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STATE OF MARYLAND O: Maryland Board of Nursing NP, RN, FRE f Nursing DATE: September 25, 2012 E: Nurse Practitioner Attestation Approval MARYLAND BOARD OF NURSING BALT 2254 (410) 585-1900 10) 358-3530 FAX (410 ON 4140 PATTERSON AVENUE IMORE, MARYLAND 21215- (4 ) 585-1978 AUTOMATED VERIFICATI 1-888-202-9861 TOLL FREE 1c M E M O R A N D U M T FROM: Emmaline Woodson, D Deputy Director Maryland Board o R he Advanced Practice Department at the Maryland Board of Nursing recommends the following P NAME CERT. TYPE* COLLABORATOR(S) SITE T Nurse Practitioner Attestations and Attestation Addendums for approval: N Abate, Thom Beth Abate, Nu ctitioner, Betelehem R166533 A N as Masterson, D50534 rse Pra LLC Abumere, Christy Inuata F N Ejemeh Okojie, D53685 , MD R122356 Ejemeh Okojie Adelman, Sara A N Howard Goldstein, D26743 Annapolis Internal Medicine R158779 Akinlolu, Olayinka F N Jamal Fadul, D53745 Med-Ped Health Care, LLC Josephine R136194 Akintan, Oyesola F N A Anurita Mendhiratta, D38262; Gul Adventist Behavioral health Omowunmi R174454 Chablani, D42518; Marc Paul Difalzio, D62946 Alhusen, Jeanne L. F N 1613 Maryland Primary Care Physicians R173375 Loraine Dailey, D2 Alperson, Sunny Yim R192556 F N Parvej Malik, D65626 Community Clinic, Inc.

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STATE OF MARYLAND

O: Maryland Board of Nursing

NP, RN, FRE

f Nursing

DATE: September 25, 2012

E: Nurse Practitioner Attestation Approval

MARYLAND BOARD OF NURSING

BALT 2254

(410) 585-1900 10) 358-3530 FAX (410 ON

4140 PATTERSON AVENUE IMORE, MARYLAND 21215-

(4

) 585-1978 AUTOMATED VERIFICATI1-888-202-9861 TOLL FREE

1c M E M O R A N D U M

T FROM: Emmaline Woodson, D

Deputy Director Maryland Board o

R

he Advanced Practice Department at the Maryland Board of Nursing recommends the following

P NAME CERT. TYPE* COLLABORATOR(S) SITE

TNurse Practitioner Attestations and Attestation Addendums for approval: N

Abate, Thom Beth Abate, Nu ctitioner, Betelehem R166533

A N as Masterson, D50534 rse PraLLC

Abumere, Christy Inuata F N Ejemeh Okojie, D53685 , MD R122356

Ejemeh Okojie

Adelman, Sara A N Howard Goldstein, D26743 Annapolis Internal Medicine R158779 Akinlolu, Olayinka F N Jamal Fadul, D53745 Med-Ped Health Care, LLC Josephine R136194 Akintan, Oyesola F N A Anurita Mendhiratta, D38262; Gul Adventist Behavioral health Omowunmi R174454

Chablani, D42518; Marc Paul Difalzio, D62946

Alhusen, Jeanne L. F N 1613 Maryland Primary Care Physicians R173375

Loraine Dailey, D2

Alperson, Sunny Yim R192556

F N Parvej Malik, D65626 Community Clinic, Inc.

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 2 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Andrakakos, Lissa R079598

AC 1980; Robert Daniel Fliint, Jr., D58527

ospital A Brett Allen Gamma, D5 Shady Grove Adventist H

Andresini, Jo Anne R083297

F N A Shawn Peffall, D57104; Michael David Zang, D54426

Overlea Personal Physicians

Anyanwu, Bibiana R121315

A N Shoaib Hashmi, D31464 Shoaib Ahmad Hashmi, MD

Appleby, Tonya R120938

AC / G , D57727 N Narender Pal Singh Bharaj Maryland Medical First, PA

Augustine, Sharon ical Center R059310

A N Kapil Parakh, D64814 Johns Hopkins Bayview Med

Ayers, Sylvia R138812

A 2 / AC N J. Marc Simard, D4423 Veteran's Administration

Ayers, Sylvia R138812

A / AC N Jason Michael Birnbaum, D56296 ystem (UCMC & HMH) Upper Chesapeake Health S

