ML20133C384

From kanterella
Jump to navigation Jump to search
Computer Listing of Active Licensees W/Matl Program Code 02201,nongroup Medical
ML20133C384
Person / Time
Issue date: 05/24/1985
From:
NRC
To:
Shared Package
ML20133C376 List:
References
FOIA-85-337 NUDOCS 8507200481
Download: ML20133C384 (8)


Text

- - - - - - - - -

s

'AIE 1

.PP_NAME

PPLEHOOD MEDICAL CTR.

APP _NAME APPLEHOOD MEDICAL CTR.

STATE _ CODE MO ZIP 64052 DEPT _SUREAU BUILDING STREET 9120 EAST 35TH ST.

CITY INDEPENDENCE DANACH MD., STANLEY F.

APP _NAME BANACH MD., STANLEY F.

STATE _ CODE PA ZIP 18104 DEPT _ BUREAU BUILDING STREET 2015 HAMILTON AVE.

CITY ALLENTOHN BF_AUCHAMP, PEDRO J.

APP _NAME BEAUCHAMP, PEDRO J.

STATE _ CODE PR ZIP 00619 DEPT _ BUREAU EDIFICIO MEDICO SANTA CRUZ BUILDING STREET 73 SANTA CRUZ ST., SUITE 213 CITY BAYAMON BENNETT, MD., RAY H.

APP _NAME BENNETT, MD., RAY H.

STATE _ CODE OH ZIP 45840 DEPT _ BUREAU BUILDING STREET 922 BLANCHARD AVE.

CITY FINDLEY BERGMAN MD.,

F.A.C.S.,

ROY T.

APP _NAME BERGMAN MD.,

F.A.C.S.,

ROY T.

STATE _ CODE MI ZIP 49829 DEPT _ BUREAU BUILDING STREET 101 DOCTORS PARK CITY ESCANABA BODIAN MD., JEROME E.

APP _NAME BODIAN MD., JEROME E.

STATE _ CODE NJ ZIP 07631 DEPT _ BUREAU BUILDING STREET 245 ENGLE STREET CITY ENGLEHOOD B0HER MD., BRUCE F.

APP _NAME B0HER MD., BRUCE F.

STATE _ CODE CT ZIP 06106 DEPT _ BUREAU BUILDING STREET 100 RETREAT AVENUE CITY HARTFORD B0HMAN DPM., GEORGE E.

APP _NAME B0HMAN DPM., GEORGE E.

STATE _ CODE IN ZIP 46815 DEPT _ BUREAU BUILDING STREET 6500 SUITE B1 STATE BLVD.

CITY FORT HAYNE BRACKIN MD., GEORGE G.

APP _NAME BRACKIN MD., GEORGE G.

STATE _ CODE PA ZIP 19001 DEPT _ BUREAU BUILDING STREET 1208 HIGHLAND AVENUE CITY ABINGTON CALLAHAN, GUY C.

APP _NAME CALLAHAN, GUY C.

STATE _ CODE CT ZIP 06001 DEPT _ BUREAU BUILDING STREET 136 SIMSBURY ROAD CITY AVON PAGE.

2 APP _NAME CANGIAL'OSI DPM, CHARLES P.

APP NAME CANGIALOSI DPM, CHARLES P.

STATE _ CODE NJ ZIP 07463 DEM_ BUREAU 8507200481 850524 PDR FOIA WIESELP185-337 PDR

~

BUILDING STREET 22 NYCKOFF AVENUE CITY HALDHICK CARDIAC, THORACIC & VASCULATORY APP _NAME CARDIAC, THORACIC & VASCULATORY STATE _ CODE IL ZIP 60134 DEPT _ BUREAU BUILDING STREET 123 SOUTH ST., SUITE 100 CITY GENEVA

'CASSIDY MD., CARL E.

APP _NAME CASSIDY MD., CARL E.

