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NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License … Participating... ·...

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NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License Number Last Name First Name Participation Date Year OS0008233 ABDALLA EMIL 01/01/2016 2016 ME0046054 ABDELAZIZ MOHAMED 01/01/2016 2016 ME0117610 ABERN LAUREN 01/01/2016 2016 ME0107551 ABIOSE OLUFUNKE 01/01/2016 2016 ME0060459 ABREU JOSE 01/01/2016 2016 ME0063019 ABRUDESCU NICHOLAS 01/01/2016 2016 ME0063982 ABU JOHN 01/01/2016 2016 ME0119463 ACEVEDO MELISSA 01/01/2016 2016 ME0110712 ACHILLE FABIENNE 01/01/2016 2016 ME0050608 ACHOLONU FELIX 01/01/2016 2016 ME0104535 ACKERMAN JOSHUA 01/01/2016 2016 ME0052037 ACOSTA ROMEO 01/01/2016 2016 ME0093989 ACUNA JOANN 01/01/2016 2016 ME0096125 ADAMS CHANDRA 01/01/2016 2016 ME0094265 ADAMS CHRISTINA 01/01/2016 2016 ME0045738 ADAMS NELSON 01/01/2016 2016 ME0105385 ADDAE YUSIF 01/01/2016 2016 ME0078786 ADEBOYEJO GHEA 01/01/2016 2016 OS0007383 ADLER DAVID 01/01/2016 2016 ME0067571 AGRIOS ANTHONY 01/01/2016 2016 ME0115696 AHMED TAALIBAH 02/26/2016 2016 ME0059459 AKHIYAT MOHAMED 01/01/2016 2016 ME0117235 AKSU AHMET 01/01/2016 2016 ME0102729 ALAMI REDA 01/01/2016 2016 ME0046827 ALBERT MIGUEL 01/01/2016 2016 ME0056148 ALBRITTON JOHN 01/01/2016 2016 ME0116310 ALDABBAGH SIDIQ 01/01/2016 2016 ME0110723 ALEJANDRO-CORDERO NATALIA 01/01/2016 2016 ME0036984 ALEXIS WINSTON 01/01/2016 2016 ME0126629 ALI SADIA 04/26/2016 2016 ME0123036 ALIDINA JANEEN 01/01/2016 2016 ME0072193 ALKASS MARK 01/01/2016 2016 ME0119638 ALLISON ALLESSA 01/01/2016 2016 ME0114045 ALLISON MICHAEL 01/01/2016 2016 ME0074032 AL-MALT AHMED 01/01/2016 2016 ME0046652 ALTENHOFEN DEAN 01/01/2016 2016 ME0059124 ALVARADO MANUEL 01/01/2016 2016 ME0122371 ALVAREZ JOAN 01/01/2016 2016 ME0058869 ALVAREZ PEDRO 01/01/2016 2016 ME0070630 ALVAREZ WILFREDO 01/01/2016 2016 ME0067244 ALVAREZ-HERNANDEZ JORGE 01/01/2016 2016 ME0075757 AMOROSO MICHELE 01/01/2016 2016 ME0112697 AMYRADAKIS GEORGE 01/01/2016 2016 OS0007816 ANCHETA ARLEIGH 01/01/2016 2016 ME0096431 ANDAH EDMUND 01/01/2016 2016 ME0120614 ANDRADE RODRIGUEZ FAUSTO 01/01/2016 2016 ME0053597 ANDRES FRANK 01/01/2016 2016 ME0068243 ANDREWS ROBERT 01/01/2016 2016 ME0106657 ANGEL ALEJANDRA 01/01/2016 2016 ME0122662 ANGHEL LAVINIU 01/01/2016 2016 ME0110894 ANIM TANYA 01/01/2016 2016
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Page 1: NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License … Participating... · 2018-12-31 · NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License Number Last Name

NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

OS0008233 ABDALLA EMIL 01/01/2016 2016ME0046054 ABDELAZIZ MOHAMED 01/01/2016 2016ME0117610 ABERN LAUREN 01/01/2016 2016ME0107551 ABIOSE OLUFUNKE 01/01/2016 2016ME0060459 ABREU JOSE 01/01/2016 2016ME0063019 ABRUDESCU NICHOLAS 01/01/2016 2016ME0063982 ABU JOHN 01/01/2016 2016ME0119463 ACEVEDO MELISSA 01/01/2016 2016ME0110712 ACHILLE FABIENNE 01/01/2016 2016ME0050608 ACHOLONU FELIX 01/01/2016 2016ME0104535 ACKERMAN JOSHUA 01/01/2016 2016ME0052037 ACOSTA ROMEO 01/01/2016 2016ME0093989 ACUNA JOANN 01/01/2016 2016ME0096125 ADAMS CHANDRA 01/01/2016 2016ME0094265 ADAMS CHRISTINA 01/01/2016 2016ME0045738 ADAMS NELSON 01/01/2016 2016ME0105385 ADDAE YUSIF 01/01/2016 2016ME0078786 ADEBOYEJO GHEA 01/01/2016 2016OS0007383 ADLER DAVID 01/01/2016 2016ME0067571 AGRIOS ANTHONY 01/01/2016 2016ME0115696 AHMED TAALIBAH 02/26/2016 2016ME0059459 AKHIYAT MOHAMED 01/01/2016 2016ME0117235 AKSU AHMET 01/01/2016 2016ME0102729 ALAMI REDA 01/01/2016 2016ME0046827 ALBERT MIGUEL 01/01/2016 2016ME0056148 ALBRITTON JOHN 01/01/2016 2016ME0116310 ALDABBAGH SIDIQ 01/01/2016 2016ME0110723 ALEJANDRO-CORDERO NATALIA 01/01/2016 2016ME0036984 ALEXIS WINSTON 01/01/2016 2016ME0126629 ALI SADIA 04/26/2016 2016ME0123036 ALIDINA JANEEN 01/01/2016 2016ME0072193 ALKASS MARK 01/01/2016 2016ME0119638 ALLISON ALLESSA 01/01/2016 2016ME0114045 ALLISON MICHAEL 01/01/2016 2016ME0074032 AL-MALT AHMED 01/01/2016 2016ME0046652 ALTENHOFEN DEAN 01/01/2016 2016ME0059124 ALVARADO MANUEL 01/01/2016 2016ME0122371 ALVAREZ JOAN 01/01/2016 2016ME0058869 ALVAREZ PEDRO 01/01/2016 2016ME0070630 ALVAREZ WILFREDO 01/01/2016 2016ME0067244 ALVAREZ-HERNANDEZ JORGE 01/01/2016 2016ME0075757 AMOROSO MICHELE 01/01/2016 2016ME0112697 AMYRADAKIS GEORGE 01/01/2016 2016OS0007816 ANCHETA ARLEIGH 01/01/2016 2016ME0096431 ANDAH EDMUND 01/01/2016 2016ME0120614 ANDRADE RODRIGUEZ FAUSTO 01/01/2016 2016ME0053597 ANDRES FRANK 01/01/2016 2016ME0068243 ANDREWS ROBERT 01/01/2016 2016ME0106657 ANGEL ALEJANDRA 01/01/2016 2016ME0122662 ANGHEL LAVINIU 01/01/2016 2016ME0110894 ANIM TANYA 01/01/2016 2016

Page 2: NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License … Participating... · 2018-12-31 · NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License Number Last Name

NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0044615 ANTONETTI EMILIO 01/01/2016 2016ME0086004 ANTONY THOMAS 01/01/2016 2016ME0082650 ANTOUN MANAL 01/01/2016 2016ME0086146 APOLLON KATIA 01/01/2016 2016ME0113010 APONTE EDGARDO 01/01/2016 2016ME0068312 AQUA KEITH 01/01/2016 2016ME0111550 ARANGO-LONGO JENNY 01/01/2016 2016ME0066771 ARCELIN GOSTAL 01/01/2016 2016ME0072837 ARONSON GIL 01/01/2016 2016ME0082662 ARRONTE JULIO 01/01/2016 2016ME0107529 ARROYO PATRICIA 01/01/2016 2016ME0109743 ASEVEDO MARIA 01/01/2016 2016ME0102718 ASHBY GEM 01/01/2016 2016ME0081778 ASHMAWY YESSIN 01/01/2016 2016ME0103582 ATLANOVA YELENA 01/01/2016 2016ME0102337 ATOGHO ATA 01/01/2016 2016ME0102841 ATTA EMAD 01/01/2016 2016ME0113326 AUFFANT JESSICA 01/01/2016 2016ME0047828 AUGUSTINO MICHAEL 01/01/2016 2016ME0042610 AUGUSTUS CHARLES 01/01/2016 2016ME0106690 AUSTIN SARAH 01/01/2016 2016ME0079087 AYALA JOHN 01/01/2016 2016ME0121426 AYUSO ANDRES 01/01/2016 2016ME0083251 BAAB HOLLY 01/01/2016 2016ME0119869 BAGWELL MEGAN 01/01/2016 2016ME0063592 BAILEY LEISA 01/01/2016 2016ME0106231 BAIN KIMBERLY 01/01/2016 2016ME0089610 BAKER MARISA 01/01/2016 2016ME0106229 BALANKY EMILY 01/01/2016 2016ME0091420 BALDWIN CYNTHIA 01/01/2016 2016ME0095497 BALINT LYNDA 01/01/2016 2016OS0010052 BALLIRAM-MANOHALAL DEBRA 01/01/2016 2016ME0100114 BANOONI AMY 01/01/2016 2016ME0111975 BARDACH REUT 01/01/2016 2016ME0021607 BARHOUSH AHMED 01/01/2016 2016ME0030183 BARNES ARTHUR 01/01/2016 2016ME0076566 BARON JAMES 01/01/2016 2016ME0092113 BARREIRO JUDITH 01/01/2016 2016ME0110194 BARRIONUEVO CARLOS 01/01/2016 2016ME0071558 BARTFIELD MICHAEL 01/01/2016 2016ME0057197 BASS ROBERT 01/01/2016 2016ME0053351 BATASKOV KARRIE 04/22/2016 2016ME0038102 BATTLE GEORGE 01/01/2016 2016ME0045747 BAZLEY ROBERT 01/01/2016 2016ME0116984 BECKER BRANDY 01/01/2016 2016ME0058884 BECKETT THOMAS 01/01/2016 2016ME0105780 BEISWENGER TIMOTHY 01/01/2016 2016ME0092935 BELIARD GEROME ALEX 01/01/2016 2016ME0122795 BELLE BEVERLY 01/01/2016 2016ME0098098 BELOGOLOVKIN VICTORIA 01/01/2016 2016ME0100299 BENDAYAN JOSE 01/01/2016 2016

Page 3: NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License … Participating... · 2018-12-31 · NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License Number Last Name

NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0089256 BENEZRA VICTOR 01/01/2016 2016ME0112951 BENITEZ PRIETO ANA 01/01/2016 2016ME0115331 BENN TERI 01/01/2016 2016ME0027661 BENRUBI GUY 01/01/2016 2016ME0040289 BENSON BETH 01/01/2016 2016ME0097326 BERNSTEIN RACHEL 01/01/2016 2016ME0093166 BEST KELLY 01/01/2016 2016ME0100519 BESTARD JOSE 01/01/2016 2016ME0077152 BEVILACQUA LORRAINE 01/01/2016 2016ME0087742 BEVINS JENNIFER 01/01/2016 2016ME0036556 BEVITZ BRUCE 01/01/2016 2016ME0120412 BHAGAN LISA 01/01/2016 2016ME0039710 BHALANI KANTILAL 01/01/2016 2016ME0118598 BHOGAL MARJORIE 01/01/2016 2016ME0086331 BHULLAR AMANPREET 01/01/2016 2016ME0066424 BIELAWNY MARK 01/01/2016 2016ME0072743 BIGAY-RODRIGUEZ FELIX 01/01/2016 2016ME0119095 BILYAK AILEEN 01/01/2016 2016ME0071666 BING KATHRYN 01/01/2016 2016ME0099515 BIRMAN ALEX 01/01/2016 2016ME0069089 BISS KIMBERLY 01/01/2016 2016ME0053454 BITRAN MAURICIO 01/01/2016 2016ME0047527 BLACHAR LEONARDO 01/01/2016 2016ME0093894 BLACK-BOXILL SANDRA-LINDA 02/10/2016 2016ME0084586 BLANCO EMILIO 01/01/2016 2016ME0071138 BLISS WINSTON 01/01/2016 2016ME0117082 BOLET DANIEL 01/01/2016 2016ME0091321 BONILLA ROSELYN 01/01/2016 2016ME0091226 BOOKER JAMES 01/01/2016 2016ME0040466 BOONE SCOTT 01/01/2016 2016ME0059137 BORDELON JOHN 01/01/2016 2016OS0012035 BORDONI PAOLA 01/01/2016 2016ME0106009 BORODO KAROLINA 01/01/2016 2016ME0101932 BOTELHO JILL 01/01/2016 2016ME0090653 BOTHA TRACEY 01/01/2016 2016ME0070127 BOULTING EDMUND 01/01/2016 2016ME0107910 BOWEN STACEA 01/01/2016 2016ME0121487 BOWERS DAWN 01/01/2016 2016ME0083608 BOWERS JUDY 01/01/2016 2016ME0085799 BOYD WILLIAM 01/01/2016 2016ME0058525 BRADLEY CYNTHIA 01/01/2016 2016ME0087804 BRANCH MIA 01/01/2016 2016ME0059488 BRASAC PEDRO 01/01/2016 2016ME0063045 BRAY CARYN 01/01/2016 2016ME0075918 BRAZZEL RICHARD 01/01/2016 2016ME0052972 BREIT BRUCE 01/01/2016 2016ME0082374 BRELAND HENRY 01/01/2016 2016ME0007519 BRICKLER ALEXANDER 01/01/2016 2016ME0045474 BRICKLER ALEXANDER 01/01/2016 2016ME0119440 BRIDGE JASON 01/01/2016 2016OS0012665 BRITT LAUREN 01/01/2016 2016

Page 4: NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License … Participating... · 2018-12-31 · NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License Number Last Name

NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0078839 BROCK MITZI 01/01/2016 2016ME0116983 BROGAN KARA 01/01/2016 2016ME0026840 BROOKS JEFFREY 01/01/2016 2016ME0124061 BROWN ALYSSA 01/01/2016 2016ME0075871 BROWN KATHLEEN 01/01/2016 2016ME0112367 BROWN LARAE 01/01/2016 2016ME0066658 BROWN NANCY 01/01/2016 2016ME0071561 BROWN-GRAHAM COLETTE 01/01/2016 2016ME0083126 BRUDER KAREN 01/01/2016 2016ME0117001 BRUSCATO ELIZA 01/01/2016 2016ME0113594 BUBUCEA MARIANA 01/01/2016 2016ME0045002 BUCHANAN GEORGE 01/01/2016 2016ME0100722 BULLARD GUINEVERE 01/01/2016 2016ME0042625 BURES-FORSTHOEFEL JANA 01/01/2016 2016ME0119052 BURGESS JENNIFER 01/01/2016 2016ME0035335 BURIGO JOHN 01/01/2016 2016ME0032009 BURKETT GENE 01/01/2016 2016ME0121061 BURLISON CHARLES 01/01/2016 2016ME0106713 BURNETT ERIN 01/01/2016 2016ME0088050 BURNS JOLITA 01/01/2016 2016ME0117124 BURTON JEAN 02/09/2016 2016ME0051930 BUSH SUZANNE 01/01/2016 2016ME0061504 BUSOWSKI JOHN 01/01/2016 2016ME0061218 BUTLER MADELYN 01/01/2016 2016ME0104790 BYUN SHARON 01/01/2016 2016ME0089729 CACCAM EVALEEN 01/01/2016 2016ME0094481 CACCIATORE MICHAEL 01/01/2016 2016ME0111862 CAIN MARY 01/01/2016 2016OS0012157 CAITO CHRISTINA 01/01/2016 2016ME0064963 CALDERA-NIEVES LUIS 01/01/2016 2016ME0077531 CALDERON GUILLERMO 01/01/2016 2016ME0112334 CALDOW KRISTIN 01/01/2016 2016ME0039273 CALTENCO ELIAS 01/01/2016 2016ME0076109 CALVO PATRICIA 01/01/2016 2016ME0102865 CAMACHO NATALIA 01/01/2016 2016ME0115063 CAMINERO SUNY 01/01/2016 2016ME0042393 CAMPBELL KEVIN 01/01/2016 2016ME0119254 CAMPOS ROSABELLE 01/01/2016 2016ME0078977 CANTOR CRAIG 01/01/2016 2016OS0008369 CAPLAN SHERRI 01/01/2016 2016ME0072916 CARAVELLO JOHN 01/01/2016 2016ME0062153 CARBIENER PAMELA 01/01/2016 2016ME0056177 CARDELLA ISIDRO 01/01/2016 2016ME0109915 CARDENAS ERNESTO 01/01/2016 2016ME0082250 CARDENAS JOSE 01/01/2016 2016ME0063738 CARDUCCI THERESA 01/01/2016 2016ME0042583 CARLSON JEFFREY 01/01/2016 2016ME0073434 CARLSON MELISSA 01/01/2016 2016ME0120185 CARRINGTON NATEYA 01/01/2016 2016ME0113638 CARRION ZARAGOZA CAROLINE 01/01/2016 2016ME0099929 CARROCCIO SHEYNA 01/01/2016 2016

Page 5: NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License … Participating... · 2018-12-31 · NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License Number Last Name

NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0121541 CARTECHINE RACHEL 01/01/2016 2016ME0114951 CARUGNO JOSE 01/01/2016 2016OS0008678 CASAVANT MATTHEW 01/01/2016 2016ME0123987 CASELNOVA PETRA 01/01/2016 2016ME0097833 CASTELLANOS VIDAURRE AUDRY 01/01/2016 2016ME0113043 CASTILLO EMERITA 01/01/2016 2016ME0055233 CASTILLO RAMON 01/01/2016 2016ME0117147 CATALANO VAZQUEZ LEONARDO 01/01/2016 2016ME0104432 CATES-SMITH PAMELA 01/01/2016 2016ME0090488 CAVALARIS JOY 01/01/2016 2016ME0113753 CAVANAGH CHRISTINA 01/01/2016 2016ME0125320 CAYWOOD STEPHANIE 01/01/2016 2016ME0101410 CHAMBERLAIN KELLY 01/01/2016 2016ME0109112 CHAMBERS CHERISE 01/01/2016 2016ME0102380 CHAMORRO ROBERTS ZAYDA 01/01/2016 2016ME0099440 CHAMPION NATASHA 01/01/2016 2016ME0061226 CHANNEY STEPHEN 01/01/2016 2016ME0120310 CHELLIAH ANUSHKA 01/01/2016 2016ME0094073 CHEN PATRICIA 01/01/2016 2016ME0110695 CHERNAEVA DANIELA 02/09/2016 2016ME0083080 CHI SUSAN 01/01/2016 2016ME0087180 CHITHRIKI BABU 01/01/2016 2016ME0106780 CHLOUBER RICHARD 01/01/2016 2016ME0110738 CHUDGAR PRANAV 01/01/2016 2016OS0011839 CHVOTZKIN SHELLY 01/01/2016 2016ME0103868 CIACCIO-STILWELL RACHEL 01/01/2016 2016OS0010308 CLEMENTS EMILY 01/01/2016 2016ME0078395 CLEMONS SUZANNE 01/01/2016 2016ME0039732 CLIMER CLYDE 01/01/2016 2016ME0110266 COATES GREGORY 01/01/2016 2016ME0058922 CODY WILLIAM 01/01/2016 2016ME0052052 COELLO JULIO 01/01/2016 2016ME0052053 COFFEY MICHAEL 01/01/2016 2016ME0099428 COFIELD MICHELE 01/01/2016 2016ME0090080 COHEN DEBORAH 01/01/2016 2016ME0050970 COHEN JAY 01/01/2016 2016ME0062683 COHEN WAYNE 01/01/2016 2016ME0122943 COLALILLO MARYANNE 01/01/2016 2016ME0095595 COLAS-LACOMBE MARION 01/01/2016 2016ME0113120 COLLIER ANGELA 01/01/2016 2016ME0053310 COLLINS EVAN 01/01/2016 2016ME0055486 COLLINS GLENN 01/01/2016 2016ME0105583 COMPANIONI MONICA 01/01/2016 2016ME0060791 CONNERY SHEILA 01/01/2016 2016ME0092670 CONNOR DIANA 01/01/2016 2016ME0118715 COOLS KATHLEEN 01/01/2016 2016ME0105294 COOPER SALADIN 01/01/2016 2016ME0081932 COOPER-MERCADO RACHEL 01/01/2016 2016ME0123870 CORDOVA YVETTE 01/01/2016 2016ME0067305 CORTEZ STEPHEN 01/01/2016 2016ME0061235 COTTER MICHAEL 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0103321 COTTON AMY 01/01/2016 2016ME0050296 COURTNEY WENDELL 01/01/2016 2016ME0085163 COX CAROL 01/01/2016 2016ME0034911 CRANDALL BLANE 01/01/2016 2016ME0095903 CRANDALL BLANE 01/01/2016 2016ME0123057 CRESPO FRANK 01/01/2016 2016ME0090456 CRIDER MARK 01/01/2016 2016ME0043757 CROFOOT KYLE 01/01/2016 2016ME0111117 CROOKE EVA 01/01/2016 2016ME0061289 CROSSMAN MARGARET 01/01/2016 2016ME0104562 CRUZ-PACHANO FRANCISCO 01/01/2016 2016ME0085694 CRUZ-TORRES PEDRO 01/01/2016 2016ME0071206 CUETO LUISA 01/01/2016 2016ME0119383 CURRY CHRISTINE 01/01/2016 2016ME0070418 DA SILVA CHRISTINE 01/01/2016 2016ME0119651 DACHA APARNA 01/01/2016 2016OS0008075 DADISMAN KATHERINE 01/01/2016 2016ME0026049 DAEE HOSAIN 01/01/2016 2016ME0092579 DAI XIAORONG 01/01/2016 2016ME0090087 DALEY ODETTE 02/03/2016 2016ME0070721 DAMERY GREGORY 01/01/2016 2016ME0066354 DAMIAN GRACIA 01/01/2016 2016ME0076195 DANCE VANESSA 01/01/2016 2016ME0062545 DANIEL JANE 01/01/2016 2016ME0078811 DANIEL MONICA 01/01/2016 2016ME0063066 DANNA PENNY 01/01/2016 2016ME0025681 DAVENPORT JAMES 01/01/2016 2016ME0061862 DAVILA SUSAN 01/01/2016 2016ME0066010 DAVILA VIRGIL 01/01/2016 2016ME0110199 DAVIS ANNA 01/01/2016 2016ME0051789 DAVIS JOHN 01/01/2016 2016ME0045724 DAVIS MARK 01/01/2016 2016OS0010338 DE LA TORRE LESLEY 01/01/2016 2016ME0042913 DE LEON ROLANDO 01/01/2016 2016ME0073376 DE SANTIS TIMOTHY 01/01/2016 2016ME0080156 DECESARE JULIE 01/01/2016 2016OS0013661 DECKER MELISSA 01/01/2016 2016ME0115888 DECOTIS SMITH DIANA 01/01/2016 2016ME0123721 DEEN JULINE 01/01/2016 2016ME0081011 DEL BOCA ADRIAN 01/01/2016 2016ME0061869 DEL VALLE GERARDO 01/01/2016 2016ME0061748 DELGADO PABLO 01/01/2016 2016ME0099385 DELGADO-SPASIC YARA 01/01/2016 2016ME0058422 DELKE ISAAC 01/01/2016 2016ME0092692 DELKER JILL 01/01/2016 2016ME0082519 DELONG GREGORY 01/01/2016 2016ME0093017 DEN HAESE GREG 01/01/2016 2016OS0009922 DENARDIS MICHAEL 01/01/2016 2016ME0076539 DESAI MEETESH 01/01/2016 2016ME0112420 DESAI NEERAJ 01/01/2016 2016ME0093963 DESMARAIS SHARON 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0042359 DESOUZA ALISON 01/01/2016 2016ME0038147 DESPER DAVID 01/01/2016 2016OS0005626 DESPRES BERNARD 01/01/2016 2016ME0103999 DEUTSCH ELANA 01/01/2016 2016ME0080990 DEVANESAN SHEILA 01/01/2016 2016ME0116715 DHANANI MAYA 01/01/2016 2016ME0104834 DHAS VIJAYSELWYN 01/01/2016 2016ME0083622 D'HEUREUX--JONES ANN 01/01/2016 2016ME0115492 DIAZ-SOCARRAS CLAUDIO 01/01/2016 2016ME0069586 DICKENS FRANK 01/01/2016 2016ME0030235 DIEBEL NORMAN 01/01/2016 2016ME0055252 DIEFFENBACH LOUIS 01/01/2016 2016ME0044665 DIEGUEZ CARLOS 01/01/2016 2016ME0125519 DIEGUEZ CRISTINA 01/01/2016 2016ME0078454 DILL LAURA 01/01/2016 2016ME0046414 DILLON RICHARD 01/01/2016 2016ME0039293 DIMINO THOMAS 01/01/2016 2016ME0097163 DINER BETH 01/01/2016 2016ME0034345 DIRO MAKBIB 01/01/2016 2016OS0012858 DISALVO HEIDI 01/01/2016 2016OS0008966 DIXON DAVID 01/01/2016 2016ME0100807 DOLSKAYA ELENA 01/01/2016 2016ME0113513 DOMINGUEZ ALEXIS 01/01/2016 2016ME0118938 DOUGLAS BRAD 01/01/2016 2016ME0070523 DOYLE DEANNA 01/01/2016 2016OS0012103 DUERKES JAMES 01/01/2016 2016ME0058108 DUFF WILLIAM 01/01/2016 2016ME0102267 DUKE BILLY 01/01/2016 2016OS0008773 DUKE-ELMORE JAIRAN 01/01/2016 2016ME0068213 DUKES STEVEN 01/01/2016 2016OS0004300 DUNKIN SCOTT 01/01/2016 2016OS0011706 DUPREE CRISTINA 01/01/2016 2016ME0067143 DURKEE DENNISE 01/01/2016 2016ME0066796 DYAL RUTH 01/01/2016 2016ME0044444 EASON RONALD 01/01/2016 2016ME0059922 EASTERLING GARY 01/01/2016 2016ME0065358 EBENGER MARTIN 01/01/2016 2016ME0110140 ECHAVARRIA LINA 01/01/2016 2016ME0071316 ECKERT JEANNE 01/01/2016 2016OS0009412 EDELENBOS ERIC 01/01/2016 2016ME0075682 EDGEWORTH DEBORAH 01/01/2016 2016ME0124122 EFEMINI ESE 01/01/2016 2016ME0090460 ELIZ NATASHA 01/01/2016 2016ME0068397 ELKIN AARON 01/01/2016 2016ME0065958 ELLMAN DAVID 01/01/2016 2016ME0083130 EMERICK GEORGE 01/01/2016 2016OS0008940 ENYART THOMAS 01/01/2016 2016ME0096851 ERICSSON DAWN 01/01/2016 2016ME0111328 ESEMUEDE NEFERTARI 01/01/2016 2016ME0065279 ESMAIL-RAWJI HUSSAIN 01/01/2016 2016ME0096713 ESPINAL LADYNEZ 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0096081 ESQUENAZI BENNY 01/01/2016 2016ME0118745 ESQUIVEL PATRICIA 01/01/2016 2016ME0037824 ESSERMAN JAMES 01/01/2016 2016ME0081353 ESSES ELLEN 01/01/2016 2016ME0099617 ESTES CHRISTOPHER 01/01/2016 2016ME0119832 EVANS LINDSEY 01/01/2016 2016ME0113774 EVERS TANYA 01/01/2016 2016ME0108466 FALQUEZ ALBERTO 01/01/2016 2016ME0072672 FALZONE SAMUEL 01/01/2016 2016ME0118126 FARMER ADA MARIA 01/01/2016 2016ME0091145 FARROW MERIDITH 01/01/2016 2016ME0043613 FAZZANO FRANCIS 01/01/2016 2016OS0009567 FEINGOLD LAUREN 01/01/2016 2016ME0057911 FELD JEFFREY 01/01/2016 2016ME0078384 FELDMAN MITCHELL 01/01/2016 2016ME0047565 FELDMAN ROBERT 01/01/2016 2016ME0099249 FERDINAND LAREESA 01/01/2016 2016ME0074791 FERN STEVEN 01/01/2016 2016ME0123990 FERNANDES JACQUELINE 01/01/2016 2016ME0060274 FERNANDEZ ELIZABETH 01/01/2016 2016ME0072428 FERNANDEZ HECTOR 01/01/2016 2016ME0078426 FERNANDEZ-BORATTI MARUJA 01/01/2016 2016ME0092163 FERRA RAMON 01/01/2016 2016ME0052907 FERRARA HUGO 01/01/2016 2016ME0090403 FERRO ALEJANDRO 01/01/2016 2016ME0065256 FIDALGO EDWARD 01/01/2016 2016ME0092164 FIGUEREDO ARIEL 01/01/2016 2016ME0106528 FIGUEROA VERONICA 01/01/2016 2016ME0119015 FIGUEROA-RIVERA NITZA 01/01/2016 2016ME0048470 FINAZZO MICHAEL 01/01/2016 2016ME0083030 FINK RANDY 01/01/2016 2016ME0096394 FISH DEIDRE 01/01/2016 2016ME0095364 FISHBERG ALEXANDER 01/01/2016 2016ME0072825 FISHMAN LOEL 01/01/2016 2016ME0105417 FLORES ROSA 01/01/2016 2016ME0114110 FODA MOHAMED 01/01/2016 2016ME0113133 FORDE-KELLY SHERRA 01/01/2016 2016OS0008516 FOSNOT SUSAN 01/01/2016 2016ME0078114 FOSTER WESLEY 01/01/2016 2016ME0097354 FOUNTAIN LORNA 01/01/2016 2016ME0106954 FOUTZ LINDSAY 01/01/2016 2016ME0089247 FOX FELICIA 01/01/2016 2016OS0004158 FOX SUSAN 01/01/2016 2016OS0008453 FRANCOIS JOSEPH 01/01/2016 2016ME0098951 FRANZ ALEXANDER 01/01/2016 2016ME0082774 FRIALL ANDREA 01/01/2016 2016ME0076170 FRIEDMAN MELISSA 01/01/2016 2016ME0036632 FRIEFELD RICHARD 01/01/2016 2016ME0088316 FRITZ EMMA 01/01/2016 2016ME0072733 FU KAI 01/01/2016 2016ME0079050 FUDGE MARILYN 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0122806 FUENTES ARMANDO 01/01/2016 2016ME0119649 FUHRIG LAUREN 01/01/2016 2016ME0075129 FYFFE GEORGE 01/01/2016 2016ME0123546 GABAI HERNANDEZ HEATHER 01/01/2016 2016ME0076117 GABB EARL 01/01/2016 2016ME0087530 GABRIEL CARLOS 01/01/2016 2016ME0092596 GADH KOMPAL 01/01/2016 2016ME0100821 GAITAN LUCIA 01/01/2016 2016ME0058146 GALLO JORGE 01/01/2016 2016ME0025890 GANESH SELVA 01/01/2016 2016ME0082428 GARAS TAREK 01/01/2016 2016ME0088547 GARCIA CARLOS 01/01/2016 2016OS0006831 GARCIA EDNA 01/01/2016 2016ME0041595 GARCIA MARTIN 01/01/2016 2016ME0123805 GARCIA IGUARAN ANA 04/04/2016 2016ME0094509 GARNER KYLE 01/01/2016 2016ME0073125 GARZON MARTHA 01/01/2016 2016ME0043937 GATTO VINCENT 01/01/2016 2016ME0061898 GAUDIER FRANCISCO 01/01/2016 2016ME0068039 GEARITY DOUGLAS 01/01/2016 2016ME0092177 GEORGE ADRIENNE 01/01/2016 2016ME0074859 GEORGE SUE 01/01/2016 2016ME0125572 GERBER ALAN 01/01/2016 2016ME0075377 GILBY JENNIFER 01/01/2016 2016ME0071247 GILLES JERRY 01/01/2016 2016ME0098980 GILMORE TEDRA 01/01/2016 2016ME0118105 GIRTELSCHMID MICHAEL 01/01/2016 2016OS0011862 GLAS ERIKA 01/01/2016 2016ME0008956 GLICK HENRY 01/01/2016 2016OS0006703 GOLDBERG TODD 01/01/2016 2016ME0090561 GOLDMAN JOSHUA 01/01/2016 2016OS0012086 GOMEZ CHRISTINA 01/01/2016 2016ME0123249 GOMEZ DANIEL 01/01/2016 2016ME0102113 GOMEZ MARIO 01/01/2016 2016ME0071207 GOMEZ ROLANDO 01/01/2016 2016ME0120125 GONZALEZ ANGELA 01/01/2016 2016ME0107643 GONZALEZ MADELYN 01/01/2016 2016ME0049008 GONZALEZ ROLANDO 01/01/2016 2016ME0061911 GONZALEZ-GARCIA ADOLFO 01/01/2016 2016ME0068545 GONZALEZ-QUINTERO VICTOR 01/01/2016 2016ME0101116 GOODEN NATASHA 01/01/2016 2016OS0004910 GORDON ROBERT 01/01/2016 2016ME0046920 GOSS DAVID 01/01/2016 2016OS0009924 GRABER SCHUK CARI 01/01/2016 2016ME0043945 GRABOIS B 01/01/2016 2016ME0098982 GRAHAM MELINDA 01/01/2016 2016ME0058169 GRAMMER JOHN 01/01/2016 2016ME0098714 GRANGER STEVEN 01/01/2016 2016ME0113471 GRANT REBEKAH 01/01/2016 2016ME0099455 GRAY MEGAN 01/01/2016 2016ME0118233 GRAY MEREDITH 