Bakir, Mariam R150259

G N Ziad Mirza, D41901 Genesis Physician Services

Baldwiin, Andrea 54838 nch R166911

P N Brigitte Widemann, D NIH Pediatric Oncology Bra

Balkam, Jane R062391

P N Dana Lise Silver, D57463 Babies 'n Business, LLC

Barker, Sondra OB Medical Center R142366

/GYN A Conrad Duncan, D45495 MedStar Franklin Square

Baynard, Allison Dawn el, H56873 R174041

F N Patricia Jean Karnes-Amzib Choptank Community Health Systems

Beaver, Stacie R139236

F N Vansant Datta, D18019 Vasant Datta, MD, PC

Becker, Kathleen R064917

A N Nilesh Kalyanaraman, D72746 less Healthcare for the Home

Bernardo, Feestelita R163484

AC N Edward Kasper, D34884 Johns Hopkins Hospital

Beyer-Thistle, Melissa 415 D & Assocs., PA R095831

P N Chandana Chatterjee, D23 Kenneth M. Klebanow, M

Bishop, Catherine AC000814 r

F N Katherine Thornton, D61711 Johns Hopkins Sidney Kimmel Cancer Cente

Bittner, Denise K. R089384

AC N Steven Smith, D18216 Western Maryland Health System

Bolden, Melissa Ramey R122440

A N Gerrit Schipper, D25514 Advanced Laser Skincare

Bonner, Nicole R167886

F N Gregg Wolff, D48127 Wolff Orthopedics

Breasure, Keith AC000316

57385 tes, PA F N Jeffrey Scott Cicone, D Nephrology Associa

Brodie, Sharon R089082

P N Rosalie Marinelli, D30817 Kenneth M. Klebanow, MD & Assocs., PA

Brooks, Sharon Agnes N A 61 R098232

F Stanford Coleman, Jr., D222 Righttime Medical Care

Brown, Katherine J. R168483

F N A James Strachan Houston, D59440; Aubrey Verdun, D66729; Terry

val Military Med. Ctr.

Stambaugh, D58055; Scott Griffith, D63695

Walter Reed National Na

Brown, Susan R066301

N N St. Joseph Medical Center Michael Edward Langbaum, D41343

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 3 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Bryant, Nancy R124971

F N Wayne Donald Bierbaum, D38563 Owensville Primary Care

Bujak, Danuta I. R138146

F N Marc C. Hochberg, D17972 UMD, Sch. Of Medicine

Bunce, Nancy L. A.

y, PA AC000387

A N David Hale Smith, D39887 Bay Hematology Oncolog

Cadena, Jacqueline R111689

F N Allen Nathan Moshell, D69046 Georgetown Dermatology Practice Washington Hospital Center,

Campbell, Jeremiah R179207

F N A Jeffrey Greenwood, D48130

Clark Herbert Willis, D63374; Emergency Service Associates

Campbell, Kristina Trott R190635

F N Howard Goldstein, D26743 Annapolis Internal Medicine

Campbell, Myra R068156

F N Ravi Anandakrishnan, D29071 System Bon Secours Baltimore Health

Capone, Kimberly Ann OBR119420

/GYN N Gerrit Schipper, D25514 Capital Women's Care

Casper, Patricia B. R048103

A / G N Yvette Fouche-Weber, D47790 A Cowley Shock Trauma Univ. of MD Med. Sys., R

Cha, Angela R201633

P N Eduardo Armenta, D14743 Armenta Pediatrics

Chiu, Li-Lin R138342

A N Rita Wutoh, D53915 Bowie State Univ., Henry Wise Wellness Ctr.

Christenson, Nicole Renee 7142 R120698

F N Geoffrey Coleman, D3 Montgomery Hospice

Cibula, Julie M. R114467

AC ialists N Robert Fox, D24773 Horizon Vascular Spec

Clark, Janette Marie tem R164718

AC N Steven Smith, D18216 Western Maryland Health Sys

Clark, Thomas S. R188552

F N Barbara Ann Martinez, D67580 Military Med. Ctr. Walter Reed National Naval

Clarke, Beverly Simpler F / P R109133

N Patrick Shanahan, D36054 Washington College Student HealthCenter

Clarke, Beverly Simpler R109133

F / P N Freddy Orlando Araujo-Vidal, D45628

Chestertown Pediatrics

Cohran, Ethel R101470

F N Randall Paul Wagner, D44957 Washington Adventist Hospital

Crivello, Deborah R050918

A N Julie Lisa Ducharme, D66046 Upper Chesapeake Endocrinology Assocs.

