Alternate Obstetrics/Gynecology and Imaging Providers Eastern Region Virginia (Hampton Roads)

Transcription

1 Alternate Obstetrics/Gynecology and Imaging Providers Eastern Region Virginia (Hampton Roads) Providers Terminating: Mid-Atlantic Women s Care Practice names are as follows: Chesapeake Women s Care, Gynecology Specialists, Synergy-An Integrative Medicine Center for Women, The Group for Women, TotalCare for Women, Virginia Center for Women, OB-GYN Physicians, Center for Women s Health, Hampton Roads Obstetrics & Gynecology, Obstetrics and Gynecology Associates of Hampton, Center for Women s Health, Obstetrics and Gynecology Associates of Hampton, Peninsula Women s Care, The Group for Women, Tidewater Physicians for Women, WomenCare Centers, Women Caring, Specialists for Women, Complete Women s Care, New Hope Center for Reproductive Medicine and Mid-Atlantic Imaging Centers Termination Date: November 1, 2017 Alternate Obstetrics and Gynecology Providers Eastern Region Virginia (Hampton Roads) Location PENINSULA CARROLLTON GLOUCESTER Group Name BAYVIEW PHYSICIAN SERVICES PC SENTARA WAY SUITE 104 CARROLLTON VA ADKINS, WILLIAM MD DEMKOWSKI, HENRY MD JACKSON, CHRISTINA MD RIVERSIDE PHYSICIAN SERVICES INC RIVERSIDE PARTNERS IN WOMEN'S HEALTH 7547 MEDICAL DRIVE SUITE 1200 GLOUCESTER VA CASANOVA, LISA A MD DENT, MONILLA MONET MD KHAN, JAWWAD JAHANGIR MD KING, JOSEPH K MD LUNSFORD, ELIZABETH R MD MADDELA, DIANE A DO MOUKALLED, DARINE A MD VIRK, KARANVIR S MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 1

2 TIDEWATER PHYSICIANS MULTISPECIALTY TPMG MIDDLE PENINSULA WOMENS CARE 7685 MEREDITH DRIVE GLOUCESTER VA FISHER,DENEISHIA MD CORDES, LAURA R MD MORRISON, JEFFREY D DO TAN, TERESA X MD HAMPTON KILMARNOCK VIRGINIA LEAGUE FOR PLANNED PARENTHOOD 403 YALE DRIVE HAMPTON VA FALLS, RANDALL KEITH MD PETERS, DAVID REID MD JAMES F HAMILTON MD PLC 95 HARRIS DRIVE BUILDING 6 KILMARNOCK VA HAMILTON, JAMES F MD VIRGINIA WOMENS CENTER INC 102 DMV DRIVE KILMARNOCK VA STOUT, KATHRYN K MD VOGEL, MATTHEW FREDERICK MD SLAVIN, CHRISTINA NP NEWPORT NEWS COLONIAL OB GYN ASSOC LTD 716 DENBIGH BLVD SUITE 2 BUILDING E NEWPORT NEWS VA SHWAYDER, ROBERT C MD HEFNER, LINDSEY, NP BURGESS, CORLISS, CNM EVMS ACADEMIC PHYSICIANS AND SURGEONS WARWICK BLVD NEWPORT NEWS VA DAVIS, STEPHEN MD GILLMAN, MONIQUE MD GILLMAN, NICOLE MD KAPUR, GAYATRI MD KIMBLE, THOMAS D MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 2

