Board of Obstetrics and Gynecology Medical School: Univ of Wisconsin, Madison, WI Advanced Practice Nurse Prescriber Practice Status: Residency: Univ of Iowa Hospital and Clinics, Iowa City, IA Hays, Donna, APNP, RN Open Janesville, WI Board Certified: National Certification Corporation Women's Health Care Nurse Medical School: ConcordiaPractitioner University, Mequon, WI Catholic Charities, Inc (608) 752-4906 Residency: Not Applicable, 2020 E Milwaukee St, Ste 9 Janesville, WI 53545 Keehn Chiropractic Office (608) 755-1035 Advanced Practice Nurse Prescriber Practice Status: 1621 Plainfield Ave Janesville, WI 53545 Link, Helen, APNP Open Chiropractic Practice Status: Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental Health) Medical School: University of Wisconsin, Madison, WI Hanewold, Lori, DC Open Residency: Not Applicable, Board Certified: Not Applicable Medical School: Palmer College of Chiropractic, Davenport, IA Behavioral Health Clinic Practice Status: Residency: Not Applicable, Catholic Charities, Inc., , West, Betsy, DC Open Board Certified: Not Applicable Board Certified: Not Applicable Medical School: , Medical School: Palmer College of Chiropractic, Davenport, IA Residency: , Residency: Not Applicable,
Licensed Clinical Social Worker Practice Status: Mercy Clinic East (608) 756-7100 Johnson, Debra, LCSW Closed 3524 E Milwaukee St Janesville, WI 53546 Board Certified: Not Applicable Medical School: , Allergy & Immunology Practice Status: Residency: , Johnson, Tad, MD Open Cedar Crest Health Center (608) 756-0344 Board Certified: American Board of Allergy & Imjunology AND American Board of Pediatrics 1702 S River Road Janesville, WI 53546 Medical School: Mayo Clinic Collegeo f Medicine, Rochester, MN Residency: Children's Hospital of Wisconsin, Milwaukee, WI Skilled Nursing Facility Practice Status: Ragotzy, Ronald, MD Open Cedar Crest Health Center, , Open Board Certified: American Board of Allergy & Immunology Board Certified: Not Accredited Medical School: Wayne State Univ School of Medicine, Detroit, MI Medical School: , Residency: Southwest MI Area Health Education Center, Kalamazoo, MI Residency: , Dermatology Practice Status: Damrow Chiropractic Office (608) 754-3696 Godar, Jeanne, MD Open Janesville, WI 53548 3628 Ridge Drive Board Certified: American Board of Dermatology (Dermatopathology) Medical School: Bowman Gray School of Medicine, Winston Salem, NC Chiropractic Practice Status: Residency: Indiana Univ Hospitals, Indianapolis, IN Byrnes-Pierce, Tina, DC Open Hoffman, Daniel, MD Open Board Certified: Not Applicable Board Certified: American Board of Dermatology Medical School: Palmer College of Chiropractic, Davenport, IA Medical School: Columbia Univ College of Physicians and Surgeons, New York, NY Residency: , Residency: Henry Ford Hospital, Detroit, MI
Damrow, James, DC Open Endocrinology Practice Status: Board Certified: Not Applicable Open Medical School: Palmer College of Chiropractic, Davenport, IA Litonjua, Patrick Paul, MD Residency: Not Applicable, Board Certified: American Board of Internal Medicine (Endocrinology, Diabetes and Medical School: UnivMetabolism) of the Philippines College of Medicine, Manila, Philippines
Residency: Univ of the Philippines-Philippine General Hospital, Ermita Manila Philippines
Family Medicine Practice Status: Hahn, Leanne, MD Open Board Certified: American Board of Family Medicine Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Mercy Health System Family Practice Residency Program, Janesville, WI
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 8 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015
Family Medicine Practice Status: Orthopaedic Surgery Practice Status: Hartlaub, Mark, DO Open Schulman, Sidney, MD Open Board Certified: American Board of Family Medicine Board Certified: American Board of Orthopaedic Surgery Medical School: Univ of Osteopathic Medicine & Health Sciences, Des Moines, IA Medical School: University of Toronto Faculty of Medicine, Toronto, ON Residency: St. Lukes Hospital, Milwaukee, WI Residency: University of Ottawa, Faculty of Medicine, Ottawa, ON
Maldonado, Dennys, MD Open Otolaryngology Practice Status: Board Certified: AmericanBoard of Family Medicine Open Medical School: Ross University, North Brunswick, NJ Riggs, Landon, MD Residency: Mercy Health System, Janesville, WI Board Certified: American Board of Otolaryngology Medical School: Loyola Univ of Chicago Stritch School of Medicine, Maywood, IL Poste, Alethea, MD Open Residency: Loyola Univ of Chicago, Maywood, IL Board Certified: Not Board Certified Open Medical School: Univ Autonoma de Guadalajara, Guadalajar, Mexico Yang, Eric, MD Residency: Mercy Health System, Janesville, WI Board Certified: American Board of Otolaryngology Medical School: Univ of Southern California, Keck School of Medicine, Los Angeles, CA Sitorius, Patrick, MD Open Residency: Univ of Utah, Salt Lake City, UT Board Certified: American Board of Family Medicine Pediatrics Medical School: Univ of Nebraska Medical Center, Omaha, NE Practice Status: Residency: Univ of Nebraska, Omaha, NE Goelzer, Kristen, MD Closed Stake, Sharon, MD Open Board Certified: American Board of Pediatrics AND American Board of Internal Medicine Medical School: Medical College of Wisconsin, Milwaukee, WI Board Certified: American Board of Family Medicine Residency: Medical College of Wisconsin, Milwaukee, WI Medical School: Univ of Wisconsin Madison School of Medicine, Madison, WI Residency: Univ of Wisconsin Madison Family Medicine Program, Madison, WI Goelzer, Mark, MD Open Internal Medicine Practice Status: Board Certified: American Board of Pediatrics Medical School: Univ of Wisconsin Medical School, Madison, WI Bautista, Ryndon, MD Open Residency: University of MI Medical Center, Ann Arbor, MI Board Certified: American Board of Internal Medicine Open Medical School: Univ of Philippines College of medicine, Manila, Philippines Gordon, Christal, MD Residency: Univ of Illinois at Chicago - Advocate Christ Medical Center, Oak Lawn, IL Board Certified: American Board of Pediatrics Medical School: Creighton Univ School of Medicine, Omaha, NE Goelzer, Kristen, MD Closed Residency: Univ of Michigan Hospitals, Ann Arbor, MI Board Certified: American Board of Internal Medicine AND American Board of Pediatrics Open Medical School: Medical College of Wisconsin, Milwaukee, WI Nowak, Blaine, MD Residency: Medical College of Wisconsin, Milwaukee, WI Board Certified: American Board of Pediatrics Medical School: Medical College of Wisconsin, Milwaukee, WI Honarkhah, Nader, MD Open Residency: Milwaukee Childrens Hospital, Milwaukee, WI Board Certified: American Board of Internal Medicine Open Medical School: Medical College of Ohio, Toledo, OH Ziegler, Judy, MD Residency: Oakwood Hospital & Medical Center, Dearborn, MI Board Certified: American Board of Pediatrics Medical School: Univ of Iowa College of Medicine, Iowa City, IA Khan, Kauseruzzaman, MD Open Residency: Children's Hospital Medical Center, Cincinnati, OH Board Certified: American Board of Internal Medicine Physician Assistant Medical School: Dhaka Medical College, Dhaka, Bangladesh Practice Status: Residency: Mercy Catholic Medical Center, Darby, PA Imhoff, Tiana, PA-C Open Licensed Marriage & Family Therapist Practice Status: Board Certified: National Commission on Certification of Physician Assistants Medical School: Rosalind Franklin Univ, North Chicago, IL Fehrenbacher, Craig, LMFT Open Residency: , Board Certified: Not Applicable Open Medical School: Edgewood College, Madison, WI Murphy, Cristina, PA-C Residency: , Board Certified: National Commission on Certification of Physician Assistants Medical School: Midwestern Universit, Downers Grove, IL Orthopaedic Surgery Practice Status: Residency: , Angeline, Michael, MD Open Schnell, Tina, PA-C Open Board Certified: Not Board Certified Board Certified: National Commission on Certification of Physician Assistants Medical School: Georgetown Univ School of Medicine, Washington, DC Medical School: Univ of Colorado Health Science Center, Denver, CO Residency: Univ of Chicago Medical Center, Chicago, IL Residency: Not Applicable,
Palmer, Douglas, MD Open Schulz, Eric, PA-C Open Board Certified: American Board of Orthopaedic Surgery Board Certified: National Commission on Certification of Physician Assistants Medical School: Medical College of Wisconsin, Milwaukee, WI Medical School: Rosalind Franklin Univ of Medicine and Science, North Chicago, IL Residency: Univ of Illinois, Chicago, IL Residency: ,
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Podiatry Practice Status: Urgent Care Center Practice Status: Reinicke, Alan, DPM Open MHS Emergency North, , Board Certified: American Board of Podiatric Surgery Board Certified: Medical School: Scholl College of Podiatric Medicine, Chicago, IL Medical School: , Residency: Not Applicable, Residency: ,
Rheumatology Practice Status: Mercy Clinic South (608) 755-7960 Bolek Berquist, Jilaine, MD Open 849 Kellogg Ave Janesville, WI 53546 Board Certified: American Board of Internal Medicine (Rheumatology) Medical School: Univ of Illinois Collegeof Medicine, Rockford, IL Family Medicine Practice Status: Residency: Univ of Wisconsin Hospital & Clinics, Madison, WI Anderson, Jane, MD Open Sports Medicine Practice Status: Board Certified: American Board of Family Medicine Medical School: Univ of Wisconsin, Madison, WI Maldonado, Dennys, MD Open Residency: Mercy Health System, Janesville, WI Board Certified: Not Board Certified Medical School: Ross University, North Brunswick, NJ Bartz, Steven, MD Open Residency: Mercy Heatlh System, Janesville, WI Board Certified: American Board of Family Medicine (Geriatrics) Medical School: Univ of Cincinnati, Cincinnati, OH Urgent Care Center Practice Status: Residency: University of Cincinnati Hospital, Cincinnati, OH
Mercy Clinic East Urgent Care, , Horton, James, MD Open Board Certified: Not Applicable Board Certified: American Board of Family Medicine Medical School: Not Applicable, Medical School: Univ of Texas Medical School at Houston, Houston, TX Residency: Not Applicable, Residency: UAB-Huntsville Family Medicine Residency, Huntsville, AL
Mercy Clinic North (608) 314-3600 Shaikh, Suhail, MD Open 3400 Deerfield Drive Janesville, WI 53546 Board Certified: American Board of Family Medicine Medical School: Sindh Medical College Univ or Karachi, Karachi, Pakistan Residency: Univ of Texas Medical School at San Antonio, San Antonio, TX Family Medicine Practice Status: Bowers, Ronald, MD Open Family Medicine including Obstetrics Practice Status: Board Certified: American Board of Family Medicine Altbuch, Arthur, MD Open Medical School: OH State University College of Medicine, Columbus, OH Board Certified: American Board of Family Medicine (Geriatric Medicine) (Sports Medicine) Residency: St. Francis Hospital Center, Beech Grove, IN Medical School: Albany Medical College, Albany, NY Frey, Justin, MD Open Residency: Bayfront Medical Center, St. Petersburg, FL Board Certified: American Board of Family Medicine Kolste, Rex, MD Closed Medical School: Univ of Wisconsin School of Medicine & Public Health, Madison, WI Board Certified: American Board of Family Medicine Residency: Mercy Health System, Janesville, WI Medical School: Univ of Nebraska Medical Center, Omaha, NE Kramer, Tamara, MD Open Residency: Wesley Medical Center, Wichita, KS Board Certified: American Board of Family Medicine Psychology Practice Status: Medical School: University of WI- Madison, Madison, WI Residency: Mercy Family Medicine Residency Program, Janesville, WI Wakely, David, PhD Open Gynecology Board Certified: American Board of Professional Psychology Practice Status: Medical School: , Miller, Edward, MD Closed Residency: , Board Certified: American Board of Obstetrics and Gynecology Urgent Care Center Practice Status: Medical School: Univ of Iowa College of Medicine, Iowa City, IA Residency: Butterworth Hosp, Grand Rapids, MI Mercy Clinic South Urgent Care, , Obstetrics and Gynecology Board Certified: Not Applicable Practice Status: Medical School: Not Applicable, Miller, Kristin, DO Open Residency: Not Applicable, Board Certified: American Board of Obstetrics and Gynecology Mercy Complementary Medicine (608) 741-6799 Medical School: Des Moines Univ College of Osteopathic Medicine, Des Moines, IA Center Residency: Tripler Army Medical Center, Honolulu, HI 1010 N Washington St Janesville, WI 53548 Pediatrics Practice Status: Roe, Jonathan, MD Open Acupuncture Practice Status: Board Certified: American Board of Pediatrics Warnke, Matthew, Lac Open Medical School: Medical College of Milwaukee, Milwaukee, WI Board Certified: Not Applicable Residency: Univ of Massachusetts Medical Center, Worchester, MA Medical School: Southwest Acupuncture College, Santa Fe, New Mexico Residency: ,
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Chiropractic Practice Status: Adult Addictions Detoxification Practice Status: Bridge, Karen, DC Open Mercy Hospital Behavioral Health, , Child & Adolescent Board Certified: Not Applicable Board Certified: The Joint Commission Medical School: Palmer College of Chiropractic, Davenport, IA Medical School: Not Applicable, Residency: Not Applicable, Residency: Not Applicable,
Priske, Scott, DC Open Adult Inpatient Mental Health Practice Status: Board Certified: Not Applicable Adult Medical School: Palmer College of Chiropractic, Davenport, IA Mercy Hospital Behavioral Health, , Residency: Not Applicable, Board Certified: The Joint Commission Medical School: Not Applicable, Mercy Comprehensive Inpatient (608) 756-6822 Residency: Not Applicable, Rehab Ctr Adult Mental Health Day Treatment Practice Status: 1000 Mineral Point Ave Janesville, WI 53548 (Transitional) Mercy Hospital Behavioral Health, , Adult Physical Medicine Practice Status: Board Certified: The Joint Commission Garcia, Ronald Allan M, MD Open Medical School: Not Applicable, Residency: Not Applicable, Board Certified: American Board of Physical Medicine and Rehabilitation Medical School: Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines Advanced Practice Nurse Prescriber Residency: Rehabilitation Insititue of Chicago, Northwestern University Medical Practice Status: School, Chicago, IL Kelly, Leslie, APNP Open Physical Medicine & Rehabilitation Practice Status: Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Medical School: Yale Univ School of Nursing, New Haven, CT Clemons, Kristin, MD Open Residency: , Board Certified: American Board of Physical Medicine and Rehabilitation Medical School: American Univ of the Caribbean, Plymouth, Montserrat Cardiovascular Disease Practice Status: Residency: Rush-Presbyterian-St. Luke's Hopsital, Chicago, IL Chilukuri, Karuna, MD Open Mercy Diabetes Center (608) 741-2459 Board Certified: Not Board Certified in Cardiovascular Disease 1010 N Washington St Janesville, WI 53548 Medical School: Jawaharlal Institute of Post Graduate Medical Education and Research, Residency: St.Pondicherry, John Hospital India and Medical Center, Detroit, MI
