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NICA 2019 Participating Physicians - AS OF APRIL 11, 2019 License Number Last Name First Name Participation Date Year OS0008233 ABDALLA EMIL 1/1/2019 2019 ME0107551 ABIOSE OLUFUNKE 1/1/2019 2019 ME0138204 ABRAHAM MARGARET 1/1/2019 2019 ME0063019 ABRUDESCU NICHOLAS 1/1/2019 2019 ME0063982 ABU JOHN 1/1/2019 2019 ME0067774 ABU-RUSTUM REEM 1/1/2019 2019 ME0119463 ACEVEDO MELISSA 1/1/2019 2019 ME0110712 ACHILLE FABIENNE 1/1/2019 2019 ME0050608 ACHOLONU FELIX 1/1/2019 2019 ME0104535 ACKERMAN JOSHUA 1/1/2019 2019 ME0100481 ACON NG ALICIA 1/1/2019 2019 ME0052037 ACOSTA ROMEO 1/1/2019 2019 ME0093989 ACUNA JOANN 1/1/2019 2019 ME0096125 ADAMS CHANDRA 1/1/2019 2019 ME0094265 ADAMS CHRISTINA 1/1/2019 2019 ME0045738 ADAMS NELSON 1/1/2019 2019 ME0105385 ADDAE YUSIF 1/1/2019 2019 ME0078786 ADEBOYEJO GHEA 1/1/2019 2019 OS0007383 ADLER DAVID 1/1/2019 2019 ME0106469 AGORVOR DAVID 1/1/2019 2019 ME0067571 AGRIOS ANTHONY 1/1/2019 2019 ME0100546 AGUIRRE ALVARADO RICARDO 1/1/2019 2019 ME0059459 AKHIYAT MOHAMED 1/1/2019 2019 ME0117235 AKSU AHMET 1/1/2019 2019 ME0131697 AL SAWAH ENTIDHAR 1/1/2019 2019 ME0102729 ALAMI REDA 1/1/2019 2019 ME0056148 ALBRITTON JOHN 1/1/2019 2019 ME0116310 ALDABBAGH SIDIQ 1/1/2019 2019 ME0110723 ALEJANDRO-CORDERO NATALIA 1/1/2019 2019 ME0131999 Alexander Nicole 1/1/2019 2019 ME0078854 ALEXIS RENEE 2/8/2019 2019 ME0036984 ALEXIS WINSTON 1/1/2019 2019 ME0123036 ALIDINA JANEEN 1/1/2019 2019 ME0072193 ALKASS MARK 1/1/2019 2019 ME0119638 ALLISON ALLESSA 1/1/2019 2019 ME0114045 ALLISON MICHAEL 1/1/2019 2019 ME0074032 AL-MALT AHMED 1/1/2019 2019 ME0132489 AL-SHERRI NAJAT 1/1/2019 2019 ME0046652 ALTENHOFEN DEAN 1/1/2019 2019 ME0133006 ALTIZER MELANIE 1/1/2019 2019 ME0122371 ALVAREZ JOAN 1/1/2019 2019 ME0135833 ALVAREZ KAREM 1/1/2019 2019 ME0058869 ALVAREZ PEDRO 1/1/2019 2019 ME0070630 ALVAREZ WILFREDO 1/1/2019 2019 ME0067244 ALVAREZ-HERNANDEZ JORGE 1/1/2019 2019 ME0128045 AMIS JACQUELINE 1/1/2019 2019 ME0075757 AMOROSO MICHELE 1/1/2019 2019 ME0112697 AMYRADAKIS GEORGE 1/1/2019 2019 OS0007816 ANCHETA ARLEIGH 1/1/2019 2019

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Page 1: NICA 2019 Participating Physicians - AS OF APRIL … Participating AS OF...NICA 2019 Participating Physicians - AS OF APRIL 11, 2019 License Number Last Name First Name Participation