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0101946 GRAY SHRUSAN 01/01/2016 2016ME0058171 GREEN LINDA 01/01/2016 2016ME0054896 GREENBERG STEVEN 01/01/2016 2016ME0045241 GREENBLUM JESSE 01/01/2016 2016ME0055935 GREENE CALVIN 01/01/2016 2016ME0058618 GREENHAW JOSEPH 01/01/2016 2016ME0084965 GREENWALD AMY 01/01/2016 2016ME0109874 GREGG ANTHONY 01/01/2016 2016ME0041486 GREGUSH EUGENE 01/01/2016 2016ME0056893 GRENITZ MARK 01/01/2016 2016ME0067027 GREVENGOOD CHRIS 01/01/2016 2016ME0091886 GREVES CHRISTINE 01/01/2016 2016ME0096115 GREVES COLE 01/01/2016 2016ME0099209 GRIFFIN KERRY 01/01/2016 2016ME0101920 GUELL GREGORY 01/01/2016 2016ME0104419 GUERRA DAVID SECUNDINO 01/01/2016 2016ME0121834 GUERRERO LARISSA 01/01/2016 2016ME0107374 GUICHARD RAPHAEL 01/01/2016 2016ME0102785 GUIDETTI DENISE 01/01/2016 2016ME0077046 GUINOT RAFAEL 01/01/2016 2016ME0113333 GURAM PORTER JENNIFER 01/01/2016 2016ME0069119 GUZMAN RUBEN 01/01/2016 2016OS0010169 HAAG TERRY 01/01/2016 2016ME0070643 HADDOX LINDA 01/01/2016 2016ME0073073 HAKKARAINEN GLORIA 01/01/2016 2016OS0013171 HALLAM MARTIN 01/01/2016 2016ME0062735 HALPERIN ANDREW 01/01/2016 2016ME0107874 HAMBY JANET 01/01/2016 2016ME0098993 HAMEL KELLY 01/01/2016 2016ME0099742 HANCOCK LEENA 01/01/2016 2016ME0056896 HANNA FARIS 01/01/2016 2016ME0107621 HANSILL JOHN 01/01/2016 2016ME0062736 HANUBAL SHIVAKUMAR 01/01/2016 2016ME0093727 HARRIS-WATSON BRENDA 01/01/2016 2016ME0051220 HATE VIDYA 01/01/2016 2016ME0097687 HATFIELD ANN 01/01/2016 2016ME0126296 HEARIN III WILLARD 01/01/2016 2016ME0088861 HECHTMAN JILL 01/01/2016 2016ME0046943 HEITMANN JEFFREY 01/01/2016 2016ME0083428 HENNESSEY MICHAEL 01/01/2016 2016OS0013056 HENRY-DACOSTA NICOLE 01/01/2016 2016ME0053384 HERBST SETH 01/01/2016 2016ME0104246 HERNANDEZ ANA 01/01/2016 2016ME0106840 HERNANDEZ EILEEN 01/01/2016 2016ME0096455 Heroux kimberly 01/01/2016 2016ME0103054 HERRERA MANUEL 01/01/2016 2016ME0088034 HERSHBERGER JONATHAN 01/01/2016 2016ME0089985 HICKS ANA 01/01/2016 2016ME0072896 HILDAHL DEAN 01/01/2016 2016ME0061923 HILL DAVID 01/01/2016 2016ME0112616 HINSON-KNIPPLE LINDSAY 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0018044 HIRSCH NATHAN 01/01/2016 2016ME0065435 HIRSCHBERG KAREN ROBIN 01/01/2016 2016ME0116501 HO MONIQUE 01/01/2016 2016ME0036232 HOCHBERGER DAVID 01/01/2016 2016ME0116750 HOCHE NAY 01/01/2016 2016ME0103688 HOFFMAN JULIA 01/01/2016 2016OS0010838 HOFFMEISTER TIMOTHY 01/01/2016 2016ME0090448 HOLMSTROM SHELLY 01/01/2016 2016ME0119928 HOMER DANA 01/01/2016 2016ME0064400 HOOD ANTHONY 01/01/2016 2016ME0087709 HOOD KIMBERLY 01/01/2016 2016ME0122936 HOOPER DWIGHT 01/01/2016 2016ME0080155 HOPPER JIMMY 01/01/2016 2016ME0082332 HORST THOMAS 01/01/2016 2016ME0098647 HRADEK DALIBOR 01/01/2016 2016ME0106143 HUDSON TYMESIA 01/01/2016 2016ME0107279 HULTSTRAND VICTOR 01/01/2016 2016ME0076481 HUMPHREY RACHEL 01/01/2016 2016ME0016044 HUNT SEABORN 01/01/2016 2016ME0119270 HYATT ROSALIA 01/01/2016 2016ME0056732 HYLER DAVID 01/01/2016 2016ME0063455 IANNACCONE VICTOR 01/01/2016 2016ME0071624 ICELY SUZANNE 01/01/2016 2016ME0068760 INGRAM MICHAEL 01/01/2016 2016ME0115976 INGRAM SHARON 01/01/2016 2016ME0102966 IOBST JOSEPH 01/01/2016 2016ME0118890 IONESCU ALIN 01/01/2016 2016ME0047310 IPARRAGUIRRE JOSE 01/01/2016 2016ME0095665 IRANI JENNIFER 01/01/2016 2016ME0017090 IRBY B. 01/01/2016 2016ME0087126 IRVIN-RAHAIM KIERA 01/01/2016 2016OS0007993 ISDITH INGRID 01/01/2016 2016ME0098193 ISHOOF SABRIYA 01/01/2016 2016ME0089147 IVES JOHN 01/01/2016 2016ME0118958 IYOYO MELISSA 01/01/2016 2016ME0048532 JACKSON BRYCE 01/01/2016 2016ME0121754 JACKSON CHRISTINA 01/01/2016 2016ME0119737 JACKSON JESSICA 01/01/2016 2016ME0110404 JACKSON MICHAEL 01/01/2016 2016ME0125609 JACKSON KING KELLY 01/01/2016 2016ME0046958 JAEGER MICHAEL 01/01/2016 2016ME0095792 JAGO KELLY 01/01/2016 2016ME0086181 JAMES JASON 01/01/2016 2016ME0091538 JAMISON RICHARD 01/01/2016 2016ME0076581 JARDINE LISA 01/01/2016 2016ME0102811 JAVATE EMANUEL 01/01/2016 2016ME0040903 JIMENEZ FRANCISCO 01/01/2016 2016ME0121686 JODICKE CRISTIANO 01/01/2016 2016ME0049037 JOHNSON HOWARD 01/01/2016 2016ME0079673 JOHNSON ILYA 01/01/2016 2016OS0007290 JOHNSON KENNETH 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0119250 JOHNSON MEGAN 01/01/2016 2016ME0124560 JOHNSON MICHELE 01/01/2016 2016ME0066825 JOHNSON PHILIP 01/01/2016 2016ME0093480 JONES ALLYSON 01/01/2016 2016ME0075592 JONES ANNE-MARIE 01/01/2016 2016ME0064730 JONES DEBRA 01/01/2016 2016ME0051097 JONES JAMES 01/01/2016 2016ME0062994 JONES MARNIQUE 01/01/2016 2016ME0122976 JONES YOLANDA 01/01/2016 2016ME0116001 JOSEPHS TAJA 01/01/2016 2016ME0093481 JOTHIVIJAYARANI A 01/01/2016 2016ME0022806 JOYNER WILLIAM 01/01/2016 2016ME0113417 JUBIZ GIOVANNI 01/01/2016 2016ME0061566 JURADO CARLOS 01/01/2016 2016OS0013238 JUYIA LAUREN 01/01/2016 2016ME0079122 KAELBER JOHN 01/01/2016 2016ME0087205 KAMERMAN MAX 01/01/2016 2016OS0005582 KANG JULIE 01/01/2016 2016ME0104520 KANT KRISTA 01/01/2016 2016ME0100910 KAPITZ MARTHA 01/01/2016 2016ME0085307 KAREEM YASMINE 01/01/2016 2016ME0102731 KAREN ANDREW 01/01/2016 2016ME0102715 KARSENTI REBECCA 01/01/2016 2016ME0035841 KASSIN KENNETH 01/01/2016 2016OS0011616 KAZEMFAR KRISTY 01/01/2016 2016ME0030698 KELLOGG SPENCER 01/01/2016 2016ME0047018 KELLY DIANE 01/01/2016 2016ME0109823 KELTNER MARSHALL 01/01/2016 2016ME0085178 KENAAN JANA 01/01/2016 2016ME0106540 KENTON-HANEY JULIANNE 03/08/2016 2016ME0104125 KERPSACK JOSEPH 01/01/2016 2016ME0088695 KHAMVONGSA PETER 01/01/2016 2016ME0077915 KHAN GHULAM 01/01/2016 2016ME0094450 KHAN NASIM 01/01/2016 2016ME0043231 KILBRIDE KATHLEEN 01/01/2016 2016ME0079461 KIM BRANDY 01/01/2016 2016ME0077123 KIM-ASHCHI SUNWOOK 01/01/2016 2016OS0012028 KING JULIA 01/01/2016 2016ME0078684 KING VANESSA 01/01/2016 2016ME0039583 KING WILLIAM 01/01/2016 2016ME0106952 KING III JOSEPH 01/01/2016 2016ME0124554 KINSON MICHAEL 01/01/2016 2016ME0109938 KJERULFF ESENAM 01/01/2016 2016ME0041602 KLEIN ROBERT 01/01/2016 2016OS0012104 KLEMCZAK DENISE 01/01/2016 2016ME0086428 KOHAUT BETTINA 01/01/2016 2016ME0110457 KOHN GUILLERMO 01/01/2016 2016ME0035854 KORNSTEIN MARCOS 01/01/2016 2016ME0119189 KOSS LINDSEY 01/01/2016 2016ME0118493 KOZAKIEWICZ MELISSA 01/01/2016 2016ME0057294 KREINEST RICHARD 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0096570 KRISHINGNER GENE 01/01/2016 2016ME0105615 KUESTER LATOYA 01/01/2016 2016ME0085295 KUFFSKIE MARTHA 01/01/2016 2016ME0099478 KUMAR AJOY 01/01/2016 2016ME0038875 LACAYO-ORTEGA ROLANDO 01/01/2016 2016OS0011592 Lagow Julia 01/01/2016 2016ME0050773 LAMBERT LORI 01/01/2016 2016OS0012856 LAMBERT RACHEL 01/01/2016 2016ME0078183 LAMOUTTE CARLOS 01/01/2016 2016ME0077071 LANG JOSEPH 01/01/2016 2016ME0117867 LANGENSTROER MARY 01/01/2016 2016OS0007966 LANGLEY DONALD 01/01/2016 2016ME0040352 LAROSE PAUL 01/01/2016 2016ME0111693 LARRIEU TESSIE 01/01/2016 2016ME0076229 LAUBSCHER ANNETTE 01/01/2016 2016ME0113546 LAZARUS SASHA 01/01/2016 2016ME0110131 LAZO MARCELA 01/01/2016 2016ME0056754 LEAVITT ANDREW 01/01/2016 2016ME0060019 LEDERMAN SAMUEL 01/01/2016 2016ME0118841 LEE KAITLIN 01/01/2016 2016ME0109090 LEE MELISSA 01/01/2016 2016ME0124474 LEE SHAWN 01/01/2016 2016ME0105072 LEE STEPHANIE 01/01/2016 2016ME0126018 LEE-EVENSON DOROTHY 01/01/2016 2016ME0080200 LEE-NUNEZ WYNNE 01/01/2016 2016ME0080279 LEFF RICKY 01/01/2016 2016OS0008826 LEIBENSPERGER NATALIE 01/01/2016 2016ME0026539 LEICHTER PAUL 01/01/2016 2016ME0073879 LEMAY MICHELE 01/01/2016 2016ME0126164 LEMONNIER MARIE 03/22/2016 2016ME0054646 LENSE JORGE 01/01/2016 2016OS0012755 LEO CHADWICK 01/01/2016 2016ME0043424 LEON ORLANDO 01/01/2016 2016ME0054944 LERNER SAUL 01/01/2016 2016ME0097667 LEVIN DANIEL 01/01/2016 2016ME0018175 LEVINE PAUL 01/01/2016 2016ME0016148 LEVITT CLIFFORD 01/01/2016 2016ME0082137 LEVY BROTHERS TROY 01/01/2016 2016ME0044916 LEWIS MICHAEL 01/01/2016 2016ME0106307 LEWIS TAMEIKA TAVANEES 01/01/2016 2016ME0093877 LEWIS-BOARDMAN MARY 01/01/2016 2016ME0056849 LEYVA LUIS 01/01/2016 2016ME0119830 LIBSTER ALINA 01/01/2016 2016ME0089786 LIBURD MARIE-CARMELLE 01/01/2016 2016ME0039493 LICHTINGER MOISES 01/01/2016 2016OS0009531 LIEVANO GUILLERMO 01/01/2016 2016OS0007086 LILE WILLIAM 01/01/2016 2016ME0076129 LIM HAE 01/01/2016 2016ME0096160 LIMOUSIN PIERRE-RICHARD 01/01/2016 2016OS0011405 LIN MARIA 01/01/2016 2016ME0056909 LIVINGSTON STEPHEN 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0091669 LLEWELLYN PATRICIA 01/01/2016 2016ME0126055 LLINAS MESSEGUER 02/16/2016 2016ME0087918 LOCKSMITH GREGORY 01/01/2016 2016ME0120422 LOCKWOOD CHARLES 01/01/2016 2016ME0093888 LOE SHANAN 01/01/2016 2016ME0064647 LOGAN SHERYL 01/01/2016 2016ME0086748 LONDONO JORGE 01/01/2016 2016ME0072014 LONG MOLLY 01/01/2016 2016ME0119492 LONGMAN RYAN 01/01/2016 2016ME0063157 LOPEZ MARIA 01/01/2016 2016ME0070427 LOPEZ MARIA 01/01/2016 2016ME0123184 LOPEZ MARIA CYNTHIA 01/01/2016 2016ME0092525 LOPEZ RICARDO 01/01/2016 2016ME0115729 LOPEZ LINNIKOV DIMITRI 01/01/2016 2016ME0064770 LOPEZ-ROMAN ARNALDO 01/01/2016 2016ME0111940 LOUIS JUDETTE 01/01/2016 2016ME0124017 LUCIANO-DEL VALLE ADRIANA 01/01/2016 2016ME0032853 LUKOWSKI MICHAEL 01/01/2016 2016ME0061336 LYNCH CATHERINE 01/01/2016 2016ME0063407 LYRA VIOLETTA 01/01/2016 2016ME0092866 MADANI SIMS SHIREEN 01/01/2016 2016ME0044918 MADHAV HARISHCHANDER 01/01/2016 2016ME0123761 MAGGIO LINDSAY 01/01/2016 2016ME0088404 MAGLOIRE CHRIST-ANN 02/02/2016 2016ME0109091 MAGUA JESSENIA 01/01/2016 2016ME0110390 MAGUIRE KARLA 01/01/2016 2016ME0121820 MAHMOOD RAFIQUE 03/08/2016 2016ME0092412 MAKI LANCE 01/01/2016 2016ME0102221 MALAVE DENI 01/01/2016 2016ME0123632 MALIK RAHIL 01/01/2016 2016ME0122099 MALLICK SOBIAH 01/01/2016 2016ME0107856 MALLORY ROSLYN 01/01/2016 2016ME0060893 MALOUF MAAN 01/01/2016 2016ME0056295 MAMMEL JAMES 01/01/2016 2016ME0044524 MANCINI JOSEPH 01/01/2016 2016ME0116016 MANUEL MARGAUX 01/01/2016 2016ME0064912 MAQUEIRA JUSTO 01/01/2016 2016ME0093414 MARCELLI SUSAN 01/01/2016 2016ME0057307 MARICHAL EDUARDO 01/01/2016 2016ME0108365 MARIMON ADRIAN 01/01/2016 2016ME0047610 MARINEAU EDWARD 01/01/2016 2016OS0012797 MARKS BECCA 01/01/2016 2016ME0051588 MARKS JEFF 01/01/2016 2016ME0074253 MARLER DAVID 03/28/2016 2016ME0110771 MARRERO CAMIL 01/01/2016 2016ME0116186 MARROW NAICIE 01/01/2016 2016ME0122320 MARSH-DINHAM KEDDIE 01/01/2016 2016ME0060573 MARSTON JOHN 01/01/2016 2016ME0054467 MARTIN ANGELA 01/01/2016 2016ME0081470 MARTIN JORGE 02/08/2016 2016ME0032863 MARTINEZ LUCIANO 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0040138 