Family Medicine Practice Status: Hospitals Practice Status: Reid, Timothy, MD Does NOT Practice as a PCP Mercy Hospital and Trauma Center, Janesville, Open, Board Certified: American Board of Family Medicine Medical School: Medical College of Ohio, Toledo, OH Board Certified: The Joint Commission Residency: St. Elizabeth Med Cntr-South, Edgewood, KY Medical School: Not Applicable, Residency: Not Applicable, Mercy Home Health/Hospice (800) 369-2201 Surgery Practice Status: 901 Mineral Point Ave Janesville, WI 53548 Elariny, Hazem, MD Open Home Health Provider Practice Status: Board Certified: American Board of Surgery Medical School: Louisiana State Univ, Shreveport, LA Mercy Assisted Care Home Health, , Open Residency: Alton Oschner Medical Foundation, New Orleans, LA Board Certified: Not Accredited Medical School: Not Applicable, Mercy Institute of Neuroscience (866) 901-6463 Residency: Not Applicable, 1000 Mineral Point Ave Janesville, WI 53548
Hospice Care Practice Status: Advanced Practice Nurse Prescriber Practice Status: Mercy Assisted Care Hospice, , Open Casper, Kelli, APNP Open Board Certified: Not Applicable Medical School: Not Applicable, Board Certified: American Nurses Credentialing Center (Acute Care Nurse Practitioner) Residency: Not Applicable, Medical School: UW Madison School of Nursing, Madison, WI Residency: , Mercy Hospital & Trauma Center (608) 756-6000 Mercy Mall Clinic (608) 741-2430 1000 Mineral Point Ave Janesville, WI 53548 1010 N Washington St Janesville, WI 53548
Adult Addictions Day Treatment Practice Status: (Transitional) Family Medicine Practice Status: Open Mercy Hospital Behavioral Health, , Adult Perez, Enrique, MD Board Certified: The Joint Commission Board Certified: American Board of Family Medicine Medical School: Not Applicable, Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Not Applicable, Residency: Medical College of Wisconsin/St. Luke's Hospital, Racine, WI
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Family Medicine including Obstetrics Practice Status: Optometry Practice Status: Hussli, Jennifer, MD Open Sheetz, Brandon, OD Open Board Certified: American Board of Family Medicine Board Certified: Not Applicable Medical School: Univ of Sint Eustatius School of Medicine, Goldenrock, Sint Eustatius, Medical School: IL College of Optometry, Chicago, Il Residency: MercyNetherlands, Health DutchSystem, Caribbean Janesville, WI Residency: , Mercy Manor Transition Center (608) 756-6050 Geriatric Medicine Practice Status: 1000 Mineral Point Ave Janesville, WI 53548 Fehrenbacher, Kelly, MD Open Board Certified: American Board of Internal Medicine (Geriatric Medicine) Skilled Nursing Facility Practice Status: Medical School: Loyola Univ Chicago Stritch School of Medicine, Chicago, IL Residency: Univ of Wisconsin Hospital & Clinics, Madison, WI Mercy Manor Transition Center Skilled NursingOpen Facility, ,Board Certified: The Joint Commission Internal Medicine Practice Status: Medical School: Not Applicable, Pogorelova, Mariya, MD Open Residency: Not Applicable, Board Certified: American Board of Internal Medicine Medical School: Karaganda State Medical Institute, Varagana, Vazakhstan Mercy Michael Berry Clinic (608) 756-6588 Residency: St. Joseph Hospital, Joel, MD 1000 Mineral Point Ave Janesville, WI 53548 Podiatry Practice Status: Advanced Practice Nurse Prescriber Practice Status: Zainer, Gregory, DPM Open Open Board Certified: American Board of Podiatric Orthopedics and Primary Podiatric Medicine Vanko, Monica, APNP Medical School: Ohio College of Podiatric Medicine, Clevelan, OH Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Residency: Not Applicable, Medical School: Marquette Univ, Milwaukee, WI Residency: , Mercy Mall Durable Medical (800) 279-5810 Equipment Gastroenterology Practice Status: 1010 N Washington St Janesville, WI 53548 Castillo, Rodrigo, MD Open Board Certified: American Board of Internal Medicine (Gastroenterology) Durable Medical Equipment Supplier Practice Status: Medical School: P. Universidad Javeriana, Bogota, Columbia Residency: Hahnemann Univ Hospital, Philadelphia, PA Mercy Mall DME, , Open Open Board Certified: Not Applicable Khoury, Ramez, MD Medical School: Not Applicable, Board Certified: American Board of Internal Medicine (Gastroenterology) Residency: Not Applicable, Medical School: Damascus Univ, Damascus, Syria Residency: The Graduate Hospital, Philadelphia, PA Mercy Mall Urgent Care Center (608) 741-3800 Sud, Anchal, MD Open 1010 N Washington St Janesville, WI 53548 Board Certified: Not Board Certified in Gastroenterology Medical School: Univ of Michigan Medical School, Ann Arbor, MI Urgent Care Center Practice Status: Residency: Univ of Michigan Dpt of Anesthesiology, Ann Arbor, MI
Mercy Mall Urgent Care, , Hematology and/or Medical Oncology Practice Status: Board Certified: The Joint Commission Medical School: Not Applicable, Khan, Mohammad, MD Open Residency: Not Applicable, Board Certified: American Board of Internal Medicine (Medical Oncology) Medical School: Dow Medical College, Karachi, Pakistan Mercy Mall Vision Center (608) 741-6794 Residency: St. Barnabas Hospital, Bronx, NY 1010 N Washington St Janesville, WI 53548 Physician Assistant Practice Status:
Optometry Practice Status: Kimball, Krista, PA-C Open Open Board Certified: National Commission on Certification of Physician Assistants Dunphy, Erin, OD Medical School: SIU-Carbondale, Carbondale, IL Board Certified: Not Applicable Residency: , Medical School: Southern College of Optometry, Memphis, TN Residency: Not Applicable, Mercy Options Behavioral Health (608) 756-5555 Clinic - East McLaughlin, Michelle, OD Open Janesville, WI 53546 Board Certified: Not Applicable 3524 E Milwaukee Street Medical School: Illinois College of Optometry, Chicago, IL Residency: , Behavioral Health Clinic Practice Status: Rockwell, John, OD Open Mercy Options Behavioral Health Clinic - East, , Board Certified: Not Applicable Board Certified: Not Applicable Medical School: Illinois College of Optometry, Chicago, IL Medical School: , Residency: , Residency: ,
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Licensed Clinical Social Worker Practice Status: Licensed Clinical Social Worker Practice Status: Kropf, Anita, LCSW Open Miller, Susan, LCSW Open Board Certified: Not Applicable Board Certified: Not Applicable Medical School: George Williams College, Medical School: National University, Fresno, CA Residency: Not Applicable, Residency: Not Applicable,
Mercy Options Behavioral Health (608) 756-5555 Otto, Kimberlyn, LCSW Open Clinic - Janesville Board Certified: Not Applicable Janesville, WI 53548 Medical School: Univ of Wisconsin, Madison, WI 903 Mineral Point Ave Residency: Not Applicable,
Behavioral Health Clinic Practice Status: Pedretti, Christine, LCSW Open Board Certified: Not Applicable Mercy Options Behavioral Health Clinic - Janesville, , Medical School: UW-Milwaukee, Milwaukee WI Board Certified: Not Applicable Residency: , Medical School: , Residency: , Schnoor, Debra, LCSW; CSAC Open Board Certified: Not Applicable Clinical Substance Abuse Counselor Practice Status: Medical School: Aurora Univ, Aurora, IL Residency: , Hebert, Jaclyn, CSAC; LPC Open Board Certified: Not Applicable Stried, Chantel, LCSW Open Medical School: , Board Certified: Not Applicable Residency: , Medical School: George Williams College of Aurora Univ, Aurora, IL Residency: Not Applicable, Johnson, Sally, CSAC, LPC Open Board Certified: Not Applicable VandenAkker, Tricia, LCSW Open Medical School: , Board Certified: Not Applicable Residency: , Medical School: Univ of Wisconsin - Madison, Madison, WI Residency: , Wilson, Beverly, CSAC; LPC Open Board Certified: Not Applicable Licensed Marriage & Family Therapist Practice Status: Medical School: Not Applicable, Residency: Not Applicable, Fehrenbacher, Craig, LMFT Open Board Certified: Not Applicable Licensed Clinical Social Worker Practice Status: Medical School: Edgewood College, Madison, WI Residency: , Baumel, Victoria, LCSW Open Board Certified: Not Applicable Licensed Professional Counselor Practice Status: Medical School: Univ of Wisconsin - Milwaukee, Milwuakee, WI Residency: , Abel, Wendy, LPC Open Open Board Certified: Not Applicable Benash, Jessica, LCSW Medical School: Not Applicable, Board Certified: Not Applicable Residency: Not Applicable, Medical School: Univ of Wisconsin, Madison, WI Residency: , Chellevold, Jennifer, LPC Open Open Board Certified: Not Applicable Deller, Julia, LCSW Medical School: Univ of Wisconsin, Whitewater Board Certified: Not Applicable Residency: , Medical School: Univ of Chicago, Chicago, IL Residency: Not Applicable, DeSloover, Dan, LPC Open Open Board Certified: Not Applicable Frazier, Mary, LCSW Medical School: Univ of Wisconsin, Whitewater Board Certified: Not Applicable Residency: , Medical School: Loyola Univ of Chicago, Chicago, IL Residency: , Hebert, Jaclyn, LPC; CSAC Open Open Board Certified: Not Applicable Kollmansberger, Benno, LPC, LCSW Medical School: , Board Certified: Not Applicable Residency: , Medical School: , Residency: , Johnson, Sally, LPC; CSAC Open Open Board Certified: Not Applicable Kropf, Anita, LCSW Medical School: , Board Certified: Not Applicable Residency: , Medical School: George Williams College, Residency: Not Applicable, Littig, Karen, LPC Open Board Certified: Not Applicable Medical School: , Residency: ,
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Licensed Professional Counselor Practice Status: Licensed Clinical Social Worker Practice Status: Mallon, Jocelyn, LPC; SAC Open Kropf, Anita, LCSW Open Board Certified: Not Applicable Board Certified: Not Applicable Medical School: Univ of Wisconsin-Whitewater, Whitewater, WI Medical School: George Williams College, Residency: , Residency: Not Applicable,
Marsh, Lindsey, LPC Open Mercy Options Behavioral Health (608) 756-5555 Board Certified: Not Applicable Clinic - North Medical School: Western Michigan Univ, Kalamazoo, MI Janesville, WI 53546 Residency: , 3400 Deerfield Drive
Mendenhall, Jeanine, LPC Open Behavioral Health Clinic Practice Status: Board Certified: Not Applicable Medical School: Univ of Wisconsin, Whitewater, WI Mercy Options Behavioral Health Clinic - North, , Residency: , Board Certified: Not Applicable Medical School: , Wilson, Beverly, CSAC; LPC Open Residency: , Board Certified: Not Applicable Medical School: Not Applicable, Licensed Clinical Social Worker Practice Status: Residency: Not Applicable, Kropf, Anita, LCSW Open Zamborsky, Melanie, LPC Open Board Certified: Not Applicable Medical School: George Williams College, Board Certified: Not Applicable Residency: Not Applicable, Medical School: Seton Hill Univ, Greensburg, PA Residency: , Mercy Options Comprehensive (608) 741-2117 Psychiatry Practice Status: Mental Health and Addictions Treatment Services Callison, (Sue) Ann, MD Open 20 East Court St Janesville, WI 53545 Board Certified: American Board of Psychiatry and Neurology (Child and Adolescent Medical School: UniversityPsychiatry) of Arizona, Tucson, AZ Child & Adolescent Addictions Day Practice Status: Residency: Univ. of Arizona, Tucson, AZ Treatment (Trans Kosnar, Tina, MD Open Mercy Options Child and Adolescent Day Treatment,Open , Board Certified: American Board of Psychiatry and Neurology (Child and Adolescent Board Certified: Psychiatry) Medical School: Creighton Univ School of Medicine, Omaha, NE Medical School: , Residency: , Residency: Creighton-Nebraska Combined, Omaha, NE Mercy Pain Center - Janesville (608) 756-6049 Psychology Practice Status: 1000 Mineral Point Ave Janesville, WI 53548 Keller, Kathryn, PhD Open Board Certified: Not Applicable Pain Management Practice Status: Medical School: , Residency: , Shah, Jaymin, DO Open Rose-Barajas, Michelle, PsyD Open Board Certified: American Board of Anesthesiology (Pain Management) Medical School: Chicago College of Osteopathic Medicine, Downers Grove, IL Board Certified: Not Applicable Residency: Medical College of WI, Milwaukee, WI Medical School: Illinois School of Professional Psychology, Chicago, IL Residency: , Physician Assistant Practice Status: Substance Abuse Counselor Practice Status: Dombeck, Nathan, PA-C Open Mallon, Jocelyn, SAC; LPC Open Board Certified: National Commission on Certification of Physician Assistants Medical School: , Board Certified: Not Applicable Residency: , Medical School: Univ of Wisconsin-Whitewater, Whitewater, WI Residency: , Mercy Regional Cancer Ctr - (608) 756-6871 Mercy Options Behavioral Health (608) 756-5555 Hematology/Medical Oncology Clinic - Mall 1000 Mineral Point Ave Janesville, WI 53548 1010 N Washington Street Janesville, WI 53548 Adult Advanced Practice Nurse Practice Status: Prescriber Behavioral Health Clinic Practice Status: Brethauer, Linda, APNP Open Mercy Options Behavioral Health Clinic - Mercy Mall, , Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Board Certified: Not Applicable Medical School: Univ of Wisconsin, Madison, WI Medical School: , Residency: Not Applicable, Residency: ,
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Hematology and/or Medical Oncology Practice Status: Ophthalmology Practice Status: Robinson, Emily, MD Open Whitehead, A. Jeffrey, MD Open Board Certified: Amiercan Board of Internal Medicine ( Medical Oncology) Board Certified: American Board of Ophthalmology Medical School: Univ of Wisconsin Medical School, Madison, WI Medical School: Univ of Wisconsin, Madison, WI Residency: North Carolina Baptist Hospital, Winston-Salem, NC Residency: Washington Univ in St. Louis, St. Louis, MO
Shekhani, Shahid, MD Open Optometry Practice Status: Board Certified: American Board of Internal Medicine (Medical Oncology) Open Medical School: Sind Medical College, Karachi, Pakistan Dunphy, Erin, OD Residency: Prince Georges Hospital Center, Cheverly, MD Board Certified: Not Applicable Medical School: Southern College of Optometry, Memphis, TN Mercy Regional Cancer Ctr - (608) 756-6500 Residency: Not Applicable, Radiation Oncology McLaughlin, Michelle, OD Open Janesville, WI 53548 1000 Mineral Point Ave Board Certified: Not Applicable Medical School: Illinois College of Optometry, Chicago, IL Licensed Marriage & Family Therapist Practice Status: Residency: , Fehrenbacher, Craig, LMFT Open Mercy Regional Hand Center (608) 741-3812 Board Certified: Not Applicable 557 N Washington St Janesville, WI 53548 Medical School: Edgewood College, Madison, WI Residency: , Orthopaedic Surgery Practice Status: Physician Assistant Practice Status: Palmer, Douglas, MD Open Johnson, Amanda, PA-C Open Board Certified: American Board of Orthopaedic Surgery Board Certified: National Commission on Certification of Physician Assistants Medical School: Medical College of Wisconsin, Milwaukee, WI Medical School: Western Michigan Univ, Kalamazoo, MI Residency: Univ of Illinois, Chicago, IL Residency: None, Pittenger, David, MD Open Radiation Oncology Practice Status: Board Certified: American Board of Orthopaedic Surgery Medical School: Medical College of Wisconsin, Milwaukee, WI Kozak, Kevin, MD Open Residency: Blodgett Memorial Medical Center, Grand Rapids MI Board Certified: American Board of Radiology-Radiation Oncology Medical School: Vanderbilt Univ School of Medicine, Nashville, TN Mercy Regional Heart & Vascular (608) 756-6868 Residency: Harvard Radiation Oncology Program, Boston, MA Center Mercy Regional Dialysis Center (608) 741-3814 1000 Mineral Point Ave Janesville, WI 53548 903 Mineral Point Ave Janesville, WI 53548 Advanced Practice Nurse Prescriber Practice Status:
Nephrology Practice Status: Martin, Jennifer, APNP Open Open Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Anjum, Ehteshamul, MD Medical School: , Board Certified: American Board of Internal Medicine (Nephrology) Residency: , Medical School: Patna Medical College, Patna Bihar, India Residency: Metropolitan Hospital Center, New York, NY Cardiology Practice Status: Mercy Regional Eye Center - (608) 756-7110 Gulliver, Eugene, MD Open Janesville Board Certified: American Board of Internal Medicine (Cardiovascular Disease) (Interventional Cardiology) 3524 E Milwaukee St Janesville, WI 53548 Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Medical College of Wisconsin, Milwaukee, WI Ophthalmology Practice Status: Volkert, Paul, MD Open Bussa, John, MD Open Board Certified: American Board of Internal Medicine (Cardiovascular Disease and Interventional Cardiology) Board Certified: American Board of Ophthalmology Medical School: Medical College of Wisconsin, Madison, WI Medical School: University of Texas Health Science Center, San Antonio, TX Residency: Medical College of WI affiliated Hospitals, Milwaukee, WI Residency: Walter Reed Army Medical Center, Washington, DC Cardio-Thoracic Surgery Luellwitz, David, DO Open Practice Status: Board Certified: American Osteopathic Board of Ophthalmology Goldstein, A. Sandor, MD Open Medical School: Western Univ of Health Sciences, Pomona, CA Board Certified: American Board of Thoracic Surgery Residency: Midwestern University, Olympia Fields, IL Medical School: McGill University, Canada Residency: University of Toronto, Tononto, Ontario, Canada Thomassen, Thom, MD Open Board Certified: American Board of Ophthalmology Medical School: Duke University, Durham, NC Residency: Walter Reed Army Medical Center, Washington, DC
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Cardio-Thoracic Surgery Practice Status: Advanced Practice Nurse Prescriber Practice Status: Wolnak, Kenneth, DO Open Casper, Kelli, APNP Open Board Certified: American Osteopathic Board of Thoracic Cardiovascular Surgery Board Certified: American Nurses Credentialing Center (Acute Care Nurse Practitioner) Medical School: Chicago College of Osteopathic Medicine, Downers Grove, IL Medical School: UW Madison School of Nursing, Madison, WI Residency: Chicago College of Osteopathic Medicine, Residency: ,
Cardiovascular Disease Practice Status: Neurology Practice Status: Stoiber, Thomas, MD Open Gorelik, Maxim, MD Open Board Certified: American Board of Internal Medicine (Cardiovascular Disease) Board Certified: American Board of Psyciatry and Neurology (Pain Medicine) Medical School: Univ of Wisconsin Medical School, Madison, WI Medical School: Rush Medical College of Rush Univ, Chicago, IL Residency: Medical College of Wisconsin, Madison, WI Residency: Univ of California, Davis Medical Center, Sacramento, CA
Teelin, Thomas, MD Open Khabbaz, Sany, MD Open Board Certified: American Board Internal Medicine (Cardiovascular Disease Board Certified: American Board of Psychiatry and Neurology (Clinical Neurophysiology) Medical School: Medical College of Wisconsin, Milwaukee, WI Medical School: American Univ of Beirut, Beirut, Lebanon Residency: Univ of WI Hospital & Clinics, Madsion, WI Residency: University of Chicago Hospital, Chicago, IL
Interventional Cardiology Practice Status: Neurosurgery Practice Status: Gulliver, Eugene, MD Open Rust, Merle, MD Open Board Certified: American Board of Internal Medicine (Cardiovascular Disease) Board Certified: American Board of Neurological Surgery Medical School: Medical(Interventional College Cardiology) of Wisconsin, Milwaukee, WI Medical School: Univ of Illinois College of Medicine, Peoria, IL Residency: Univ of Illinois College of Medicine, Peoria, IL Residency: Medical College of Wisconsin, Milwaukee, WI Sturm, Christopher, MD Open Volkert, Paul, MD Open Board Certified: American Board of Neurological Surgeons Board Certified: American Board of Internal Medicine (Cardiovascular Disease and Medical School: St. Louis Univ School of Medicine, St. Louis, MO Interventional Cardiology) Medical School: Medical College of Wisconsin, Madison, WI Residency: St. Louis Univ School of Medicine, St. Louis, MO
Residency: Medical College of WI affiliated Hospitals, Milwaukee, WI Physician Assistant Practice Status: Mercy Regional Lung Center (608) 752-6255 Watring, Allysa, PA-C Open 903 Mineral Point Ave Janesville, WI 53548 Board Certified: National Commission on Certification of Physician Assistants Medical School: Univ of Wisconsin, Madison, WI Advanced Practice Nurse Prescriber Practice Status: Residency: , McCarthy, Leaellyn, APNP Open Mercy Regional Plastic Surgery, Skin (608) 756-6300 Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) & Laser Center Medical School: Samford University, Birmingham, AL 1000 Mineral Point Ave Janesville, WI 53548 Residency: ,
Pulmonary Disease Practice Status: Advanced Practice Nurse Prescriber Practice Status: Tuck, Hazen, MD Open Ratzlaff, Karri, APNP Open Board Certified: American Board of Internal Medicine (Pulmonary Disease) Board Certified: American Nurses Credentialing Center (Acute Care Nurse Practitioner) Medical School: The Chicago Medical School (Rosalind Franklin Univ), North Chicago, IL Medical School: Univ of Wisconsin School of Nursing, Madison, WI Residency: Univ of Illinois, Peoria, IL Residency: ,
Pulmonary Disease (Critical Care Practice Status: Mercy Regional Sleep Disorders (608) 758-5765 Medicine) Center Cook, Robert, MD Open 901 Mineral Point Ave Janesville, WI 53548 Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care Medical School: OHMedicine) State University College of Medicine, Columbus, OH Pulmonary Disease (Critical Care Practice Status: Medicine) Residency: Barnes Hosp, Washington U, St. Louis, MO Cook, Robert, MD Open Mercy Regional Neurosurgery Center (608) 756-6826 Board Certified: American Board of Internal Medicine (Pulmonary Disease) (Critical Care at Mercy Michael Berry Clinic Medical School: OHMedicine) State University College of Medicine, Columbus, OH Janesville, WI 53548 1000 Mineral Point Ave Residency: Barnes Hosp, Washington U, St. Louis, MO
Advanced Practice Nurse Prescriber Practice Status: Bestland, Jennifer, APNP Open Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Medical School: Marquette Univ College of Nursing, Milwaukee, WI Residency: Not Applicable,
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 16 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Mercy Regional Urology Center (608) 741-6990 Mercy Terrace - Surgery (608) 756-7277 1000 Mineral Point Ave Janesville, WI 53548 510 North Terrace St Janesville, WI 53548
Urology Practice Status: Physician Assistant Practice Status: Gianitsos, A. Nicholas, MD Open Pruyn, Rolin, PA-C Open Board Certified: American Board of Urology Board Certified: National Commission on Certification of Physician Assistants Medical School: Boston Univ School of Medicine, Boston, MA Medical School: Rocky Mountain College, Billings, MT Residency: Univ of Wisconsin Hospitals & Clinics, Madison, WI Residency: ,
Kaveggia, Francis, MD Open Surgery Practice Status: Board Certified: American Board of Urology Open Medical School: Univ of Wisconsin Medical School, Madison, WI Garner, Patricia, MD Residency: Univ of Nebraska Medical Center, Omaha, NE Board Certified: American Board of Surgery Medical School: Univ of Arkansas for Medical Sciences, Little Rock, AR Mercy Sports Medicine & Rehab (608) 754-6000 Residency: Naval Medical Center, San Diego, cA Center Philip, Ancil, MD Open Janesville, WI 53548 557 N Washington St Board Certified: Not Board Certified Medical School: Medical College of Wisconsin, Milwaukee, WI Orthopaedic Surgery Practice Status: Residency: Univ of Wisconsin-Madison, Madison, WI Pittenger, David, MD Open Whinney, Robb, DO Open Board Certified: American Board of Orthopaedic Surgery Board Certified: American Osteopathic Association Surgery - General (Critical Care Medical School: Medical College of Wisconsin, Milwaukee, WI Medical School: PhiladelphiaSurgery) College of Osteopathic Medicine, Philadelphia, PA Residency: Blodgett Memorial Medical Center, Grand Rapids MI Residency: Wyckoff Heights Medical Center, Brooklyn, NY Physical Medicine Practice Status: Mercy West Clinic (608) 756-6800 Garcia, Ronald Allan M, MD Open 1000 Mineral Point Ave Janesville, WI 53548 Board Certified: American Board of Physical Medicine and Rehabilitation Medical School: Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines Advanced Practice Nurse Prescriber Residency: Rehabilitation Insititue of Chicago, Northwestern University Medical Practice Status: School, Chicago, IL Martin, Jennifer, APNP Open Physical Medicine & Rehabilitation Practice Status: Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Medical School: , Clemons, Kristin, MD Open Residency: , Board Certified: American Board of Physical Medicine and Rehabilitation Medical School: American Univ of the Caribbean, Plymouth, Montserrat Infectious Disease Practice Status: Residency: Rush-Presbyterian-St. Luke's Hopsital, Chicago, IL Konkol, Keith, MD Closed Physician Assistant Practice Status: Board Certified: American Board of Internal Medicine (Infectious Disease) Medical School: Univ of Wisconsin Medical School, Madison, WI Dillard, Stephanie, PA-C Open Residency: Walter Reed Army Medical School, Washington, DC Board Certified: National Commission on Certification of Physician Assistants Medical School: Midwestern Univ, Downers Grove, IL Obstetrics and Gynecology Practice Status: Residency: , Wistrom, Elana, DO Open Psychology Practice Status: Board Certified: Not Board Certified Medical School: A.T. Still Univ, Kirksvill, MO Gartland, Howard, PhD Open Residency: Henry Ford Macomb Hospital, Clinton Twp, MI Board Certified: Not Applicable Medical School: Texas Woman's University, Denton, TX Mercy Women's Health Center (608) 756-6890 Residency: Not Applicable, 1000 Mineral Point Ave Janesville, WI 53548 Wakely, David, PhD Open Advanced Practice Nurse Prescriber Board Certified: American Board of Professional Psychology Practice Status: Medical School: , Harris, Margot, APNP Open Residency: , Board Certified: National Certification Corporation for the Obstetric, Gynecologic and Medical School: VanderbiltNeonatal Nursing Univ School Specialties of Nursing, (Registered Nashville, Nurse TN Certified, Women's Sports Medicine Practice Status: Health Care Nurse Practitioner) Open Rutherford, Darin, MD Residency: Not Applicable, Board Certified: American Board of Family Practice (Sports Medicine) Medical School: Univ of Iowa College of Medicine, Iowa City,IA Residency: St. Mary's Hospital, Milwaukee, WI
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Obstetrics and Gynecology Practice Status: Jefferson, WI Kaldor, Katheryn, DO Open Central Jefferson Chiropractic (920) 674-5025 Board Certified: American Osteopathic Board of Obstetrics and Gynecology 202 N Main St Jefferson, WI 53549 Medical School: Kansas City Univ of Medicine, Kansas City, MO Residency: Philadelphia College of Osteopathic Medicine, Philadelphia, PA Chiropractic Practice Status: Munns, Meridyth, MD Open Open Board Certified: American Board of Obstetrics and Gynecology Lewis, Alan, DC Medical School: Univ of Health Sciences, North Chicago, IL Board Certified: Not Applicable Residency: Univ of WI Hospitals and Clinics, Madison, WI Medical School: National College of Chiropractic, Lombard, IL Residency: Not Applicable, Nahn, Patricia, MD Open Open Board Certified: American Board of Obstetrics and Gynecology Uhl, Andrew, DC Medical School: Univ of Wisconsin Medical School, Madison, WI Board Certified: Not Applicable Residency: Univ of Texas, Houston, TX Medical School: Palmer College of Chiropractic, Davenport, IA Residency: Not Applicable, Neuman, Carol, MD Open Board Certified: American Board of Obstetrics and Gynecology Fort HealthCare Jefferson (920) 674-6000 Medical School: Emory Univ School of Medicine, Atlanta, GA 840 W Racine St Jefferson, WI 53549 Residency: Emory Univ School of Medicine, Atlanta, GA
Newmark, Dorothy, MD Open Advanced Practice Nurse Prescriber Practice Status: Board Certified: American Board of Obstetrics and Gynecology Lyons, Noreen, APNP Open Medical School: State Univ of New York, Syracuse, NY Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Residency: Univ of WI Hospital & Clinics, Madison, WI Medical School: Univ of Wisconsin, Milwaukee, WI Okocha, Chukwunonyeluanyi, MD Open Residency: Not Applicable, Board Certified: American Board of Obstetrics and Gynecology Tueting, Joshua, APNP Open Medical School: Univ of Minnesota-Twin Cities, Minneapolis, MN Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Residency: Univ of Texas Medical Branch, Galveston, TX Medical School: Marquette Univ, Milwaukee, WI Premier Oral & Maxillofacial Surgery (608) 756-8744 Residency: , 1602 N Randall Ave Janesville, WI 53545 Family Medicine including Obstetrics Practice Status: Welniak, Linda, MD Open Oral & Maxillofacial Surgery Practice Status: Board Certified: American Board of Family Medicine Kuerschner, Thomas, DDS Open Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Univ of Wisconsin Medical School St Luke's Medical Center, Milwaukee, Board Certified: American Board of Oral and Maxillofacial Surgery WI Medical School: Marquette Univ School of Dentistry, Milwaukee, WI Residency: Univ of Louisville, Louisville, KY Johnson Creek, WI Meister, Richard, DDS Open Fort HealthCare Center for Womens (920) 699-3600 Board Certified: American Board of Oral and Maxillofacial Surgery Health Medical School: Marquette Univ School of Dentistry, Milwaukee, WI Residency: Hosp of St Raphael, New Haven, CT 400 Doctors Court Johnson Creek, WI 53038