Cromwell, Gale G. R076293

A N Bahador Momeni, D50254 Arundel Physicians Associates

Curry, Jackelin E. R142306

A N Lester Zuckerman, D52963 The Spine Center

Davis, Mary Lou LaComb

D AC001077

P N Robert E. Miller, D24265 Robert E. Miller, M

Delaney, Eileen L. R156760

F N Howard Goldstein, D26743 cine, LLC Annapolis Internal Medi

DeMarco, Sharon R085513

A N Michele Bellantoni, D33316 Johns Hopkins Bayview Care Center

Desir-Gaston, Guylene r. R147669

P N Mary Ogunsanya, D56300 Maryland Children's Health Ct

Dolan, Danielle R156835

F N Steven Fong, D60552 CVS / Minute Clinic

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 4 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Doody, Meghan McGowan N A D61676;

Sithanandam Sadhasivam, D29518 cs, PA

Dwyer R200417

F Lavanya Sithanandam, Takoma Park Pediatri

Duke, Malinda Daniel P N Univ. of MD Pediatric Endocrinology R079677

Debra Counts, D32917

Edmunds, Debra R. R045608

N N Michael Edward Langbaum, D41343 ter St. Joseph Medical Cen

Eick-Benson, Laureen

AC000070

A N Martin Gavin, H37636 Nephrology Associates, PA

Elliott, Ayana R164084

F N A 754; Kashif Ali, D69297; Roopa De Chowdhury,

logy, PA

Thomas Bensinger, D08

D73548; Alida Andrillo-Espinoza, D62607

Maryland Oncology Hemato

Entrup, Stephanie M. R096361

P N Sinai Hospital of Baltimore Joseph Wiley, D32436

Epstein, Randy R077703

A N Letha Healey, D62456 Montgomery Co. Health Dept.

Ezeani, Nkiru R151747

A N Harold Bob, D15872 Five Star Physician Services, LLC

Ezimorah, Janefrances PMH-A 9390 Chinwe R114571

N Evaristus Awele Nwulia, D5 JMJ Healthcare Services, LLC

Fadoju, Mercy PMH-A N Jin H. Joo, D72950 Johns Hopkins Bayview Med. Ctr. R133965 Faulkner, Howard , D56120

Center R176326 PMH-A N Lisa Yvonne Richard Appalachian Behavioral Health

Federline, Cynthia H. 43 R083319

N N Michael Edward Langbaum, D413 St. Joseph Medical Center

Fisch, Andrea B. R107082

F N Luke Elhanan Johnsen, H63003 Baltimore City health Dept.

Fletcher, Kathryn R051699

A N N. Eric Carnell, D35695 Frederick Memorial Hospital

Foerter, Deborah S. Health Connections R100681

F N Charles Benner, D31563 MedStar St. Mary's Hospital /

Fomengia, Yvonne R146729

F N A ; Harold Bob, D15872 Teizu Wolokolie, D73821 Lorien Columbia

Forsyth, Carol Diane p R128058

P N Robert Gibson, D24251 The Pediatric Grou

Fowler, Robyn Denise 58 re R118610

F N Gene Francis Ashe, D310 Frederick Primary Ca

Fox, Karen L. R097054

A N A ; Truong Bao, D57124; Sayed

socs. Anushiravan Dadgar, H51280

Elsayyad, D62435

Montgomery Medical As

Fox, Nicole Briana R162044

F N 63 Univ. of MD Med. Ctr. Michael Eugene Winters, D614

Frackelton, Dorian R158793

F N Kozo Murakoshi, D15418 Honeygo Pediatrics

Franks, Joan V. R061887

A N Luis Gimenez, D46907 Good Samaritan Hospital

Freidberg, Joanna Moore 0929 , PA R090072

A N Joy Madarang-Lewis, D5 Joy Madarang-Lewis, MD

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 5 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Fritz, Carla Michelle Creekmore R139268

P N Michael A. Levitas, D38222 Children's Medical Group

Fryman, Elizabeth A N Nader Tavakoli-Jalili, D41978 Chesapeake Shores Nursing Center R073338 Gambill, Nancy D. R086071

A N Kevin Cullen, D34714 UMMC Greenebaum Cancer Center

Gehring, Janet M. K. 6315 Military Med. Ctr. R168665

P N Joel Clayton Labow, D2 Walter Reed National Naval

Gibbons, Susanne R093831

A / G N Steven Geller, D34613 Centennial Medical Group

Golden, Cassandra R202252

AC N Thomas Scalea, D51654 Univ. of MD Med. Ctr.

