ML20133C384

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: IA-85-337, Computer Listing of Active Licensees W/Matl Program Code 02201,nongroup Medical ML20133C373 ML20133C384
References
FOIA-85-337 NUDOCS 8507200481
Download: ML20133C384 (8)

Text

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'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 DEPT BUREAU STATE _ CODE CT ZIP 06320

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.

DEPT BUREAU OB-GYN CLINIC OF OSHKOSH, S.C.

STATE _ CODE HI ZIP 54901 BUILDING STREET 712 DOCTORS COURT CITY OSHKOSH

!HYDOVITZ MD., JERROLD D. APP NAME HYDOVITZ MD., JERROLD D.

DEPT BUREAU STATE _ CODE PA ZIP 15232 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

I CITY MERTZTOHN.

l0 PAGE 6 O  !

1 l APP _NAME i

APP NAME MID STATE PODIATRY ASSOC. LTD. STATE _ CODE IL ZIP 61701 MID STATE PODIATRY ASSOC. LTD.

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.

3 CITY HILLOH GROVE 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

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