MARTINEZ MIGUEL 01/01/2016 2016OS0010882 Martinez Juarez Alvin 02/04/2016 2016ME0095127 MARTINEZ MARQUEZ ALBA 01/01/2016 2016ME0094896 MARTINEZ-GONZALEZ ISIDRO 01/01/2016 2016ME0108083 MARTINO-VILLANUEVA MARIA 01/01/2016 2016ME0096165 MASLYAK SVETLANA 01/01/2016 2016ME0040777 MATTA JOSE 01/01/2016 2016ME0109203 MATTA-TOOMEY KAREN 01/01/2016 2016ME0125628 MAULDIN JILL 01/01/2016 2016ME0110012 MAUNEY JEANNINE 01/01/2016 2016OS0010718 MAYNE MARILYN 01/01/2016 2016OS0012996 MAYRINK MAXIMILIANO 01/01/2016 2016ME0058252 MCALPINE KENNETH 01/01/2016 2016ME0080144 MCCANCE GEORGETTE 01/01/2016 2016ME0032868 MCCAULEY RICHARD 01/01/2016 2016ME0097595 MCCREATH WAYNE 01/01/2016 2016ME0066257 MCCULLEN JENNIFER 01/01/2016 2016ME0125274 MCCULLOUGH DEANNA 01/01/2016 2016ME0114973 MCCURDY LAURA 01/01/2016 2016ME0061345 MCDYER DANIEL 01/01/2016 2016ME0059272 MCEACHRANE MARSH 01/01/2016 2016ME0087789 MCENDREE TERRI 01/01/2016 2016ME0114996 MCGEE ALANA 01/01/2016 2016ME0050062 MCGRATH EDMUND 01/01/2016 2016ME0116795 MCINTOSH KEVIN 01/01/2016 2016ME0078294 MCINTYRE CATHERINE 01/01/2016 2016ME0093847 MCKINNIE VIKKI 01/01/2016 2016ME0069467 MCLANAHAN MICHELLE 01/01/2016 2016ME0081277 MCLEAN KRISTINA 01/01/2016 2016ME0025809 MCLEAN WALLACE 01/01/2016 2016ME0064913 MCNEILL THOMAS 01/01/2016 2016ME0045710 MCNULTY BRIAN 01/01/2016 2016ME0072191 MCTAMMANY MARK 01/01/2016 2016ME0084622 MCWHORTER JEANNIE 01/01/2016 2016ME0099336 MEDLOCK CHARLES 01/01/2016 2016ME0111236 MEDRANO NATALYA 01/01/2016 2016ME0059672 MEHTA DAVID 01/01/2016 2016ME0103023 MELENDY SASHA 01/01/2016 2016ME0056485 MENDIA JORGE 01/01/2016 2016ME0054475 MERCADO JAIME 01/01/2016 2016ME0098426 MERRITT APRIL 01/01/2016 2016ME0049918 MERVIS MATTHEW 01/01/2016 2016ME0067588 MEYERS JOHN 01/01/2016 2016ME0091989 MICHAEL GREGORY 01/01/2016 2016ME0119384 MICHAEL JENNY 01/01/2016 2016ME0113446 MIKHAIL EMAD 01/01/2016 2016ME0115349 MILLER DAVID 01/01/2016 2016ME0104443 MILLER HOLLY 01/01/2016 2016ME0077838 MILLER NANCY 01/01/2016 2016OS0013101 MILLER SARAH 01/01/2016 2016ME0079215 MILLER TRACEY 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0077016 MILLION AMY 01/01/2016 2016ME0056489 MINTON DAVID 01/01/2016 2016ME0095411 MIRANDA DAMARIS 01/01/2016 2016ME0112625 MIRAZ MARIA 01/01/2016 2016ME0103310 MODAD PATRICIA 01/01/2016 2016ME0075293 MOFFETT DOUGLAS 01/01/2016 2016ME0101708 MOHAN CHANDLER 01/01/2016 2016ME0090008 MOISE JEFF 01/01/2016 2016ME0101165 MOLINA LISSETTE 01/01/2016 2016ME0123485 MONDACA ASTRID 01/01/2016 2016ME0113026 MONDESIR WILKENS 01/01/2016 2016ME0121001 MONTANO JOLENE 01/01/2016 2016ME0109210 MONTERO FREDDY 01/01/2016 2016ME0054479 MONZON ANTONIO 01/01/2016 2016ME0075528 MOORE MELISSA 01/01/2016 2016ME0041309 MORALES OSCAR 01/01/2016 2016ME0079350 MOREL MARIE-IGNACE 01/01/2016 2016ME0101468 MORENO ZAIRA 01/01/2016 2016ME0072373 MORRIS CHERRIE 01/01/2016 2016OS0005707 MORRIS MICHAEL 01/01/2016 2016ME0065397 MORROW GREGORY 01/01/2016 2016ME0093855 MOSCOSO JANICE 01/01/2016 2016ME0078068 MOSS HEATHER 01/01/2016 2016ME0102984 MOTLEY ROHANA 01/01/2016 2016ME0068116 MUNIZ ORLANDO 01/01/2016 2016ME0114997 MUNOZ-SIEVERT NATALIE 01/01/2016 2016ME0112944 MURESAN MICHAEL 01/01/2016 2016ME0038227 NAGDA RASIKLAL 01/01/2016 2016ME0123876 NAGELLA SARASIJA 01/01/2016 2016ME0063722 NAHMIAS JAIME 01/01/2016 2016ME0076076 NAKANISHI KEI 01/01/2016 2016OS0006893 NAVARRO DINA 01/01/2016 2016ME0125636 NAYERI UNZILA 01/01/2016 2016ME0104699 NEEDHAM LAILA 01/01/2016 2016ME0113092 NEUHAUS RYAN 01/01/2016 2016ME0044548 NEUMAN CAROLE 01/01/2016 2016ME0122658 NEW SAMUEL 01/01/2016 2016ME0047023 NEWMAN STEWART 01/01/2016 2016OS0012836 NGUYEN PHAN ANH 01/01/2016 2016ME0106749 NGUYEN QUYEN 01/01/2016 2016ME0121589 NGUYEN THINH 01/01/2016 2016ME0104808 NIKITIN KONSTANTIN 01/01/2016 2016ME0125035 NIX JAMES 01/01/2016 2016ME0069530 NIXON JENNIFER 01/01/2016 2016OS0012569 NOLAN CHRISTY 01/01/2016 2016ME0109379 NORTON HEATHER 01/01/2016 2016ME0084728 NOVA ALFREDO 01/01/2016 2016ME0113453 NOVAC STEFAN 01/01/2016 2016ME0096197 NUNEZ MARLYNN 01/01/2016 2016ME0122802 NUTTER JONATHAN 01/01/2016 2016ME0096626 NWOSA NKEMDILIM 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0124295 OBICAN SARAH 01/01/2016 2016ME0122423 OCCENAD DIONE 01/01/2016 2016ME0120357 ODIBO ANTHONY 01/01/2016 2016ME0098199 ODOM DOROTHY 01/01/2016 2016ME0115601 OGUNLEYE OLUSEYI 01/01/2016 2016ME0069001 OJEDA EZER 01/01/2016 2016ME0054982 O'LEARY TIMOTHY 01/01/2016 2016ME0068634 OLIVA JOHN 01/01/2016 2016ME0037036 OLIVER HUGH 01/01/2016 2016ME0084000 OLOUFA SHEREEN 01/01/2016 2016ME0118388 O'NEIL GEORGE 01/01/2016 2016ME0045423 ORIA GONZALO 01/01/2016 2016ME0084663 ORREGO FRANCO JOHN 02/23/2016 2016ME0113269 ORTIZ LEDEE DEBRA 01/01/2016 2016ME0123887 OSHODI TEMITOPE 01/01/2016 2016ME0106194 OSUNTOGUN EZEKIEL 01/01/2016 2016ME0062351 OTERO-ECHANDI ISABEL 01/01/2016 2016ME0110396 OZCAN MICHELLE 01/01/2016 2016ME0112524 PACHORI MARIA 01/01/2016 2016ME0078759 PAEZ RENE 01/01/2016 2016ME0107136 PALASZEWSKI DAWN 01/01/2016 2016OS0010224 PALAZZOLO MARK 01/01/2016 2016ME0101208 PALMER JAMES 01/01/2016 2016ME0070820 PANIELLO SANTO 01/01/2016 2016ME0103024 PAPAPANOS PETE 01/01/2016 2016ME0101231 PARKER JENNIFER 01/01/2016 2016ME0059032 PARKER JOHN 01/01/2016 2016ME0077273 PARKER SU 01/01/2016 2016ME0042217 PARRISH DAVID 01/01/2016 2016ME0080421 PASS JULIE 01/01/2016 2016ME0116248 PASTOR CARVAJAL SABRINA 01/01/2016 2016ME0085287 PATEL ANJANA 01/01/2016 2016ME0073120 PATEL DAXA 01/01/2016 2016ME0095114 PATEL NIRAJ 01/01/2016 2016ME0086498 PATEL URMILA 01/01/2016 2016ME0078130 PATIL GARGEY 01/01/2016 2016ME0113159 PATRICK TIFFANY 01/01/2016 2016ME0118750 PAYNE JENNIFER 01/01/2016 2016ME0113271 PAZ-PABON CHARLOTTE 01/01/2016 2016OS0010079 PEARL ROBERT 01/01/2016 2016ME0107458 PEDEN CARMEN 01/01/2016 2016ME0049565 PELAEZ ANNETTE 01/01/2016 2016ME0062007 PENA ALEJANDRO 01/01/2016 2016ME0096839 PENA CARLOS 01/01/2016 2016ME0104880 PENA CHRISTINA 01/01/2016 2016ME0125802 PENA RESHELLE 03/17/2016 2016ME0102054 PENNINGTON TONI 01/01/2016 2016ME0068150 PEPPY TERRENCE 01/01/2016 2016OS0009209 PERCY TRICIA 01/01/2016 2016ME0066884 PEREZ DENIS 01/01/2016 2016ME0090778 PEREZ ILEANA 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0075777 PEREZ RAFAEL 01/01/2016 2016ME0106091 PERFETTO PATRICIA 01/01/2016 2016ME0088412 PERKINS SONJA 01/01/2016 2016OS0011333 PERRY MARY 01/01/2016 2016ME0057752 PERRY PETER 01/01/2016 2016ME0085370 PERRY SHONDA 01/01/2016 2016ME0114474 PERSON GARY 01/01/2016 2016ME0059299 PESCITELLI ALBERT 01/01/2016 2016ME0062814 PETERSEN RICHARD 01/01/2016 2016ME0092846 PETERSEN WILLIAM 01/01/2016 2016ME0069232 PETERSON DIRK 01/01/2016 2016ME0097396 PETERSON JOSEPH 01/01/2016 2016ME0100218 PETROSIAN VALERY 01/01/2016 2016ME0028633 PHELAN TIMOTHY 01/01/2016 2016ME0035912 PHILLIPS EDWARD 01/01/2016 2016ME0074279 PHOENIX AVA 01/01/2016 2016ME0107226 PIANTANIDA-WHITLOCK ANNE 01/01/2016 2016ME0068578 PICO JOSE 01/01/2016 2016ME0092535 PIERRE NADIA 01/01/2016 2016ME0117251 PIERRE-LAMBERT CARHINE 01/01/2016 2016ME0084015 PIERRE-LOUIS EDNA 01/01/2016 2016ME0115637 PILE NADIA 01/01/2016 2016ME0040383 PILLOW STEVEN 01/01/2016 2016ME0099226 PIMENTEL-ALVAREZ MARIA 01/01/2016 2016ME0118597 PINANGO KYRA 01/01/2016 2016ME0074410 PITT CATHERINE 01/01/2016 2016ME0103675 PIZARRO JADE 01/01/2016 2016ME0120662 PLAZA YOCOIMA 01/01/2016 2016ME0054211 PLISKOW STEVEN 01/01/2016 2016ME0095883 PLOSKER SHAYNE 01/01/2016 2016ME0102173 POLENDER ALLISON 01/01/2016 2016ME0103639 POTTINGER CARLOS 01/01/2016 2016ME0066571 POTTS DONNA 01/01/2016 2016ME0081007 PRAFKE JILL 01/01/2016 2016ME0059303 PRESLEY JAMES 01/01/2016 2016ME0070330 PRIETO JOSE 01/01/2016 2016ME0079737 PULSFUS ERIC 01/01/2016 2016ME0061645 PURETZ JEFFREY 01/01/2016 2016OS0009336 PURYGIN ARKADIY 01/01/2016 2016ME0096243 QUINONES EUGENIO 01/01/2016 2016ME0112380 QUINONES DEFENDINI MICHELLE 01/01/2016 2016ME0054991 QUINTANA MANUEL 01/01/2016 2016ME0115507 QUINTERO-ARIAS CHRISTIAN 01/01/2016 2016ME0109330 QUIRINO WENDY 01/01/2016 2016ME0065703 QURESHI VICAR 01/01/2016 2016ME0056123 RAIMER KAREN 01/01/2016 2016ME0041790 RAMAPPA RENUKA 01/01/2016 2016OS0008044 RAMIE GEORGE 01/01/2016 2016ME0113197 RAMIREZ HECTOR 01/01/2016 2016ME0113307 RAMIREZ TULLIE 01/01/2016 2016ME0057765 RAMOS-SANTOS EDGARD 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0107784 RAMSDEN TIMOTHY 01/01/2016 2016OS0010068 RAMSEY SHAWN 01/01/2016 2016ME0124999 RAMSEY COLEMAN SHAVONNE 01/01/2016 2016ME0118124 RANES MICHELLE 01/01/2016 2016ME0102003 RAO KIRAN 01/01/2016 2016ME0116367 RAPKIN DAVID 01/01/2016 2016ME0116182 RAPKIN RACHEL 01/01/2016 2016ME0093295 RASHADA KIM 01/01/2016 2016ME0066731 RASNER TODD 01/01/2016 2016ME0086570 RASPA ROBERT 01/01/2016 2016OS0008659 RAUP AIMEE 01/01/2016 2016ME0119424 RAWLINS SAMANTHA 01/01/2016 2016ME0051115 REBENACK PAUL 01/01/2016 2016ME0058769 REICHMAN HELENA 01/01/2016 2016ME0077013 REISS MARTINA 01/01/2016 2016OS0012517 REYES ALEXANDRIA 01/01/2016 2016ME0096544 REYES CARLOS 01/01/2016 2016ME0064258 REYES MANUEL 01/01/2016 2016ME0102902 REYNOLDS JAMES 01/01/2016 2016ME0123253 RICE LUCY 01/01/2016 2016ME0068319 RICHARDS JOANNE 01/01/2016 2016ME0095751 RICHMOND REBEKAH 01/01/2016 2016ME0119487 RICKETTS JACK 01/01/2016 2016ME0072996 RIDDELL SCOTT 01/01/2016 2016ME0053546 RIEMER IRA 01/01/2016 2016ME0116388 RIESTRA JORGE 01/01/2016 2016OS0010293 RITTER BROOKE 01/01/2016 2016ME0093735 RIVAS JOSE 01/01/2016 2016ME0087961 RIVERA FRANZ 01/01/2016 2016ME0064315 RIVERA-ORTIZ WILFREDO 01/01/2016 2016ME0104386 ROBERTSON II TED 01/01/2016 2016ME0104205 ROCA LUIS 01/01/2016 2016ME0082799 RODRIGUEZ CARLOS 01/01/2016 2016ME0094615 RODRIGUEZ CARLOS 01/01/2016 2016ME0112175 RODRIGUEZ DAMARIS 01/01/2016 2016ME0093617 RODRIGUEZ LEANDRO 01/01/2016 2016ME0073604 RODRIGUEZ LORRAINE 01/01/2016 2016ME0092267 RODRIGUEZ SUZETTE 01/01/2016 2016ME0112444 RODRIGUEZ PALACIOS GUADALUPE 01/01/2016 2016ME0093399 RODRIGUEZ-BENITEZ JOSE 01/01/2016 2016ME0121380 ROGERS JOCELYN 01/01/2016 2016ME0107412 ROGERS MAMIE 01/01/2016 2016ME0076752 ROJAS ALEXIS 01/01/2016 2016ME0065738 ROJAS ARMANDO 01/01/2016 2016ME0105900 ROLLER JENNIFER 01/01/2016 2016OS0010025 ROMBRO TALI 01/01/2016 2016ME0118023 ROMERO STEPHANIE 01/01/2016 2016ME0096354 ROSENBERG LORI 01/01/2016 2016OS0008788 ROSS GERALD 01/01/2016 2016ME0115958 ROTHEN MICHELLE 01/01/2016 2016ME0094485 ROTHSCHILD ERIC 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