3 LANE, ANDREW MD LARSON, KINDRA MD LEVIN, BETH MD NOWROOZI, POURAN NADJI MD PHILIPS, JENNIFER, MD SAKHEL, KHALED MD SCOTT, LAUREN MD TAKACS, PETER MD THURMAN, ANDREA MD WILLARD, RICHARD MD EVMS ACADEMIC PHYSICIANS AND SURGEONS (UROGYNECOLOGY ONLY) 729 THIMBLE SHOALS BLVD SUITE 5 E NEWPORT NEWS VA SCOTT, LAUREN LARSON, KINDRA A MD TAKACS, PETER MD PENINSULA INSTITUTE FOR COMMUNITY HEALTH WARWICK BLVD SUITE H NEWPORT NEWS VA ANTE, NILDA R MD PENINSULA INSTITUTE FOR COMMUNITY HEALTH 4714 MARSHALL AVENUE NEWPORT NEWS VA ANTE, NILDA R MD RIVERSIDE PHYSICIAN SERVICES INC RIVERSIDE PARTNERS IN WOMEN'S HEALTH WARWICK BLVD STE 510 NEWPORT NEWS VA KING, JOSEPH K MD YEATTS, STANLEY D II MD MOUKALLED, DARINE A MD MULLINS, JAMES M III MD RIVERSIDE PHYSICIAN SERVICES INC RIVERSIDE PARTNERS IN WOMEN'S HEALTH 401 OYSTER POINT ROAD SUITE A NEWPORT NEWS VA CASANOVA, LISA A MD DENT, MONILLA MONET MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 3

4 FAULK, CHARLIE M MD GROSS, BARRY L MD HENKE, JEFFREY L MD MADDELA, DIANE A DO RIVERSIDE REGIONAL MEDICAL CENTER RIVERSIDE HOSPITAL INC JEFFERSON AVE SUITE D NEWPORT NEWS VA HASLING, JILL C MD JONES-IVES, NORMA LEE MD KHAN, JAWWAD JAHANGIR MD MCMULLIN, MICHAEL DEE MD SIMPSON, BARBARA E MD TIDEWATER PHYSICIANS MULTISPECIALTY GROUP 860 OMNI BLVD SUITE 110 NEWPORT NEWS VA CORDES, LAURA R MD FISHER, DENEISHIA SHRAMAINE MD MORRISON, JEFFREY D DO TAN, TERESA X MD WILLIAM FITZHUGH MD PC JEFFERSON AVENUE SUITE A NEWPORT NEWS VA FITZHUGH, WILLIAM G MD WILLIAMSBURG CARILION SERVICES INC OLD TOWNE MEDICAL CENTER 5209 OLD TOWNE ROAD WILLIAMSBURG VA MANN, WILLIAM J MD LONTKOWSKI, SUSAN M MD RIVERSIDE PHYSICIAN SERVICES INC RIVERSIDE PARTNERS IN WOMEN'S HEALTH CARE 120 KINGS WAY SUITE 3400 WILLIAMSBURG VA SCHARLOP, BETH MD VIRK, KARANVIR S MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 4

5 TIDEWATER PHYSICIANS MULTISPECIALTY GROUP 5424 DISCOVERY PARK BLVD SUITE 203 BLDG B WILLIAMSBURG VA CORDES, LAURA R MD MORRISON, JEFFREY D DO TAN, TERESA X MD FISHER, DENEISHIA SHRAMAINE MD WILLIAMSBURG OBSTETRICS AND GYNECOLOGY 1115 PROFESSIONAL DRIVE WILLIAMSBURG VA ISBELL, BENJAMIN MD KELLER, KRISTY A MD PEARCE, DAVID C MD ROBERSON, EMILY F MD WILKEY, ERIN MD WILLIAMSBURG OBSTETRICS AND GYNECOLOGY 500 SENTARA CIRCLE SUITE 105 WILLIAMSBURG VA ISBELL, BENJAMIN MD KELLER, KRISTY A MD PEARCE, DAVID C MD ROBERSON, EMILY F MD WILKEY, ERIN MD TIDEWATER CARROLLTON CHESAPEAKE BAYVIEW PHYSICIAN SERVICES PC SENTARA WAY SUITE 104 CARROLLTON VA ADKINS, WILLIAM MD DEMKOWSKI, HENRY MD JACKSON, CHRISTINA MD ATLANTIC OBSTETRICS AND GYNECOLOGY 680 KINGSBOROUGH SQUARE SUITE C CHESAPEAKE VA HARDY, TIMOTHY J MD BAYVIEW PHYSICIAN SERVICES PC MONARCH WOMEN'S WELLNESS (BAYVIEW) 3802 POPLAR HILL RD SUITE C CHESAPEAKE VA Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 5