Grant, Lori Angela AC000116

PA F N Robert Cox, D53975 Nephrology Associates,

Greenwald, Margaret N. R168298

PMH-A a, D45951 N Wagdi Mohamed Atti Wagdi M. Attia, MD, Ph.D.

Groden, Catherine AC000668

N A ch Institute

F Ellen Sidransky, D34252 NIH Human Genome Resear

Groncki-Meninger, Patricia F / P Mark Melzer, D33162; Jack Soong, ased Health Centers Fink

R040613

A Linda Grossman, D23682;

D45934

Baltimore Co. Public Schools / School-B

Haldeman, Sandra OB/GYN N 99 R123536

Cyrus Jefferson Lawyer, III, D292 Total Health Care

Harper, Moncheri R182026

F A Stanford Coleman, Jr., D22261 Righttime Medical Care

Harrison, Barbara Ruth PMH-A Group R143706

N Eugenio Machado, D24035 Erickson Health Medical

Hart-Johnson, Mary AC001073

F N Osama Saleh, D50397 Calvert Co. Health Dept.

Hearn, Jacqueline R069707

A N John Middleton, D25443 John W. Middleton, MD

Heatwole, Joy AC000807

1 A N Romaldo DeSouza, D4624 Genesis Healthcare

Hennessee, Aretha A. spital R138505

A N Issam Cheikh, D14748 Union Memorial Ho

Henry, Kierstein R147170

AC N Roger Leonard, D28791 cal Center MedStar Montgomery Medi

Hileman, Kristen Susannah N A ; Willie Leon Stertz, Jr., D65406 R201732

F Carissa Jean Vea, D69419 WMHS Primary Care Center

Hobson, Sharon K. R070337

P A Linda Grossman, D23682; Mark Melzer, D33162; Jack Soong,

/ School-Based Health Centers

D45934

Baltimore Co. Public Schools

Holquist, Benjamin M. R128062

A / AC N l Paul Massimiano, D32297 Washington Adventist Hospita

Howard, Kathleen R130360

P A Linda Grossman, D23682; Mark Melzer, D33162; Jack Soong, School-Based Health Centers D45934

Baltimore Co. Public Schools /

Huffstutler, Rebecca AC000617

F A ge, David Page, D33050; David PaD33050

Kaiser Permanente

Imam, Susan R124053

N N Muhammad Farooq, D65608 Union Hospital

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 6 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Ingram, Miriam gement R051001

A N Garry Jennings, D42216 QOL Pain Mana

Jamison, Pickett Kendall OBCenter R167602

/GYN N Andrew Satin, D37611 Johns Hopkins Bayview Medical

Jegannathan, Sumathi AC001027

A N Luis Zuniga, D26294 Zuniga Primary Care

Jenkins, Lisa W. R084836

F N Jose T. Loveria, D50844 p Braddock Medical Grou

Johnson, Pamela P. PMH-A 4254 R172158

N Beatrice A. Denefield, D0 Total Health Care

Johnson, Penny Fleetwood

C AC000016

F N Steven Hearne, D40715 Delmarva Heart, LL

Jones, Patricia R131102

AC Thomas Scalea, D51654; Scott Strome,

A Thomas Scalea, D51654;

D62627; Howard Eisenberg, D43894

Univ. of MD Med. Ctr.

Jordan, Jennifer A. R136351

F N Montgomery Hospice Geoffrey Coleman, D37142

Kahl, Michelle Anne al R123286

A N Daniel Picard, D45507 Franklin Square Hospit

Kamendi, Janet R178619

F N Imran Chowdhury, D42019 nter Infectious Disease Care Ce

Keener, Martha R162682

F N A illiam Hand, D57145; Robin Motter-Mast, Sarah Whiteford, D57105; W

H56488; Joseph Connelly, D30133

Target Clinic

Kim, Tao R149755

F N Dermatology & Cosmetic Surgeries Eric Finzi, D40882

Koch, Jane Stover A 0 R094907

/ G N Charles Hoesch, D2039 VAMHCS Perry Point

Kohl, Carole Benisch ical Center R116637

A N Muhammad Jokhadar, D60768 Upper Chesapeake Med

Komolafe, Johnson A. R123830

A N Corry Chapman, D69141 Precision Nursing Consult

Krakovsky, Gina Michelle Mark Melzer, D33162; Jack Soong,

ls / School-Based Health Centers R192300

P A Linda Grossman, D23682;

D45934

Baltimore Co. Public Schoo

Kramer, Susan Rae R085027

A N Stephen Kay, D27258 Stephen R. Kay, MD

Lancos, Elizabeth R092253

P N Jacqueline Ann Brown, D41853 , MD & Assocs., PA Kenneth M. Klebanow

Larimore, Alyssa Kay OB s. R139855

/GYN N Jean Hundley, D35784 Womankind OB/GYN & Assoc

Lee, Jooyoung J. R177197

AC N Thomas Scalea, D51654 Univ. of MD Med. Ctr.