Open Misner, Jonathan, DMD Obstetrics and Gynecology Practice Status: Board Certified: Not Board Certified Medical School: Univ of Pittsburgh, Pittsburgh, PA Aguirre de Baker, Nancy, MD Open Residency: Univ of Minnesota, Minneapolis, MN Board Certified: American Board of Obstetrics and Gynecology Medical School: University of WI Madison, Madison, WI Open Swantek, Jason, DDS Residency: University of WI Madison, Madison, WI Board Certified: Not Board Certified Medical School: UIC College of Dentistry, Chicago, IL Chuppa, Christine, MD Open Residency: Woodhull Medical Center, Brooklyn, NY Board Certified: American Board of Obstetrics and Gynecology Medical School: Univ of WI Medical School, Madison, WI Rock Haven (608) 757-5000 Residency: Univ of MO, Kansas City, MO 3418 N Cty Trk Hwy F Janesville, WI 53547 Fort HealthCare Johnson Creek (920) 699-4000 Johnson Creek, WI 53038 Skilled Nursing Facility Practice Status: 400 Doctors Ct Open Rock Haven, , Advanced Practice Nurse Prescriber Practice Status: Board Certified: Not Accredited Medical School: , Lyons, Noreen, APNP Open Residency: , Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Medical School: Univ of Wisconsin, Milwaukee, WI Residency: Not Applicable,
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Advanced Practice Nurse Prescriber Practice Status: UWHP Center for Eye Care - (920) 699-4388 Johnson Creek Tueting, Joshua, APNP Open Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) 540 Village Walk Ln, Suite G Johnson Creek, WI 53038 Medical School: Marquette Univ, Milwaukee, WI Residency: , Ophthalmology Practice Status:
Family Medicine Practice Status: Van Hecke, Holly, MD Open Misorski, David, MD Open Board Certified: American Board of Opthalmology Medical School: Univ of Illinois College of Medicine, Chicago, IL Board Certified: American Board of Family Medicine Residency: Univ of Illinois Eye & Ear Infirmary, Chicago, IL Medical School: Medical College of WI-Milwaukee, Milwaukee, WI Residency: Medical College of WI-Milwaukee, Milwaukee, WI Optometry Practice Status: Misorski, David, MD Open Anslinger, John, OD Open Board Certified: American Board of Family Medicine Board Certified: Not Applicable Medical School: Medical College of WI-Milwaukee, Milwaukee, WI Medical School: Indiana Univ, Indiana Residency: Medical College of WI-Milwaukee, Milwaukee, WI Residency: Not Applicable,
Urology Practice Status: UWHP WRMC Center for Eye Care - (920) 699-4388 Johnson Creek Manakas, Christopher, MD Open Board Certified: American Board of Urology 540 Village Walk Land, Suite G Johnson Creek, WI 53038 Medical School: Indiana Univ School of Medicine, Indianapolis, IN Residency: Univ of WI Hospital & Clinics, Madison, WI Ophthalmology Practice Status: Fort HealthCare Orthopaedic (920) 563-7888 Boush, George, MD Open Associates Board Certified: American Board of Ophthalmology 400 Doctors Ct Johnson Creek, WI 53038 Medical School: Univ of Wisconsin, Madison, WI Residency: Univ of Wisconsin Hospital & Clinics, Madison, WI
Orthopaedic Surgery Practice Status: Sullivan, Sheila, DO Open Board Certified: Not Board Certified Bruno, James, MD Open Medical School: DesMoines Univ, College of Osteopathic Medicine, Des Moines, IA Board Certified: American Board of Orthopaedic Surgery Residency: Philadeplphia College of Osteopathic Medicine, Philadelphia, PA Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: State Univ of New York Upstate Medical University SUNY Health Science Optometry Practice Status: Center, Syracuse, NY Roberson, Daniel, OD Open Fort HealthCare Wound & Edema (920) 699-4245 Board Certified: Not Applicable Center Medical School: New England College of Optometry, Boston, MA 400 Doctors Ct Johnson Creek, WI 53038 Residency: Captain James A. Lovell Federal Health Care Center, N. Chicago, IL UWHP WRMC Johnson Creek Clinic (920) 699-6200 Physical Medicine & Rehabilitation Practice Status: 540J Village Walk Ln Johnson Creek, WI 53038 Goldman, Robert, MD Open Board Certified: American Board of Physicial Medicine & Rehabilitation and American Family Medicine including Obstetrics Practice Status: Medical School: UnivBoard of of Texas Preventive Medical Medicine Branch (Underseaat Galveston, & Hyperbaric Galveston, Medicine) TX Milford, James, MD Open Residency: MCP Hahnemann Univ School of Medicine, Philadephia, PA Board Certified: American Board of Family Medicine Surgery Practice Status: Medical School: Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL Residency: St. Michael's, Milwaukee, WI Jetmore, Allen, MD Open Orthopaedic Surgery Board Certified: American Board of Colon and Rectal Surgery and American Board of Practice Status: Surgery Medical School: Duke Univ School of Medicine, Durham, NC Roman, Terry, DO Open Residency: The New York Hospital-Cornell Medical Center, New York, NY Board Certified: Not Board Certified Medical School: A.T. Still University, Kirksville, MO McLaughlin, Jonathan, MD Open Residency: Michigan State University, Grand Blanc, MI Board Certified: American Board of Surgery Medical School: Univ of Minnesota, Minneapolis, MN Physician Assistant Practice Status: Residency: Butterworth Hospital Michigan State Univ, Grand Rapids, MI DeThier, Miranda, PA-C Open Board Certified: National Commission on Certification of Physican Assistants Medical School: Marquette Univ, Milwaukee, WI Residency: ,
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Physician Assistant Practice Status: Mercy Lakeside Orthopaedics (262) 248-4467 Hunter, Cathy, PA-C Open 352 Peller Rd Lake Geneva, WI 53147 Board Certified: National Commission on Certification of Physician Assistants Medical School: Marquette Univ, Milwaukee, WI Orthopaedic Surgery Practice Status: Residency: , Knavel, James, MD Open Kolkovich, Cheryl, PA-C Open Board Certified: American Board of Orthopaedic Surgery Board Certified: National Commission on Certification of Physician Assistants Medical School: Univ of Iowa College of Medicine, Iowa City, IA Medical School: Finch Univ of Health Sciences, The Chicago Medical School, North Residency: Medical College of Wisconsin, Milwaukee, WI Residency: NotChicago, Applicable, IL Mercy Walworth Hospital & Medical (877) 893-5503 Kenosha, WI Center N2950 State Road 67 Lake Geneva, WI 53147 Rogers Memorial Hospital - Kenosha (800) 767-4411 9916 - 75th St Kenosha, WI 53140 Advanced Practice Nurse Prescriber Practice Status: Junghen, Jennifer, APNP Open Child & Adolescent Mental Health Day Practice Status: Board Certified: American Academy of Nurse Practitioners (Adult Nurse Practitioner) Treatment (Transitional) Medical School: Marian University, Fond du Lac, WI Rogers Memorial Hospital - Kenosha, , Child & Adolescent Residency: , Board Certified: The Joint Commission Martin, Jennifer, APNP Open Medical School: Not Applicable, Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Residency: Not Applicable, Medical School: , Lake Geneva, WI Residency: , Allergy & Immunology Geneva Lakes Manor (262) 248-3145 Practice Status: 211 S Curtis Street Lake Geneva, WI 53147 Johnson, Tad, MD Open Board Certified: American Board of Allergy & Imjunology AND American Board of Medical School: MayoPediatrics Clinic Collegeo f Medicine, Rochester, MN Skilled Nursing Facility Practice Status: Residency: Children's Hospital of Wisconsin, Milwaukee, WI Geneva Lakes Manor, , Open Board Certified: Not Accredited Ragotzy, Ronald, MD Open Medical School: , Board Certified: American Board of Allergy & Immunology Residency: , Medical School: Wayne State Univ School of Medicine, Detroit, MI Residency: Southwest MI Area Health Education Center, Kalamazoo, MI Mercy Lake Geneva Medical Center (262) 249-0221 350 Peller Rd Lake Geneva, WI 53147 Cardiovascular Disease Practice Status: Chilukuri, Karuna, MD Open Family Medicine Practice Status: Board Certified: Not Board Certified in Cardiovascular Disease Grzeskowiak, Marek, MD Open Medical School: Jawaharlal Institute of Post Graduate Medical Education and Research, Residency: St.Pondicherry, John Hospital India and Medical Center, Detroit, MI Board Certified: American Board of Family Medicine Medical School: Medical University of Warsaw, Warsaw, Poland Residency: Underwood Memorial Hospital, Woodbury, NJ Kamrani, Farzad, MD Open Board Certified: American Board of Internal Medicine (Cardiovascular Disease) Open Myron, Gary, MD Medical School: Tehran Univ School of Medical Science, Tehran, Iran Board Certified: American Board of Family Medicine Residency: The Brooklyn Hospital, Brooklyn, NY Medical School: Ross Univ School of Medicine, Edison, NJ Residency: Oklahoma University, Oklahoma City,OK Teelin, Thomas, MD Open Board Certified: American Board Internal Medicine (Cardiovascular Disease Podiatry Practice Status: Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Univ of WI Hospital & Clinics, Madsion, WI Pfeifer, Mark, DPM Open Board Certified: American Board of Podiatric Orthopedics and Primary Podiatric Medicine Dermatology Practice Status: Medical School: Illinois (Dr Wm Scholl) College of Podiatric Medicine, Chicago, IL Residency: VAMC/US Naval Hospital, N Chicago, IL/Great Lakes, IL Compton, Marguerite, MD Open Board Certified: American Board of Dermatology Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Medical College of WI Clinics at Froedtert Hospital, Milwaukee, WI
Gharia, Manish, MD Open Board Certified: American Board of Dermatology Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Medical College of Wisconsin, Milwaukee, WI
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Dermatology Practice Status: Nurse-Midwife Practice Status: Hoffman, Daniel, MD Open Edwards, Jill, APNP; CNM Open Board Certified: American Board of Dermatology Board Certified: American Midwifery Certification Board Medical School: Columbia Univ College of Physicians and Surgeons, New York, NY Medical School: Philadelphia Univ, Philadelphia, PA Residency: Henry Ford Hospital, Detroit, MI Residency: ,
Family Medicine Practice Status: Ophthalmology Practice Status: Allison, Daniel, MD Open Luellwitz, David, DO Open Board Certified: American Board of Family Medicine Board Certified: American Osteopathic Board of Ophthalmology Medical School: Ross Univ School of Medicine, North Brunswick, NJ Medical School: Western Univ of Health Sciences, Pomona, CA Residency: Medical College of WI - St. Joseph Hospital, Milwaukee, WI Residency: Midwestern University, Olympia Fields, IL
McCoy, James, MD Open Optometry Practice Status: Board Certified: American Board of Family Medicine (Geriatric Medicine) Open Medical School: Loyola Univ , Stritch School of Medicine, Maywood, IL Rockwell, John, OD Residency: MacNeal Memorial Hospital, Berwyn, IL Board Certified: Not Applicable Medical School: Illinois College of Optometry, Chicago, IL Gastroenterology Practice Status: Residency: ,
Khoury, Ramez, MD Open Orthopaedic Surgery Practice Status: Board Certified: American Board of Internal Medicine (Gastroenterology) Open Medical School: Damascus Univ, Damascus, Syria Fideler, Bradley, MD Residency: The Graduate Hospital, Philadelphia, PA Board Certified: American Board of Orthopaedic Surgery Medical School: Univ of Iowa College of Medicine, Iowa City, IA Qazi, Baseer, MD Open Residency: Univ of Southern California, Los Angeles, CA Board Certified: American Board of Internal Medicine (Gastroenterology) Open Medical School: Declan College of Medical Sciences, Hyderabad, India Lyon, Craig, MD Residency: Advocate Lutheran General Hospital, Park Ridge, IL Board Certified: American Board of Orthopaedic Surgery Medical School: Rush Medical College, Chicago, Il Sud, Anchal, MD Open Residency: Univ of Iowa Hospitals & Clinics, Iowa City, IA Board Certified: Not Board Certified in Gastroenterology Otolaryngology Medical School: Univ of Michigan Medical School, Ann Arbor, MI Practice Status: Residency: Univ of Michigan Dpt of Anesthesiology, Ann Arbor, MI Riggs, Landon, MD Open Hematology and/or Medical Oncology Practice Status: Board Certified: American Board of Otolaryngology Medical School: Loyola Univ of Chicago Stritch School of Medicine, Maywood, IL Shekhani, Shahid, MD Open Residency: Loyola Univ of Chicago, Maywood, IL Board Certified: American Board of Internal Medicine (Medical Oncology) Open Medical School: Sind Medical College, Karachi, Pakistan Yang, Eric, MD Residency: Prince Georges Hospital Center, Cheverly, MD Board Certified: American Board of Otolaryngology Medical School: Univ of Southern California, Keck School of Medicine, Los Angeles, CA Hospitals Practice Status: Residency: Univ of Utah, Salt Lake City, UT
Mercy Walworth Hospital and Medical Center, , Open Pediatrics Practice Status: Board Certified: The Joint Commission Open Medical School: Not Applicable, Gonuguntla, Veena, MD Residency: Not Applicable, Board Certified: American Board of Pediatrics Medical School: J.J.M. Medical College, Devangere, India Neurology Practice Status: Residency: Marshfield Clinic, Marshfield, WI Gorelik, Maxim, MD Open Kohlmeier, Lynn, MD Open Board Certified: American Board of Psyciatry and Neurology (Pain Medicine) Board Certified: American Board of Pediatrics Medical School: Rush Medical College of Rush Univ, Chicago, IL Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Univ of California, Davis Medical Center, Sacramento, CA Residency: Medical College of Wisconsin, Milwaukee, WI
Neurosurgery Practice Status: Lyon, Shaunna, MD Open Open Board Certified: American Board of Pediatrics Rust, Merle, MD Medical School: Univ of Illinois College of Medicine, Chicago, IL Board Certified: American Board of Neurological Surgery Residency: Univ of Iowa Hospitals & Clinics, Iowa City, IA Medical School: Univ of Illinois College of Medicine, Peoria, IL Residency: Univ of Illinois College of Medicine, Peoria, IL Physical Medicine Practice Status: Sturm, Christopher, MD Open Garcia, Ronald Allan M, MD Open Board Certified: American Board of Neurological Surgeons Board Certified: American Board of Physical Medicine and Rehabilitation Medical School: St. Louis Univ School of Medicine, St. Louis, MO Medical School: Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines Residency: St. Louis Univ School of Medicine, St. Louis, MO Residency: Rehabilitation Insititue of Chicago, Northwestern University Medical School, Chicago, IL
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Physician Assistant Practice Status: Mercy Walworth Sports Medicine & (877) 893-5503 Rehabilitation Ctr Houtakker, Jeremy, PA-C Open Board Certified: National Commission on Certification of Physician Assistants N2950 State Road 67 Lake Geneva, WI 53147 Medical School: , Residency: , Physical Medicine Practice Status:
Plastic Surgery Practice Status: Garcia, Ronald Allan M, MD Open Paresi, Robert, MD Open Board Certified: American Board of Physical Medicine and Rehabilitation Medical School: Univ of the East-Ramon Magsaysay Memorial Med Cntr, Philippines Board Certified: American Board of Plastic Surgery and American Board of Surgery Residency: Rehabilitation Insititue of Chicago, Northwestern University Medical Medical School: St. George Univ School of Medicine, Great River, NY School, Chicago, IL Residency: Monmouth Medical Center, Long Branch, NJ Lake Mills, WI Podiatry Practice Status: Fort HealthCare Lake Mills Clinic (920) 648-8393 Pfeifer, Mark, DPM Open 200 E Tyranena Park Rd Lake Mills, WI 53551 Board Certified: American Board of Podiatric Orthopedics and Primary Podiatric Medicine Medical School: Illinois (Dr Wm Scholl) College of Podiatric Medicine, Chicago, IL Residency: VAMC/US Naval Hospital, N Chicago, IL/Great Lakes, IL Family Medicine Practice Status:
Rusthoven, Timothy, DPM Open Brodie, Jonathan, MD Open Board Certified: American Board of Lower Extremity Surgery Board Certified: American Board of Family Medicine Medical School: Dr. William M. Scholl College, Chicago, IL Medical School: Univ of Connecticut School of Medicine, Farmington, CT Residency: Colmery-O'Neal Veterans Affairs Med Cntr, Topeka, KS Residency: Univ of Wisconsin School of Medicine, Madison, WI Open Psychology Practice Status: Miller, Mary, MD Board Certified: American Board of Family Medicine Gartland, Howard, PhD Open Medical School: MI State Univ College of Human Medicine, East Lansing, MI Board Certified: Not Applicable Residency: MI State Univ College of Human Medicine, Saginaw, MI Medical School: Texas Woman's University, Denton, TX Residency: Not Applicable, Philbin, Jennifer, MD Open Board Certified: Not Board Certified Pulmonary Disease Practice Status: Medical School: Univ of Illinois College of Medicine, Chicago, IL Residency: Univ of Illinois College of Medicine, Chicago, IL Balagani, Rajesh, DO Open Board Certified: American Board of Internal Medicine (Critical Care Medicine) (Pulmonary Family Medicine including Obstetrics Practice Status: Medical School: ChicagoDisease) College of Osteopathic Medicine, Midwestern Univ, Downers Grove, IL Kazi, Wahab, MD Open Residency: Evanston Northwestern Hospital, Evanston, IL Board Certified: American Board of Family Medicine Surgery Medical School: AIM SHAMS Univ, Abbusiah, Cairo, Egypt Practice Status: Residency: Medical College of Wisconsin, Kenosha, WI Greenberg, James, MD Open Welniak, Linda, MD Open Board Certified: American Board of Surgery Board Certified: American Board of Family Medicine Medical School: Univ of Missouri, Kansas City, MO Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Loyola Univ Medical Center, Maywood, IL Residency: Univ of Wisconsin Medical School St Luke's Medical Center, Milwaukee, WI Urgent Care Center Practice Status: Internal Medicine Practice Status: Mercy Walworth Hospital and Medical Center, , Board Certified: Not Applicable Wishau, James, MD Open Medical School: Not Applicable, Board Certified: American Board of Internal Medicine Residency: Not Applicable, Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Kettering Med Cntr, Wright ST Univ., Dayton, OH Urology Practice Status: Fort HealthCare Lake Mills Urgent (920) 648-3113 Open Gianitsos, A. Nicholas, MD Care Board Certified: American Board of Urology Medical School: Boston Univ School of Medicine, Boston, MA 200 East Tyranena Park Rd Lake Mills, WI 53551 Residency: Univ of Wisconsin Hospitals & Clinics, Madison, WI Urgent Care Center Kaveggia, Francis, MD Open Practice Status: Board Certified: American Board of Urology Fort HealthCare Lake Mills Urgent Care, , Open Medical School: Univ of Wisconsin Medical School, Madison, WI Board Certified: Not Applicable Residency: Univ of Nebraska Medical Center, Omaha, NE Medical School: Not Applicable, Residency: Not Applicable, Neff, Donald, MD Open Board Certified: Not Board Certified Medical School: Medical College of Wisconsin, Milwaukee, WI Residency: Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI
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Fort HealthCare Orthopaedic (920) 563-7888 Physician Assistant Practice Status: Associates Hunter, Cathy, PA-C Open 200 E Tyranena Park Rd Lake Mills, WI 53551 Board Certified: National Commission on Certification of Physician Assistants Medical School: Marquette Univ, Milwaukee, WI Orthopaedic Surgery Practice Status: Residency: , Zambrano, Isidoro, MD Open Kolkovich, Cheryl, PA-C Open Board Certified: American Board of Orthopaedic Surgery Board Certified: National Commission on Certification of Physician Assistants Medical School: Medical College of Wisconsin, Milwaukee, WI Medical School: Finch Univ of Health Sciences, The Chicago Medical School, North Residency: State Univ of New York College of Medicine Stony Brook Univ Hospital, Residency: Chicago,Not Applicable, IL
Physician Assistant Practice Status: Madison, WI Ott, Eugene, PA-C Open Board Certified: National Commission on Certification of Physician Assistants Meriter Hospital (608) 267-6000 Medical School: University of Wisconsin, Madison, WI 202 South Park St Madison, WI 53715 Residency: ,
Sund, Joni, PA-C Open Child & Adolescent Addictions Practice Status: Detoxification Board Certified: National Commission on Certification of Physician Assistants Medical School: Univ of Wisconsin, Madison, WI Meriter Hospital Inc, , Open Residency: Not Applicable, Board Certified: The Joint Commission Rock River Foot & Ankle Clinic (920) 261-9591 Medical School: Not Applicable, Residency: Not Applicable, 1025 Mulberry St Lake Mills, WI 53551 Child & Adolescent Addictions Inpatient Practice Status: Rehabilita Podiatry Practice Status: Open Graglia, Greg, DPM Open Meriter Hospital Inc, , Board Certified: The Joint Commission Board Certified: American Board of Podiatric Surgery Medical School: Not Applicable, Medical School: Scholl College of Podiatric Medicine, North Chicago, IL Residency: Not Applicable, Residency: VA Salt Lake City Health Care Systems, Salt Lake City, UT Child & Adolescent Inpatient Mental Yaeggi, Brent, DPM Open Practice Status: Health Board Certified: American Board of Podiatric Surgery (Foot Surgery) Medical School: Scholl College of Podiatric Medicine, Chicago, IL Meriter Hospital Inc, , Open Residency: Covenant Medical Center, Waterloo, IA Board Certified: The Joint Commission Medical School: Not Applicable, UWHP WRMC Lake Mills Clinic (920) 648-4518 Residency: Not Applicable, 1025 Mulberry St Lake Mills, WI 53551 The Integral Psychology Center (608) 255-9330 Family Medicine including Obstetrics Practice Status: 1619 Monroe St Madison, WI 53711 Milford, James, MD Open Behavioral Health Clinic Practice Status: Board Certified: American Board of Family Medicine Medical School: Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL The Integral Psychology Center, , Residency: St. Michael's, Milwaukee, WI Board Certified: Not Applicable Licensed Clinical Social Worker Medical School: , Practice Status: Residency: , Peters, Christopher, LCSW Open Licensed Clinical Professional Practice Status: Board Certified: Not Applicable Counselor Medical School: Not Applicable, Residency: Not Applicable, Gillespie, Robert, LPC, LMFT Open Obstetrics and Gynecology Board Certified: Not Applicable Practice Status: Medical School: Drexel Univ, Philadelphia, PA Aafreen, Tahmina, MD Open Residency: , Board Certified: American Board of Obstetrics and Gynecology Licensed Clinical Social Worker Practice Status: Medical School: Northwestern University, Chicago, IL Residency: Southern Illinois University School of Medicine, Springfield, IL Geer, Susan, LCSW Open Physician Assistant Board Certified: Not Applicable Practice Status: Medical School: New York University, DeThier, Miranda, PA-C Open Residency: Not Applicable, Board Certified: National Commission on Certification of Physican Assistants Medical School: Marquette Univ, Milwaukee, WI Residency: ,
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Licensed Clinical Social Worker Practice Status: Physician Assistant Practice Status: Ishatova, Ciel, LCSW; LMFT Open Dahl, Carrie, PA-C Open Board Certified: Not Applicable Board Certified: National Commission on Certification of Physician Assistants Medical School: Univ of Wisconsin, Madison, WI Medical School: Univ of Wisconsin, Madison, WI Residency: Not Applicable, Residency: ,
Merritt, Dennis, LCSW Open Monroe, WI Board Certified: Not Applicable Medical School: Not Applicable, Monroe Manor (608) 325-9141 Residency: Not Applicable, 516 26th Ave Monroe, WI 53566 Whelan, Meredith, LCSW Open Skilled Nursing Facility Board Certified: Not Applicable Practice Status: Medical School: Not Applicable, Monroe Manor Nursing & Rehabilitation Center,Open , Residency: Not Applicable, Board Certified: Not Accredited Psychology Practice Status: Medical School: Not Applicable, Residency: Not Applicable, Cunningham, Lauren, PhD Open Board Certified: Not Applicable Premier Oral & Maxillofacial Surgery (608) 325-7177 Medical School: Univ of Kentucky, Lexington, KY 1005 16th Ave Monroe, WI 53566 Residency: ,
Mahlberg, Arden, PhD Open Oral & Maxillofacial Surgery Practice Status: Board Certified: Not Applicable Kuerschner, Thomas, DDS Open Medical School: Not Applicable, Board Certified: American Board of Oral and Maxillofacial Surgery Residency: Klameth Mental Health Center, Klameth Falls, OR Medical School: Marquette Univ School of Dentistry, Milwaukee, WI Milton, WI Residency: Univ of Louisville, Louisville, KY Open Hammer Chiropractic, LLC (608) 868-4343 Meister, Richard, DDS Board Certified: American Board of Oral and Maxillofacial Surgery 840 Arthur Dr Milton, WI 53563 Medical School: Marquette Univ School of Dentistry, Milwaukee, WI Residency: Hosp of St Raphael, New Haven, CT Chiropractic Practice Status: Misner, Jonathan, DMD Open Hammer, Christopher, DC Open Board Certified: Not Board Certified Board Certified: Not Applicable Medical School: Univ of Pittsburgh, Pittsburgh, PA Medical School: Northwestern College of Chiropractic, Bloomington, MN Residency: Univ of Minnesota, Minneapolis, MN Residency: Reeve Chiro Clinic, Austin, MN Swantek, Jason, DDS Open Mercy Milton Medical Center (608) 868-5800 Board Certified: Not Board Certified 725 South Janesville St Milton, WI 53563 Medical School: UIC College of Dentistry, Chicago, IL Residency: Woodhull Medical Center, Brooklyn, NY
Family Medicine Practice Status: Oconomowoc, WI Van Beek, Rodney, MD Open Rogers Memorial Hospital - (800) 767-4411 Board Certified: American Board of Family Medicine Oconomowoc Medical School: Univ of Oklahoma College of Medicine, Oklahoma City, OK Residency: Mercy Health System Family Practice Residency Program, Janesville, WI 34700 Valley Rd Oconomowoc, WI 53066
Family Medicine including Obstetrics Practice Status: Adult Addictions Residential Treatment Practice Status: Kulas, Daniel, MD Open Rogers Memorial Hospital - Oconomowoc, , Adult Board Certified: American Board of Family Medicine Board Certified: The Joint Commission Medical School: Medical College of Wisconsin, Medical School: Not Applicable, Residency: Mercy Health System Family Medicine Residency Program, Janesville, WI Residency: Not Applicable,
Internal Medicine Practice Status: Child & Adolescent Inpatient Mental Practice Status: Health Scola III, Anthony, MD Open Board Certified: American Board of Internal Medicine Rogers Memorial Hospital - Oconomowoc,Child , & Adolescent Medical School: Ross Univ School of Medicine, Portsmouth, Dominica Board Certified: The Joint Commission Residency: West Suburban Medical Center, Oak Park, IL Medical School: Not Applicable, Residency: Not Applicable,
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 24 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Waterloo, WI Luedtke-Storm-Mackey Chiropractic (920) 206-7959 Clinic UWHP WRMC Waterloo Clinic (920) 478-3776 208 W Main Street Watertown, WI 53094 111 Anna Street Waterloo, WI 53594 Chiropractic Practice Status: Family Medicine Practice Status: Horkan, Jeffrey, DC Open Atkins, Douglas, MD Open Board Certified: Not Applicable Board Certified: American Board of Family Medicine Medical School: Palmer College of Chiropractic, Davenport, IA Medical School: Univ of Wisconsin School of Medicine, Madison, WI Residency: , Residency: St. Joseph Medical Center, South Bend, IN Meade Medical Clinic (920) 261-6500 Siragusa, Jenifer, DO Open 134 Hospital Dr Watertown, WI 53098 Board Certified: American Board of Family Medicine Medical School: Arizona College of Osteopathic Medicine - Midwestern Univ, Glendale, AZ Residency: St. Luke's Family Practice, Milwaukee, WI Advanced Practice Nurse Prescriber Practice Status: Open Obstetrics and Gynecology Practice Status: Adams, Jeannie, APNP Board Certified: Pediatric Nursing Certification Board (Primary Care) Open Nguyen, VanLy, MD Medical School: UW-Madison School of Nursing, Madison, WI Board Certified: American Board of Obstetrics and Gynecology Residency: , Medical School: Univ of Arkansas for Medical Sciences, Little Rock, AR Residency: Cooper Univ Hospital UMDNJ, Camden, NJ Schuler, Lisa, APNP Open Board Certified: Pediatric Nursing Certification Board (Primary Care) Orthopaedic Surgery Practice Status: Medical School: Not Applicable, Residency: Not Applicable, Rhodes, Steven, MD Open Board Certified: American Board of Orthopaedic Surgery Family Medicine Practice Status: Medical School: Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL Residency: Medical College of Wisconsin, Milwaukee, WI Meade, James, MD Open Board Certified: American Board of Family Medicine Physician Assistant Practice Status: Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Harrisburg Hospital, Harrisburg, PA Knipfer, Kathleen, PA-C Open Board Certified: National Commission on Certification of Physician Assistants Pediatrics Practice Status: Medical School: Univ of Wisconsin, Madison, WI Residency: , Hayes, Kevin, DO Open Board Certified: American Board of Pediatrics Open Marsden, (Gordon) Roy, PA-C Medical School: Des Moines Univ, Des Moines, IA Board Certified: National Commission on Certification of Physician Assistants Residency: Univ of Wisconsin, Madison, WI Medical School: Univ of Wisconsin, Madison, WI Residency: , Martin, Scott, MD Open Board Certified: American Board of Pediatrics Watertown, WI Medical School: Univ of Wisconsin School of Medicine, Madison, WI Residency: Marshfield Clinic/St. Joseph's Hospital, Marshfield, WI Central Otologic, LTD (920) 261-0226 Open 123 Hospital Drive, Ste 106A Watertown, WI 53098 Meade, Jeffrey, MD Board Certified: American Board of Pediatrics Medical School: Univ of Wisconsin Medical School, Madison, WI Otolaryngology Practice Status: Residency: Mercy Hospital of Pittsburgh, Pittsburgh, PA Janowak, Michael, MD Open Physician Assistant Practice Status: Board Certified: American Board of Otolaryngology Medical School: Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL Fields, Dana, PA-C Open Residency: Med College of Wisconsin, Affiliated Hospitals, Milwaukee, WI Board Certified: National Commission on Certification of Physician Assistants Open Medical School: Marquette University, Milwaukee, WI Martinelli, Dean, MD Residency: , Board Certified: American Board of Otolaryngology Medical School: Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL Philip M. Marden, MD, SC (920) 261-3898 Residency: Milwaukee County General Hosp, 123 Hospital Drive, Suite 212- Watertown, WI 53098 East
Pediatrics Practice Status: Marden, Philip, MD Open Board Certified: American Board of Pediatrics Medical School: Univ of Wisconsin, Madison, WI Residency: University of Minnesota, Minneapolis, MN
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 25 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015