6 KHAN, REBECCA T MD LEE, RACHEL D MD OJO-CARONS, MARY NDIDI-EGBUNIWE MD ROSADO-TORRES, IDALIA VANESSA MD CHESAPEAKE REGIONAL MEDICAL GROUP 113 GAINSBOROUGH SQUARE SUITE 201 CHESAPEAKE VA WILLIAMS, FRED A MD CHURCHLAND OBSTETRICS AND GYNECOLOGY 3806 POPLAR HILL RD SUITE C CHESAPEAKE VA MOBLEY, CYNTHIA H MD ALNAIS, BUNAN MD CORNEY MARGIE MD 817 GREENBRIER PARKWAY SUITE B CHESAPEAKE VA CORNEY, MARGIE MD GREENBRIER OBSTETRICS AND GYNECOLOGY 713 VOLVO PKWY SUITE 200 CHESAPEAKE VA FEREBEE, ANGELA MD HAIRSTON, LAVONNE SHATE MD MELEK, SEHAM N MD SMITH, PAMELA B MD WHITTED, MATTHEW L MD JORDAN AND ASSOCIATES OB/GYN 111 MEDICAL PARKWAY 2ND FLOOR CHESAPEAKE VA GRIMES, MICHAEL PAUL MD JORDAN, KHADIJAH Y MD PENINSULA INSTITUTE FOR COMMUNITY HEALTH (CHESAPEAKE COMMUNITY HEALTH CENTER) 490 LIBERTY STREET CHESAPEAKE VA RIDDICK, GWENDOLYN L DO Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 6

7 PERWAIZ JAVAID A MD PC 109 WIMBLEDON SQUARE SUITE F CHESAPEAKE VA PERWAIZ, JAVAID A MD PERWAIZ JAVAID A MD PC 3003 CHURCHLAND BLVD CHESAPEAKE VA PERWAIZ, JAVAID A MD PROCREATE FERTILITY CENTER OF VIRGINIA 300 MEDICAL PKWY SUITE 200 CHESAPEAKE VA PEREZ, VILLABONA CHRISTIAN MANUEL MD RUETZEL GYNECOLOGY AND OBSTETRICS 824 GREENBRIER PKWY SUITE 100 CHESAPEAKE VA RUETZEL, CRAIG H MD WESTERN BRANCH CENTER FOR WOMEN PC (Urogynecology/Gynecology only) 3806 B POPLAR HILL ROAD CHESAPEAKE VA ALNAIF, BUNAN MD NORFOLK A TIDEWATER WOMENS HEALTH CLINIC (Gynecology only) 891 NORFOLK SQUARE NORFOLK VA PETERS, DAVID REID MD BON SECOURS DEPAUL MEDICAL CENTER HAMPTON ROADS OB GYN CENTER 100 KINGSLEY LANE SUITE 100 NORFOLK VA MATHEWS, JANET DO PARSON, ANGELA MD THOMSON, EMILY DO LAURETTA-BANSIL, LENNY DO Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 7