Lester-Garrett, Kelley 66022 Suzanne AC000927

F N Jagdeep Singh Hundal, D Union ENT

Letzer, Melanie G N Narender Bharaj, D57727 Maryland Medical Group R133532 Letzer, Melanie R133532

G N Shakunmala Gupta, D53150 Shakunmala Gupta, MD

Levasseur, Kandy Fink R122010

P N Michael A. Levitas, D38222 Children's Medical Group

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 7 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Lewis, April Lynne R080110

A N Gabor David Kelen, D30854 Johns Hopkins Adult ED

Li, Dongmei R144722

A N A rt Fox, D24773; Zahide Erkman,

spital Dennis Friedman, D24971; Robe

D54938

Shady Grove Adventist Ho

Lindsey, Carol L. R194473

F N Mobile Medical Care Helen Blumen, D41605

Logan, Janis Langley OB 50546 ical Center R070172

/GYN N Joan Lewis Blomquist, D Greater Baltimore Med

Manzo, Joanne R028167

P N Deborah Weber, D26490 Mercy Medical Center

Marshall, Lisa Schnoor 38 LC R174127

F N William Edwin Bair, D432 William E. Bair, MD, L

Masiulis, Barbara R132625

P A Linda Grossman, D23682; Mark Melzer, D33162; Jack Soong, School-Based Health Centers D45934

Baltimore Co. Public Schools /

Mattox, Patty R146293

A / AC N al Center

Eric Edwin Howell, D54801 Johns Hopkins Bayview Medic

Mayhew, Maren S. N A na Marie Leskuski, H66665 R057293

A Jay H. Lippman, D25001; Do Capital Caring

Mays, Jennifer Jean R124625

F N Narender Bharaj, D57727 Maryland Medical First

Mays, Jennifer Jean R124625

F N Damien Jay Doyle, D57884 Evercare -- Maryland

McCloskey, Tracey Anne A R068299

/ G N Charles C. Reel, D44697 Charles C. Reel, MD

McGurin, Mary Elizabeth Bryant R090583

O osley, D67375

MD B/GYN A Raegan Elise McDonald-M Planned Parenthood of

McLean, Carol A N hillon, D58860 Calvert Medical Group R131588

Shawn D

McManus, Sister Cecilia Center R081762

A N Charles Stegman, D25219 Catholic Charities Seton

McNeil, Marianne R172352

F N Michael Eugene Wintes, D61463 Univ. of MD Med. Ctr.

Meadows, Rita Elizabeth Jean AC000997

F N Rachel Gafni, D59393 Camp Possibilities

Medeiros, Lisa F N A Michael S. Epstein, D34426; Charles Edmond King, Jr., D41618; Barry

Digestive Disorders Associates, PC R089995

Joel Cukor, D69388; Vishnupriya Krishna, D69477

Menino, Camille R107936

A N A ; Salome Hawkins-

Heartlands Hospice Svcs., Baltimore

Donna Eversley, D54739; Nader Tavakoli, D41978Cole, H46961

Mercado, Nancy J. Habersat

F N hildren's Health Ctr.

R066109

Mary Ajoke Ogunsanya, D56300 Maryland C

Merli, Erin Beyer P N Charles Livingston Parmele, D57434 Annapolis Pediatrics R178315 Miller, Amy Donato AC r R131368

N Stephen Schenkel, D60024 Mercy Medical Cente

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 8 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Miller, Robin R202623

AC N Robert Michael Benitez, D40978 Univ. of MD Med. Ctr.