STATE _ CODE MA ZIP 02199 DEPT _ BUREAU BUILDING STREET P.O. BOX 68, PRUDENTIAL CTR. S CITY BOSTON CATHERHOOD MD.,

EDWARD APP _NAME CATHERH00D MD.,

EDWARD STATE _ CODE NJ ZIP 08096 DEPT _ BUREAU BUILDING STREET 603 N. BROAD STREET, SUITE 1-A CITY HOODBURY CENTER FOR RECONSTRUCTIVE FOOT SURG APP _NAME CENTER FOR RECONSTRUCTIVE FOOT SURG STATE _ CODE NJ ZIP 07728 DEPT _ BUREAU BUILDING STREET 507 STILLHELLS CORNER RD.

CITY FREEHOLD CENTURY HOUSE PODIATRY CTR.

APP _NAME CENTURY HOUSE PODIATRY CTR.

STATE _ CODE OH ZIP 44109 DEPT _ BUREAU BUILDING STREET 3731 HEST 25TH ST.

CITY CLEVELNAD CHANDLER MD., INC., PAUL T.

APP _NAME CHANDLER MD., INC., PAUL T.

STATE _ CODE OH ZIP 45242 DEPT _ BUREAU BUILDING STREET 9393 FIELD ERTEL RD.

CITY CINCINNATI CLIFT MD., GEORGE V.

APP _NAME CLIFT MD., GEORGE V.

STATE _ CODE CT ZIP 06430 DEPT _ BUREAU FAIRFIELD MEDICAL CENTER BUILDING STREET 52 BEACH ROAD CITY FAIRFIELD CURNUTTE MD., LARRY DOUGLAS APP _NAME CURNUTTE MD., LARRY DOUGLAS STATE _ CODE HV ZIP 25304 DEPT _ BUREAU BUILDING STREET 3100 MAC CORKLE AVE., S.

E.

CITY CHARLESTON DACHMANo M.D.,

S.C.,

CAREY B.

APP NAME

DACHMAN, M.D.,

S.C.,

CAREY B.

STATE _ CODE IL ZIP 60193 DEPT _ BUREAU BUILDING STREET 455 SOUTH ROSELL RD., SUITE 10 CITY SCHAUMBURG PAGE 3

APP _NAME DEVINCENT MD., HENRY G.

APP _NAME DEVINCENT MD., HENRY G.

STATE _ CODE PA ZIP 19046 DEPT _ BUREAU BUILDING STREET 1650 HUNTINGDON PIKE, SUITE 11 CITY MEADOHBROOK DEVORE,MD., JOHN H.

APP _NAME DEVORE MD., JOHN H.

STATE _ CODE OK ZIP 73116 DEPT _ BUREAU BUILDING w -

(.

STREET 3200 HEST HILSHIRE CITY OKLAHOMA CITY COLAN MD., JAMES D.-

APP _NAME DOLAN MD., JAMES D.

STATE _ CODE HI ZIP 53227 DEPT _ BUREAU i

BUILDING STREET 2400 SOUTH 90TH ST., SUITE 210 CITY HEST ALLIS DON MD., ELIAS CHARLES APP _NAME DON MD.,

ELIAS CHARLES STATE _ CODE MA ZIP 02146 DEPT _ BUREAU BUILDING l

STREET 1101 BEACON STREET CITY BOSTON DR. ANDERSON, BARBOUR ET AL APP _NAME DR. ANDERSON, BARBOUR ET AL STATE _ CODE MI ZIP 48504 DEPT _ BUREAU BUILDING i

STREET 5031 VILLA LINDE PKNY #32 CITY FLINT DUKE, H0HARD D.P.M.

APP _NAME DUKE, H0HARD D.P.M.

STATE _ CODE VA ZIP 23220 DEPT _ BUREAU BUILDING STREET 1805 MONUMENT STREET, SUITE 51 CITY RICHMOND ECKHARDT JR., MD., HILLIAM F.

APP _NAME ECKHARDT JR., MD., HILLIAM F.