8 BON SECOURS DEPAUL MEDICAL CENTER (AMELIA MEDICAL ASSOCIATES) 885 KEMPSVILLE ROAD SUITE 320 NORFOLK VA PARSON, ANGELA MD CONTEMPORARY OB GYN ASSOCIATES LTD 301 RIVERVIEW AVE SUITE 512 NORFOLK VA WILLIAMS, ANNIE LOUISE MD ELITE WOMENS CARE 6161 KEMPSVILLE CIR STE 340 HALIFAX BLDG NORFOLK VA MCFARLANE, JACQUALYNNE K MD BURFOOT, KEISHA L MD SAMPLE, MALENA C MD EVMS ACADEMIC PHYSICIANS AND SURGEONS EVMS MEDICAL GROUP 601 COLLEY AVENUE NORFOLK VA DAVIS, STEPHEN MD GILLMAN, MONIQUE MD GILLMAN, NICOLE MD KAPUR, GAYATRI MD KIMBLE, THOMAS D MD LANE, ANDREW MD LARSON, KINDRA MD LEVIN, BETH MD NOWROOZI, POURAN NADJI MD PHILIPS, JENNIFER, MD SAKHEL, KHALED MD SCOTT, LAUREN MD TAKACS, PETER MD THURMAN, ANDREA MD WILLARD, RICHARD MD EVMS ACADEMIC PHYSICIANS AND SURGEONS EVMS MEDICAL GROUP 825 FAIRFAX AVE NORFOLK VA DAVIS, STEPHEN MD GILLMAN, MONIQUE MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 8

9 GILLMAN, NICOLE MD KAPUR, GAYATRI MD KIMBLE, THOMAS D MD LANE, ANDREW MD LARSON, KINDRA MD LEVIN, BETH MD NOWROOZI, POURAN NADJI MD PHILIPS, JENNIFER, MD SAKHEL, KHALED MD SCOTT, LAUREN MD TAKACS, PETER MD THURMAN, ANDREA MD WILLARD, RICHARD MD HAMPTON ROADS COMMUNITY HEALTH CENTER 3415 GRANBY STREET NORFOLK VA ISAAC, JOSEPH W MD HAMPTON ROADS COMMUNITY HEALTH CENTER 804 WHITAKER LANE NORFOLK VA ISAAC, JOSEPH W MD HAMPTON ROADS COMMUNITY HEALTH CENTER 9581 SHORE DRIVE NORFOLK VA ISAAC, JOSEPH W MD ONANCOCK PORTSMOUTH RIVERSIDE PHYSICIAN SERVICES INC RIVERSIDE PARTNERS IN WOMEN'S HEALTH MARKET STREET ONANCOCK VA REASON, HENRY JOHN MD REASON, JENNIFER P DO REINOEHL, ELIZABETH M DO SCOTT, DAVID R MD MARYVIEW MEDICAL CENTER WESTERN BRANCH OB/GYN 1040 UNIVERSITY BLVD SUITE 205 PORTSMOUTH VA LUCAS, ELLIOTT W JR MD MORALES, RENEE CHRISTINE MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 9

10 OREDEIN, OLUGBENGA S MD HAMPTON ROADS COMMUNITY HEALTH CENTER 664 LINCOLN STREET PORTSMOUTH VA HAIRSTON, LAVONNE SHATE MD ISAAC, JOSEPH W MD SUFFOLK ATLANTIC UROGYNECOLOGY PELVIC MEDICINE 5838 HARBOUR VIEW BLVD SUITE 290 SUFFOLK VA WALSHE, CHRISTOPHER J MD BAYVIEW PHYSICIAN SERVICES PC 2000 MEADE PARKWAY SUITE 150 SUFFOLK VA JACKSON, CHRISTINA M DO LUBECKI, ASHLEY R DO ADKINS, WILLIAM MD DEMKOWSKI, HENRY MD BAYVIEW PHYSICIAN SERVICES PC LAKEVIEW CHURCHLAND 4868 BRIDGE ROAD SUITE 330 SUFFOLK VA JACKSON, CHRISTINA M DO OJO-CARONS, MARY NDIDI-EGBUNIWE MD ADKINS, WILLIAM MD DEMKOWSKI, HENRY MD GENIS WOMENS CARE PC 1510 BREEZEPORT WAY SUITE 600 SUFFOLK VA FEDEI, DIANA C MD GENIS WOMENS CARE PC 2790 GODWIN BLVD SUITE 375 SUFFOLK VA FEDEI, DIANA C MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 10