Montague, Mamie olford Infirmary R075702

F N Ngozi Ruth Agwuna, D44795 Morgan State Univ., Wo

Moragne-Coon, Yvonne R075730

A N Frances Gheorghiu, D24381 Stem-Ross Weight Loss Center

Mossburg, Dawn Renee R100955

OB N A 09; Debra Acerenza, H58788; Jie Gao,

/GYN Edwin Tieh-Tsung Chen, D433

D67663

OB & GYN Center

Munson, Kathryn A. R172054

OB/GYN A Planned Parenthood of MD Raegan Elise McDonald-Mosley, D67375

Myers, Kelley R178372

F N Mary Rifino, D43418 Minute Clinic

Neal, Dawn Carol Chapelle ansky, D51603 R125889

P N Raphaela Goldbach-M NIH

Newsome, Christine O. R152794

F N Stephen Naylor, H55026 West Cecil Health Center

Ninan, Jiji John R097618

F N David B. Wilson, Jr., D56824 ine Center for Geriatric Medic

Njoku, Patricia R095655

A N Isabel Christine Green, D67681 Women's Health @ Johns Hopkins Outpatient Center

Norris, Donna Yvonne Care R097479

F N Frederick Paul Beavers, D60615 Calvert Memorial Hospital, The Center for Vascular

Nwaeze, Stella N. R131641

A N Ahmed Heshmat, D57574 Montgomery Co. Correctional Facility

Oguike, Nkechinyere N A ; Maria Soriano, D56301 Ngozi

R113220

P William Paul Jaquis, D57429 Sinai Hospital of Baltimore

Okoro, Eunice A. F N 0359 Bon Secours Hospital R132487

Ikemba Iweala, D4

Ordun, Joyce W. R051050

F N Mitchell Goldstein, D53248 l Johns Hopkins Hospita

Pack, Eileen Marie AC001006

F N Jui-Chih Hsu, D04823 Family Medical Care

Palker, Nancy R173419

G N Geoffrey Coleman, D37142 Montgomery Hospice

Palmer, Beth C. Center R177669

AC A Robert Peterson, D24804 Anne Arundel Medical

Pandian, Vinciya N A 40167; Nasir Islam Bhatti, D51255; Elliott

-R142853

AC Marek Alexander Mirski, D

Richard Haut, D61858; David FellerKopman, D66132

Johns Hopkins Hospital

Pappas, Dawn M. R111356

AC N Johns Hopkins Hospital, CVPCU John Victor Conte, Jr., D47828

Parler, Penni Eugenia Assocs., PA R119137

P N James David Anthony, D35387 Kenneth M. Klebanow, MD &

Passwaters, Diana L. R125725

F N Savinder Julka, D27188 Genesis Heritage Nursing Home

Paynter, Doreen R077125

AC 70 N Benjamin Landrum, D579 Infectious Disease Associates

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 9 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Pierre, Joseline R122476

AC A Anushiravan Dadgar, H51280; Sayed Elsayyad, D82435; Truong Bao, D57124

Montgomery Medical Assocs.

Plowden, Keith O. R139066

PMH-A N Beatrice A. Denefield, D04254 Total Health Care, Inc.

Prussian, Kathleen R192493

F N Lester Zuckerman, D52963 The Spine Center

Pullen, Dawn Kimberly R072251

A N Nayan Vaywala, D23443 Drs. Vaywala & Ahn

Purcell, Ann R103493

P N Dinea DeSouza, D54977 Montgomery Co. School-Based Health Ctrs.

Radegaugh, Lisa Carroll R080294

A N John O'Donnell, D35423 Union Memorial Sports Medicine

Randolph, Veronica D. R110705

A N Jean Estime, D55724 Charlotte Hall, CBOC

Reed, Vera L. R067884

P N Dinea DeSouza, D54977 Montgomery Co. School-Based Health Ctrs.

Reinard, Phylis D. R070594

P N Dianna Elizabeth Abney, D43633 Charles Co. Dept. of Health

Reyes, Viviana Andrea AC001071

F N A Maureen Donnelly Passaro, D44487; John Reyes-Castano, D74176

MedStar Montgomery Medical Center

Rice, Lorri A. R063326

F N Mary Money, D23815 Waldman & Money, PA

Ricker, Amy Marie R173595

F A Michael Freedman, D52245; Howard Goldstein, D26743; Titus Chotheakadavil Abraham, D56658

Annapolis Internal Medicine

Ricker, Any Marie R173595

F N A Neek Kiran Vibhaker, D61331; Joel Eli Klein, D61331

Baltimore Washington Emergency Physicians, Inc.

Riggs, Cassandra B. R108930

F N Verlyn O. Warrington, D46581 UMBC University Health Svcs.

Rochelle, Maureen R056461

P A Linda Grossman, D23682; Mark Melzer, D33162; Jack Soong, D45934

Baltimore Co. Public Schools / School-Based Health Centers

Rolph, Sandra M. R202981

F N Rena M. Johnson, D37270 Kimborough Ambulatory Care Clinic, Warrior Team

Ross, Anna Amour R135224

PMH-F N A Enoch Barrios, D62113; Lourdes Angelica Villacis, H62196

Walter Reed National Naval Military Med. Ctr.