NICA2019 Participating Physicians - AS OF APRIL 11, 2019

License Number Last Name First Name Participation Date Year

OS0008233 ABDALLA EMIL 1/1/2019 2019ME0107551 ABIOSE OLUFUNKE 1/1/2019 2019ME0138204 ABRAHAM MARGARET 1/1/2019 2019ME0063019 ABRUDESCU NICHOLAS 1/1/2019 2019ME0063982 ABU JOHN 1/1/2019 2019ME0067774 ABU-RUSTUM REEM 1/1/2019 2019ME0119463 ACEVEDO MELISSA 1/1/2019 2019ME0110712 ACHILLE FABIENNE 1/1/2019 2019ME0050608 ACHOLONU FELIX 1/1/2019 2019ME0104535 ACKERMAN JOSHUA 1/1/2019 2019ME0100481 ACON NG ALICIA 1/1/2019 2019ME0052037 ACOSTA ROMEO 1/1/2019 2019ME0093989 ACUNA JOANN 1/1/2019 2019ME0096125 ADAMS CHANDRA 1/1/2019 2019ME0094265 ADAMS CHRISTINA 1/1/2019 2019ME0045738 ADAMS NELSON 1/1/2019 2019ME0105385 ADDAE YUSIF 1/1/2019 2019ME0078786 ADEBOYEJO GHEA 1/1/2019 2019OS0007383 ADLER DAVID 1/1/2019 2019ME0106469 AGORVOR DAVID 1/1/2019 2019ME0067571 AGRIOS ANTHONY 1/1/2019 2019ME0100546 AGUIRRE ALVARADO RICARDO 1/1/2019 2019ME0059459 AKHIYAT MOHAMED 1/1/2019 2019ME0117235 AKSU AHMET 1/1/2019 2019ME0131697 AL SAWAH ENTIDHAR 1/1/2019 2019ME0102729 ALAMI REDA 1/1/2019 2019ME0056148 ALBRITTON JOHN 1/1/2019 2019ME0116310 ALDABBAGH SIDIQ 1/1/2019 2019ME0110723 ALEJANDRO-CORDERO NATALIA 1/1/2019 2019ME0131999 Alexander Nicole 1/1/2019 2019ME0078854 ALEXIS RENEE 2/8/2019 2019ME0036984 ALEXIS WINSTON 1/1/2019 2019ME0123036 ALIDINA JANEEN 1/1/2019 2019ME0072193 ALKASS MARK 1/1/2019 2019ME0119638 ALLISON ALLESSA 1/1/2019 2019ME0114045 ALLISON MICHAEL 1/1/2019 2019ME0074032 AL-MALT AHMED 1/1/2019 2019ME0132489 AL-SHERRI NAJAT 1/1/2019 2019ME0046652 ALTENHOFEN DEAN 1/1/2019 2019ME0133006 ALTIZER MELANIE 1/1/2019 2019ME0122371 ALVAREZ JOAN 1/1/2019 2019ME0135833 ALVAREZ KAREM 1/1/2019 2019ME0058869 ALVAREZ PEDRO 1/1/2019 2019ME0070630 ALVAREZ WILFREDO 1/1/2019 2019ME0067244 ALVAREZ-HERNANDEZ JORGE 1/1/2019 2019ME0128045 AMIS JACQUELINE 1/1/2019 2019ME0075757 AMOROSO MICHELE 1/1/2019 2019ME0112697 AMYRADAKIS GEORGE 1/1/2019 2019OS0007816 ANCHETA ARLEIGH 1/1/2019 2019

Page 2: NICA 2019 Participating Physicians - AS OF APRIL … Participating AS OF...NICA 2019 Participating Physicians - AS OF APRIL 11, 2019 License Number Last Name First Name Participation

NICA2019 Participating Physicians - AS OF APRIL 11, 2019

License Number Last Name First Name Participation Date Year

ME0096431 ANDAH EDMUND 1/1/2019 2019ME0120614 ANDRADE RODRIGUEZ FAUSTO 1/1/2019 2019ME0053597 ANDRES FRANK 1/1/2019 2019ME0068243 ANDREWS ROBERT 1/1/2019 2019ME0106657 ANGEL ALEJANDRA 1/1/2019 2019ME0122662 ANGHEL LAVINIU 1/1/2019 2019ME0110894 ANIM TANYA 1/1/2019 2019ME0128503 ANTONETTI ANA 1/1/2019 2019ME0044615 ANTONETTI EMILIO 1/1/2019 2019ME0086004 ANTONY THOMAS 1/1/2019 2019ME0082650 ANTOUN MANAL 1/1/2019 2019ME0086146 APOLLON KATIA 1/1/2019 2019ME0113010 APONTE EDGARDO 1/1/2019 2019ME0135927 APONTE MELLADO ANAMAR 1/1/2019 2019ME0128467 APOSTOLAKIS-KYRUS KATHERINE 1/1/2019 2019ME0068312 AQUA KEITH 1/1/2019 2019ME0111550 ARANGO-LONGO JENNY 1/1/2019 2019ME0128831 ARAUCO CARLOS 1/1/2019 2019ME0066771 ARCELIN GOSTAL 1/1/2019 2019ME0102642 ARCHER CORRIS 1/1/2019 2019ME0072837 ARONSON GIL 1/1/2019 2019ME0082662 ARRONTE JULIO 1/1/2019 2019ME0107529 ARROYO PATRICIA 1/1/2019 2019ME0104151 ARTHUR THORPE N 2/22/2019 2019ME0109743 ASEVEDO MARIA 1/1/2019 2019ME0102718 ASHBY GEM 1/1/2019 2019ME0081778 ASHMAWY YESSIN 1/1/2019 2019ME0103582 ATLANOVA YELENA 1/1/2019 2019ME0102337 ATOGHO ATA 1/1/2019 2019ME0102841 ATTA EMAD 1/1/2019 2019ME0113326 AUFFANT JESSICA 1/1/2019 2019ME0047828 AUGUSTINO MICHAEL 1/1/2019 2019ME0106690 AUSTIN SARAH 1/1/2019 2019ME0133087 Awwad Amal 1/1/2019 2019ME0079087 AYALA JOHN 1/1/2019 2019ME0121426 AYUSO ANDRES 1/1/2019 2019ME0083251 BAAB HOLLY 1/1/2019 2019ME0090465 BAACKE KERI 2/4/2019 2019ME0119869 BAGWELL MEGAN 1/1/2019 2019ME0136638 BAHADUE FELICIA 1/1/2019 2019ME0063592 BAILEY LEISA 1/1/2019 2019ME0106231 BAIN KIMBERLY 1/1/2019 2019ME0089610 BAKER MARISA 1/1/2019 2019ME0130347 BAKHSHI TIKI 1/1/2019 2019ME0106229 BALANKY EMILY 1/1/2019 2019ME0091420 BALDWIN CYNTHIA 1/1/2019 2019ME0095497 BALINT LYNDA 1/1/2019 2019OS0010052 BALLIRAM-MANOHALAL DEBRA 1/1/2019 2019ME0100114 BANOONI AMY 1/1/2019 2019