PMRis, SC - Watertown, Church St (877) 337-6747 Podiatry Practice Status: 1684 South Church St Watertown, WI 53094 Soderstrom, Victor, DPM Open Board Certified: American Board of Podiatric Surgery (Foot and Ankle Surgery) Physical Medicine & Rehabilitation Practice Status: Medical School: Illinois College of Podiatric Medicine, Chicago, IL Residency: Northwest General Hospital, Milwaukee, WI Fowler, William, MD Open Board Certified: American Board of Physicial Medicine & Rehabilitation Yaeggi, Brent, DPM Open Medical School: Univ of North Dakota School of Medicine, Grand Forks, ND Board Certified: American Board of Podiatric Surgery (Foot Surgery) Residency: Univ of Minnesota Hospital & Clinics, Minneapolis, MN Medical School: Scholl College of Podiatric Medicine, Chicago, IL Residency: Covenant Medical Center, Waterloo, IA PMRis, SC - Watertown, Hospital Dr (877) 337-6747 123 Hospital Drive, Suite 1008 Watertown, WI 53098 Turke Family Medicine, S.C. (920) 261-2020 132 Hospital Drive Watertown, WI 53098 Physical Medicine & Rehabilitation Practice Status: Family Medicine Practice Status: Fowler, William, MD Open Board Certified: American Board of Physicial Medicine & Rehabilitation Turke, Terry, MD Open Medical School: Univ of North Dakota School of Medicine, Grand Forks, ND Board Certified: American Board of Family Medicine Residency: Univ of Minnesota Hospital & Clinics, Minneapolis, MN Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Univ of Wisconsin Affiliated Hospitals, Madison, Wi Regional Gen & Vascular Surgeons (920) 261-5101 123 Hospital Dr Watertown, WI 53098 Physician Assistant Practice Status: Grimes, Teresa, PA-C Open Physician Assistant Practice Status: Board Certified: National Commission on Certification of Physician Assistants Marshall, Kimberly, PA-C Open Medical School: Univ of Wisconsin, Madison, WI Residency: Not Applicable, Board Certified: National Commission on Certification of Physician Assistants Medical School: Rosalind Franklin Univ of Medicine & Science, North Chicago, IL UWHP Watertown Regional Medical (920) 261-4210 Residency: , Center Surgery Practice Status: 125 Hospital Dr Watertown, WI 53098 Markus, Stanley, MD Open Hospitals Practice Status: Board Certified: American Board of Surgery Medical School: Wright State Univ, Dayton, OH UWHP Watertown Regional Medical Center, , Open Residency: Mt. Carmel Hospital, Board Certified: The Joint Commission Pangallo, Cynthia, MD Open Medical School: Not Applicable, Residency: Not Applicable, Board Certified: American Board of Surgery Medical School: Univ of Wisconsin, Madison, WI Pain Management Practice Status: Residency: Hospital of St. Raphael, New Haven, CT Dogra, Anil, MD Open Open Stoddard, Emily, MD Board Certified: American Board of Anesthesiology (Pain Medicine Board Certified: American Board of Surgery Medical School: University College of Medical Sciences, New Delhi, India Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Albert Einstein College of Medicine, Bronx, NY Residency: Univ of Wisconsin Hospital and Clinics, Madison, WI Sadeghi, Ali, MD Open Richard Neils, MD Office (920) 261-4143 Board Certified: American Board of Anesthesiology (Pain Medicine) 123 Hospital Dr, Ste 106 Watertown, WI 53098 Medical School: Goteborg University, Goteborg, Sweden Residency: Rush Pres. St. Lukes, Chicago, IL Dermatology Practice Status: UWHP WRMC Bellissa Plastic (920) 262-4577 Neils, Richard, MD Open Surgery Board Certified: American Board of Dermatology AND American Board of Internal 123 Hospital Drive, Suite 2003 Watertown, WI 53098 Medical School: UnivMedicine of Minnesota, Minneapolis, MN
Residency: Roger Williams General Hosp, Providence, RI Plastic Surgery Practice Status: Rock River Foot & Ankle Clinic (920) 261-9610 Parkins, Maida, MD Open Watertown, WI 53094 Board Certified: American Board of Plastic Surgery 101 Oakridge Court, Suite A Medical School: Univ of Illinois College of Medicine, Peoria, IL Residency: Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI Podiatry Practice Status: Graglia, Greg, DPM Open Board Certified: American Board of Podiatric Surgery Medical School: Scholl College of Podiatric Medicine, North Chicago, IL Residency: VA Salt Lake City Health Care Systems, Salt Lake City, UT
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 26 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 UWHP WRMC Center for Eye Care (920) 261-8225 UWHP WRMC Directions Counseling (920) 262-4800 123 Hospital Dr, Suite 1002 Watertown, WI 53098 Center 129 Hospital Dr Watertown, WI 53098 Ophthalmology Practice Status: Behavioral Health Clinic Boush, George, MD Open Practice Status: Board Certified: American Board of Ophthalmology UWHP WRMC Directions Counseling Center, , Medical School: Univ of Wisconsin, Madison, WI Board Certified: Not Applicable Residency: Univ of Wisconsin Hospital & Clinics, Madison, WI Medical School: , Residency: , Sullivan, Sheila, DO Open Board Certified: Not Board Certified Clinical Substance Abuse Counselor Practice Status: Medical School: DesMoines Univ, College of Osteopathic Medicine, Des Moines, IA Residency: Philadeplphia College of Osteopathic Medicine, Philadelphia, PA Turk, John, CSAC Open Board Certified: Not Applicable Van Hecke, Holly, MD Open Medical School: Not Applicable, Board Certified: American Board of Opthalmology Residency: Not Applicable, Medical School: Univ of Illinois College of Medicine, Chicago, IL Residency: Univ of Illinois Eye & Ear Infirmary, Chicago, IL Licensed Clinical Social Worker Practice Status: Open Optometry Practice Status: Kersten, Elaine, LCSW; LMFT Board Certified: Not Applicable Anslinger, John, OD Open Medical School: Not Applicable, Board Certified: Not Applicable Residency: Not Applicable, Medical School: Indiana Univ, Indiana Residency: Not Applicable, Loescher, Janell, LCSW Open Board Certified: Not Applicable Roberson, Daniel, OD Open Medical School: Univ of Wisconsin Milwaukee, Milwaukee, WI Board Certified: Not Applicable Residency: , Medical School: New England College of Optometry, Boston, MA Residency: Captain James A. Lovell Federal Health Care Center, N. Chicago, IL O'Neill, Kathleen, LCSW Open Board Certified: Not Applicable UWHP WRMC Center for Women's (920) 262-4825 Medical School: Not Applicable, Health Residency: Not Applicable, 128 Hospital Drive Watertown, WI 53098 Peters, Christopher, LCSW Open Board Certified: Not Applicable Advanced Practice Nurse Prescriber Practice Status: Medical School: Not Applicable, Residency: Not Applicable, Howard, Karen, APNP Open Board Certified: National Certification Corporation (Women's Health Care) Psychiatry Practice Status: Medical School: Mt. Senario Collge, Ladysmith, WI Residency: , Diamond, Ronald, MD Open Board Certified: American Board of Psychiatry and Neurology Obstetrics and Gynecology Practice Status: Medical School: Univ of Pennsylvania School of Medicine, Philadelphia, PA Residency: Stanford Hospital & Clinics, Stanford, CA Aafreen, Tahmina, MD Open Board Certified: American Board of Obstetrics and Gynecology Fallucca, Erin, MD Open Medical School: Northwestern University, Chicago, IL Board Certified: American Board of Psychiatry and Neurology Residency: Southern Illinois University School of Medicine, Springfield, IL Medical School: Wayne State Univ School of Medicine, Detroit, MI Residency: Detroit Medical Center, Detroit, MI DeJong, Julie, MD Open Board Certified: American Board of Obstetrics and Gynecology Psychology Practice Status: Medical School: Univ of Wisconsin, Madison, WI Residency: Univ of Iowa Hospital and Clinics, Iowa City, IA Beaver, Erik, PhD Open Board Certified: Not Applicable Nguyen, VanLy, MD Open Medical School: Northern IL Univ, Dekalb, IL Board Certified: American Board of Obstetrics and Gynecology Residency: Not Applicable, Medical School: Univ of Arkansas for Medical Sciences, Little Rock, AR Residency: Cooper Univ Hospital UMDNJ, Camden, NJ UWHP WRMC Doctors Court Clinic (920) 261-4111 1507 Doctors Ct Watertown, WI 53094
Family Medicine including Obstetrics Practice Status: Grajewski, Michael, MD Open Board Certified: American Board of Family Medicine Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Univ of Missouri, Kansas City, MO
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 27 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015
Physician Assistant Practice Status: Orthopaedic Surgery Practice Status: Barnett, Sarah, PA-C Open Rhodes, Steven, MD Open Board Certified: National Commission for the Certification of Physician Assistants Board Certified: American Board of Orthopaedic Surgery Medical School: Marquette University, Milwaukee, WI Medical School: Loyola Univ of Chicago Stritch School of Medicine, Chicago, IL Residency: Not Applicable, Residency: Medical College of Wisconsin, Milwaukee, WI
Kolkovich, Cheryl, PA-C Open Roman, Terry, DO Open Board Certified: National Commission on Certification of Physician Assistants Board Certified: Not Board Certified Medical School: Finch Univ of Health Sciences, The Chicago Medical School, North Medical School: A.T. Still University, Kirksville, MO Residency: NotChicago, Applicable, IL Residency: Michigan State University, Grand Blanc, MI
Physician Assistant UWHP WRMC Heart & Vascular (920) 262-4434 Practice Status: Center Pacey, Deborah, PA-C Open 125 Hospital Drive Watertown, WI 53098 Board Certified: National Commission on Certification of Physician Assistants Medical School: Univ of Wisconsin, Madison, WI Residency: , Cardiology Practice Status: Trieloff, Debra, PA-C Open Cullinane, David, MD Open Board Certified: National Commission on Certification of Physician Assistants Board Certified: American Board of Internal Medicine(Cardiovascular Disease) Medical School: Univ of WI Madison, Madison, WI Medical School: UW Medical School, Madison, WI Residency: , Residency: Medical College of Wisconsin Hospital & Clinics, Milwaukee, WI UWHP WRMC Urgent Care (920) 262-4210 UWHP WRMC Hospital Drive Clinic (920) 262-9833 123 Hospital Drive, Suite 2004 Watertown, WI 53098 123 Hospital Dr, Ste 2009 Watertown, WI 53098
Urgent Care Center Practice Status: Internal Medicine Practice Status: UWHP Watertown Regional Medical Center, , Open Miller, Kenneth, MD Open Board Certified: The Joint Commission Board Certified: American Board of Internal Medicine Medical School: Not Applicable, Medical School: University of Wisconsin Medical School, Madison, WI Residency: Not Applicable, Residency: LaCrosse Lutheran Hospital, LaCrosse, WI UWHP WRMC Urology Clinic (920) 261-1334 Samdani, Moazam Jah, MD Open Watertown, WI 53098 Board Certified: American Board of Internal Medicine 123 Hospital Dr, Ste 2006 Medical School: Liaquat Medical College, Pakistan, Residency: Louis A. Weiss Mem Hosp,, Chicago, IL Physician Assistant Practice Status: UWHP WRMC Integrative Medicine (920) 262-4371 Marsden, (Gordon) Roy, PA-C Open Clinic Board Certified: National Commission on Certification of Physician Assistants Watertown, WI 53098 Medical School: Univ of Wisconsin, Madison, WI 125 Hospital Drive Residency: ,
Physician Assistant Practice Status: Urology Practice Status: Knipfer, Kathleen, PA-C Open Sokovich, Ronald, MD Open Board Certified: National Commission on Certification of Physician Assistants Board Certified: American Board of Urology Medical School: Univ of Wisconsin, Madison, WI Medical School: Southern Illinois Univ School of Medicine, Springfield, IL Residency: , Residency: URO Rush Medical Center, Chicago, IL UWHP WRMC Orthopedics and (920) 261-8011 Watertown Chiropractic (920) 261-2204 Sports Medicine 615 E Main, Ste B Watertown, WI 53094 123 Hospital Dr, Ste 1008 Watertown, WI 53098 Chiropractic Practice Status: Orthopaedic Surgery Practice Status: Fruendt, Jeffrey, DC Open O'Halloran, Kevin, MD Open Board Certified: Not Applicable Medical School: Palmer College of Chiropractic, Davenport, IA Board Certified: American Board of Orthopaedic Surgery Residency: Not Applicable, Medical School: Univ of Illinois College of Medicine, Chicago, IL Residency: Rush-Presbyterian-St. Lukes,, Chicago, Il
Pals, Steven, MD Open Board Certified: American Board of Orthopaedic Surgery Medical School: Tufts Univ School of Medicine, Boston, MA Residency: Fitzsimons Army Medical Center, Aurora, CO
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 28 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Watertown Family Practice (920) 261-8500 Whitewater, WI Watertown, WI 53098 127 Hospital Dr Fort HealthCare Center for Womens (262) 473-8920 Health Family Medicine Practice Status: 1461 W Main St Whitewater, WI 53190 Cochrane, Bruce, MD Open Board Certified: American Board of Family Medicine Advanced Practice Nurse Prescriber Practice Status: Medical School: Chicago Medical School, Chicago, IL Residency: Southern Illiniois Univ School of Medicine, Springfield, IL Dedrick, Joyce, APNP Open Open Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Holden, Richard, MD Medical School: Univ of Wisconsin, Madison, WI Board Certified: American Board of Family Medicine Residency: Not Applicable, Medical School: Univ of Missouri, Columbia, MO Residency: St. Mary's Hospital, University of Wisconsin, Madison, WI Obstetrics and Gynecology Practice Status: LeGrow, Robert, MD Open Aguirre de Baker, Nancy, MD Open Board Certified: American Board of Family Medicine Board Certified: American Board of Obstetrics and Gynecology Medical School: Univ of Texas Medical School, Houston, TX Medical School: University of WI Madison, Madison, WI Residency: Memorial Family Medicine Residency Program, South Bend, IN Residency: University of WI Madison, Madison, WI
Sullivan, Michael, MD Open Dhillon, Satwant, MD Open Board Certified: American Board of Family Medicine Board Certified: American Board of Obstetrics and Gynecology Medical School: Univ of Illinois College of Medicine at Rockford, Medical School: Wayne State Univ School of Medicine, Detroit, MI Residency: Memorial Family Practice Residency, South Bend, IN Residency: Univ of Wisconsin, Madison, WI