OS0011657 ROTUNDO-PATINO MARIEL 01/01/2016 2016ME0090318 ROUSH CATHERINE 01/01/2016 2016ME0091103 ROUSSOS-ROSS DIKEA 01/01/2016 2016ME0098220 ROWAN NIKKI 01/01/2016 2016ME0123313 ROWIN ALEXANDRA 01/01/2016 2016ME0119807 ROZNOWSKI ADRIAN 01/01/2016 2016ME0062838 RUDOLPH JANE 01/01/2016 2016ME0073548 RUDOLPH RICHARD 01/01/2016 2016OS0008317 RUNYON ERIC 01/01/2016 2016OS0009837 RUSSELL JENNIFER 01/01/2016 2016ME0047397 SAAVEDRA JOSEPH 01/01/2016 2016ME0025883 SAFINSKI ROBERT 01/01/2016 2016ME0123913 SAKHAI LEILA 01/01/2016 2016ME0064330 SALAMANCA EDWIN 01/01/2016 2016ME0042780 SALAMON EVA 01/01/2016 2016ME0115090 SALAZAR VALDES KAREN 01/01/2016 2016ME0116977 SALDANA ARIN 01/01/2016 2016ME0108165 Salem Areej 01/01/2016 2016ME0079251 SALINGER DARREN 01/01/2016 2016ME0058327 SALSBURY HELEN 01/01/2016 2016OS0013212 SALTER JENNIFER 01/01/2016 2016ME0103537 SAMPSON MARIAN 02/15/2016 2016ME0076021 SAMRAJ GEORGE 01/01/2016 2016ME0046577 SANCETTA RONALD 01/01/2016 2016ME0061665 SANCHES LISA 01/01/2016 2016ME0111662 SANCHEZ RAUDER RAMON 01/01/2016 2016ME0039633 SANCHEZ-RAMOS LUIS 01/01/2016 2016ME0117098 SANDERS LESLIE 01/01/2016 2016ME0099058 SANTAELLA DEL VALLE ELLIOT 01/01/2016 2016ME0115426 SANTANA LEONARDO 01/01/2016 2016ME0084613 SANTIAGO EVELYN 01/01/2016 2016ME0113009 SANTIAGO STANLEY 01/01/2016 2016ME0070475 SANTIAGO-LOPETEGUI JAIME 01/01/2016 2016ME0087512 SANTIAGO-ROMERA RUBEN 01/01/2016 2016ME0105791 SANTOS REMBERTO 01/01/2016 2016ME0068438 SARDUY CARLOS 01/01/2016 2016ME0074593 SARGENT MARK 01/01/2016 2016ME0042498 SARVOTHAM GRACE 01/01/2016 2016OS0007980 SASSER LONA 01/01/2016 2016ME0113824 SCHELL JENNIFER 01/01/2016 2016ME0098226 SCHEY DANA 01/01/2016 2016ME0044087 SCHICKLER ROBERT 01/01/2016 2016ME0109720 SCHNEIDER ERIKA 01/01/2016 2016ME0080731 SCHWARTZ EDWARD 01/01/2016 2016OS0008613 SCHWARTZ PAMELA 01/01/2016 2016OS0010053 SCHWARTZ RACHELLE 01/01/2016 2016ME0119179 SCHWARTZ WILLIAM 01/01/2016 2016ME0081975 SCHWARTZBARD ELLEN 01/01/2016 2016ME0067982 SCOTT WILLIAM 01/01/2016 2016ME0099858 SEARLE THOMAS 01/01/2016 2016ME0098995 SEATON JENNIFER 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0094415 SEGALL KRISTEN 01/01/2016 2016ME0070647 SEIBEL BRENT 01/01/2016 2016ME0122339 SEID MELVIN 01/01/2016 2016ME0098174 SEIDEL SHARON 01/01/2016 2016ME0098552 SELMAN CARMEN 01/01/2016 2016ME0091302 SENEMAR JILA 01/01/2016 2016OS0013177 SENSOR STACEY 01/01/2016 2016ME0098822 SERRANO EVELYN 01/01/2016 2016ME0092575 SEVALD LORI 01/01/2016 2016ME0075984 SHAH ARJAV 01/01/2016 2016ME0030843 SHAH BIPIN 01/01/2016 2016ME0021954 SHAHMOHAMADY MOHAMAD 01/01/2016 2016ME0062854 SHAKFEH SAMIR 01/01/2016 2016ME0107215 SHAMAS CHRISTINA 01/01/2016 2016ME0040218 SHAYKH MARWAN 01/01/2016 2016ME0105106 SHEK GILBERTO 01/01/2016 2016OS0013296 SHELDEN SARAH 01/01/2016 2016ME0113420 SHEN HOLLY 01/01/2016 2016ME0024560 SHEPHARD BRUCE 01/01/2016 2016ME0109734 SHEPHERD KRISTEN 01/01/2016 2016ME0079302 SHIELDS HELEN 01/01/2016 2016ME0109377 SHIENBAUM JESICA 01/01/2016 2016ME0033051 SHRODER MICHAEL 01/01/2016 2016ME0106521 SIASSIPOUR SASHA 01/01/2016 2016ME0090198 SIEGFRIED SYLVIA 01/01/2016 2016ME0080650 SIEVERT SAYRA 01/01/2016 2016ME0092284 SILANEE ALLEN 01/01/2016 2016ME0049614 SILVA VICENTE 01/01/2016 2016OS0004929 SILVERS STEVEN 01/01/2016 2016ME0085440 SIMAN DEBORAH 01/01/2016 2016ME0117603 SIMPKINS JENNIFER 01/01/2016 2016OS0009200 SIMPSON SHAWN 01/01/2016 2016ME0077844 SINGER JEREMY 01/01/2016 2016ME0104348 SINGER JOSEPH 01/01/2016 2016ME0124962 SINGH BALPREET 01/01/2016 2016ME0084321 SIRVEN ALBERTO 01/01/2016 2016ME0107376 SITES IRA 01/01/2016 2016ME0040226 SIUDMAK ROBERT 01/01/2016 2016ME0085462 SKEETE HENRY DELISA 01/01/2016 2016ME0095266 SLATON BROOKE 01/01/2016 2016ME0096036 SLATON RUSHIA 01/01/2016 2016OS0007299 SMITH DOUGLAS 01/01/2016 2016ME0122955 SMITH KARIMAH 01/01/2016 2016ME0049931 SMITH STEPHEN 01/01/2016 2016ME0098456 SMITH SUSAN 01/01/2016 2016ME0107067 SMITH-THOMAS SHARON 01/01/2016 2016ME0103403 SNOOK PAMELA 01/01/2016 2016ME0081874 SOBEL ROSE 01/01/2016 2016ME0072641 SOLOMON AMY 01/01/2016 2016ME0034501 SOLOMON JEFFREY 01/01/2016 2016ME0118153 SOLOVIEVA ANASTASIA 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0028711 SOMOANO JULIO 01/01/2016 2016OS0006683 SONTAG BRIAN 01/01/2016 2016ME0092460 SOSNA TARA 01/01/2016 2016ME0090297 SOTO JAVIER 01/01/2016 2016ME0092888 SPALDING HELEN 01/01/2016 2016ME0123020 SPEAKE BATSON HELENA 01/01/2016 2016ME0069267 SPIEGELMAN LARRY 01/01/2016 2016ME0068472 SPIER NIGEL 01/01/2016 2016ME0116094 SPIRYDA LISA 01/01/2016 2016ME0046290 SPORN PAUL 01/01/2016 2016ME0097425 SPREITZER LORI-ANN 01/01/2016 2016OS0010472 STANTON KARIN 01/01/2016 2016OS0011645 STARIKOV ALBERT 01/01/2016 2016ME0073098 STEINBERG IRWIN 01/01/2016 2016ME0109905 STEPHENS SHAWN 01/01/2016 2016ME0057480 STERGHOS STRATTON 01/01/2016 2016ME0113068 STERLACCI SUSAN 01/01/2016 2016ME0061421 STEWART DAVID 01/01/2016 2016OS0013121 Stine Michael 01/01/2016 2016ME0105067 STODDARD KELLEY 01/01/2016 2016ME0124858 STONE JACQUELYN 01/01/2016 2016OS0009118 STONEKING DAVID 01/01/2016 2016ME0025918 STRASSBERG RICHARD 01/01/2016 2016ME0119067 STRATHMANN RICHARD 01/01/2016 2016ME0033078 STROUP MICHAEL 01/01/2016 2016ME0050908 STUART RONALD 01/01/2016 2016ME0105369 STURM JEROME 01/01/2016 2016ME0080584 SUAREZ ADRIANA 04/19/2016 2016ME0089915 SUDBURY AARON 01/01/2016 2016ME0116725 SUESCUM-DIAZ MARIA 01/01/2016 2016ME0043835 SULLIVAN JOHN 01/01/2016 2016ME0100368 SUNDSTROM CHRISTOPHER 01/01/2016 2016ME0096037 SWANSON JENNIFER 01/01/2016 2016ME0064008 SWEET JON 01/01/2016 2016ME0094996 SWOBODA JENNIFER 01/01/2016 2016ME0115376 TABBAA MOHAMMED 01/01/2016 2016OS0009527 TAIVAL TANYA 01/01/2016 2016ME0120260 TAJWAR HEBA 01/01/2016 2016ME0124211 TAKACS-DI LORENZO EVA 01/01/2016 2016ME0085186 TALAVERA-AVILES IDALIA 01/01/2016 2016ME0100174 TANDON SANJAY 01/01/2016 2016ME0107436 TANEJA AMY 01/01/2016 2016ME0117299 TANOUYE STACI 01/01/2016 2016ME0124025 TANZY MARGARET 01/01/2016 2016ME0070976 TAPIA-SANTIAGO CECILLE 01/01/2016 2016ME0072088 TAYLOR THOMAS 01/01/2016 2016ME0120378 TCHANKOSHVILI NICKOLOZ 01/01/2016 2016ME0085684 TCHUISSE LUCIEN-MAXIMIN 01/01/2016 2016ME0084091 TENZER PENNY 01/01/2016 2016ME0119774 TERRAZAS JOSE LUIS 01/01/2016 2016ME0110106 TEXIER JEANMARIE 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0087387 THATCHER PARMELEE 01/01/2016 2016ME0080036 THOMAS CHARRELL 01/01/2016 2016ME0100688 THOMAS DESMOND 01/01/2016 2016ME0094326 THOMAS-DOYLE TRACEY 01/01/2016 2016ME0044112 THOMPSON STEPHEN 01/01/2016 2016ME0105686 TIDWELL NATALIE 01/01/2016 2016ME0079288 TIJERINO LINDA 01/01/2016 2016ME0112817 TINOCO LORENA 01/01/2016 2016ME0098518 TIRONE MEGAN 01/01/2016 2016ME0106080 TOBIA STEPHEN 01/01/2016 2016ME0098764 TOBON LUIS 01/01/2016 2016ME0072830 TOLAYMAT LAMA 01/01/2016 2016ME0039119 TOMBACK MARK 01/01/2016 2016ME0083642 TORRES EMILIO 01/01/2016 2016ME0113663 TOUSSAINT THOMAS 03/10/2016 2016ME0068910 TOWSLEY GREG 01/01/2016 2016OS0012879 TRANDEM KARYSSE 01/01/2016 2016ME0101727 TRIANA ALBERT 01/01/2016 2016ME0086888 TRIANA JOSEPH 01/01/2016 2016ME0089602 TROGOLO FRANK 01/01/2016 2016ME0116413 TROY JENNIFER 01/01/2016 2016ME0077228 TRUPIANO CHRISTINE 01/01/2016 2016ME0052064 TUCKER ELISABETH 01/01/2016 2016ME0036365 TUDELA FRANCISCO 01/01/2016 2016ME0110654 TUDELA OLGA 01/01/2016 2016ME0084559 TUNG CHIA-LING 01/01/2016 2016ME0036922 TURNER DAVID 01/01/2016 2016ME0036525 TUTTELMAN RONALD 01/01/2016 2016ME0106668 TWITTY PAMELA 01/01/2016 2016ME0044331 UMSTEAD THOMAS 03/22/2016 2016ME0031944 UPADHYAYA D 01/01/2016 2016ME0097176 UPDIKE KAREN 01/01/2016 2016ME0075925 URIBASTERRA PABLO 01/01/2016 2016ME0081182 URRIBARRI NISSETH 01/01/2016 2016ME0055416 VAGOVIC RICHARD 01/01/2016 2016ME0050920 VALDESCRUZ RAUL 01/01/2016 2016ME0104061 VALLEJO ELVIA 01/01/2016 2016ME0093647 VAN BENNEKOM JASON 01/01/2016 2016ME0119207 VARLAMOV ANNA 01/01/2016 2016ME0117277 VAZ STEPHANIE 01/01/2016 2016ME0063251 VAZQUEZ CARLOS 01/01/2016 2016ME0107158 VAZQUEZ-VERA ENRIQUE 01/01/2016 2016ME0079819 VEGA-MONTALVO WILFREDO 01/01/2016 2016ME0119707 VEIGA FRANQUI SARA 01/01/2016 2016ME0086616 VELARDE SYLVIA 01/01/2016 2016ME0113448 VENDITTO JOSEPH 01/01/2016 2016ME0078928 VERDEJA-PEREZ ANA 01/01/2016 2016ME0099494 VEY CARRIE 01/01/2016 2016ME0088062 VILLA MARIA 01/01/2016 2016ME0095466 VILLANO KATHRYN 01/01/2016 2016ME0118258 VILLAR-DIAZ MICHELLE 01/01/2016 2016