Page 3: NICA 2019 Participating Physicians - AS OF APRIL … Participating AS OF...NICA 2019 Participating Physicians - AS OF APRIL 11, 2019 License Number Last Name First Name Participation

NICA2019 Participating Physicians - AS OF APRIL 11, 2019

License Number Last Name First Name Participation Date Year

ME0077422 BARBER MICHAEL 1/1/2019 2019ME0111975 BARDACH REUT 1/1/2019 2019ME0131429 Bardos Jonah 1/1/2019 2019ME0076566 BARON JAMES 1/1/2019 2019ME0092113 BARREIRO JUDITH 1/1/2019 2019ME0038101 BARRIOS HUMBERTO 1/1/2019 2019ME0071558 BARTFIELD MICHAEL 1/1/2019 2019OS0014727 Barton Laterica 1/1/2019 2019ME0057197 BASS ROBERT 1/1/2019 2019ME0053351 BATASKOV KARRIE 1/1/2019 2019ME0116984 BECKER BRANDY 1/1/2019 2019ME0058884 BECKETT THOMAS 1/1/2019 2019ME0132347 BEDELL JOANNA 1/1/2019 2019ME0131994 BEDELL SARAH LEE 1/1/2019 2019ME0132348 BEDELL VICTORIA 1/1/2019 2019ME0128119 BEFELER CARLEY 1/1/2019 2019ME0092935 BELIARD GEROME ALEX 1/1/2019 2019ME0098098 BELOGOLOVKIN VICTORIA 1/1/2019 2019ME0100299 BENDAYAN JOSE 1/1/2019 2019ME0112951 BENITEZ PRIETO ANA 1/1/2019 2019ME0115331 BENN TERI 1/1/2019 2019ME0027661 BENRUBI GUY 1/1/2019 2019ME0040289 BENSON BETH 1/1/2019 2019ME0136564 Bernal-Blair Ileana 1/1/2019 2019ME0097326 BERNSTEIN RACHEL 1/1/2019 2019ME0087574 BERTHE JOSE 1/1/2019 2019ME0093166 BEST KELLY 1/1/2019 2019ME0100519 BESTARD JOSE 1/1/2019 2019ME0087742 BEVINS JENNIFER 1/1/2019 2019ME0036556 BEVITZ BRUCE 1/1/2019 2019ME0039710 BHALANI KANTILAL 1/1/2019 2019ME0118598 BHOGAL MARJORIE 1/1/2019 2019ME0086331 BHULLAR AMANPREET 1/1/2019 2019ME0066424 BIELAWNY MARK 1/1/2019 2019ME0072743 BIGAY-RODRIGUEZ FELIX 1/1/2019 2019ME0119095 BILYAK AILEEN 1/1/2019 2019ME0071666 BING KATHRYN 1/1/2019 2019ME0069089 BISS KIMBERLY 1/1/2019 2019ME0053454 BITRAN MAURICIO 1/1/2019 2019ME0047527 BLACHAR LEONARDO 1/1/2019 2019ME0093894 BLACK-BOXILL SANDRA-LINDA 1/1/2019 2019ME0084586 BLANCO EMILIO 1/1/2019 2019ME0071138 BLISS WINSTON 1/1/2019 2019ME0102469 BOARDMAN LORI 1/1/2019 2019ME0117082 BOLET DANIEL 1/1/2019 2019ME0091321 BONILLA ROSELYN 1/1/2019 2019ME0091226 BOOKER JAMES 1/1/2019 2019ME0040466 BOONE SCOTT 1/1/2019 2019ME0059137 BORDELON JOHN 1/1/2019 2019

Page 4: NICA 2019 Participating Physicians - AS OF APRIL … Participating AS OF...NICA 2019 Participating Physicians - AS OF APRIL 11, 2019 License Number Last Name First Name Participation