11 LEPORE MICHAEL ANGELO JR MD PC 1510 BREEZEPORT WAY SUITE 600 HARBOUR BREEZE PROFESSIONAL SUFFOLK VA LEPORE, MICHAEL ANGELO JR MD LIFETIME WOMENS HEALTH AND WELLNESS 1037 CHAMPIONS WAY SUITE 300 SUFFOLK VA WING, EDWARD E MD LIFETIME WOMENS HEALTH AND WELLNESS 2790 GODWIN BLVD SUITE 320 SUFFOLK VA WING, EDWARD E MD VIRGINIA BEACH ATLANTIC OBSTETRICS AND GYNECOLOGY 3720 HOLLAND ROAD SUITE 101 VIRGINIA BEACH VA HARDY, TIMOTHY J MD BON SECOURS DEPAUL MEDICAL CENTER BON SECOURS MEDICAL ASSOCIATES 828 HEALTHY WAY SUITE 220 VIRGINIA BEACH VA MATTHEWS, JANET C DO COMMONWEALTH WOMENS HEALTHCARE INC 2020 S INDEPENDENCE BLVD SUITE 5 VIRGINIA BEACH VA ROBERTS, EDWARD FRANKLIN MD SPRUIELL, MICHAEL MD EVMS ACADEMIC PHYSICIANS AND SURGEONS 2075 GLENN MITCHELL DR VIRGINIA BEACH VA DAVIS, STEPHEN MD GILLMAN, MONIQUE MD GILLMAN, NICOLE MD KAPUR, GAYATRI MD KIMBLE, THOMAS D MD LANE, ANDREW MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 11

12 LARSON, KINDRA MD LEVIN, BETH MD NOWROOZI, POURAN NADJI MD PHILIPS, JENNIFER, MD SAKHEL, KHALED MD SCOTT, LAUREN MD TAKACS, PETER MD THURMAN, ANDREA MD WILLARD, RICHARD MD FAMILY MEDICAL PRACTITIONERS INC (GYN ONLY) 1147 INDEPENDENCE BLVD VIRGINIA BEACH VA HUGGINS-JONES, DAWN E MD LACKORE RAYMOND CLAYTON III MD 1101 FIRST COLONIAL ROADSUITE 100 VIRGINIA BEACH VA LACKORE, RAYMOND CLAYTON III MD MARINA SHORES OB GYN PC 2865 LYNNHAVEN DR SUITE 4A VIRGINIA BEACH VA WARREN, LANI MARIE MD PRIVIA MEDICAL GROUP LLC COASTAL GYNECOLOGY 1744 SIR WILLIAM OSLER D VIRGINIA BEACH VA ELSTEIN, MORRIS M MD REPRODUCTIVE HEALTHCARE ASSOCIATES 4633 HERMITAGE ROAD VIRGINIA BEACH VA BYRD, SHARON J MD RICHARD N VALENTINE JR MD 700 INDEPENDENCE CIRCLE SUITE 2A VIRGINIA BEACH VA VALENTINE, RICHARD N JR MD Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 12

13 STEPHEN A MILLER MD PC (GYN ONLY) 1729 WILDWOOD DRIVE SUITE 103 VIRGINIA BEACH VA MILLER, STEPHEN A MD VIRGINIA LEAGUE FOR PLANNED PARENTHOOD (GYN ONLY) 515 NEWTOWN ROAD VIRGINIA BEACH VA NOTE: Routine gynecology services may also be obtained through a member s primary care physician s office. Alternate Imaging Providers (that provide similar radiology/imaging services as Mid-Atlantic Imaging Centers) Eastern Region Virginia (Hampton Roads) Location PENINSULA TIDEWATER Group Name Riverside Diagnostic Center Bon Secours Health Center at Harbour View Breast Care Center Chesapeake Regional Medical Center-Mobile Mammography MRI and CT Diagnostics Sentara Leigh Comprehensive Breast Center Sentara Norfolk General Comprehensive Breast Center Sentara Princess Anne Comprehensive Breast Center Sentara Williamsburg Comprehensive Breast Center Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. are independent licensees of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Change in Network Participation for Mid-Atlantic Women s Care: Alternate Providers Page 13