Royce, Cheryl R124005

A A Teri Nguyen Kreisl, D74283; Teri Nguyen Kreisl, D74283; Howard Fine, D55925

National Cancer Institute/NIH

Ruane, Kathleen P. R060797

A N W. Anthony Riley, D25205 GBMC -- Gilcrest Greater Living

Ruddle-Frey, Jennifer Elizabeth R135106

F N Hung Davis, D53111 Maryland Inpatient Care Specialists

Ryan, Judith W. R051691

A N Rebecca Elon, D41955 FutureCare Health & Management Corp.

Sampson, Pamela Bohler R193319

F N Simona Sirbu, D67891 Montgomery Health Center, LLC

Sanford, Mary Alice R078363

A N Lester Zuckerman, D52963 The Spine Center at the Center for Pain Management

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 10 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Saunders, Dawn Lorraine R092695

N N Karen Broderick, D35190 St. Agnes Hospital

Savoy, Marina Vanessa R134295

A N Joseph M. Haggerty, D32407 Associates in Oncology & Hematology

Scheu, Karen R174980

F N Pablo Dibos, D04683 The Esperanza Health Center

Seagle, Reema Sbitany R185643

N N Sharon Coyle Kiernan, D46711 Holy Cross Hospital Community Neonatal Assocs.

Serafini, Jo Ann R148953

P N Daung Silpasuvan, D22317 D&S Silpasuvan

Setola, Tamara Jeanne R114538

P N Najla Abdur-Rahman, D59823 Willoughby Beach Pediatrics

Shafer, Susan Lori R070032

F N Ugandhar Rao Vemulapalli, D63598 Man Alive

Sharkey, Brian C. R137750

A N Andrew Lazris, D47447 Personal Physician Care

Shiner, Mary R053281

P A Linda Grossman, D23682; Mark Melzer, D33162; Jack Soong, D45934

Baltimore Co. Public Schools / School-Based Health Centers

Siever, Beth A. R147488

P N A Jeffrey Dome, D46149; Jay Greenberg, D34360

Children's National Medical Ctr. Regional Outpatient Ctr.

Siltman, Stephen F. R126177

AC N Jeffrey Greenwood, D48130 Emergency Service Associates/PRMC/AGH

Simm, Caroline R175798

F N Kellie Bobbitt Smaldore, H40582 Smaldore Family Practice

Slear, Elaine Marie R041641

A N Reza Alavi, D67215 Turning Point Clinic

Smith, Janine R119344

A N Gregory Kumkumian, D57032 Suburban Hospital

Smith, Kate Meredith R128088

A N Muhammad Khalid Waseem, D52323

Opal Medical Group, PA

Somervell, Helina R117393

F N Martha Zeiger, D36424 Johns Hopkins Hospital

Sommer, Matthew R137599

F N Carrie Deanne Dorsey, D63451 Edgewood Area Health Clinic / Kirk US Army Health Clinic

Speller-Brown, Barbara Jean R151230

P N Deepika Darbari, D52844 Children's National

Stafford, Jaimie Lynne R172458

PMH-A A Murray Frances Claytor, D47957 St. Lukes House

Stafford, Jaimie Lynne R172458

PMH-A N Oludolapo Kale, D67842 Patuxent Institute

Stafford, Jaimie Lynne R172458

PMH-A N Michael Fingerhood, D35761 BHLI Suboxone Program

Stanfield, Cathy L. R086517

AC N Charles S. Angell, D12405 Johns Hopkins Hospital

Stevenson, Terry Lynn R093935

A N Robert Stone Baxt, D13335 Stem-Ross Weight Loss Center

Stevenson, Terry Lynn R093935

A N Serena Rose Nolan, D25010 Serena Nolan, MD

Stresky, Linda S. T. R060312

F N Rosario Gonzaga, D22277 Rosario B. Gonzaga, MD, PA

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 11 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE Sullivan, Kerrie R121234

F N Brian Sullivan, D50954 Maryland Brain & Spine

Terle-Bird, Hope R111787

P N James David Anthony, D35387 Kenneth M. Klebanow, MD & Assocs., PA

Tesfai, Hadas R120149

A N Venkataraman Chandar, D16380 Affiliated Digestive Disease Specialists

Teufel, Claire R046288

A N Verlyn O. Warrington, D46581 UMBC University Health Svcs.

Tibbo, Michele Leigh R131381

AC N Michael Eugene Winters, D61463 Univ. of MD Med. Ctr.