NICA2019 Participating Physicians - AS OF APRIL 11, 2019

License Number Last Name First Name Participation Date Year

OS0012035 BORDONI PAOLA 1/1/2019 2019ME0125210 BORNSTEIN ILAN 1/1/2019 2019ME0106009 BORODO KAROLINA 1/1/2019 2019ME0101932 BOTELHO JILL 1/1/2019 2019ME0090653 BOTHA TRACEY 1/1/2019 2019ME0070127 BOULTING EDMUND 1/1/2019 2019OS0015300 BOWEN JENNIFER 1/1/2019 2019ME0107910 BOWEN STACEA 1/1/2019 2019ME0083608 BOWERS JUDY 1/1/2019 2019ME0085799 BOYD WILLIAM 1/1/2019 2019ME0134368 BOYD WILLIAM 1/1/2019 2019ME0049965 BRACERO PASQUAL 1/1/2019 2019ME0058525 BRADLEY CYNTHIA 1/1/2019 2019ME0087804 BRANCH MIA 1/1/2019 2019ME0059488 BRASAC PEDRO 1/1/2019 2019ME0063045 BRAY CARYN 1/1/2019 2019ME0075918 BRAZZEL RICHARD 1/1/2019 2019ME0134431 Brebnor Angelle 1/1/2019 2019ME0052972 BREIT BRUCE 1/1/2019 2019ME0082374 BRELAND HENRY 1/1/2019 2019ME0007519 BRICKLER ALEXANDER 1/1/2019 2019ME0045474 BRICKLER ALEXANDER 1/1/2019 2019ME0119440 BRIDGE JASON 1/1/2019 2019ME0078839 BROCK MITZI 1/1/2019 2019ME0026840 BROOKS JEFFREY 1/1/2019 2019ME0124061 BROWN ALYSSA 1/1/2019 2019ME0132316 Brown Amy 1/1/2019 2019ME0110328 BROWN DUDLEY 1/1/2019 2019ME0075871 BROWN KATHLEEN 1/1/2019 2019ME0112367 BROWN LARAE 1/1/2019 2019ME0066658 BROWN NANCY 1/1/2019 2019ME0131364 BROWN SHERRIE-LEE 1/1/2019 2019OS0011490 BROWN-BURGESS KATINA 2/4/2019 2019ME0071561 BROWN-GRAHAM COLETTE 1/1/2019 2019ME0128475 BRUCE LAKEEMA 1/1/2019 2019ME0083126 BRUDER KAREN 1/1/2019 2019ME0117001 BRUSCATO ELIZA 1/1/2019 2019ME0130803 Buck Jenny 1/1/2019 2019ME0137982 BUDDHADEV ASHOK 3/1/2019 2019ME0100722 BULLARD GUINEVERE 1/1/2019 2019ME0126413 BUNNI HALA 2/7/2019 2019ME0042625 BURES-FORSTHOEFEL JANA 1/1/2019 2019ME0119052 BURGESS JENNIFER 1/1/2019 2019OS0014003 BURKE MELANIE 1/1/2019 2019ME0032009 BURKETT GENE 1/1/2019 2019ME0121061 BURLISON CHARLES 1/1/2019 2019ME0106713 BURNETT ERIN 1/1/2019 2019OS0012014 BURROWS JAMIE 1/1/2019 2019ME0081919 BURTON TRACY 1/1/2019 2019

Page 5: NICA 2019 Participating Physicians - AS OF APRIL … Participating AS OF...NICA 2019 Participating Physicians - AS OF APRIL 11, 2019 License Number Last Name First Name Participation