Physician Assistant Practice Status: Mokhtar, Julie, DO Open Open Board Certified: American Board of Obstetrics and Gynecology Busalacchi, Rachel, PA-C Medical School: Univ of Osteopathic Medicine & Health Sciences, Des Moines, IA Board Certified: National Commision on Certification of Physician Assistants Residency: Brooklyn Hospital Center, New York Medical School: Marquette Univ, Milwaukee, WI Residency: , Fort HealthCare Ear, Nose and (262) 473-4081 Throat Specialists Flint, Lauren, PA-C Open Whitewater, WI 53190 Board Certified: National Commission on Certification of Physician Assistants 1461 West Main St Medical School: Marquette Univ, Milwaukee, WI Residency: Not Applicable, Otolaryngology Practice Status: Olszewski, Sarah, PA-C Open Hofmann, William, MD Open Board Certified: National Certification of Physician Assistants Board Certified: American Board of Otolaryngology Medical School: Midwestern Univ, Downers Grove, IL Medical School: Univ of Cincinnati College of Medicine, Cincinnati, OH Residency: , Residency: Indiana Univ Medical Center, Indianapolis, IN West Allis, WI Fort HealthCare Internal Medicine & (262) 473-5888 Pediatrics Rogers Memorial Hospital - West (800) 767-4411 Allis 1461 West Main St, Suite A Whitewater, WI 53190 11101 West Lincoln Ave West Allis, WI 53227 Internal Medicine Practice Status: Open Child & Adolescent Inpatient Mental Practice Status: Koenig, Laura, MD Health Board Certified: American Board of Internal Medicine Medical School: Univ of Wisconsin, Madison, WI Rogers Memorial Hospital - West Allis, , Child & Adolescent Residency: Univ of Wisconsin Hospital & Clinics, Madison, WI Board Certified: The Joint Commission Medical School: Not Applicable, Tackman, Thomas, MD Open Residency: Not Applicable, Board Certified: American Board of Internal Medicine Medical School: Medical College of Wisconsin, Milwaukee, WI Child & Adolescent Mental Health Day Practice Status: Residency: Medical College of Wisconsin Affiliated Hospitals, Treatment (Transitional) Pediatrics Practice Status: Rogers Memorial Hospital - West Allis, , Child & Adolescent Board Certified: The Joint Commission Lemon, Katherine, MD Open Medical School: Not Applicable, Board Certified: American Board of Pediatrics Residency: Not Applicable, Medical School: Univ of Wisconsin Medical School, Madison, WI Residency: Univ of Wisconsin Medicl School, Madison, WI
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 29 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Fort HealthCare Orthopaedic (920) 563-7888 Mercy Whitewater Medical Center (262) 473-0400 Associates 507 W Main St Whitewater, WI 53190 1461 W Main St Whitewater, WI 53190 Advanced Practice Nurse Prescriber Practice Status: Orthopaedic Surgery Practice Status: Heuss, Amber, APNP Open Schuppner, Paul, DO Open Board Certified: American Nurses Credentialing Center (Family Nurse Practitioner) Board Certified: Not Board Certified Medical School: Univ of Wisconsin, Milwaukee, Milwaukee, WI Medical School: Midwestern Univ Chicago College of Osteopathic Medicine, Downers Residency: , Residency: Grove,Michigan IL State Univ College of Osteopathic Medicine, Lansing, MI Family Medicine Practice Status:
Physician Assistant Practice Status: Harris, Nancy, MD Open Open Board Certified: American Board of Family Medicine Ott, Eugene, PA-C Medical School: Univ of Texas Southwestern Medical Center, Dallas, TX Board Certified: National Commission on Certification of Physician Assistants Residency: Commun Hospital, Indianapolis, IN Medical School: University of Wisconsin, Madison, WI Residency: , Family Medicine including Obstetrics Practice Status: Sund, Joni, PA-C Open Fechter, Janet, MD Open Board Certified: National Commission on Certification of Physician Assistants Board Certified: American Board of Family Medicine Medical School: Univ of Wisconsin, Madison, WI Medical School: St. George's Univ, Grenada, West Indies Residency: Not Applicable, Residency: Mercy Health System Family Practice Residency Program, Janesville, WI
Fort HealthCare Urology Associates (262) 473-7774 Orthopaedic Surgery Practice Status: 1461 West Main St Whitewater, WI 53190 Lyon, Craig, MD Open Board Certified: American Board of Orthopaedic Surgery Urology Practice Status: Medical School: Rush Medical College, Chicago, Il Residency: Univ of Iowa Hospitals & Clinics, Iowa City, IA Kozler, Craig, MD Open Board Certified: American Board of Urology Podiatry Practice Status: Medical School: Michigan State University, East Lansing, MI Open Residency: University of Michigan, Ann Arbor, MI Pfeifer, Mark, DPM Board Certified: American Board of Podiatric Orthopedics and Primary Podiatric Medicine Luedtke-Storm-Mackey Chiropractic (262) 753-0017 Medical School: Illinois (Dr Wm Scholl) College of Podiatric Medicine, Chicago, IL Clinic Residency: VAMC/US Naval Hospital, N Chicago, IL/Great Lakes, IL
1173 West Main St, Ste B Whitewater, WI 53190 Urgent Care Center Practice Status: Mercy Whitewater Medical Center, , Chiropractic Practice Status: Board Certified: Not Applicable Mackey, Jason, DC Open Medical School: Not Applicable, Board Certified: Not Applicable Residency: Not Applicable, Medical School: Palmer Chiropractic College, Davenport, IA Residency: Not Applicable, Rock River Foot & Ankle Clinic (920) 563-2136 1461 West Main St Whitewater, WI 53190 Smith, Luke, DC Open Board Certified: Not Applicable Podiatry Medical School: National Univ of Health Science, Lombard, IL Practice Status: Residency: , Graglia, Greg, DPM Open Mercy Options Behavioral Health (608) 756-5555 Board Certified: American Board of Podiatric Surgery Medical School: Scholl College of Podiatric Medicine, North Chicago, IL Clinic - Whitewater Residency: VA Salt Lake City Health Care Systems, Salt Lake City, UT 507 W Main St Whitewater, WI 53190 Veale Chiropractic Office, LLC (262) 473-7274 Behavioral Health Clinic Practice Status: 543 South Putnam St Whitewater, WI 53190 Mercy Options Behavioral Health Clinic - Whitewater, , Chiropractic Practice Status: Board Certified: Not Applicable Medical School: , Veale, Brian, DC Open Residency: , Board Certified: Not Applicable Licensed Clinical Social Worker Medical School: Palmer College of Chiropractic, Davenport, IA Practice Status: Residency: Not Applicable, Kollmansberger, Benno, LPC, LCSW Open Board Certified: Not Applicable Medical School: , Residency: ,
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 30 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Williams Bay, WI Williams Bay Care Center (262) 245-6400 Williams Bay, WI 53191 Mercy Options Behavioral Health (262) 245-5608 146 Clover Street Clinic - Walworth Skilled Nursing Facility Practice Status: N2846 State Road 67 Williams Bay, WI 53191 Williams Bay Care Center, , Open Advanced Practice Nurse Prescriber Practice Status: Board Certified: Not Accredited Medical School: , Bunnell, Ann, APNP Open Residency: , Board Certified: American Nurses Credentialing Center (Child and Adolescent Mental Medical School: ,Health) Algonquin, IL
Residency: , Mercy Algonquin Medical Center (847) 458-5440 2401 Harnish Dr Algonquin, IL 60102 Behavioral Health Clinic Practice Status:
Mercy Options Behavioral Health Clinic - Walworth, , Allergy & Immunology Practice Status: Board Certified: Not Applicable Medical School: , Vemuri, Preeti, MD Open Residency: , Board Certified: American Board of Allergy and Immunology and American Board of Medical School: BostonInternal UnivMedicine School of Medicine, Boston, MA Licensed Clinical Social Worker Practice Status: Residency: McGaw Medical Center of Northwestern Univ, Chicago, IL Deller, Julia, LCSW Open Otolaryngology Board Certified: Not Applicable Practice Status: Medical School: Univ of Chicago, Chicago, IL Cundiff, Jason, MD Open Residency: Not Applicable, Board Certified: American Board of Otolaryngology Haakenson, Karla, LCSW Open Medical School: Univ of Illinois at Chicago, Chicago, IL Residency: Univ of Illinois at Chicago-Eye and Ear Infirmary, Chicago, IL Board Certified: Not Applicable Medical School: Univ of Wisconsin, Whitewater, WI Goodman, David, MD Open Residency: , Board Certified: American Board of Otolaryngology Splinter, Sarah, LCSW Open Medical School: State Univ of New York, Syracuse, NY Residency: Univ of Illinois, Chicago, IL Board Certified: Not Applicable Medical School: Univ of Wisconsin, Milwaukee, WI Livingston, Gary, MD Open Residency: , Board Certified: American Board of Otolaryngology Licensed Professional Counselor Practice Status: Medical School: Loyola Stritch School of Med., Maywood, IL Residency: Univ of Illinois, Chicago, IL Jedrzejczak, Darolyn, LPC Open Podiatry Board Certified: Not Applicable Practice Status: Medical School: , Hyderi, Zehra, DPM Open Residency: , Board Certified: American Board of Podiatric Surgery Littig, Karen, LPC Open Medical School: Ohio College of Podiatric Medicine, Cleveland, OH Residency: College Hospital Costa Mesa, Costa Mesa, CA Board Certified: Not Applicable Medical School: , Pulmonary Disease Residency: , Practice Status: Mehta, Daksha, MD Open Rice, Julie, LPC Open Board Certified: American Board of Internal Medicine (Pulmonary Disease) Board Certified: Not Applicable Medical School: NHL Municipal Medical College, Guyarat, India Medical School: , Residency: St. Francis Hospital, Evanston, IL Residency: , Barrington, IL Psychiatry Practice Status: Callison, (Sue) Ann, MD Open Mercy Barrington Medical Center (847) 381-3000 Board Certified: American Board of Psychiatry and Neurology (Child and Adolescent 500 W Hwy 22 Barrington, IL 60010 Medical School: UniversityPsychiatry) of Arizona, Tucson, AZ
Residency: Univ. of Arizona, Tucson, AZ Allergy & Immunology Practice Status: Vemuri, Preeti, MD Open Substance Abuse Counselor Practice Status: Board Certified: American Board of Allergy and Immunology and American Board of Wood, Heidi, SAC Open Medical School: BostonInternal UnivMedicine School of Medicine, Boston, MA Board Certified: Not Applicable Residency: McGaw Medical Center of Northwestern Univ, Chicago, IL Medical School: Univ of Wisconsin, Whitewater, WI Residency: ,
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 31 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015
Dermatology Practice Status: Otolaryngology Practice Status: Khanna, Vikram, MD Open Goodman, David, MD Open Board Certified: American Board of Dermatology Board Certified: American Board of Otolaryngology Medical School: Northwestern Univ Medical School, Chicago, IL Medical School: State Univ of New York, Syracuse, NY Residency: Case Western Reserve University, Cleveland, OH Residency: Univ of Illinois, Chicago, IL
Otolaryngology Practice Status: Livingston, Gary, MD Open Open Board Certified: American Board of Otolaryngology Cundiff, Jason, MD Medical School: Loyola Stritch School of Med., Maywood, IL Board Certified: American Board of Otolaryngology Residency: Univ of Illinois, Chicago, IL Medical School: Univ of Illinois at Chicago, Chicago, IL Residency: Univ of Illinois at Chicago-Eye and Ear Infirmary, Chicago, IL Pulmonary Disease Practice Status: Goodman, David, MD Open Mehta, Daksha, MD Open Board Certified: American Board of Otolaryngology Board Certified: American Board of Internal Medicine (Pulmonary Disease) Medical School: State Univ of New York, Syracuse, NY Medical School: NHL Municipal Medical College, Guyarat, India Residency: Univ of Illinois, Chicago, IL Residency: St. Francis Hospital, Evanston, IL
Livingston, Gary, MD Open Mercy Crystal Lake Med Center - (815) 356-7494 Board Certified: American Board of Otolaryngology South Medical School: Loyola Stritch School of Med., Maywood, IL Crystal Lake, IL 60014 Residency: Univ of Illinois, Chicago, IL 415-A Congress Parkway
Physician Assistant Practice Status: Advanced Practice Nurse Prescriber Practice Status: McNatt, Denise, PA-C Open Winkelman, Kelly, APNP Open Board Certified: National Commission on Certification of Physician Assistants Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Medical School: Duke Univ, Durham, NC Medical School: Northern Illinois University, Dekalb, Il Residency: , Residency: ,
Podiatry Practice Status: Family Medicine Practice Status: Hyderi, Zehra, DPM Open Seneviratne, Krishanthi, MD Open Board Certified: American Board of Podiatric Surgery Board Certified: American Board of Family Medicine Medical School: Ohio College of Podiatric Medicine, Cleveland, OH Medical School: Faculty of Medicine Univ of Kelaniya, Ragama, WP Residency: College Hospital Costa Mesa, Costa Mesa, CA Residency: Mount Sinai Hospital, Chicago, IL
Crystal Lake, IL Shen, Emily, MD Open Board Certified: American Board of Family Medicine Mercy Crystal Lake Chiropractic and (815) 455-1751 Medical School: Beijing Medical University, Beijing, China Rehab Ctr Residency: West Suburban Medical Center, Oak Park, IL 60302 330 West Terra Cotta, Ste D Crystal Lake, IL 60014 Orthopaedic Surgery Practice Status: Open Chiropractic Practice Status: Krpan, Marko, DO Board Certified: American Osteopathic Board of Orthopaedic Surgeons Gabbert, Rodney, DC Open Medical School: Univ of Oseopathic Medicine & Health Services, Des Moines, IA Board Certified: Not Applicable Residency: Michigan State U, Oakland General Hospital, Madison Heights, MI Medical School: Palmerc College of Chiropractic, Davenport, IA Residency: , Physician Assistant Practice Status: Mercy Crystal Lake Med Center - East (815) 455-0850 Palecek, Erin, PA-C Open 390 Congress Parkway, Suite M Crystal Lake, IL 60014 Board Certified: National Commission on Certification of Physician Assistants Medical School: Univ of Toledo, Toledo, OH Residency: , Allergy & Immunology Practice Status: Podiatry Practice Status: Vemuri, Preeti, MD Open Open Board Certified: American Board of Allergy and Immunology and American Board of Lisowsky, Mykola, DPM Medical School: BostonInternal UnivMedicine School of Medicine, Boston, MA Board Certified: American Board of Podiatric Surgery Medical School: Ohio College of Podiatric Medicine, Cleveland, OH Residency: McGaw Medical Center of Northwestern Univ, Chicago, IL Residency: Loyola University Medical Center, Maywood, IL
Otolaryngology Practice Status: Rusthoven, Timothy, DPM Open Cundiff, Jason, MD Open Board Certified: American Board of Lower Extremity Surgery Medical School: Dr. William M. Scholl College, Chicago, IL Board Certified: American Board of Otolaryngology Residency: Colmery-O'Neal Veterans Affairs Med Cntr, Topeka, KS Medical School: Univ of Illinois at Chicago, Chicago, IL Residency: Univ of Illinois at Chicago-Eye and Ear Infirmary, Chicago, IL
9/4/2014 W1 Practice Status: Open = Accepting New Patients; Closed = Not Accepting New Patients Page 32 of 36 MercyCare Health Plans Provider Directory State of Wisconsin - 2015 Mercy Crystal Lake Med Center - (815) 477-1555 Mercy Harvard Hospital (815) 943-5431 West 901 Grant St Harvard, IL 60033 350 Congress Parkway, Suite E Crystal Lake, IL 60014 Gastroenterology Practice Status: Neurology Practice Status: Qazi, Baseer, MD Open Dave, Amarish, DO Open Board Certified: American Board of Internal Medicine (Gastroenterology) Board Certified: American Board of Psychiatry and Neurology Medical School: Declan College of Medical Sciences, Hyderabad, India Medical School: Chicago College of Osteopathic Medicine, Downers Grove, IL Residency: Advocate Lutheran General Hospital, Park Ridge, IL Residency: University of Illinois at Chicago, Chicago, IL Hospitals Practice Status: Mercy Crystal Lake OB/GYN (815) 459-1212 Mercy Harvard Hospital, , Open Crystal Lake, IL 60014 750 E Terra Cotta, Suite B Board Certified: The Joint Commission Medical School: Not Applicable, Certified Nurse Practitioner Practice Status: Residency: Not Applicable,