STATE _ CODE CT ZIP 06840 DEPT _ BUREAU BUILDING STREET 173 EAST AVENUE CITY HEH CANAAN FEINMAN DPM., LEHIS APP _NAME FEINMAN DPM., LEHIS STATE _ CODE NY ZIP 10028 DEPT _ BUREAU BUILDING STREET 305 EAST 86TH STREET CITY NEN YORK F0GELo MD., PC., JULIUS APP _NAME FOGEL, MD., PC., JULIUS STATE _ CODE DC ZIP 20037 DEPT _ BUREAU BUILDING STREET 1011 NEN HAMPSHIRE AVE., NH CITY HASHINGTON FOOT CARE CTR.

APP _NAME FOOT CARE CTR.

STATE _ CODE PA ZIP 18974 DEPT _ BUREAU BUILDING STREET 399 NORTH YORK ROAD CITY HARMINISTER 1 PAGE 4

0 APP _NAME '

FORD MD., C. DOUGLASS APP _NAME FORD MD., C. DOUGLASS STATE _ CODE OH ZIP 43607 DEPT _ BUREAU

)

BUILDING STREET 2361 HEST BANCROFT & EVANSDALE CITY TOLEDO FRANCAR, DPM, GARY APP _NAME FRANCAR, DPM, GARY STATE _ CODE HI ZIP 54220 DEPT _ BUREAU BUILDING

~

STREET 702A HAMILTON CITY MANITOWOC

$ GALUSHA, D.O., J. HARL EY APP _NAME

GALUSHA, D.D., J. HARLEY STATE _ CODE OK ZIP 74127 DEPT _ BUREAU BUILDING STREET 802 SOUTH JACKSON, SUITE 500, n

.m CITY TULSA GAUTAM MD., VISHA CARG APP NAME GAUTAM MD., VIBHA GARG STATE _ CODE CT ZIP 06320 DEPT BUREAU BUILDING l

STREET 155 MONTAUK AVENUE CITY NEW LONDON HALPERN MD., ARNOLD JAY APP NAME HALPERN MD., ARNOLD JAY STATE _ CODE NJ ZIP 07764 DEPT BUREAU BUILDING STREET 225 MONMOUTh ROAD CITY HEST LONG BRANCH

+

'HENDLER MD., PC., HOWARD M.

APP _NAME HENDLER MD., PC., HOWARD M.

STATE _ CODE PA ZIP 17403 DEPT _ BUREAU BUILDING STREET 85 NYNTRE BROOKE DRIVE CITY YORK

' HOLLY, ROBERT J., M.D.

APP _NAME holly, ROBERT J., M.D.

STATE _ CODE HI ZIP 54901 DEPT BUREAU OB-GYN CLINIC OF OSHKOSH, S.C.

BUILDING STREET 712 DOCTORS COURT CITY OSHKOSH

!HYDOVITZ MD., JERROLD D.

APP NAME HYDOVITZ MD., JERROLD D.

STATE _ CODE PA ZIP 15232 DEPT BUREAU BUILDING STREET 532 S. AIKEN AVENUE CITY PITTSBURGH

JUNG MD., YIECHUL APP NAME JUNG MD., YIECHUL STATE _ CODE OH ZIP 44505 DEPT _ BUREAU 1

BUILDING STREET

.2111 BELMONT AVENUE CITY YOUNGSTOHN

!KETELAAR MD., R.J.

P APP NAME KETELAAR MD., R.J.

P STATE _ CODE IA ZIP 52803 DEPT _ BUREAU i

BUILDING STREET 1814 EAST LCCUST ST.

CITY DAVENPORT iPAGE 5

l APP _NAME

KLEIN MD., JEROME JOSHUA APP _NAME KLEIN MD., JEROME JOSHUA STATE _ CODE CT ZIP 06851 DEPT _ BUREAU BUILDING STREET 83 EAST AVENUE CITY NORHALK

~KRAMER MD., MELVYN H.

APP NAME KRAMER MD., MELVYN H.

STATE _ CODE MA ZIP 01776 DEPT _ BUREAU BUILDING STREET 631 BOSTON POST ROAD l

CITY SUDBURY fLALA MD.,

PC.,. MICHAEL APP NAME LALA MD., PC., MICHAEL STATE _ CODE MI ZIP 48013 DEPT _ BUREAU BUILDING i

STREET 1848 LONG LAKE SHORE DR.