NICA2019 Participating Physicians - AS OF APRIL 11, 2019

License Number Last Name First Name Participation Date Year

ME0051930 BUSH SUZANNE 1/1/2019 2019ME0061504 BUSOWSKI JOHN 1/1/2019 2019ME0061218 BUTLER MADELYN 1/1/2019 2019ME0135629 Butterworth Blake 1/1/2019 2019ME0104790 BYUN SHARON 1/1/2019 2019ME0089729 CACCAM EVALEEN 1/1/2019 2019ME0094481 CACCIATORE MICHAEL 1/1/2019 2019ME0111862 CAIN MARY 1/1/2019 2019OS0012157 CAITO CHRISTINA 1/1/2019 2019ME0064963 CALDERA-NIEVES LUIS 1/1/2019 2019ME0077531 CALDERON GUILLERMO 1/1/2019 2019ME0096046 CALDERON JOSE 1/1/2019 2019ME0112334 CALDOW KRISTIN 1/1/2019 2019ME0131613 Calhoun Allison 1/1/2019 2019ME0076109 CALVO PATRICIA 1/1/2019 2019ME0137057 Calzadilla Lisandra 1/1/2019 2019ME0102865 CAMACHO NATALIA 1/1/2019 2019ME0115063 CAMINERO SUNY 1/1/2019 2019ME0042393 CAMPBELL KEVIN 1/1/2019 2019ME0119254 CAMPOS ROSABELLE 1/1/2019 2019ME0078977 CANTOR CRAIG 1/1/2019 2019OS0008369 CAPLAN SHERRI 1/1/2019 2019ME0135149 Cappleman Sarah 1/1/2019 2019ME0072916 CARAVELLO JOHN 1/1/2019 2019ME0062153 CARBIENER PAMELA 1/1/2019 2019ME0056177 CARDELLA ISIDRO 1/1/2019 2019ME0133568 Cardenal Denise 1/1/2019 2019ME0082250 CARDENAS JOSE 1/1/2019 2019ME0135183 CARDONA JR. FRANK 1/1/2019 2019ME0063738 CARDUCCI THERESA 1/1/2019 2019ME0111188 CARLIN FAITH 1/1/2019 2019ME0073434 CARLSON MELISSA 1/1/2019 2019ME0120185 CARRINGTON NATEYA 1/1/2019 2019ME0113638 CARRION ZARAGOZA CAROLINE 1/1/2019 2019ME0099929 CARROCCIO SHEYNA 1/1/2019 2019ME0121541 CARTECHINE RACHEL 1/1/2019 2019ME0126246 CARTER DANIELLE 1/1/2019 2019ME0127743 CARTER TERRENCE 1/1/2019 2019ME0114951 CARUGNO JOSE 1/1/2019 2019OS0008678 CASAVANT MATTHEW 1/1/2019 2019ME0123987 CASELNOVA PETRA 1/1/2019 2019ME0049406 CASTANEDA JOSE 1/1/2019 2019ME0097833 CASTELLANOS VIDAURRE AUDRY 1/1/2019 2019ME0113043 CASTILLO EMERITA 1/1/2019 2019ME0055233 CASTILLO RAMON 1/1/2019 2019ME0117147 CATALANO VAZQUEZ LEONARDO 1/1/2019 2019ME0104432 CATES-SMITH PAMELA 1/1/2019 2019ME0090488 CAVALARIS JOY 1/1/2019 2019ME0113753 CAVANAGH CHRISTINA 1/1/2019 2019

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NICA2019 Participating Physicians - AS OF APRIL 11, 2019

License Number Last Name First Name Participation Date Year

ME0125320 CAYWOOD STEPHANIE 1/1/2019 2019ME0133813 CESARIO JASON 1/1/2019 2019ME0054110 CHAI STANLEY 1/1/2019 2019ME0101410 CHAMBERLAIN KELLY 1/1/2019 2019ME0109112 CHAMBERS CHERISE 1/1/2019 2019ME0102380 CHAMORRO ROBERTS ZAYDA 1/1/2019 2019ME0099440 CHAMPION NATASHA 1/1/2019 2019ME0110695 CHERNAEV DANIEL 1/1/2019 2019ME0083080 CHI SUSAN 1/1/2019 2019ME0043336 CHIDIAC ADIB 1/1/2019 2019ME0087180 CHITHRIKI BABU 1/1/2019 2019ME0106780 CHLOUBER RICHARD 1/1/2019 2019ME0131535 Chokshi Ravi 1/1/2019 2019ME0110738 CHUDGAR PRANAV 1/1/2019 2019OS0011839 CHVOTZKIN SHELLY 1/1/2019 2019ME0103868 CIACCIO-STILWELL RACHEL 1/1/2019 2019OS0010308 CLEMENTS EMILY 1/1/2019 2019ME0078395 CLEMONS SUZANNE 1/1/2019 2019ME0039732 CLIMER CLYDE 1/1/2019 2019ME0137068 Close Adam 1/1/2019 2019ME0110266 COATES GREGORY 1/1/2019 2019ME0058922 CODY WILLIAM 1/1/2019 2019ME0082390 COE CHANNING 1/1/2019 2019ME0052052 COELLO JULIO 1/1/2019 2019ME0099428 COFIELD MICHELE 1/1/2019 2019ME0090080 COHEN DEBORAH 1/1/2019 2019OS0015583 COHEN EVAN 1/1/2019 2019ME0050970 COHEN JAY 1/1/2019 2019ME0062683 COHEN WAYNE 1/1/2019 2019ME0122943 COLALILLO MARYANNE 1/1/2019 2019ME0095595 COLAS-LACOMBE MARION 1/1/2019 2019ME0134755 COLE KRISTI 1/1/2019 2019ME0131224 Collado Erika 1/1/2019 2019ME0113120 COLLIER ANGELA 1/1/2019 2019ME0055486 COLLINS GLENN 1/1/2019 2019ME0137158 Colon Ramirez Lisamarie 1/1/2019 2019ME0120099 COLON-RIVERA MALIERI 1/1/2019 2019ME0105583 COMPANIONI MONICA 1/1/2019 2019ME0060791 CONNERY SHEILA 1/1/2019 2019ME0092670 CONNOR DIANA 1/1/2019 2019ME0118715 COOLS KATHLEEN 1/1/2019 2019ME0081932 COOPER-MERCADO RACHEL 1/1/2019 2019ME0067305 CORTEZ STEPHEN 1/1/2019 2019ME0061235 COTTER MICHAEL 1/1/2019 2019ME0137170 COULTER ORUC MEREDITH 1/1/2019 2019ME0104081 COUNSELL CHERYL 1/1/2019 2019ME0050296 COURTNEY WENDELL 1/1/2019 2019ME0136288 COVINGTON JESSICA 1/1/2019 2019ME0085163 COX CAROL 1/1/2019 2019