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NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0087317 VINUEZA CESAR 01/01/2016 2016ME0047147 VIRTUE THOMAS 01/01/2016 2016ME0055573 VIZOSO JAVIER 01/01/2016 2016ME0037988 VON THRON JAMES 01/01/2016 2016ME0049648 WAGAMAN REBECCA 01/01/2016 2016ME0068203 WAGNER EDWARD 01/01/2016 2016ME0081275 WAHBA IRENE 01/01/2016 2016ME0114835 WALKER CECILE 01/01/2016 2016ME0109079 WALKER JAMELL 03/15/2016 2016ME0116469 WALSH ASHLEY 01/01/2016 2016ME0093527 WALSH ELIZABETH 01/01/2016 2016ME0121522 WALSTATTER BENNETT 01/01/2016 2016ME0115420 WALTER ANDREW 01/01/2016 2016ME0108432 WARREN LAKRYSTAL 01/01/2016 2016ME0117831 WASHINGTON GINA 01/01/2016 2016ME0089921 WATKINS ANTOININA 01/01/2016 2016OS0010381 WATSON JENNIFER 01/01/2016 2016ME0109766 WEBER REBECCA 01/01/2016 2016OS0012635 WEHRUM MARK 01/01/2016 2016OS0011760 WEINMAN-GREENBERG LENA 02/09/2016 2016OS0008972 WEINSTEIN ALAN 01/01/2016 2016ME0082245 WEISS MICHAEL 01/01/2016 2016ME0070186 WEISS SIMON 01/01/2016 2016ME0124802 WEISSMAN JILLIAN 04/26/2016 2016ME0054566 WELLS DAVID 01/01/2016 2016ME0117517 WELLS TIFFANY 01/01/2016 2016ME0067568 WERNER ERIN 01/01/2016 2016ME0077765 WESTON LAURA 01/01/2016 2016ME0066730 WHITAKER DONALD 01/01/2016 2016ME0077781 WHITCOMB WENDY 01/01/2016 2016OS0012709 WHITE DAVID 01/01/2016 2016ME0109016 WHITE DOROTHY 01/01/2016 2016ME0039128 WHITE JOHN 01/01/2016 2016ME0090532 WHITE LEIGH 01/01/2016 2016ME0099866 WHITEMAN VALERIE 01/01/2016 2016ME0110534 WIEDEL LISA 01/01/2016 2016ME0124150 WIGGINS DONNA 01/01/2016 2016ME0125439 WIGGINS JIBRI 01/01/2016 2016ME0106484 WILBOURN SHELBY 03/07/2016 2016ME0039668 WILKERSON WALLACE 01/01/2016 2016ME0113691 WILKES NIKITA 01/01/2016 2016ME0094184 WILKINSON HUGH 01/01/2016 2016ME0065859 WILLIAMS AARON 01/01/2016 2016ME0102794 WILLIAMS ANNETTE 01/01/2016 2016ME0097686 WILLIAMS SHERIDA 01/01/2016 2016OS0013014 WILMOT AMANDA 01/01/2016 2016ME0107646 WILSON DIANA 01/01/2016 2016OS0011852 WILSON MARCIETTA 01/01/2016 2016ME0119061 WINTERROWD SAMANTHA 01/01/2016 2016OS0008825 WOLF SAMUEL 01/01/2016 2016ME0090227 WOLK BRADFORD 01/01/2016 2016