Todd, Grace Ihsiu R170895

A N Ronald Rodriguez, D53182 Johns Hopkins Medical Institutions

Toney, Carol F. R077347

F N A Charles Berul, D69742; Jonathan Kaltman, D65992; Jeffrey Moak, D42415; Anne Greene, D35462

Children's National Medical Ctr.

Troxler, Laurene Lee AC000320

G N Romaldo Francis Desouza, D46241 Genesis Physician Services

Trumble, Loretta Vizioli R122160

OB/GYN N A Francisco Rojas, D64450; Kimberly Turner, D47703; Natalia Guzman, D69489; Andrea Kwong, D62005; Maureen Grundy, D72755; Nia Leak, D73027

Johns Hopkins Community Physicians

Turpin, Anna R177665

P N Travis Ganunis, D53176 Pavilion Pediatrics at Johns Hopkins Greenspring Station

Valle, Mary Frances R094002

A N Mary MacGregor, D13657 Roland Park Place

Venuti, Kristen R150660

P N Paul D. Sponseller, D33880 Johns Hopkins Hospital

Wahl, Colleen E. R136242

F A David Raymond Adams, D60578; David Raymond Adams, D60578; Fred A. Gill, D01119

National Institutes of Health

Walk, Cheryl L. R108228

AC A Jason Michael Birnbaum, D56296; Stephen Robert Selinger, D28717

Upper Chesapeake Medical Center

Wamboldt, Carol R156968

A N Michael Alan Williams, D40041 Michel Mirowski Medical Office Bldg. Dept. of Neurology

Warczynski, Tam Mara R088501

A / AC N Timothy Pawlik, D63560 Johns Hopkins Hospital

Washington, Angela D. R102625

F N John Kenzora, D22289 Baltimore Veterans Administration Medical Ctr.

Waterfield, Geraldine Daley R039279

P N Judith DeBose, D57520 Baltimore City Health Dept.

Watkins, Carol R133381

A / G N Jude Muneses, D53462 Heritage Center -- Genesis

Webb, Cherrie R119145

AC N A David Morris Brill, D36601; Sung Woo Lee, D37960

Washington Adventist Hospital

Weichold, Anne R111182

AC A Carl Barton Shanholtz, D38683; Carl Barton Shanholtz, D38683; Daniel Herr, D31590

Univ. of MD Med. Ctr.

Wells, Rebecca R154360

F N Steven Fong, D60552 Minute Clinic

NP ATTESTATIONS & ADDENDUMS RECOMMENDED FOR APPROVAL – SEPTEMBER 25, 2012

Page 12 of 12 *TYPE: N = New Attestation N A = New Attestation w/Addendum Sheet A = Existing Attestation Amended

STATE OF MARYLAND

NP NAME CERT. TYPE* COLLABORATOR(S) SITE White, Junecia R127474

F N Ernestine Wright, D52740 Stella Maris

Williams, Jeannette Alice AC000226

F A David Page, D33050; David Page, D33050

Kaiser Permanente

Williams, Paulette A. R108262

F / OB/GYN

N Maria Trent, D57779 Baltimore City Health Dept.

Williams, Paulette A. R108262

F / OB/GYN

N Victor Khouzami, D21732 Greater Baltimore Medical Center

Wingate, Suzanne R066241

A N Carol Patrice Cardinale, D60492 Kaiser Permanente

Winkfield, Devora Renee R127475

F N Samuel DeShay, D19935 Restore Health

Wippel, Mary Ann R115364

A / AC N Reza Alavi, D67215 Turning Point Clinic

Wu-Gerrard, Yamileth R154852

G N Robert W. Cox, D53975 Nephrology Associates, PA

Wyatt, Cheryl N. R131556

F N Jeremy David Tucker, H63519 MedStar -- St. Mary's Hospital, Medical Emergency Professionals

Yarnbold, Beth D. R077638

G N David S. Dunn, D32299 Harford Primary Care

Young, Cheryl Lynn R188246

AC A Stephen Neil David, D48400

Univ. of MD Med. Ctr.

Young, Patricia D. R108162

F N A Obafemi Okuwobi, D70367; Malini Joel, D62044

Johns Hopkins Community Physicians

Zoltak, Brenda R101670

P N Charles Livingston Parmele, D57434 Annapolis Pediatrics

Zurek, Elizabeth R128085

A N Cynthia Carol Mobley, D40332 Baltimore City Health Dept.

Zwicker, Celia DeAnne AC000335

A N Ravi Passi, D28656 Advanced Primary & Geriatrics Care

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