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NICA2019 Participating Physicians - AS OF APRIL 11, 2019

License Number Last Name First Name Participation Date Year

ME0034911 CRANDALL BLANE 1/1/2019 2019ME0095903 CRANDALL BLANE 1/1/2019 2019ME0127941 CRANE STEPHEN 1/1/2019 2019OS0013959 CRAWFORD KRISTY 1/1/2019 2019ME0090456 CRIDER MARK 1/1/2019 2019ME0043757 CROFOOT KYLE 1/1/2019 2019ME0111117 CROOKE EVA 1/1/2019 2019ME0122845 CRUZ ITHIER MAYRA 1/1/2019 2019ME0085694 CRUZ-TORRES PEDRO 1/1/2019 2019ME0081821 CUADRA DEBORAH 1/1/2019 2019ME0071206 CUETO LUISA 1/1/2019 2019ME0135644 CURTIS SAMANTHA 1/1/2019 2019ME0126254 D'ABARNO JENNIFER 1/1/2019 2019ME0119651 DACHA APARNA 1/1/2019 2019OS0008075 DADISMAN KATHERINE 1/1/2019 2019ME0092579 DAI XIAORONG 1/1/2019 2019ME0066354 DAMIAN GRACIA 1/1/2019 2019ME0134295 DANASTOR TAHNIE 1/1/2019 2019ME0076195 DANCE VANESSA 1/1/2019 2019ME0062545 DANIEL JANE 1/1/2019 2019ME0078811 DANIEL MONICA 1/1/2019 2019ME0063066 DANNA PENNY 1/1/2019 2019ME0070418 DASILVA CHRISTINE 1/1/2019 2019ME0061862 DAVILA SUSAN 1/1/2019 2019ME0066010 DAVILA VIRGIL 1/1/2019 2019ME0110199 DAVIS ANNA 1/1/2019 2019ME0051789 DAVIS JOHN 1/1/2019 2019ME0119712 DAVIS KATRINA 1/1/2019 2019ME0132349 DAVIS LAUREN 1/1/2019 2019ME0045724 DAVIS MARK 1/1/2019 2019ME0134064 DAWES-JAMES TERRY-ANN 2/11/2019 2019OS0010338 DE LA TORRE LESLEY 1/1/2019 2019ME0042913 DE LEON ROLANDO 1/1/2019 2019ME0073376 DE SANTIS TIMOTHY 1/1/2019 2019ME0080156 DECESARE JULIE 1/1/2019 2019OS0013661 DECKER MELISSA 1/1/2019 2019ME0131219 DECOSIMO LILLIAN 1/1/2019 2019ME0115888 DECOTIS SMITH DIANA 1/1/2019 2019ME0123721 DEEN JULINE 1/1/2019 2019ME0081011 DEL BOCA ADRIAN 1/1/2019 2019ME0131939 DEL PILAR LUIS 1/1/2019 2019ME0061869 DEL VALLE GERARDO 1/1/2019 2019ME0061748 DELGADO PABLO 1/1/2019 2019ME0128231 DELGADO SUZETTE 1/1/2019 2019ME0099385 DELGADO-SPASIC YARA 1/1/2019 2019ME0058422 DELKE ISAAC 1/1/2019 2019ME0092692 DELKER JILL 1/1/2019 2019OS0006640 DELL'API PASQUALE 1/1/2019 2019ME0082519 DELONG GREGORY 1/1/2019 2019

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NICA2019 Participating Physicians - AS OF APRIL 11, 2019