CITY BLOOMFIELD HILLS

~LANNER MD., ETHEL G.

APP NAME LANNER MD., ETHEL G.

STATE _ CODE NJ ZIP 07305 DEPT _ BUREAU BUILDING STREET 1905 KENNEDY BOULEVARD CITY JERSEY CITY

LANRENCE DPM., HAYNE APP NAME LAHRENCE DPM., HAYNE STATE _ CODE OH ZIP 44483 DEPT _ BUREAU BUILDING STREET 2537 E. MARKET ST.

CITY HARREN LEIB DPM., BURTON H.

APP NAME LEIB DPM., BURTON H.

STATE _ CODE MI ZIP 48054 DEPT _ BUREAU BUILDING STREET 3711 ELIZABETH LAKE RD.

CITY PONTIAC LEHIS JR., MD. & ASSOC., INC.

APP _NAME LEMIS JR., MD. & ASSOC., INC.

STATE _ CODE PA ZIP 15216 DEPT _ BUREAU BUILDING STREET 1241 PEERMONT AVENUE CITY PITTSBURGH LIPP, ROBERT M.

APP NAME LIPP, ROBERT M.

STATE _ CODE NJ ZIP 08857 DEPT BUREAU BUILDING STREET 15 GAUB ROAD CITY OLD BRIDGE MARSHALL JR., MD., JAMES ROSS APP NAME NARSHALL JR., MD., JAMES ROSS STATE _ CODE MI ZIP 48230 DEPT _ BUREAU BUILDING STREET 15401 EAST JEFFERSON AVENUE CITY GROSSE POINTE PARK MAULFAIR JR., D0., CONRAD G.

APP _NAME MAULFAIR JR., D0., CONRAD G.

STATE _ CODE PA ZIP 19539 l

DEPT _ BUREAU BUILDING STREET BOX 71 MAIN STREET l

CITY MERTZTOHN.

I l0 PAGE 6

O l APP _NAME 1

i MID STATE PODIATRY ASSOC. LTD.

APP NAME MID STATE PODIATRY ASSOC. LTD.

STATE _ CODE IL ZIP 61701 DEPT _ BUREAU BUILDING STREET 2708 MCGRAW CITY BLOOMINGTON l MURREY D0., JOHN H.

APP _NAME MURREY D0., JOHN H.

STATE _ CODE OH ZIP 45701 DEPT _ BUREAU BUILDING STREET 603 H. UNION CITY ATHENS NASSER, SMITH & PINKERTON CARDIOLOG APP _NAME NASSER, SMITH & PINKERTON CARDIOLOG STATE _ CODE IN ZIP 46260 DEPT _ BUREAU BUILDING STREET 8402 HARCOURT RD., 8413 CITY INDIANAPOLIS NICOTERO MD., JAMES A.

APP _NAME NICOTERO MD., JAMES A.

STATE _ CODE PA ZIP 15224 DEPT _ BUREAU BUILDING STREET 4401 PENN AVE., SUITE 1050 CITY PITTSBURGH NIGHTLINGER JR., DPM., FLOYD APP _NAME NIGHTLINGER JR., DPM., FLOYD STATE _ CODE IL ZIP 60005 DEPT _ BUREAU

)

BUILDING a.

STREET 125 EAST CENTRAL RD.

CITY ARLINGTON HEIGHTS N0SANCHUCK D0., JERRY L.

Arf _NAME NOSANCHUCK D0., JERRY L.

STATE _ CODE MI ZIP 48150

d.

DEPT _ BUREAU BUILDING STREET 35000 SCHOOLCRAFT RD.

CITY LIVONIA OBRON, MD., JEFFREY G.

APP _NAME OBRON, MD., JEFFREY G.

STATE _ CODE MI ZIP 48034 DEPT _ BUREAU 207 FARMBROOK MEDICAL BLDG.

BUILDING STREET 29829 TELEGRAPH ROAD CITY-SOUTHFIELD OSTER MD., HAROLD L.

APP _NAME OSTER MD., HAROLD L.

STATE _ CODE MI ZIP 49203 l

DEPT _ BUREAU BUILDING STREET 1514 FOURTH STREET CITY JACKSON

PAREKH, M.D.,

MAHENDRA C.