Hepperlen, Christine, CNP Open Surgery Practice Status: Board Certified: The National Certification Corporation - Women's Health Care Nurse Open Medical School: ThePractitioner Catholic Univ of America, Washington, DC Bryan, Douglas, MD Board Certified: American Board of Surgery (Vascular Surgery) Residency: Not Applicable, Medical School: State Univ of New York HSC & Brooklyn, Brooklyn, NY Harvard, IL Residency: Harlem Hospital Medical Center, New York, NY Mercy Harvard Hospital Clinic (815) 943-8090 Mercy Assisted Care/Home Medical (815) 943-2071 1001 Grant St Harvard, IL 60033 Equipment and Supplies
1819 N Division St Harvard, IL 60033 Advanced Practice Nurse Prescriber Practice Status: Open Durable Medical Equipment Supplier Practice Status: Winkelman, Kelly, APNP Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Mercy Assisted Care - Harvard, , Medical School: Northern Illinois University, Dekalb, Il Board Certified: Residency: , Medical School: , Residency: , Cardiovascular Disease Practice Status: Mercy Harvard Care Center (815) 943-2961 Khemani, Anil, MD Open Harvard, IL 60033 Board Certified: American Board of Internal Medicine (Cardiovascular Disease) 901 Grant St Medical School: Patna Med College, Patna, India Residency: All India Inst of Med Sciences, New Delhi, India Skilled Nursing Facility Practice Status: Gastroenterology Practice Status: Mercy Harvard Care Center, , Open Open Board Certified: The Joint Commission Hussain, Yasmin, MD Medical School: Not Applicable, Board Certified: American Board of Internal Medicine (Gastroenterology) Residency: Not Applicable, Medical School: Univ of Punjab Fatima Jinnah Medical College, Lahore, Pakistan Residency: Loyola Univ Medical Center/Hines VA Hospital, Maywood, IL Mercy Harvard Clinic South (815) 943-1122 Ophthalmology 348 S Division St Harvard, IL 60033 Practice Status: Rhee, Jung, MD Open Family Medicine Practice Status: Board Certified: American Board of Ophthalmology Medical School: Univ of Chicago Pritzker School of Medicine, Chicago, IL Khan-Mundozie, Viquar, MD Open Residency: Texas Tech University Health Science Center, Lubbock, TX Board Certified: American Board of Family Medicine Medical School: Deccan College of Medical Sciences, Hyderabad, AP, India Orthopaedic Surgery Practice Status: Residency: St. Louis Univ School of Medicine, St. Louis, MO DeHaan, Paul, MD Open Virani, Shailesh, MD Open Board Certified: American Board of Orthopaedic Surgery Board Certified: American Board of Family Medicine Medical School: Abraham Lincoln School of Medicine Univ of IL, Chicago, IL Medical School: Mahatma Gandhi Mission's Medical College, India Residency: Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI Residency: Rush Copley Family Practice Residency, Aurora, IL Physician Assistant Practice Status: Pediatrics Practice Status: Houtakker, Jeremy, PA-C Open Castillo, Allen, MD Open Board Certified: National Commission on Certification of Physician Assistants Board Certified: Not Board Certified Medical School: , Medical School: Univ of Santo Tomas, Manila, Philippines Residency: , Residency: Medical City Hospital, Manila, Philippines
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Podiatry Practice Status: Mercy McHenry Internal Medicine (815) 344-2760 Center Lisowsky, Mykola, DPM Open Board Certified: American Board of Podiatric Surgery 633 Ridgeview Dr McHenry, IL 60050 Medical School: Ohio College of Podiatric Medicine, Cleveland, OH Residency: Loyola University Medical Center, Maywood, IL Internal Medicine Practice Status:
Pulmonary Disease Practice Status: Mitra, Deepak, MD Open Balagani, Rajesh, DO Open Board Certified: American Board of Internal Medicine Medical School: Univ of Illinois, Chicago, IL Board Certified: American Board of Internal Medicine (Critical Care Medicine) (Pulmonary Residency: Mayo Clinic-Mayo Graduate School of Medicine, Rochester, MN Medical School: ChicagoDisease) College of Osteopathic Medicine, Midwestern Univ, Downers Grove, IL Mercy McHenry Medical Center (815) 344-4499 Residency: Evanston Northwestern Hospital, Evanston, IL 3922 Mercy Dr McHenry, IL 60050 Mehta, Daksha, MD Open Board Certified: American Board of Internal Medicine (Pulmonary Disease) Advanced Practice Nurse Prescriber Practice Status: Medical School: NHL Municipal Medical College, Guyarat, India Residency: St. Francis Hospital, Evanston, IL Winkelman, Kelly, APNP Open Surgery Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Practice Status: Medical School: Northern Illinois University, Dekalb, Il Bryan, Douglas, MD Open Residency: , Board Certified: American Board of Surgery (Vascular Surgery) Family Medicine Practice Status: Medical School: State Univ of New York HSC & Brooklyn, Brooklyn, NY Residency: Harlem Hospital Medical Center, New York, NY Seneviratne, Krishanthi, MD Open Open Board Certified: American Board of Family Medicine Greenberg, James, MD Medical School: Faculty of Medicine Univ of Kelaniya, Ragama, WP Board Certified: American Board of Surgery Residency: Mount Sinai Hospital, Chicago, IL Medical School: Univ of Missouri, Kansas City, MO Residency: Loyola Univ Medical Center, Maywood, IL Gastroenterology Practice Status:
Vascular Surgery Practice Status: Qazi, Baseer, MD Open Open Board Certified: American Board of Internal Medicine (Gastroenterology) Bryan, Douglas, MD Medical School: Declan College of Medical Sciences, Hyderabad, India Board Certified: American Board of Surgery (Vascular Surgery) Residency: Advocate Lutheran General Hospital, Park Ridge, IL Medical School: State Univ of New York HSC & Brooklyn, Brooklyn, NY Residency: Harlem Hospital Medical Center, New York, NY Internal Medicine Practice Status: McHenry, IL Mitra, Deepak, MD Open Board Certified: American Board of Internal Medicine Mercy Center for Corrective Eye (800) 422-6733 Medical School: Univ of Illinois, Chicago, IL Surgery - McHenry Residency: Mayo Clinic-Mayo Graduate School of Medicine, Rochester, MN 5400 West Elm Street, Suite 120 McHenry, IL 60050 Orthopaedic Surgery Practice Status: Open Ophthalmology Practice Status: DeHaan, Paul, MD Board Certified: American Board of Orthopaedic Surgery Epstein, Robert, MD Open Medical School: Abraham Lincoln School of Medicine Univ of IL, Chicago, IL Board Certified: American Board of Ophthalmology Residency: Medical College of Wisconsin Affiliated Hospitals, Milwaukee, WI Medical School: College of Medicine and Dentistry of New Jersey, New Jersey Medical Residency: UniversitySchool of Illinois Eye & Ear Infirmary, Chicago, IL Otolaryngology Practice Status: Cundiff, Jason, MD Open Open Rhee, Jung, MD Board Certified: American Board of Otolaryngology Board Certified: American Board of Ophthalmology Medical School: Univ of Illinois at Chicago, Chicago, IL Medical School: Univ of Chicago Pritzker School of Medicine, Chicago, IL Residency: Univ of Illinois at Chicago-Eye and Ear Infirmary, Chicago, IL Residency: Texas Tech University Health Science Center, Lubbock, TX Livingston, Gary, MD Open Mercy McHenry Immediate Care (815) 578-2020 Board Certified: American Board of Otolaryngology 3922 Mercy Dr McHenry, IL 60050 Medical School: Loyola Stritch School of Med., Maywood, IL Residency: Univ of Illinois, Chicago, IL Immediate Care Center Practice Status: Physician Assistant Practice Status: Open Mercy McHenry Immediate Care Center, , Armstrong, Erika, PA-C Open Board Certified: Not Applicable Board Certified: National Commission on Certification of Physician Assistants Medical School: Not Applicable, Medical School: Rochester Institute of Technology, Rochester, NY Residency: Not Applicable, Residency: ,
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Podiatry Practice Status: Rosecrance on Harrison-Adult (815) 391-0100 Facility Hyderi, Zehra, DPM Open Board Certified: American Board of Podiatric Surgery 3815 W. Harrison St Rockford, IL 61104 Medical School: Ohio College of Podiatric Medicine, Cleveland, OH Residency: College Hospital Costa Mesa, Costa Mesa, CA Adult Addictions Inpatient Rehabilitation Practice Status: Petersen, Michael, DPM Open Rosecrance on Harrison, , Adult Board Certified: American Board of Podiatric Orthopedics and Primary Podiatric Medicine Board Certified: The Joint Commission Medical School: Illinois ollege of Podiatric Medicine, Chicago, IL Medical School: Not Applicable, Residency: Not Applicable, Residency: Not Applicable,
Pulmonary Disease Practice Status: Roscoe, IL Balagani, Rajesh, DO Open Premier Oral & Maxillofacial Surgery (815) 525-4700 Board Certified: American Board of Internal Medicine (Critical Care Medicine) (Pulmonary Roscoe, IL 61073 Medical School: ChicagoDisease) College of Osteopathic Medicine, Midwestern Univ, Downers 5606 E Rockton Road Grove, IL Residency: Evanston Northwestern Hospital, Evanston, IL Oral & Maxillofacial Surgery Practice Status: Niles, IL Meister, Richard, DDS Open Board Certified: American Board of Oral and Maxillofacial Surgery Mercy Center for Corrective Eye (847) 827-3937 Medical School: Marquette Univ School of Dentistry, Milwaukee, WI Surgery - Niles Residency: Hosp of St Raphael, New Haven, CT 8780 W Golf Rd, Suite 304 Niles, IL 60714 Swantek, Jason, DDS Open Ophthalmology Board Certified: Not Board Certified Practice Status: Medical School: UIC College of Dentistry, Chicago, IL Epstein, Robert, MD Open Residency: Woodhull Medical Center, Brooklyn, NY Board Certified: American Board of Ophthalmology Woodstock, IL Medical School: College of Medicine and Dentistry of New Jersey, New Jersey Medical Residency: UniversitySchool of Illinois Eye & Ear Infirmary, Chicago, IL Mercy Woodstock Medical Center (815) 337-7100 Woodstock, IL 60098 Rockford, IL 2000 Lake Ave Rosecrance Griffin Williamson (815) 391-1000 Advanced Practice Nurse Prescriber Practice Status: Campus Winkelman, Kelly, APNP Open 1601 University Dr Rockford, IL 61107 Board Certified: American Nurses Credentialing Center (Adult Nurse Practitioner) Medical School: Northern Illinois University, Dekalb, Il Residency: , Child & Adolescent Addictions Day Practice Status: Treatment (Transitional) Cardiovascular Disease Practice Status: Child & Adolescent Rosecrance Griffin Williamson Campus, , Khemani, Anil, MD Open Board Certified: The Joint Commission Board Certified: American Board of Internal Medicine (Cardiovascular Disease) Medical School: Not Applicable, Medical School: Patna Med College, Patna, India Residency: Not Applicable, Residency: All India Inst of Med Sciences, New Delhi, India Child & Adolescent Addictions Inpatient Practice Status: Chiropractic Practice Status: Rehabilitation Khanna, Ruby, DC Open Rosecrance Griffin Williamson Campus, ,Child & Adolescent Board Certified: Not Applicable Board Certified: The Joint Commission Medical School: Logan College of Chiropractic, Chesterfield, MO Medical School: Not Applicable, Residency: Not Applicable, Residency: Not Applicable, Dermatology Practice Status: Child & Adolescent Addictions Practice Status: Residential Treatment Khanna, Vikram, MD Open Rosecrance Griffin Williamson Campus, ,Child & Adolescent Board Certified: American Board of Dermatology Medical School: Northwestern Univ Medical School, Chicago, IL Board Certified: The Joint Commission Residency: Case Western Reserve University, Cleveland, OH Medical School: Not Applicable, Residency: Not Applicable, Dermatology Physician Assistant Practice Status: Watson, Christine, PA-C Open Board Certified: National Committion on Certification of Physician Assistants Medical School: , Residency: ,
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Family Medicine Practice Status: Podiatry Practice Status: Saikh, Shahariar, MD Open Lisowsky, Mykola, DPM Open Board Certified: American Board of Family Medicine Board Certified: American Board of Podiatric Surgery Medical School: International Univ of the Health Sciences, Basseterre, St. Kitts & Nevis Medical School: Ohio College of Podiatric Medicine, Cleveland, OH Residency: Mid Michigan Medical Center, Midland Family Med Residency Program, Residency: Loyola University Medical Center, Maywood, IL Midland, MI Rusthoven, Timothy, DPM Open Gastroenterology Practice Status: Board Certified: American Board of Lower Extremity Surgery Hussain, Yasmin, MD Open Medical School: Dr. William M. Scholl College, Chicago, IL Residency: Colmery-O'Neal Veterans Affairs Med Cntr, Topeka, KS Board Certified: American Board of Internal Medicine (Gastroenterology) Medical School: Univ of Punjab Fatima Jinnah Medical College, Lahore, Pakistan Pulmonary Disease Practice Status: Residency: Loyola Univ Medical Center/Hines VA Hospital, Maywood, IL Mehta, Daksha, MD Open Immediate Care Center Practice Status: Board Certified: American Board of Internal Medicine (Pulmonary Disease) Mercy Woodstock Medical Center, , Medical School: NHL Municipal Medical College, Guyarat, India Residency: St. Francis Hospital, Evanston, IL Board Certified: Not Applicable Medical School: Not Applicable, Surgery Practice Status: Residency: Not Applicable, Bryan, Douglas, MD Open Neurology Practice Status: Board Certified: American Board of Surgery (Vascular Surgery) Dave, Amarish, DO Open Medical School: State Univ of New York HSC & Brooklyn, Brooklyn, NY Residency: Harlem Hospital Medical Center, New York, NY Board Certified: American Board of Psychiatry and Neurology Medical School: Chicago College of Osteopathic Medicine, Downers Grove, IL Urology Practice Status: Residency: University of Illinois at Chicago, Chicago, IL Asbury, Jeffrey, MD Open Ophthalmology Practice Status: Board Certified: American Board of Urology Kershaw, Jeffrey, MD Open Medical School: Rush Medical College of Rush Univ, Chicago, IL Residency: Loyola Univ Medical Center, Maywood, IL Board Certified: Not Board Certified Medical School: Northwestern Univ Medical School, Chicago, IL Vascular Surgery Practice Status: Residency: Indiana Univ Medical Center, Indianapolis, IN Bryan, Douglas, MD Open Orthopaedic Surgery Practice Status: Board Certified: American Board of Surgery (Vascular Surgery) Tarandy, Dana, MD Open Medical School: State Univ of New York HSC & Brooklyn, Brooklyn, NY Residency: Harlem Hospital Medical Center, New York, NY Board Certified: American Board of Orthopaedic Surgery Medical School: Rush Medical College, Chicago, IL Residency: Univ of Ilinois at Chicago Medical Center, Chicago, IL
Physician Assistant Practice Status: Burns, Kevin, PA-C Open Board Certified: The National Commission on Certification of Physician Assistants Medical School: Rosalind Franklin Univ of Medicine and Health Sciences, North Chicago, Residency: IL,
McNatt, Denise, PA-C Open Board Certified: National Commission on Certification of Physician Assistants Medical School: Duke Univ, Durham, NC Residency: ,
Northern, Christopher, PA-C Open Board Certified: National Commission on Certification of Physican Assistants Medical School: , Residency: ,
Plastic Surgery Practice Status: Paresi, Robert, MD Open Board Certified: American Board of Plastic Surgery and American Board of Surgery Medical School: St. George Univ School of Medicine, Great River, NY Residency: Monmouth Medical Center, Long Branch, NJ
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