License Number Last Name First Name Participation Date Year

ME0093017 DEN HAESE GREG 1/1/2019 2019OS0009922 DENARDIS MICHAEL 1/1/2019 2019ME0076539 DESAI MEETESH 1/1/2019 2019ME0112420 DESAI NEERAJ 1/1/2019 2019ME0093963 DESMARAIS SHARON 1/1/2019 2019ME0042359 DESOUZA ALISON 1/1/2019 2019ME0038147 DESPER DAVID 1/1/2019 2019OS0005626 DESPRES BERNARD 1/1/2019 2019ME0098619 DEUTSCH AARON 1/1/2019 2019ME0103999 DEUTSCH ELANA 1/1/2019 2019ME0080990 DEVANESAN SHEILA 1/1/2019 2019ME0116715 DHANANI KAMATH MAYA 1/1/2019 2019ME0104834 DHAS VIJAYSELWYN 1/1/2019 2019ME0083622 D'HEUREUX--JONES ANN 1/1/2019 2019ME0126435 DIAZ MARIA 1/1/2019 2019ME0115492 DIAZ-SOCARRAS CLAUDIO 1/1/2019 2019ME0069586 DICKENS FRANK 1/1/2019 2019ME0055252 DIEFFENBACH LOUIS 1/1/2019 2019ME0078454 DILL LAURA 1/1/2019 2019ME0039293 DIMINO THOMAS 1/1/2019 2019ME0097163 DINER BETH 1/1/2019 2019OS0012858 DISALVO HEIDI 1/1/2019 2019ME0135626 Dixon Christopher 1/1/2019 2019OS0008966 DIXON DAVID 1/1/2019 2019ME0100807 DOLSKAYA ELENA 1/1/2019 2019ME0113513 DOMINGUEZ ALEXIS 1/1/2019 2019ME0079533 DOMINGUEZ-BALI ALBERTO 1/1/2019 2019ME0117602 DOOKHAN MARLENE 1/1/2019 2019ME0118938 DOUGLAS BRAD 1/1/2019 2019ME0070523 DOYLE DEANNA 1/1/2019 2019ME0136101 DUARTE JHONATHAN 1/1/2019 2019OS0014575 Dudley Heather 1/1/2019 2019OS0012103 DUERKES JAMES 1/1/2019 2019ME0058108 DUFF WILLIAM 1/1/2019 2019ME0102267 DUKE BILLY 1/1/2019 2019OS0008773 DUKE-ELMORE JAIRAN 1/1/2019 2019ME0068213 DUKES STEVEN 1/1/2019 2019ME0136035 Duncan Jose 1/1/2019 2019OS0004300 DUNKIN SCOTT 1/1/2019 2019OS0008445 DUPUY GLADYS 1/1/2019 2019ME0067143 DURKEE DENNISE 1/1/2019 2019ME0066796 DYAL RUTH 1/1/2019 2019ME0044444 EASON RONALD 1/1/2019 2019ME0059922 EASTERLING GARY 1/1/2019 2019ME0065358 EBENGER MARTIN 1/1/2019 2019ME0110140 ECHAVARRIA LINA 4/2/2019 2019ME0071316 ECKERT JEANNE 1/1/2019 2019OS0009412 EDELENBOS ERIC 1/1/2019 2019ME0075682 EDGEWORTH DEBORAH 1/1/2019 2019

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ME0136052 Treto Aileen 1/1/2019 2019ME0128331 TREXLER STEPHANIE 1/1/2019 2019ME0089602 TROGOLO FRANK 1/1/2019 2019ME0116413 TROY JENNIFER 1/1/2019 2019ME0077228 TRUPIANO CHRISTINE 1/1/2019 2019ME0052064 TUCKER ELISABETH 1/1/2019 2019ME0036365 TUDELA FRANCISCO 1/1/2019 2019ME0110654 TUDELA OLGA 1/1/2019 2019ME0084559 TUNG CHIA-LING 1/1/2019 2019ME0036922 TURNER DAVID 1/1/2019 2019ME0135002 Turner Kristen 1/1/2019 2019ME0036525 TUTTELMAN RONALD 1/1/2019 2019ME0106668 TWITTY PAMELA 1/1/2019 2019ME0132198 TYSER ZACHARY 1/1/2019 2019ME0130621 UFBERG NAOMI 1/1/2019 2019ME0031944 UPADHYAYA D 1/1/2019 2019ME0097176 UPDIKE KAREN 1/1/2019 2019ME0075925 URIBASTERRA PABLO 1/1/2019 2019ME0081182 URRIBARRI NISSETH 1/1/2019 2019ME0139792 URSCHEL KEIRA 4/10/2019 2019ME0128809 UZBAY LISA 1/1/2019 2019ME0055416 VAGOVIC RICHARD 1/1/2019 2019ME0136405 Valdes Eduardo 1/1/2019 2019ME0050920 VALDESCRUZ RAUL 1/1/2019 2019ME0104061 VALLEJO ELVIA 1/1/2019 2019ME0127218 VALVERDE KRISTELL 1/1/2019 2019ME0093647 VAN BENNEKOM JASON 1/1/2019 2019ME0053593 VAN BUREN GEORGE 1/1/2019 2019ME0138773 VARGAS LILLIAN 4/3/2019 2019ME0119207 VARLAMOV ANNA 1/1/2019 2019ME0122711 VASQUEZ WENDELLY 1/1/2019 2019ME0117277 VAZ STEPHANIE 1/1/2019 2019ME0063251 VAZQUEZ CARLOS 1/1/2019 2019ME0107158 VAZQUEZ-VERA ENRIQUE 1/1/2019 2019ME0079819 VEGA-MONTALVO WILFREDO 1/1/2019 2019ME0119707 VEIGA FRANQUI SARA 1/1/2019 2019ME0086616 VELARDE SYLVIA 1/1/2019 2019ME0113448 VENDITTO JOSEPH 1/1/2019 2019ME0078928 VERDEJA-PEREZ ANA 1/1/2019 2019ME0099494 VEY CARRIE 1/1/2019 2019ME0097991 VIGNALI SERGIO 1/1/2019 2019ME0128853 VILCEUS TAYISHA 1/1/2019 2019ME0088062 VILLA MARIA 1/1/2019 2019ME0095466 VILLANO KATHRYN 1/1/2019 2019ME0087317 VINUEZA CESAR 1/1/2019 2019ME0047147 VIRTUE THOMAS 1/1/2019 2019ME0055573 VIZOSO JAVIER 1/1/2019 2019OS0015283 VOKES ALYSON 1/1/2019 2019ME0037988 VON THRON JAMES 1/1/2019 2019