APP _NAME

PAREKH, M.D.,

MAHENDRA C.

STATE _ CODE OH ZIP 45840 DEPT _ BUREAU-BUILDING STREET 1816 CHAPEL DRIVE, SUITE 1 CITY FINDLAY PARRISH DPM., RON APP _NAME PARRISH DPM., RON STATE _ CODE IL ZIP 60513 DEPT _ BUREAU BUILDING STREET 9042 HEST 31ST. ST.

CITY BROOKFIELD 1 PAGE 7

0 APP _NAME

==--- _.

PEDERSON HOMEN'S CLINIC, P.C.

APP _NAME PEDERSON HOMEN'S CLINIC, P.C.

STATE _ CODE MI ZIP 48706 DEPT _ BUREAU BUILDING STREET 2108 SIXTEENTH ST.

CITY BAY CITY P0HERS MD., D. H.

APP _NAME POWERS MD., D. H.

STATE _ CODE IA ZIP 50010 DEPT _ BUREAU BUILDING STREET 120 12TH STREET CITY AMES REED, DPM, WILLIAM APP _NAME REED, DPM, HILLIAM STATE _ CODE MO ZIP 65802 DEPT _ BUREAU BUILDING STREET 608 SOUTH PICKHICK CITY SPRINGFIELD REESE MD., HALTER D.

APP NAME REESE MD., HALTER D.

STATE _ CODE PA ZIP 19090 DEPT _ BUREAU AMH HEALTH CTR. - SUITE 2 BUILDING STREET 2701 BLAIR MILL RD.

CITY HILLOH GROVE 3

REGIONAL CLINICAL LABS.

APP _NAME REGIONAL CLINICAL LABS.

STATE _ CODE PA ZIP 16501 DEPT _ BUREAU OF NORTHEASTERN PENNSYLVANIA BUILDING STREET 1526 PEACH STREET CITY ERIE ROCKFORD CLINIC LTD.

APP NAME ROCKFORD CLINIC LTD.

STATE _ CODE IL ZIP 61101 DEPT _ BUREAU BUILDING

}'

STREET 2300 NORTH ROCKTON AVENUE CITY ROCKFORD ROIG MD., HUGO MARTINEZ E.

APP NAME ROIG MD., HUGO MARTINEZ E.

STATE _ CODE PR ZIP 00926 DEPT _ BUREAU

e BUILDING STREET 112 ARZUAGA STREET SUITE 802 CITY RIO PIEDRAS DSE MD., F. A. C. P., LESLIE H.

APP NAME ROSE MD., F. A. C.

P., LESLIE H.

STATE _ CODE VA ZIP 23226 DEPT BUREAU BUILDING STREET 5500 MONUMENT AVENUE CITY RICHMOND DSSIN MD., HERBERT H.

APP NAME ROSSIN MD., HERBERT H.

STATE _ CODE MI ZIP 48010 DEPT BUREAU BUILDING STREET 31350 TLELGRAPH CITY BIRMINGHAM

$HENCK MD., ROBERT APP NAME SCHENCK MD., ROBERT STATE _ CODE IL ZIP 60612 DEPT _ BUREAU BUILDING STREET 1725 HEST HARRISON ST.

CITY CHICAGO

. CE 8

-P_NAME 5HROEDER MD., LEROY L.

APP NAME

'SCHROECER MD., LEROY L.

STATE _ CODE OH ZIP 45840 DEPT _ BUREAU BUILDING STREET 200 H. PEARL ST.

CITY FINDLAY

$0LNICK,M.D.,ALANM.

APP NAME

SCOLNICK, M.D.,

ALAN M.

STATE _ CODE OH ZIP 44137 DEPT suRCAu SOUTHGATE MEDICAL ARTS BUILDING BUILDING STREET 21100 SOUTHGATE PARK BLVD.

CITY CLEVELAND EERR, DPM, ELLIOT APP NAME SHERR, DPM, ELLIOT STATE _ CODE MA ZIP 01960 DEPT _ BUREAU BUILDING STREET 205 ANDOVER ST.