Page 25: NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License … Participating... · 2018-12-31 · NICA 2016 Participating Physicians - AS OF MAY 6, 2016 License Number Last Name

NICA2016 Participating Physicians - AS OF MAY 6, 2016

License Number Last Name First Name Participation Date Year

ME0087437 WOOD MICHELLE 01/01/2016 2016ME0092492 WRENNICK AMY 01/01/2016 2016ME0089373 WYCKOFF ERICH 01/01/2016 2016ME0109670 YANKOWITZ JEROME 01/01/2016 2016ME0066572 YARIAN SUSAN 01/01/2016 2016ME0050956 YASIN SALIH 01/01/2016 2016ME0113480 YELVERTON ROBERT 01/01/2016 2016ME0086154 YOO GRACE 01/01/2016 2016ME0109634 YOUNG AIMEE 01/01/2016 2016ME0082845 YOUNG CHRISTOPHER 01/01/2016 2016ME0124574 YOUNG SHARA 01/01/2016 2016ME0057857 YOUNG SHELLEY 01/01/2016 2016ME0074481 ZENG XIAO MEI 01/01/2016 2016ME0067849 ZITTEL GREGORY 01/01/2016 2016ME0096832 ZOBEL STEPHANIE 01/01/2016 2016OS0007408 ZOFFER MATTHEW 01/01/2016 2016ME0076754 ZOLLICOFFER CARL 01/01/2016 2016ME0034836 ZWEIBACH STEPHEN 01/01/2016 2016


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