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NICA2019 Participating Physicians - AS OF APRIL 11, 2019

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ME0130060 WAGMAN FELICIA 1/1/2019 2019ME0068203 WAGNER EDWARD 1/1/2019 2019ME0081275 WAHBA IRENE 1/1/2019 2019ME0098541 WAHID ANILA 2/14/2019 2019ME0114835 WALKER CECILE 1/1/2019 2019ME0128334 WALKER TIFFANNIE 1/1/2019 2019ME0116469 WALSH ASHLEY 1/1/2019 2019ME0093527 WALSH ELIZABETH 1/1/2019 2019ME0115420 WALTER ANDREW 1/1/2019 2019ME0041933 WALTER THOMAS 1/1/2019 2019OS0007511 WANIS SAMEH 1/1/2019 2019ME0108432 WARREN LAKRYSTAL 1/1/2019 2019ME0117831 WASHINGTON GINA 1/1/2019 2019ME0089921 WATKINS ANTOININA 1/1/2019 2019OS0010381 WATSON JENNIFER 1/1/2019 2019ME0132738 WatsonLocklear Meredith 1/1/2019 2019ME0132301 WEAVER SARAH 1/1/2019 2019OS0014018 WEBB LAURA 1/1/2019 2019ME0109766 WEBER REBECCA 1/1/2019 2019OS0012635 WEHRUM MARK 1/1/2019 2019OS0008972 WEINSTEIN ALAN 1/1/2019 2019ME0082245 WEISS MICHAEL 1/1/2019 2019ME0070186 WEISS SIMON 1/1/2019 2019ME0054566 WELLS DAVID 1/1/2019 2019ME0117517 WELLS TIFFANY 1/1/2019 2019ME0067568 WERNER ERIN 1/1/2019 2019ME0131589 West Simone 1/1/2019 2019ME0077765 WESTON LAURA 1/1/2019 2019ME0066730 WHITAKER DONALD 1/1/2019 2019ME0077781 WHITCOMB WENDY 1/1/2019 2019OS0012709 WHITE DAVID 1/1/2019 2019ME0109016 WHITE DOROTHY 1/1/2019 2019ME0039128 WHITE JOHN 1/1/2019 2019ME0110534 WIEDEL LISA 1/1/2019 2019ME0125439 WIGGINS JIBRI 1/1/2019 2019ME0106484 WILBOURN SHELBY 1/1/2019 2019ME0039668 WILKERSON WALLACE 1/1/2019 2019ME0113691 WILKES NIKITA 1/1/2019 2019ME0094184 WILKINSON HUGH 1/1/2019 2019ME0102794 WILLIAMS ANNETTE 1/1/2019 2019ME0097686 WILLIAMS SHERIDA 1/1/2019 2019OS0013014 WILMOT AMANDA 1/1/2019 2019ME0046628 WINGER DOUGLAS 1/1/2019 2019ME0119061 WINTERROWD SAMANTHA 1/1/2019 2019ME0114716 WOJNOWICH KATHERINE 1/1/2019 2019OS0008825 WOLF SAMUEL 1/1/2019 2019ME0090227 WOLK BRADFORD 1/1/2019 2019ME0087437 WOOD MICHELLE 1/1/2019 2019ME0127756 WORLEY AMEIGH 1/1/2019 2019

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NICA2019 Participating Physicians - AS OF APRIL 11, 2019

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ME0129251 WOUTERS ANNA 1/1/2019 2019ME0092492 WRENNICK AMY 1/1/2019 2019ME0089373 WYCKOFF ERICH 1/1/2019 2019ME0131494 Wykes Rachel 1/1/2019 2019ME0109670 YANKOWITZ JEROME 1/1/2019 2019ME0066572 YARIAN SUSAN 1/1/2019 2019ME0050956 YASIN SALIH 1/1/2019 2019ME0113480 YELVERTON ROBERT 1/1/2019 2019ME0086154 YOO GRACE 1/1/2019 2019ME0109634 YOUNG AIMEE 1/1/2019 2019ME0129981 YOUNG MICHAEL 1/1/2019 2019ME0124574 YOUNG SHARA 1/1/2019 2019ME0046333 ZAFRAN BRUCE 2/8/2019 2019ME0132964 Zanelotti Austin 1/1/2019 2019ME0132086 Zeleke Eden 1/1/2019 2019ME0074481 ZENG XIAO MEI 1/1/2019 2019ME0096832 ZOBEL STEPHANIE 1/1/2019 2019OS0007408 ZOFFER MATTHEW 1/1/2019 2019ME0076754 ZOLLICOFFER CARL 2/22/2019 2019ME0034836 ZWEIBACH STEPHEN 1/1/2019 2019