CITY PEABODY GNGER MD., F. A. C.

P.,

MARK APP NAME SINGER MD., F. A. C.

P.,

MARK STATE _ CODE NJ ZIP 07631 DEPT _ BUREAU BUILDING STREET 163 ENGLE STREET CITY ENGLEHOOD QNKEY MD., JOHN R.

APP NAME SINKEY MD., JOHN R.

STATE _ CODE OH ZIP 43623 DEPT _ BUREAU BUILDING STREET 4346 SECOR RD., SUITE #102 CITY TOLEDO GOUX CITY RADIOLOGICAL GROUP APP NAME SIOUX CITY RADIOLOGICAL GROUP STATE _ CODE IA ZIP 51104 DEPT BUREAU BUILDING STREET 2912 HAMILTON BOULEVARD CITY SIOUX CITY

LOTKY, M.D., S.C.

APP NAME

SLOTKY, M.D., S.C.

STATE _ CODE IL ZIP 61701 DEPT BUREAU BUILEING STREET 107 NORTH REGENCY DR.

CITY BLOOMINGTON

?UTHEASTERN PODIATRY ASSOC., INC.

APP NAME SOUTHEASTERN PODIATRY ASSOC., INC.

STATE _ CODE IN ZIP 46176 DEPT _ BUREAU BUILDING

STREET 124 HEST FRANKLIN CITY SHELBYVILLE SPECIALISTS OF INTERNAL MEDICINE, I APP _NAME SPECIALISTS OF INTERNAL MEDICINE, I STATE _ CODE MO ZIP 64506 DEPT _ BUREAU BUILDING STREET 900 NORTH BELT HIGHNAY CITY ST. JOSEPH STOCKER CLINIC APP _NAME STOCKER CLINIC STATE _ CODE HI ZIP 55066 DEPT _ BUREAU BUILDING STREET 1005 N. LAKE RD.

CITY OCONOMOHOC PAGE 9

APP _NAME

~

5TEUMER DPM., PC., MERRIL APP NAME STROMER DPM., PC., MERRIL STATE _ CODE MI ZIP 48126 DEPT _ BUREAU BUILDING STREET 13710 MICHIGAN AVE.

CITY DEARBORN SUSSMAN PROFESSIONAL ASSOC.

APP NAME SUSSMAN PROFESSIONAL ASSOC.

STATE _ CODE VA ZIP 22150 DEPT _ BUREAU BUILDING STREET 6120 BRANDON AVENUE, SUITE 109 CITY SPRINGFIELD THE KIDNEY CENTER APP HAME THE KIDNEY CENTER STATE _ CODE MA ZIP 02215 DEPT _ BUREAU BUILDING STREET 1055 COMMONHEALTH AVENUE CITY BOSTON TOEPP DPM., FRANK APP _NAME TOEPP DPM., FRANK STATE _ CODE IN ZIP 46617 DEPT _ BUREAU BUILDING STREET 727 EAST JEFFERSON CITY SOUTH BEND VAN AVERY JR., MD., JASPER L.

APP _NAME VAN AVERY JR., MD., JASPER L.

STATE _ CODE NJ ZIP 08901 DEPT _ BUREAU BUILDING STREET 61 LIVINGSTON AVENUE CITY NEW BRUNSHICK HEINER DPM., RICHARD APP _NAME HEINER DPM., RICHARD STATE _ CODE NJ ZIP 07024 DEPT _ BUREAU j

BUILDING STREET 2247 LEMOINE AVENUE CITY FORT LEE HOMEN'S CENTER OF CINCINNATI (THE)

APP _NAME HOMEN'S CENTER OF CINCINNATI (THE)

STATE _ CODE OH ZIP 45219 DEPT _ BUREAU BUILDING STREET 173 EAST MCMILLAN CITY CINCINNATI YAG00BIAN DPM., ROBERT APP _NAME YAG00BIAN DPM., ROBERT STATE _ CODE MI ZIP 48180 DEPT _ BUREAU BUILDING STREET 9025 PARDEE CITY TAYLOR a